ThedaCare has long been regarded as one of the most influential examples of Lean thinking in healthcare. These posts explore what ThedaCare’s journey actually teaches leaders—about management systems, executive commitment, strategy deployment, culture change, and the fragility of improvement when leadership changes.
Rather than treating Lean as a set of tools or success stories frozen in time, this archive examines real lessons, missteps, evolution, and leadership reflections from ThedaCare and others who have studied or worked with the organization.
Join the co-authors of the book “On the Mend: Revolutionizing Healthcare to Save Lives and Transform the Industry“, John Toussaint MD and Roger Gerard PhD, for a free webinar on lean leadership – today at 2 PM eastern. You can…
One of the things I get frustrated with is people who want to take shortcuts with Lean. There are some who are only interested in copying and taking the easy path to yummy Lean goodness. You see this in the…
While I was on vacation, the news (the BBC World Service, mainly) focused quite a lot on the BP oil spill in the gulf, including the world’s reactions to the problem. While it seems a bit uncouth to criticize our…
We had an amazing first day at the Lean Healthcare Transformation Summit here in Orlando. We have 260 Lean healthcare leaders, including about 30 physicians, from 7 countries represented and there’s a lot of sharing, learning, and inspiration occurring.…
ThedaCare, the health system in Wisconsin, often gets a lot of attention for the Lean improvements in their four hospitals, but they are also doing some excellent work in redesigning primary and specialty care, as well (as highlighted in this…
I wanted to post a few updates about some efforts related to the Lean Enterprise Institute: WIHI audio session on lean healthcare today 4 PM with John Toussaint, Steve Spear, and Gary Kaplan The upcoming book “On the Mend“ Our…
Something Lean is in the water in Wisconsin, as that state is one of the hotbeds of Lean healthcare. There’s, of course, the ThedaCare story (from Appleton) and the upcoming book about their journey (“On the Mend: Revolutionizing Healthcare to…
The Winnipeg Free Press has an article about their local St. Boniface Hospital, a member of the LEI/ThedaCare network I’m involved with called the Healthcare Value Network. About 40 of us from different Network member organizations visited last Thursday and…
Due out in June is a book that I think will be an important one for the Lean Healthcare movement. That book is about the Lean journey of the Wisconsin health system ThedaCare. It’s called On the Mend: Transforming Healthcare…
TL;DR: Patient safety leader Lucian Leape’s critique appears less about Lean itself and more about “L.A.M.E.”–Lean As Misguidedly Executed. True Lean in healthcare prioritizes patient safety, quality, and respect for people; when those are missing, the problem isn’t Lean–it’s how…
Those who follow Lean healthcare know that Virginia Mason Medical Center, in Seattle, is one of the world’s leaders in improving care through Lean methods. They were featured last year on the CBS Evening News, for example. The LeanROI.org site,…
I will try to be careful with this topic, since I’m obviously not a doctor. Criticism of doctors gets thrown around pretty easily around many hospitals, too much so, I think. You sometimes hear blanket criticisms about doctors being difficult,…