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.
Tomislav Mihaljevic, MD was named CEO of the Cleveland Clinic just over a year ago, replacing long-time CEO Toby Cosgrove, MD.
As I've blogged about (and podcasted about), I've been impressed with the Cleveland Clinic Improvement Model and their approach to continuous improvement, problem solving, and Lean management.
Dr. Mihaljevic has written a blog post about the power of "tiered huddles"...
Healthcare – Creating Value for Patient CMAJ summarizes how to improve the quality of healthcare in Canada. Nothing new here, which begs the question – what are we waiting for? Intermountain Health in Utah has a reputation for creating value for…
My guest for Episode #319 is Karen Martin, whose most recent book is Clarity First: How Smart Leaders and Organizations Achieve Outstanding Performance. She was previously a guest on Episodes #151, #190, and #285.
Karen is an author of many books on Lean, quality, and performance excellence. She is also a speaker and a consultant with a B.S. in Microbiology from Pennsylvania State University and an M.A. in Education from California State University, Bakersfield. Read her full bio.
What is clarity? How can we work toward creating less fog and more clarity in organizations? We'll talk about that, along with a bit of discussion about clarity in metrics, as I write about in my book Measures of Success.
Healthcare – Creating Value for Patient Creating value for patients isn’t a “project”. Lean thinking isn’t a program you “implement” in a hospital over a few years. Virginia Mason has been improving value-based care for 17 years and it continues to…
In the third and final part of this series, I share more about how Toyota teaches about TPS and TQM... and how they are sharing that approach with doctors and hospitals.
Joining me from Sweden for Episode 318 of the podcast is Marcus Hammarberg, author of the fascinating book Salvation: The Bungsu Story: How Lean and Kanban saved a small hospital in Indonesia. Twice. And can help you reshape work in your company.
Marcus is a software developer, consultant, lean/agile coach, speaker, and author. He ended up with an opportunity to work with a hospital in Indonesia and he tells that compelling story in the book. How did a huge hole in the roof help trigger a change in culture and results? You'll hear about that and more in this episode. I hope you enjoy it and find it inspirational, as I did.
Healthcare – Creating Value for Patient The legendary quality leader W. Edwards Deming is widely known for his thoughts on statistics and systems. However, Deming believed that psychology was of crucial importance when improving organizational performance. The Institute for Improvement in Healthcare shares…
Last week, I wrote about the influence of Total Quality Management (TQM) on Toyota -- in the past and the present, in Japan and beyond. Today, to follow up on that, I'm going to share some excerpts from some material that was shared by a Toyota leader who presented at a hospital I visited earlier this year as part of the Kaizen Institute-organized Japan trip.
My guest for Episode #317 of the podcast is Patricia Morrill, a speaker, trainer, consultant, researcher, and author of the book The Perils of Un-Coordinated Healthcare: A Strategic Approach toward Eliminating Preventable Harm.
With 30 years of experience in the healthcare industry, she has focused on blending operational efficiencies with healing environments. Patricia has successfully integrated Lean and Project Management methodologies with organizational strategic goals to build roadmaps for execution. Check out her website and her blog.
In today's episode, we discuss her personal story about her mother's death that came as the result of a preventable medical error. What can be done to prevent medical errors, harm, and death?
Healthcare – Creating Value for Patient Canadian healthcare is where “pilot projects come to die”. There is a lack of a culture of innovation in Canadian health, partly due to its fragmented nature and reliance on academic and government echo-chambers to…
Here's a blog post written by three physicians:
Can the auto industry improve spinal fusion surgery?
It's interesting that they so closely associate Lean with the auto industry when, at this point, Lean is used in virtually every industry and setting. That's why I used the word "Lean" in the title of my blog post here.
They are also authors of a journal article titled "Application of Lean Principles to Neurosurgical Procedures: The Case of Lumbar Spinal Fusion Surgery, a Literature Review and Pilot Series," published in Operative Neurosurgery.
In my post, I comment on their work...
Why do people fear change? Why are adults afraid of talking about their fears? My guest today is eminently qualified to answer such questions and to provide advice that can help us. My guest for Episode #315 is Robert Maurer, Ph.D., author of the outstanding book Mastering Fear.
Bob was previously my guest for Episode #153, where we discussed one of his earlier books on Kaizen, One Small Step Can Change Your Life: The Kaizen Way. By the way, earlier this year I noticed that his other book The Spirit of Kaizen was one of the few books by an American author that Toyota was selling at the Toyota Commemorative Museum of Industry and Technology in Nagoya (see photo below).
I hope you enjoy today's discussion on Mastering Fear. As the subtitle says, can we "harness emotion to achieve excellence in health, work, and relationships"?
