Healthcare improvement isn’t about working harder—it’s about better systems, better leadership, and a culture that supports learning and speaking up. This archive brings together blog posts, podcasts, and reflections on Lean healthcare, patient safety, quality improvement, leadership, and continuous improvement. Many of these posts draw on real hospital experiences and lessons from Deming, Toyota, and frontline healthcare teams, with a consistent emphasis on respect for people and learning from mistakes.
I have strong ties and connections to the state of Michigan, growing up in Livonia, starting my career there in Livonia, and having my parents and many friends in the area, although I moved away in 1997. I was thrilled…
In this post, I’m going to tell you about some upcoming Lean events I’m involved in – planning, producing, or participating. Eric Ries “Lean Startups” Webinar for LEI Shingo Prize Conference Lean Healthcare Transformation Summit I think these will all…
What really motivates people to improve their work–especially in healthcare and other complex environments? Drawing on Daniel Pink’s Drive, Dr. W. Edwards Deming’s teachings, and Lean principles, this post explores why intrinsic motivation consistently outperforms incentives, rewards, and punishment in…
Here’s a thought starter for a Monday morning – I’m looking forward to hearing your perspectives. A few weeks ago, I heard a leader from a healthcare organization (one that will remain unnamed) say this: “In healthcare, we get results…
Note: I edited the post title on April 3 to make it clear this was an April Fool’s Joke. Comments posted by readers on 4/1 and 4/2 may have been “fooled” – thanks for taking the joke in good spirits.…
Episode #87 is a discussion with a returning guest, Steven J. Spear, DBA, author of the outstanding book Chasing the Rabbit: How Market Leaders Outdistance the Competition and How Great Companies Can Catch Up and Win. The book is due…
Dr. Donald Berwick (bio), founder of the Institute for Healthcare Improvement, has reportedly named by President Obama to head Centers for Medicare & Medicaid Services (CMS), the organization that administers programs including Medicare and Medicaid (“Berwick to be US healthcare…
Mark’s note: I am thrilled to be able to bring you this guest post from my friend and fellow lean healthcare author Naida Grunden. Her post (and Sully’s words) are far more important than anything I could write today. Read…
In recent years, healthcare has been learning a lot of lessons from aviation — including checklists and “Crew Resource Management,” as written about in the excellent books The Checklist Manifesto and Why Hospitals Should Fly. Aviation has gotten much…
Episode #86 is a conversation with David Lawrence Sundahl, PhD, Managing Director of Rule 4 Consulting. They are a firm that works with healthcare providers to drive improvements using Lean and what they call “Adaptive Design” methodologies. Sundahl was a…
Today, I’ll simply point you to a blog post by Mitch Ditkoff called “Top 100 Lamest Excuses for Not Innovating.” Many, if not all of these could apply to not improving a process, not embracing Lean, not doing “kaizen” each…
Those who follow Lean healthcare know that Virginia Mason Medical Center, in Seattle, is one of the world’s leaders in improving care through Lean methods. They were featured last year on the CBS Evening News, for example. The LeanROI.org site,…