Tag: Layoffs

Lessons Ford & the UAW Learned in Japan in 1981 Still Apply (Even in Healthcare)

Lessons Ford & the UAW Learned in Japan in 1981 Still Apply (Even in Healthcare)

I continue sharing documents from the Don Ephlin library archive. What did Ford and the UAW learn when they visited Japan in 1981? Many of the things that made Japanese industry successful are the same things that make organizations successful with Lean today, including in healthcare.

By February 13, 2017 2 Comments Read More →
Improving Safety & Quality Matters, but a $54 Million Cost Savings Makes for a Better Headline?

Improving Safety & Quality Matters, but a $54 Million Cost Savings Makes for a Better Headline?

I saw this article a few days ago in one of the larger healthcare industry trade publications: How One Woman Saved IU Health $54 Million The headline is misleading, as addressed in the opening sentence / sub-headline of the story (via HealthLeaders): “With a little help from about 10,000 of her friends and colleagues, the head

By January 26, 2017 2 Comments Read More →
#TBT: What CFO Magazine Wrote About #Lean in 2009

#TBT: What CFO Magazine Wrote About #Lean in 2009

I first blogged about this article back in 2009 and it’s still online:

Keen to Be Lean

The sub headline talks about hospitals being “desperate to cut costs.” Has that changed?

By December 15, 2016 2 Comments Read More →
Examples of Corporate Speak Masking Reality in Banking and Healthcare

Examples of Corporate Speak Masking Reality in Banking and Healthcare

I get annoyed by corporate euphemisms, such as referring to people as “resources,” the term “right-sizing” for layoffs, and the type of jargon and babble parodied in the Weird Al song “Mission Statement.”

By December 2, 2016 1 Comments Read More →
#TBT: Posts from Julys Past

#TBT: Posts from Julys Past

I’m going to be away from the blog (and Twitter) through July 13, but here are some blog posts from Julys of years past.

2015: See How a British Psychiatrist is Using LEGO Videos to Explain Lean Healthcare

If Your Hospital Wants to “Implement #Lean,” You Need to Learn This Lesson from Toyota

If Your Hospital Wants to “Implement #Lean,” You Need to Learn This Lesson from Toyota

I've written before about the subject of hospitals "flexing" nurses and employees. I've criticized flexing (or the practice of sending employees home early because patient census is low) and I've pointed out that it's not keeping with "Lean" principles to "save money" by sending people home early.

#TBT: Looking Back at Taiichi Ohno’s Book: Lean, Layoffs, Henry Ford, and More

#TBT: Looking Back at Taiichi Ohno’s Book: Lean, Layoffs, Henry Ford, and More

Thanks to my Amazon Kindle app on my iPad, I get to carry much of my book collection with me.

Sometimes, while on the road, I end up eating dinner alone with my iPad. Recently, I was in a Japanese restaurant and decided to revisit parts of Taiichi Ohno’s classic book Toyota Production System: Beyond Large-Scale Production from 1988.

#Lean Would Be a Solution for What These Nurses Complain About

#Lean Would Be a Solution for What These Nurses Complain About

In my time working with hospitals, I’ve always been very sympathetic to front-line nurses (and other staff). They are far too often overburdened and undersupported. Work is often more difficult than it needs to be — too much hassle and not enough time with patients. Nurses are forced to jump through hoops, fighting through bad systems, yet they too often get blamed when things go wrong.

By February 22, 2016 5 Comments Read More →
Is This The One Question That Determines If You’re Truly a Lean-Thinking Hospital?

Is This The One Question That Determines If You’re Truly a Lean-Thinking Hospital?

I get asked a lot, “How do you know if a hospital is truly ‘Lean?'” Nobody is ever perfect or “fully Lean,” but you could ask, “How do you know if somebody is on a legitimate Lean transformation journey?” If you could only ask one question...

By February 3, 2016 8 Comments Read More →
Key Tweets from @MarkGraban – Week of October 12, 2015: Toyota, Twitter, and Respect

Key Tweets from @MarkGraban – Week of October 12, 2015: Toyota, Twitter, and Respect

Here’s the latest installment of “Key Tweets,” a post that summarizes some of my tweets (or retweets) from the week, including pictures and other fun stuff. Follow me @MarkGraban and join the fun and the conversation...

By October 18, 2015 0 Comments Read More →
Lean: Hit or Myth? Layoffs, Patient-Centered Care, and More

Lean: Hit or Myth? Layoffs, Patient-Centered Care, and More

It’s not uncommon to hear statements thrown around about Lean that are more of a myth than anything resembling reality.

I remember the time a professor told a group that if Toyota ran a health clinic, a buzzer would go off at the end of the planned appointment time and the patient would be kicked out of the room. That’s ridiculous. That’s a myth (and it’s not one of the widely spoken myths).

Why is Today “#WorldNoResourcesDay” and Why Do Words Matter?

Why is Today “#WorldNoResourcesDay” and Why Do Words Matter?

I learned about this the other today via Twitter (hat tip to @agile_memes), but today is “World No Resources Day” (see hashtag #WorldNoResourcesDay). See the small website at http://worldnoresourcesday.com/ and their thoughts on “why should I join in?

The Scripps Health CEO is Right About No-Layoffs Policies

The Scripps Health CEO is Right About No-Layoffs Policies

In manufacturing, the term Lean has far too often been synonymous with layoffs. Doing so is more L.A.M.E. than Lean. People get anxious and throw around an acronym LEAN – Less Employees Are Needed.

Key Tweets from @MarkGraban – Week of April 13, 2015

Key Tweets from @MarkGraban – Week of April 13, 2015

Three things are inevitable these days… death, taxes… and tweets. Here’s the latest installment of “Key Tweets,” a post that summarizes some of my tweets (or retweets) from the week. Follow me @MarkGraban and join the fun and the conversation. See the previous installments of Key Tweets here.

10 Ways That Lean Concepts Respect & Support Healthcare Staff

10 Ways That Lean Concepts Respect & Support Healthcare Staff

Lean provides a philosophy and a management model that should be nothing but good for staff and patients. The idea of “respect for people” might sound nice in principle, but what does it mean in a practical sense...

Reflections on Almost 10 Years in Lean Healthcare

Reflections on Almost 10 Years in Lean Healthcare

I often get asked, “How did you get into healthcare?” I was working on a chapter for a Lean healthcare compilation book that’s being published in Holland and I wrote the following material that wasn’t the right fit for that chapter, but I wanted to share below:

By September 15, 2014 6 Comments Read More →
It’s Easy to See Why Labor Would be Upset with This Hospital CEO

It’s Easy to See Why Labor Would be Upset with This Hospital CEO

Monday is Labor Day, a holiday here in the United States. Some nursing unions support Lean in healthcare, while others are in opposition. My stance is been that the unions should love Lean (since it  improves the workplace for their members), but they are right to criticize practices like layoffs and other things that aren’t really Lean).

By August 29, 2014 5 Comments Read More →
My Thoughts on “10 Ideas That Hospital and Health System CEOs Need to Ditch,” Including Blame

My Thoughts on “10 Ideas That Hospital and Health System CEOs Need to Ditch,” Including Blame

I saw this piece by Bob Herman at Becker’s Hospital Review and ended up writing a blog post here instead of writing a long comment there. The piece is:

10 Ideas That Hospital and Health System CEOs Need to Ditch

I was happy to see ThedaCare’s CEO Dr. Dean Gruner quoted – listen to my podcasts with him, episodes 119 and 144).