Tag: Patient Flow

Navigating Hospital Processes (or a Lack Thereof): Systemic Issues in Outpatient...

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It's interesting to observe a hospital process (or lack thereof) when a family member needs surgery. I had the opportunity to do so one...

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?