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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 »
Articles (242) Show All »
Dear Professor, Am I Ever Glad You Covered Lean in Class!
By: Chet Marchwinski | August 24, 2016
Since 2008, the Lean Enterprise Institute has sponsored the Excellence in Lean Accounting Award to fund scholarships helping pairs of students and professors attend the annual Lean Accounting Summit. In this series, we talk to past award winners to learn what impact the scholarship and award has had on the teaching and practice of accounting. More »
Accounting for the Lean Accounting Award
By: Chet Marchwinski | August 18, 2016
In this series, we talk to past winners of the Excellence in Lean Accounting Award to learn what impact the award and the scholarship it supports has had on the teaching and practice of accounting.   More »
Audio (8) Show All »
The Gold Mine (audiobook)
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 »
Books (42) Show All »
Follow the Learner: The Lean Dentist
By: Sami Bahri, DDS | June 1, 2016
The Lean Dentist tells how a dental group transforms itself from typical batch-and-queue patient treatment to improved and profitable "one-patient flow.  " Formerly known as Follow the Learner, this book follows the effort, engagement, and success of Dr. Sami Bahri and his team, as they work through the ideas of lean in all areas of their practice. More »
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 »
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 »
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 »
Columns (586) Show All »
An Overview of Visual Management at Toyota
By: Andrew Quibell | October 20, 2016
"Implementing visual management (VM) is a cornerstone of any lean transformation," writes Andrew Quibell. "And few companies know that better than Toyota.  " In this first of two sketches on visual management at Toyota, Andrew illustrates the fundamentals of the process as Toyota practices itself and teaches its suppliers. More »
How Do You Know If You’ve Created a Meaningful Challenge?
By: Mike Orzen | October 19, 2016
"Have you ever issued what you thought was an inspiring challenge for your team, only to discover they were underwhelmed and far from motivated?" asks Mike Orzen. If so, you may have missed one of the core practices of leading with respect - creating a meaningful challenge. Read more. More »
eLetters (248) Show All »
Our new boss doesn’t 'get' lean; what can I do to convince him?
By: Michael Ballè | October 6, 2016
Columns; eLetters
Dear Gemba Coach, We’ve had spectacular lean results with our old boss, but our new boss doesn’t get it. He’s already cut his  gemba walks from weekly to monthly and doesn’t see the point of kanban. What can I do to convince him? More »
How can kanban or lean possibly apply in an office?
By: Michael Ballè | October 3, 2016
Columns; eLetters
Dear Gemba Coach, You often say that one can’t do lean without kanban, and that continuous improvement without kanban is fine, but not lean. My team works on projects in an office, I fail to see how kanban  applies. Are we barred from lean forever? 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 »
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 »
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 »
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 »
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 »
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 »
Software (1)
eVSM v8 - Electronic Value-Stream Mapping
March 10, 2014
Accessories; Software; Value-Stream Maps
Walking the shop or office floor with a paper and pencil to collect data and observe actual conditions is how value-stream mapping (VSM) is done. But for a long time, members of the Lean Community have been sharing these hand-drawn maps by creating their own electronic templates from scratch in various software programs. eVSM makes the process of turning hand-drawn maps into electronic ones easier and faster. As a companion – not a substitute – to paper-and-pencil mapping, the software allows lean practitioners to easily create, modify, and disseminate electronic value-stream maps. 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 »
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 »
Workshops (56) 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 »