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? I wish the motivation was more often about hospitals…
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.” Using unclear language can intentionally mask and hide…
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 2014: Weird Al’s Hilarious…
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…
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…
If you follow the auto industry, you might have seen headlines this week about how Toyota is being forced to shut down production in its Japanese factories next week (see one article, via Bloomberg). If you’re a devotee of the Toyota Production…
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...
TL;DR: Lean is often misunderstood. It’s not about rushing patients, cutting staff, or blindly installing tools. When practiced properly, Lean is fundamentally patient-centered, focused on safety, quality, and respect for people. When organizations have bad experiences, that usually reflects poor…
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 and their thoughts on “why should I join in?” I’m not sure who is behind…
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. Ironically, Toyota (the inspiration or model for Lean)…
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...
