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.
Today, I'd like to share the latest in my series of articles about "Champions of Change," which is based on a discussion I had with Suzi Collins, an experienced Lean healthcare supply chain leader.
I’ve heard a lot of rumblings recently about what might be happening at ThedaCare, a health system in Wisconsin that’s been considered one of the best examples of "Lean healthcare" anywhere in the world for more than a decade. It seems that there is an evolution occurring in their approach to Lean.
I’ve received a formal statement from ThedaCare public relations, which you can find in this post, so I will stick to the facts that they have given me and other information that's publicly available online.
As I blogged about yesterday, things went well at the Oscars... or, at least, no errors were made in the announcements. But that thing that didn't go well was the TV ratings.
Two Data Points Are Not a Trend
The headlines I saw had a lot of two-data-point comparisons. Headlines sometimes gave the percentage decrease in viewers or how many million fewer viewers there were. Many talked about "record low" but if you're tracking a metric "record low" or "all-time high" doesn't mean there's a "special cause." That "record low" could still be noise in the system.
Tomorrow, my post will be about headlines that scream about ratings for The Oscars being "down from last year" or "the lowest in X years." As I've blogged about before, I'm always skeptical of such simplistic comparisons that might mask the real underlying trend.
But first, could the Academy avoid last year's embarrassing mixup?
Here's an interesting Bloomberg article about Toyota never being satisfied, which includes improving the way they improve:
"Toyota's Way Changed the World's Factories. Now the Retool"
Did you know that Toyota has a central TPS group??
This podcast is sponsored by Cardinal Health.
Joining me again for episode #301 of the podcast is Joe Swartz, my friend and co-author for our books Healthcare Kaizen and The Executive Guide to Healthcare Kaizen:. You can learn more about our books here. He also contributed a chapter to the book Practicing Lean. (read an excerpt).
Today, we're talking about "Champions of Change," as I've been writing about for Cardinal Health.
Today's post is my eighth cartoon collaboration with a skilled artist and medical assistant, Carrie Schurman (see past cartoons). You can find her on Twitter as @carrieschurman.
My guests for Episode #300 of the podcast are Tracey and Ernie Richardson, authors of the excellent book titled:
The Toyota Engagement Equation: How to Understand and Implement Continuous Improvement Thinking in Any Organization
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.
