TL;DR: Three stories from a single day highlight a familiar pattern in healthcare technology: a pharmacy text message with the wrong hours that nobody has fixed, medical imaging that has to be mailed on a physical CD in 2026, and…
The other day, I was presenting at a company about “Psychological Safety as a Pre-Condition for Continuous Improvement.” It was a hybrid event and I noticed, during the Q&A period, that somebody on Teams chatted about me making a mistake.…
As part of my relocation to California, I need to establish a relationship with an ophthalmologist here, as I have had early-onset glaucoma for about ten years (thanks to something called “pigment dispersion syndrome” — fun!). When making an appointment…
Let’s start today’s post with Point #8 from The Toyota Way management philosophy: “Use only reliable, thoroughly tested technology that serves your people and processes.” Today’s blog post isn’t about politics or candidates — it’s about process. Two weeks ago,…
I saw this article the other day on Deadspin, one of my favorite non-Lean blogs Bill Belichick, head coach of the New England Patriots, got really frustrated with an NFL-provided Microsoft Surface tablet. As with many technology issues, it wasn’t…
The title here doesn’t refer to LinkedIn’s technology, their website, solving or causing problems. I’m referring to a post I wrote there the other day that has a Lean and Toyota angle to it. Click on the image to read…
Here are a few articles (and a podcast) that I either wrote and had published recently or was interviewed for. Lean Management Journal – Lean and Technology I recently got introduced to the relatively new publication, the Lean Management Journal…
As I worked on co-authoring Healthcare Kaizen, I dove deeper into my study of “kaizen” practices and mindsets, revisiting many core books on kaizen after years of practice in different industries. I used to define kaizen as the phrase it’s…
Since moving to San Antonio in May, I’m struck by what a green, pretty city this is. Pictured at left was a day last week when I had a chance to walk from the co-working space and community Geekdom to…
I really enjoyed having the chance to be in Cincinnati yesterday to participate in a Lean Healthcare workshop put on by TechSolve, a non-profit consultancy that teaches process improvement methodologies, including Lean, across multiple industries. We had well over 100…