Tag: Patient Flow

Does This Chart Show a Clear Reduction — Or Variation?

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I saw this chart recently. It shows the monthly average length of stay (LOS) at a hospital: The narrative about the chart said it was: "continuing...

Why “On Deck Chairs” Can Improve a Covid Vaccination Clinic Flow...

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My previous post in this series: A Lean Guy Gets Vaccinated at Dodger Stadium On Saturday, March 6th, I had the opportunity to visit two...

A Lean Guy Gets Vaccinated at Dodger Stadium

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This past year, due to Covid, I wasn't able to be on site with a healthcare organization for 359 days. That's almost a full...

Operational Excellence Mixtape: December 6, 2019

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Healthcare - Creating Value for Patients Does Lean "work" in hospitals in the US?  Sort of, according to the Journal of Healthcare Management.  There is evidence...

Operational Excellence Mixtape: November 22, 2019

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Healthcare - Creating Value for Patients Healthcare improvement is often done through QI projects in an "artisan" fashion.  To improve healthcare improvement, combat bias and us...

Operational Excellence Mixtape: November 8, 2019

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Healthcare - Creating Value for Patients "Imagine walking into a restaurant and being seated. Sometime after your meal, you receive the check and find an...

A Gemba Visit to a Hospital in Brazil: Huddles, Lean Improvement,...

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When I blogged a summary of my recent Brazil trip, I said I'd write more about my visit to a hospital... so here's that...

Lean: A Combination of “Why?” and “Why Not?”

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When we have really sticky, complicated problems (like the widespread healthcare patient safety and quality problems), I think it's interesting to think about problems...

Podcast #328 – Bette Gardner and Jeff Heil, Friday Night at...

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My guests for Episode #328 are Bette Gardner and Jeff Heil, of the company Breakthrough Learning. Bette is the creator of a fantastic simulation...

Friday Night at the ER: Fun Learning Through a Tabletop Simulation

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Actually being a patient in the emergency department is a learning experience, to say the least. I've done that twice in the past twelve months (two cases of really bad stomach flu with high fever). I don't recommend this if you can avoid it. What I do recommend is an interactive learning experience called "Friday Night at the ER." More about that in today's post...

A Tale of Two Dental Visits: Frustrating and Ideal

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If a practice aims for "ideal care," how can there be so much waste and waiting one day, followed by a perfect waste-free visit the next? What are your experiences with care and delays in clinic settings?

How a Hospital in Malaysia Solved That Emergency Room Visibility Problem...

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I saw this recent article from Malaysia: LEAN Healthcare: Reducing patient waiting times, one small step at a time They put Lean in all caps... it's not an acronym. Anyway, back to the article. Their ministry of health is trying to reduce the typical department length of stay number from five hours to something shorter. And Lean is something they're using to help...