Art Byrne's latest book, The Lean Turnaround Action Guide, has a lot of great tips that he's trying to share, CEO to CEO. How many CEOs are reading this book and heeding his advice, in manufacturing or 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.
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
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.”
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.
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.
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.
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.
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...
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...
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).
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?”
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.
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.
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...
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:
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).