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.
Mark’s Note: Today’s post is an excerpt, used with permission, from a new book by Steven Leuschel titled “Lean Culture Change,” with an introduction by Rodger Lewis, a former Toyota executive at the Georgetown, Kentucky plant. I’ve also recently recorded a…
My guest for episode #240 is somebody I’ve wanted to interview for a long time, Leah Binder, the president and CEO of Leapfrog Group, “a voluntary program aimed at mobilizing employer purchasing power to alert America’s health industry that big…
Later today and tomorrow, I’ll be attending the annual World Patient Safety, Science & Technology Summit that’s produced by a non-profit called the Patient Safety Movement. If you’re also at the event, please say hi! Follow the event on the…
In the midst of the discussion about the NEJM article, John Shook of LEI (a former Toyota employee) pointed me to this 1993 HBR article: "Time-and-Motion Regained" I believe it's freely available...
Yesterday, I wrote Part 1 of this post on the Cleveland Clinic Improvement Model. Part 1 covered the left hand half of the model, with Organizational Alignment and Visual Management being the key themes. Once you have alignment, measures, and…
Back in November, I had a chance to meet Nate Hurle, from Cleveland Clinic, as he was giving a presentation about their work with Lean and continuous improvement. As we chatted, I mentioned that I’d be in Ohio in early…
In the article posted today, Pamela Hartzband, M.D., and Jerome Groopman, M.D. (the later the author of the popular book How Doctors Think), rant about all sorts of things… some of which have nothing to do with Lean...
It's very frustrating when I hear people in healthcare complain that their hospital or health system has equated Lean with cost savings -- only focusing on cost reduction or primarily focusing on it...
One of the first people in healthcare to be influenced by Deming’s work is Dr. Don Berwick, founder of the Institute for Healthcare Improvement (at right in that picture). Berwick wrote about Deming’s ideas back in...
Yesterday, I had a post published over on the KaiNexus blog: Webinar Highlights: See How These Two Elements Spread Improvement I shared some highlights from an outstanding webinar that was presented by two improvement leaders from Mary Greeley Medical Center,…
As we start easing into the holidays, I wanted to share a few throwback posts from this day or this week from previous years: From this date in 2009: The Emperor’s Sacred Cow’s New Clothes – “Flexing” Hospital Staff I’d…
In this episode, Dr. John Toussaint explains why Lean healthcare transformation fails when it’s treated as a set of tools instead of a leadership responsibility. Drawing on his experience as former CEO of ThedaCare, he discusses CEO accountability, patient safety,…
