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.
Our next KaiNexus webinar that I’m hosting is going to be presented by an old friend, Roger Chen. I’m not calling Roger old, I’m just saying I’ve known him for about a decade after we were introduced by our mutual…
My guest for Episode #338 is Mr. Grey Dube, the Chief Executive Officer at Leratong Hospital. He has over 40 years’ experience in the public service, including time as CEO at the hospital since 2005. Leratong Hospital is an 855…
I was first introduced to the ExperienceChange simulations about ten years ago when I already had more than ten years of experience trying to facilitate change in manufacturing companies and healthcare organizations. Playing the healthcare-based “Lakeview” hospital simulation and learning…
Healthcare – Creating Value for Patients The design of payment and reimbursement systems in healthcare is a key driver of value. In Canada, it is not uncommon for primary care physicians to institute a “one issue per visit” policy. This clearly impacts…
It’s my second straight podcast with a healthcare CEO. This time, joining me for Episode #337 is Vance Jackson, FACHE, FACMPE, the President & CEO of Davis Health System, based in Elkins, West Virginia. Vance and I talk about how…
Healthcare – Creating Value for Patients The new venture between Amazon, Berkshire Hathaway, and JPMorgan Chase to fix healthcare is called “Haven” according to a new press release. I will be following with interest. This venture has great leadership, vast resources, and…
My guest for Episode #336 is Gladys Bogoshi, the Chief Executive Officer at Charlotte Maxeke Johannesburg Academic Hospital, one of the ten central hospitals in South Africa and the main teaching platform of the University of the Witwatersrand. The Hospital…
My typing is a bit hampered after my finger surgery still. At least my surgery was safe and my outcomes seem to be good. Not everybody is so lucky. This week is the annual Patient Safety Awareness Week. In this…
Healthcare – Creating Value for Patients Ontario is betting big on an untested hypothesis of reorganizing and consolidating healthcare operations and budgets predicting it will result in patients “seamlessly” moving through the health system. Time will tell, but the history has…
Back in 2013, I wrote a LinkedIn article (orread on Medium) about how the “Doctors: Best of 2013” list in a San Antonio magazine had a disclaimer that warned: “S.A. Doctors: Best of 2013 is the name of our publication,…
Recently, I blogged about how a Lean hospital would focus on reducing overwork on nurses and other staff: Another term that could be used is “overburden.” The Japanese word for this is “muri,” for what it’s worth. Many Lean practitioners…
Healthcare – Creating Value for Patients Daily safety huddles are simple, inexpensive, and effective methods to raise and escalate patient safety risks. Start your safety huddles today with some tips from the Institute for Healthcare Improvement. I get asked all the…
