Tag: Waste

Guest Post: Tom Brady (TB12) – Lean Thinker

Guest Post: Tom Brady (TB12) – Lean Thinker

Mark’s Note: Today’s post is by a new guest contributor, Tom Gormley. I first met Tom back in 2009 or 2010 when my wife and I were in Boston for the year. He was in the process of switching into healthcare and he has had a few roles with different health systems since then. You can read his short bio here or a full bio as a PDF.

By November 1, 2016 5 Comments Read More →
Gene Wilder, #Lean, and #LeanStartup Thoughts on Wasting Time and Lives

Gene Wilder, #Lean, and #LeanStartup Thoughts on Wasting Time and Lives

The famed actor and comedian Gene Wilder passed away this week at age 83.

I think of him primarily as an actor from the classic movies from Mel Brooks, “Blazing Saddles” and “Young Frankenstein,” although he’s also known for many other films, along with work on stage and as a writer.

By August 31, 2016 2 Comments Read More →
RIP Jess Jacobs (#UnicornJess): The Healthcare System Wasted Her Time, But She Inspires Many to Fix the System

RIP Jess Jacobs (#UnicornJess): The Healthcare System Wasted Her Time, But She Inspires Many to Fix the System

A while ago, I found this blog post by Jess Jacobs about a hospital wasting her time. I think it was probably shared by our mutual friend, e-Patient Dave deBronkart.

As sometimes happens around here, I find something really compelling and well-written and I forget to share it on the blog. That happened this time (although I did share her story on Twitter, for what it’s worth).

By August 16, 2016 6 Comments Read More →
Lean at UCLA Harbor Medical Center Featured by the BBC

Lean at UCLA Harbor Medical Center Featured by the BBC

The BBC radio program “The Science Hour” recently aired a program with a segment where an unexpected person (Dr. Kevin Fong) to an unexpected place (UCLA Harbor Medical Center) to look into “Lean.”

A Lean Guy Reads & Reviews “Henry Ford’s Lean Vision”

A Lean Guy Reads & Reviews “Henry Ford’s Lean Vision”

Mark’s Note: Thanks to Paul, as one of our resident “Lean manufacturing bloggers” for reading and reviewing a book that I bought years ago, but never got around to.

By Paul Critchley:

I’m a car guy. Above all other mechanical devices that we engineers get to be involved with, I am fascinated most with these incredible machines. When you consider how automobile soperate nearly flawlessly even when enduring a spectrum of environmental extremes, it’s amazing to me how far the technology has come in under 100 years. As a boy, I can remember my friend’s parents’ cars breaking down semi-often (cars of the ’70s weren’t exactly renowned for reliability). Today, though, I can’t remember the last time I heard of a car breaking down or not starting that wasn’t due to an outside influence (i.e. getting flat or running out of gas).

Still Settling In After Moving; Not Blaming People for Their Best Efforts

Still Settling In After Moving; Not Blaming People for Their Best Efforts

The past two weeks have been very busy, to say the least. Thanks to the guest bloggers who contributed posts to help reduce my personal overburden (this particular overburden, of course, being a “First World Problem,” as they say).

Announced “Workplace Principles” for NHS Wales Staff Sound Like Lean Principles

Announced “Workplace Principles” for NHS Wales Staff Sound Like Lean Principles

Each Saturday, I get an email newsletter from the UK-based site "Nursing Times." Last week, this article, caught my eye: "Workplace principles revealed for NHS staff in Wales." A free registration might be required to read it or other articles, but it's worth it.

Captain Jack’s Cannonball Polish – Buy One, Get Two Free!

Captain Jack’s Cannonball Polish – Buy One, Get Two Free!

Mark's note: Today's post is by Paul Critchley and he raises important questions that I've seen in both factories and hospitals. Here's his post... As I've moved through my career and Lean journey, I've been blessed to have met and worked with some really fantastic people...

By September 30, 2015 0 Comments Read More →
Football, Holistic Systems, and Challenging the Way It’s Always Been Done

Football, Holistic Systems, and Challenging the Way It’s Always Been Done

Many of you might not care, but it’s football season. Major college football starts tomorrow night and the NFL kicks off their season next Thursday. On that note, if you’d like to “kick off” a Kaizen approach to continuous improvement in your organization, I’d like to help.

By September 2, 2015 0 Comments Read More →
A Lean Guy Listens to NPR: NICU Waste, Growing a Rural Hospital, Value in Cancer Drugs, and More

A Lean Guy Listens to NPR: NICU Waste, Growing a Rural Hospital, Value in Cancer Drugs, and More

I did a similar post in 2012, but here’s a post where I share some recent NPR stories that I’ve heard recently (through the NPR One app, which I absolutely love).

This is similar to my “A Lean Guy Reads…” series, my “Cleaning Out the Backlog” series, and the “Stuff I’m Reading” posts.

See How a British Psychiatrist is Using LEGO Videos to Explain Lean Healthcare

See How a British Psychiatrist is Using LEGO Videos to Explain Lean Healthcare

A collection of creative videos was recently brought to my attention and I’d like to share them here. They are created by Dr. Mark Harrison (@leanpsychiatry), a psychiatrist for an NHS Trust. He created the videos by taking photos of LEGO creations and adding voiceover. It’s amazing that we all have the technology required to do this, between basic laptops and phones. It’s great to see the creativity that results.

Healthcare Headlines in the UK are Mostly Similar to the US

Healthcare Headlines in the UK are Mostly Similar to the US

As I wrote about last month, I love newspapers, so I felt like I fit into the culture last week when I spent five days of my vacation in London, a city I really love. People in England seem to be avid readers, based on the number of newspapers on sale and the number of ads in the Tube stations for various books, including many ads for Dr. Atul Gawande’s latest book Being Mortal. Newspapers seem important enough to the culture that the competing BBC and Sky News channels on television each have a full program each evening that previews the next day’s papers.

A Tale of Two Clinics – What I Wish My Primary Care Could Be

A Tale of Two Clinics – What I Wish My Primary Care Could Be

In American healthcare, there’s a growing gap between hospitals and clinics that are being innovative and those who are stuck in the “way it’s always been done” mode. For example, innovative primary care clinics are using a combination of better processes and better technology to deliver a patient experience that I wish I could experience.

Lean in the Kitchen; Weekend Urgent Care

Lean in the Kitchen; Weekend Urgent Care

I hope y’all had a nice Memorial Day weekend here in the U.S. It’s a global audience for the blog, but I had the take the day off from Lean (other than this post for the holiday).

I spent a lot of time over the weekend being lazy and resting as many people do – but for medical reasons, in my case. I threw out my lower back on Friday morning. Allow me to warn you about the workplace safety threat that is the sneeze. I was seated and turned to sneeze…. ouch, my back. By Friday afternoon, I was really hobbling around with a lot of pain shooting down my left leg, muscle twitches and spasms… it was pretty bad. So what to do?

Dr. Atul Gawande’s Article on Reducing the Waste of Unnecessary Healthcare

Dr. Atul Gawande’s Article on Reducing the Waste of Unnecessary Healthcare

I’ve been a big fan of Dr. Atul Gawande’s writing for a long time (see previous posts about him and his work).

His latest article is out, which I was able to read last night. It just came out (or I first heard of it yesterday).

Are Hospitalists Ready to Get Serious About Reducing Waste and Improving Care?

Are Hospitalists Ready to Get Serious About Reducing Waste and Improving Care?

I was quoted in two articles that appeared in “Today’s Hospitalist”:

Reducing Waste

The author, David A. Frenz, MD, points out that it’s a “collective delusion” that the U.S. spending so much more on healthcare leads to safer or higher quality care.

“Healthy Debate” About Lean in Healthcare & Emergency Departments

“Healthy Debate” About Lean in Healthcare & Emergency Departments

I was recently interviewed by one of the reporters who put together this web article in Canada:

From the factory floor to the emergency department: Hospitals explore Lean method

The article highlights Lean success stories and it also raises some interesting challenges and data that question the approach.

By September 22, 2014 5 Comments Read More →
Lean is Not About Cutting Costs; 2 Data Point Comparisons in EDs & the NFL

Lean is Not About Cutting Costs; 2 Data Point Comparisons in EDs & the NFL

Two pet peeves of mine are hearing people say things like “Lean is all about reducing waste” and or “Lean is all about cost cutting” (and thankfully others are also trying to dispel that myth). Another pet peeve is people drawing conclusions off of two data points, but we’ll come back to that later in this post.

By September 17, 2014 3 Comments Read More →