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A3s (10) Show All »
Detailed A3 Template (from Managing to Learn)
By: Shook, John | July 19, 2010
A3s; Forms and Templates
A PDF of the A3 template provided in the book Managing to Learn. More »
PDSA A3 Template (from On the Mend)
By: Toussaint, John and Roger Gerard | June 9, 2010
A3s; Forms and Templates
A3 Template, in Excel, following the PDSA cycle. From On the Mend: Revolutionizing Healthcare to Save Lives and Transform the Industry. More »
Audio (8) Show All »
The Gold Mine (Audiobook - CD)
By: Freddy Ballé and Michael Ballé | November 9, 2010
Audio; Books
An unabridged audio version of The Gold Mine: A Novel of Lean Turnaround, a Shingo Research Prize recipient in 2006.   More »
Podcast Interview with Joan Wellman on Early Days of Lean Healthcare
By: Graban, Mark | December 3, 2009
Joan Wellman is interviewed by Mark Graban, Senior Fellow at the Lean Enterprise Institute, about her initial Lean Healthcare work that dates back to 1995 at a Seattle-area hospital. Use the streaming player below or click on "read more" for more listening options.   More »
Case Studies (18) Show All »
View from the Hospital Floor: How to Build a Culture of Improvement One Unit at a Time
By: David Drickhamer | April 25, 2016
In this follow-up to our earlier case study "Transforming Healthcare: What Matters Most?", we examine how the Cleveland Clinic is accelerating a lean transformation with a methodology for building a "culture of improvement.  " Here's how it works according to the people making the changes.   More »
Book Clubs Help Agricultural Company Cultivate Lean Culture
By: Chet Marchwinski | February 5, 2016
Two continuous improvement leaders explain how they successfully use book clubs to spread and align understanding of lean management at a large company with multiple sites. They describe their club process and offer startup tips to CI professionals or other leaders who want to organize business book clubs. More »
Columns (515) Show All »
Ask Art: What Lean Books Should I Start With?
By: Art Byrne | April 28, 2016
Art Byrne shares with us his book recommendations to newcomers on insights into the philosophy and general approach behind lean. More »
Small Batch: Hand-Picked Articles from the Global Lean Community (Vol. 9)
By: Lean Leaper | April 27, 2016
Our picks for the best high-impact learning stories and columns from Planet Lean. More »
Events (9) Show All »
2014 Lean Healthcare Transformation Summit
January 10, 2014
June 4-5, 2014 - Los Angeles, California. Two days when you can learn directly from the lean healthcare leaders who are making real change and getting real results in how we deliver and pay for healthcare. More »
2014 Transformation Summit
October 21, 2013
March 5-6, 2014 - Orlando, Florida. Improve the work, develop the people - the building blocks for continuous innovation. More »
Outside Resources (1)
"Training Within Industry" Program Resources for Healthcare
August 20, 2009
The "Training Within Industry" program was a U.  S. government program during World War II that focused on ramping up war production. The methodology for creating job instructions, managing continuous improvement, and training employees became the foundation for Toyota's approach to Standardized Work as it was taught to them after the war. The TWI approach was also used in healthcare during the war. The approach is being utilized today in a growing number of hospitals as that history is rediscovered. The TWI Institute has resources and historical documents about TWI in healthcare. More »
Research (1)
Mistake-proofing healthcare: Why stopping processes may be a good start
By: Grout, John; Toussaint, John | February 24, 2010
Professor John Grout and John Toussaint, M.  D.  , combine their lean experience to write a peer-reviewed journal article from Indiana University's "Business Horizons". Grout teaches an LEI workshop called Mistake-Proofing Healthcare: Designing Processes to Reduce Medical Errors. Toussaint is CEO of the ThedaCare Center for Healthcare Value, a partner in the Healthcare Value Leaders. The link below is a PDF file of the article. More »
Videos and Webinars (29) Show All »
Webinar: How to Lead With Respect
September 9, 2014
How to Lead With Respect webinar featuring Michael Ballé More »
Webinar: The Two Basic Forms of Coaching for Lean
May 22, 2014
The Two Basic Forms of Coaching for Lean with David Verble More »
Articles (241) Show All »
“The Most Fun I’ve Ever Had in an Accounting Class!” -- Student Reacts to Learning Lean Accounting
By: Chet Marchwinski | February 10, 2016
Since 2008, the cost for a student and professor to attend the annual Lean Accounting Summit has been offset by the Lean Enterprise Institute’s sponsorship of the Excellence in Lean Accounting Award. LEI talks to  past award winners to see what -- if any -- impact the scholarship has had.    More »
Why Your Lean Journey Needs a Self-Evaluation
By: Doug Bartholomew | January 7, 2016
Every company on a lean journey needs to occasionally step back and evaluate where they are, where they have gaps in performance, and what steps they can take to close those gaps and achieve their overall goals. More »
Books (40) Show All »
The Gold Mine Trilogy Study Guide
By: Michael Ballé and Tom Ehrenfeld | October 12, 2015
A way for teams to improve their lean practice together through reflection on the Ballé novel trilogy: The Gold Mine, The Lean Manager, Lead With Respect More »
Management on the Mend
By: John Toussaint | June 3, 2015
Five years after his debut book, On the Mend, showed how a large, cradle-to-grave health system revolutionized the way care is delivered, Dr. John Toussaint returns with news for healthcare leaders. There is a clear framework for success for such a transformation. And senior leaders need to be far more intimately involved. While studying and assisting hundreds of organizations transitioning to lean healthcare, Dr. Toussaint witnessed many flaws and triumphs. Those organizations that win – creating better value for patients while removing waste in the system – have senior managers that lead by example at the frontline of care. The best More »
Charts, Graphs and Diagrams (1) Show All »
Begin from Need
October 28, 2010
"Begin from need" is attributed Taiichi Ohno, a key developer of the Toyota Production System. It means, as shown on these charts, what does the customer (the organization, the worker, the gemba) need right now? It's  another way of articulating the principle of PDCA, plan-do-check-act.    It helps us begin problem solving by grasping the situation, and avoid jumping to conclusions. More »
eLetters (231) Show All »
What do you think about a new boss who wants us to use A3s to solve problems rigorously?
By: Ballé, Michael | April 25, 2016
Columns; eLetters
Dear Gemba Coach, My new boss wants us to use A3s to “teach us how to solve problems rigorously” – her words. I find the process cumbersome, it goes against everything I know about creative problem solving and, personally, I resent the idea that my boss wants to teach me how to think. What’s your take on this? More »
Why won't operators use andons?
By: Ballé, Michael | April 18, 2016
Columns; eLetters
Dear Gemba Coach, We’re struggling with andons. We’ve set up a button for operators to press and call for help, but they’re not using it as much as we hoped, and we don’t know how to make it work properly. Any thoughts? More »
Forms and Templates (15) Show All »
Problem Definition Worksheet
By: Lean Transformations Group | June 17, 2013
In order to continuously improve, you must be able to find problems in order to solve them.  Once you have found a problem, the first step you must take is to make sure you have properly defined the problem. One way to look at problems (i.  e.  , gaps) is to think in terms of standards. A gap can exist between current performance and an established standard or a new standard that you are attempting to achieve. A problem also can be unwanted variation in performance even when average performance appears acceptable. When even a single out-of-specification event is a More »
Root Cause Template
By: Shook, John and David Verble | June 13, 2013
When trying to solve a problem, you want to identify underlying causes, which will help you to prevent fires rather than just extinguish them. By identifying the underlying causes down to the root causes, you can reduce the likelihood that a given problem will recur. The most common root-cause analysis technique in lean is the "Five Why's.  " This is practice of asking why repeatedly whenever a problem is encountered in order to get beyond the obvious symptoms to discover the root cause. For instance, Taiichi Ohno gives this example about a machine that stopped working (Ohno 1988, p. 17): Why More »
Presentations (13) Show All »
Kata Puts the "Continuous" in Continuous Improvement
By: By Drew Locher | February 1, 2016
In this 6-minute video, Drew Locher of Change Management Associates makes the 'Case for Kata’ by explaining what it takes for teams to develop the skills and habits of Continuous Improvement culture, and how practicing the routines of the IK and CK helps you do that. More »
THE CHINESE FARMER
By: Narrated by Alan Watts | September 1, 2015
Scientific thinking is about the limits of logical efforts. We organize and plan and try to create ideal situations, yet the larger picture is not accessible to us. The mind maneuvers, craves, thinks and plans how to obtain what we want and avoid what we don't like. But we can't control the future that way because there are too many factors. Every step we take is an interesting experiment. (Animation by Steve Agnos.  ) More »
Value-Stream Maps (2) Show All »
Value-Stream Map Zones (from Perfecting Patient Journeys)
By: Lean Transformations Group | January 29, 2013
Developing a current-state map creates a common understanding of how things really work today in the value stream (not necessarily what the documentation says or some might believe) so that the stakeholders can work together to identify and address problems and make improvements. Remember, see together, learn together, act together. All value-stream maps are laid out in a horizontal format. They capture major categories or zones of fact finding. We find it helpful to think about value-stream maps in terms of the following six zones: customer, supplier, processes, information flow, process data, and a timeline and summary. Perfecting Patient Journeys, More »
Value-stream Mapping Icons for Excel
By: Lean Enterprise Institute | January 1, 2003
At the request of some of our readers we have posted the most commonly used mapping icons so that they can be downloaded for Excel spreadsheets. More »
Workshops (55) Show All »
3D Problem-Solving with Legos
Throughout the day, you will be guided deeper and deeper into understanding what is at the core of some of the struggles we commonly face to implement lean principles. More »
5S - Visual Workplace
5S methodology helps organizations achieve more consistent operational results through maintaining an orderly workplace. This workshop will introduce you to the 5S methodology and help you learn basic implementation steps including evaluation and audit. More »