Tag: Healthcare

As I prepare to go back to Japan, I'm sharing some insights about the Japanese health system from the excellent book "The Healing of America," by T.R. Reid.

In some of the major Lean transformation stories (in manufacturing in healthcare) usually include stories about some percentage of managers, doctors, or employees who chose to leave the organization. This is often a badge of honor of sorts. Sometimes, those people get labeled as "concrete heads" (I term I think we shouldn't use, as I've blogged about). Is this really the right way to view things?

Not all Japanese companies are the same. "Lean isn't easy" if you're a Japanese company. Toyota has created something special, since "Toyota culture" is not exactly the same as "Japanese culture." The WSJ says the "model is cracking." Do scandals involving quality and ethical lapses involving companies including those and Nissan tarnish Lean and the Toyota Production System? No. That's as silly as thinking the Wells Fargo banking scandal tarnishes Silicon Valley (although the Valley does enough to tarnish itself).

Joining me again for episode #299 of the podcast is Joe Swartz, my friend and esteemed co-author for our books Healthcare Kaizen: Engaging Front-Line Staff in Sustainable Continuous Improvements and The Executive Guide to Healthcare Kaizen: Leadership for a Continuously Learning and Improving Organization.

Lean can be very fragile. History shows that Lean can fall apart even in an organization that is years into a "Lean journey" with strong CEO involvement. How is this possible? If often happens when a new CEO is brought in from the outside. In the case of the manufacturing company, Wiremold, it happened when they were acquired by a French company, Legrand. As an aside, the team that coined the term "Lean" almost used the term "fragile," as I blogged about here. Back in 2007, Bob Emiliani joined me for Episode #30 of the podcast. As we revisit the podcast and the new transcript I had made, what are the lessons for manufacturers or hospitals? What's the risk that's created when new leadership takes over?

Last week, I blogged about some employee complaints related to rotating day and night shifts at the Toyota San Antonio plant. In that post, I mentioned that employees who post on Glassdoor.com and other sites might not be a representative sample of the full employee population. With that in mind, what happens when we search the Glassdoor surveys of some well-known "Lean hospitals?" I posted a few of these employee comments on LinkedIn the other day (a short post that has received over 50,000 views and prompted a lot of discussion).

I often get asked a question along the lines of "So, what exactly do you do?" Today, I give some updates about my various projects and partnerships, including continuing with KaiNexus (with a different title) and a new partnership with Value Capture.

Again, there's still time to sign up for the next Lean and Kaizen study trip to Japan that I'm facilitating with Kaizen Institute, from February 26 to March 2, 2018. There's still room in the tour if you'd like to join us. In this post, I share some of my thoughts - answers to questions posed by Kaizen Institute. And, I share some thoughts from Risa Cox, from Kaizen Institute.

Today's post is written by Steve Hoeft, the SVP, Chief of Operations Excellence at Baylor Scott & White Health (BSWH) here in Texas. This is his first written contribution to Lean Blog, but you might remember him as a guest in episode #226 of my podcast, where he and co-author Dr. Bob Pryor talked about their book The Power of Ideas to Transform Healthcare: Engaging Staff by Building Daily Lean Management Systems. His article begins: "In my years serving as continuous improvement leader and consultant for some great organizations, I've discovered something consistent: Improvement will not happen on its own."

Come join me and Kaizen Institute in the last week of February as we lead a study trip to Japan. This will be my third trip to Japan and I'm very excited... we still have space in the group if you can join us.

You might think that "command and control" leadership styles are a thing of the past. But, old habits die slowly and many leaders today still seem to have a mental model that longs for a workforce that would "just do what they're told." What did former President and General Dwight D. Eisenhower say about leaders who are "hitting people over the head?" I blog about that here...

Joining me for Episode #296 of the podcast is Zeev N. Kain, MD. MBA, FAAP. He is a physician and a Chancellor's Professor at the University of California, Irvine. He has many additional roles and titles, including: Director, System Redesign & Value Based Care for the UC-Irvine Health Policy Research Institute Executive Director of the UCI-Yale Center on Stress & Health President of the American College of Perioperative Medicine Dr. Kain is "recognized as an international expert in the clinical management of perioperative fear and anxiety, and management of children undergoing invasive medical procedures. His research addresses major dilemmas encountered in the management of affected children." He's also an advocate for Lean and Six Sigma and the connections to reducing "clinical variation" in healthcare. So, that's what we're talking about today.