Tag Healthcare

Healthcare Improvement Through Lean, Leadership, and Learning

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.

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A Lean Healthcare Job Interview Process: Thoughts and Reflections

Mark's Note: I asked my firiend Sam Selay to write a blog post on this topic after some private discussions that we had. He agreed and shared this post. I've talked to many others who have run into similar roadblocks and frustrations when trying, with the best of intentions, to bring their Lean skills and experience into healthcare.

Sam was one of the contributing authors to the anthology "Practicing Lean," which is now available through Apple iBooks, in addition to Amazon (Kindle and paperback), and Leanpub (eBook and audiobook). Here is his post:

In June, I was informed by my employer that the company had decided to go in a new direction. They said they would now build lean into their processes and enable process owners to be responsible for all continuous improvement functions. To date, I don’t know many organizations that have been able to successfully embed lean into everyone’s work and sustain it.

Operational Excellence Mixtape: August 17, 2018

Healthcare – Creating Value for Patient Canadian healthcare is still mired in a system of outdated technology (including reliance on faxing and pagers) in a world where consumers expect total transparency and availability of data.  Canadian doctors agree that patients should have…

The Carrot and the Stick on Steroids

I haven't done a Throwback Thursday in a while, but here's a new one.

I was reminded of an article I wrote for LinkedIn back in 2013:

The Carrot and The Stick "On Steroids"
The article begins:

There are a few cliché expressions that I've heard a lot of recently at healthcare conferences. Some of these clichés really need to be retired, including the phrases "carrot and the stick" and "on steroids."

Skip Steward & Brandon Brown on TWI, Toyota Kata, and Building the Baptist Management System

Today I have two guests joining me for Episode #314 of the podcast. They are Skip Steward, the Chief Improvement Officer at Baptist Memorial Health Care in Tennessee and Brandon Brown, the owner and "Master Kata Coach" of his firm, Continuous Coaching Commitment, LLC.

In this episode, we discuss their use of methods such as "Training Within Industry" and "Toyota Kata" in the important work of healthcare improvement. Skip and Brandon both have backgrounds in manufacturing, but they have been able to translate Lean skills and mindsets into healthcare. We'll also talk about their dynamic as consultant / client and how the roles of "coach" and "learner" are often very situational and how we can be both at different times.

Lean Shouldn’t be a Reason for Nurses to Strike

A retired labor leader from the automotive industry (who reads this blog) sent me a link to this article:

#RedforMed: 1,800 Vermont Nurses Are On Strike Demanding Their Hospital Put Patients Over Profits
The article isn't from a newspaper; it's from a site that provides "independent and incisive coverage of the labor movement and the struggles of workers to obtain safe, healthy and just workplaces."

Again, for the record, I'm all in favor of "safety, healthy, and just workplaces." That's what Lean management aims to deliver.

A Stomach Bug, the Emergency Room “Gemba,” and Charts, Charts, Charts

Here's a reprieve from posts about my new book Measures of Success: React Less, Lead Better, Improve More. Although I will mention that the book should be available very soon in the Apple iBooks store. And today's post is on themes from the book.

Unfortunately, I've had two trips to the emergency room within the past year, due to stomach flu problems. Or, it was possible food poisoning. In cases like these, the doctors aren't really worried about the exact root cause, because the treatment is the same either way. They're treating symptoms.

Last Wednesday morning, I woke up early and I was sick. Stomach issues. Fever. I noticed on my Fitbit that my heart rate was elevated above normal levels. I was working from home that day, so I stayed in bed, slept, and rested. I wasn't really able to eat anything and it was hard to get liquids down...

Operational Excellence Mixtape: August 3, 2018

Thanks as always to Ryan McCormack for this… there’s always so much good reading, listening, and viewing shared here by him! Subscribe to get these directly from Ryan via email. Healthcare – Creating Value for Patient Not surprisingly, healthcare organizations with poor cultures of rigid…

Jeff Hunter on Patient-Centered Strategy and Building Learning Systems in Healthcare

Joining me today for Episode #312 of the podcast is Jeff Hunter, author of the excellent book "Patient-Centered Strategy: A Learning System for Better Care."

Jeff was with the ThedaCare in Wisconsin, where he was Senior Vice President, Strategy and Marketing for the health system. After retiring from ThedaCare, he has been a faculty member for Catalysis and has started his own consulting firm, Jeff Hunter Strategy.

In today's podcast, we discuss a number of topics, including how a good strategy is a necessary input for a "strategy deployment" management process, some of the problems with traditional approaches to strategic planning, and why an iterative PDSA approach works better than static plans.

“ER wait times down, but only slightly” or ER wait times are virtually the same?

This article was sent by a friend and blog reader from Winnipeg the other day:

"ER wait times down, but only slightly"
Oh good, the waiting times are down. But what does "only slightly" mean? Have ER wait times gone down in a meaningful way? Or are they just comparing two data points? Is this "down" a matter a signal or is it just noise in the system?

These are the types of questions that can be answered by methods in my new book Measures of Success: React Less, Lead Better, Improve More.