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The Time for Healthcare Leaders to Implement Lean Is Now – Stat!
Pioneering healthcare leaders have demonstrated that lean applied to healthcare can help solve the problems of quality, delivery of care, and cost. It’s time for other leaders in healthcare to step up. Lean management is a necessity in healthcare, not a luxury.… More »
The Future of Lean Healthcare: A Faster Type of Transformation?
We all know that lean transformations take a long time to occur, and in some senses, they never end. But what if we could change that? What if there was a way to expedite lean transformations for those industries with an urgent need, like healthcare? Here's what the Lean Global Network is doing to explore that.… More »
Your Gemba Isn't the Only Gemba to Walk
We all know the critical importance of gemba walks in our organization. But what many of us forget is that sometimes visiting OTHER gembas can be just as value add as visiting our own. Aaron Hunt knows this well - in his latest Post, he shares two stories of how visiting someone else's gemba inspired him to improve his own.… More »
Are You Prioritizing Efficiency Over Value?
A major element of lean is efficiency, but it's certainly not the ONLY element. While it may seem logical that customers value efficiency, an overreliance on speed can cripple the experience for them. Inspired by a rather painful experience at an orthopedic clinic, Cam Ford explores this further.… More »
"Too Busy to Walk the Gemba"
Chris Weisbrod of Catalysis explains why healthcare leaders often claim they're too busy to walk the gemba and shares a strategy for reversing that mindset.… More »
An A3 Antidote to the Opiate Epidemic
Opiate use in America has been spiking at an alarming rate. Many healthcare organizations, such as the University of Michigan Medical School, are trying to fight the surge in use by controlling how many opioids they prescribe to their patients. Ryan Howard led a project to curb the number of opiate pills released to their community via the Medical School. Read more.… More »
When Lean Gets Personal
Lean is not simply about making things better; Jim Morgan shares how his experience with lean healthcare taught him how lean helps make people better.… More »
You Need More Smoke Detectors: Countering Firefighting with Leader Standard Work
Excessive firefighting is a major threat to lean transformations - it may seem easier to time-strapped managers, but it does nothing to foster a culture of problem-solving thinkers. Aaron Hunt of Washington Health System knows this all too well, and now shares his organization's favorite firefighting deterrent.… More »
Lean Transformation: Have You Hit the “Lean Plateau?”
After realizing that that their five-year track record of continuous improvement was leveling out, Craig Stritar and his team knew they would have to get creative. Find out the methods they used to fight their way off the "lean plateau."… More »
Establishing Lean Healthcare Believers When Professional Society Allegiance Impedes Engagement
When implementing lean in a healthcare organization, it's not uncommon to encounter resistance from medical professionals set in their traditional ways. Resistance is natural in any lean transformation, but Kathryn Correia has pinpointed a root cause of healthcare lean resistance that goes much deeper than your standard skepticism. Read more.… More »
Executive Egress: Why Many Healthcare CEOs Distance Themselves from Lean Transformations. An Interview with Jack Bowhan
A troubling issue in lean healthcare that Jack Bowhan has seen too many times is a lack of CEO engagement during transformations. In his first piece for the Lean Post, Jack talks about this problem, its potential consequences and some solutions for lean practitioners in any industry,… More »
The Role of Strategic Design Events in Lean Healthcare: An Interview with Mindy Hangsleben
Faced with a new incoming healthcare policy, Mindy Hangsleben and her team at the Centers for Medicare and Medicaid Services knew a transformation was needed. Their solution to learning what they needed to become involved a strategic design event incorporating both lean and design thinking to gain the input they needed to adapt to the new policy. Read more.… More »
Your Value Stream Map Looks a Little Different...
If you think there’s a different way of applying a tool, ask, “Are we changing the tool to prevent us from changing the organization, or to better ensure change happens?” writes Aaron Hunt, Director of Performance Improvement at Washington Health System. "How do you envision the tools selected from the lean toolbox helping make the improvements?" Read more.… More »
Just-in-Time Roundup: Great Lean Reads from Across the Web (Vol. 16)
Our latest compilation of the best lean reads from around the web, this time featuring content from Forbes, Manufacturing.net, and The Association for Talent Development.… More »
Malpractice in the New England Journal of Medicine
Several weeks ago, the New England Journal of Medicine published an article by two physicians bashing lean and questioning its effectiveness. LEI Chairman and CEO John Shook found the piece full of holes and misconceptions and now shares his thoughts on the piece in the form of a rebuttal.… More »
A Principles-Based Approach to Changing Healthcare Management
"This year alone over 250,000 Americans will die due to medical error," writes Dr. John Toussaint. "How can so many smart people be making so many terrible mistakes?" Dr. Toussaint sees it as a failure of the current healthcare management paradigm. Find out what he sees as the remedy to these problems - and how any healthcare organization can use it to improve their operations.… More »
Small Batch: Hand-Picked Articles from the Global Lean Community (Vol. 4)
Our picks for the best high-impact learning stories and columns from Planet Lean.… More »
Small Batch: Hand-Picked Articles from the Global Lean Community (Vol. 3)
A roundup of the best recent articles and interviews from our friends at Planet Lean, this time from Spain, Israel and France.… More »
Just-in-Time Roundup: Great Lean Reads Across the Web (Vol.10)
Our latest picks for great lean reads across the web, this time from 99u, strategy + business, a hotel app company's blog, Stanford Social Innovation Review, and The ThedaCare Center for Healthcare Value.… More »
Just-in-Time Roundup: Great Lean Reads Across the Web (Vol.9)
Our picks for interesting lean reads, this time from Modern Healthcare, Harvard Business Review, Bloomberg View, and Nikkel Blaase.… More »
Leadership Stories From One of Lean's Fastest Growing Communities of Practice
On the heels of the Lean Healthcare Summit earlier this month in Dallas, Texas, we've gathered three stories in which leaders share their personal "why" for taking up lean practice and doing things differently.… More »
What it Takes to Bring Lean Thinking to Healthcare: One Leader’s Candid Reflections
Keith Murphy, a Senior Lean Process Improvement Leader in a healthcare organization, shares his greatest lessons learned with regard to leadership and coaching. Learn why Murphy, who works closely with staff and physicians both, believes in strong learning relationships over shiny tools.… More »
John Toussaint on What a Complete System Transformation Looks Like In Healthcare
John Toussaint, CEO emeritus of ThedaCare and CEO of the ThedaCare Center for Healthcare Value, shared his guiding principles for transformation in an article for Planet Lean recently. Read our picks for highlights from the interview and tell us what challenges and successes you're seeing in healthcare right now.… More »
Using Value Stream Management to Better Care for Stroke Patients
"To make value stream management really work, the most significant cause for transformation lay simply in the shifting of team members’ mindsets," writes Lori Smith. It’s been a long process, but over 5 years her team INTEGRIS has transformed the way they work. Learn what they did and read team members' feedback about the process in their own words.… More »
Understanding the True Cost of Care
"Today, frontline clinicians are being asked to provide even more cost-efficient care to patients yet few understand how to do so," writes Jordan Harmon of the nonprofit Costs of Care. "There is a new focus on efficiency in treatment options and today’s patients are more cost savvy than their predecessors. We must ensure value while reducing costs and improving quality outcomes."… More »
Just-in-Time Roundup: Great Lean Reads From Across the Web (Vol. 5)
Check out our editors' picks for 5 high value lean reads you may have missed, this time from Industry Week, the blog at ThedaCare Center for Healthcare Value, MIT Sloan Management Review, 99u, and Planet Lean.… More »
Three Lean Healthcare Success Stories From Across the Globe
Read a summary of 3 lean healthcare stories from the Lean Global Network, including reflections on what seems to make lean work in a healthcare setting. We've gathered stories from two hospitals in China and Spain, and another from a large, multi-organization public healthcare system the New York.… More »
Two Years in Tanzania and a Whole New Understanding of Purpose
Mike Grogan quit his job in corporate America and moved to Dar Es Salaam, Tanzania where he began working with a nonprofit healthcare organization that provides disability and maternal healthcare services. Read what Grogan learned from the experience about organizational transformation, how to make an impact, and himself.… More »
Jim Womack and Dan Jones on the Evolution and Future of Lean
At the UK Lean Summit last month, Roberto Priolo caught up with Jim Womack and Dan Jones to talk about the current and future state of the lean movement. Watch the full interview or read key insights from Womack and Jones.… More »
Using TWI Job Instruction to Supplement CDC Guidelines
"Healthcare organizations across the country have been implementing lean practice into their work, but not without some resistance," writes Patrick Graupp. One thing fighting the Ebola virus reminds us is the "reality that much of the work in healthcare can and should follow standard practice," Graupp says. Read more.… More »
Is it Possible to Transform Healthcare (Leaders)?
Check out Alice Lee's slides from her talk "Is it Possible to Transform Healthcare (Leaders)?" last week in Cambridge, MA at the Lean Enterprise Institute. Lee unpacks vague words like "transformation" and "innovation" in healthcare and shares her personal "why" for striving to change things for the better.… More »
A Lean Management System Starts with Senior Leaders
"From events, projects, and A3s to focusing on a lean management system, we’re discovering a new way to run and lead our healthcare organizations, or any organization for that matter," writes lean healthcare coach Steven Leuschel. But where do you start? How do you get senior leaders engaged?… More »
Cost Reduction, Waste, and Purpose
"Eliminating waste makes it easier to see and find problems, which is the first step to solving them," writes Katrina Appell. "It removes frustrations, which improves worker and customer satisfaction."… More »
One Idea for Improving Hospital Emergency Room Care
Sami Bahri, dentist and author of "Follow the Learner: The Role of a Leader in Creating a Lean Culture," suggests an idea for improving hospital emergency rooms: level the workload across the ER and other departments.… More »
Your Conversations on Lean Thinking and Practice in Healthcare
Check out the conversation topics (and report outs) from the Open Space learning session at the Lean Healthcare Transformation Summit last week in LA!… More »
The Best Lean Healthcare Stories You May Have Missed
Looking ahead to the Lean Healthcare Transformation Summit June 5-6, Lex Schroeder rounds up some of the best lean healthcare pieces on the Post.… More »
Lean Talks: Learning Proactive Versus Reactive Management
At our Summit, lean practitioners shared stories of meaningful organizational change in about 10 minutes or less. Here's a powerful story from Brenda Kenefick, change agent at University Health Network in Toronto.… More »
Transforming Healthcare is Complex, Start with a Model Cell
John Toussaint from the ThedaCare Center for Healthcare Value explains what he's learned about how meaningful organizational change happens from visiting and working with over 130 healthcare organizations in 12 different countries, all with their own unique problems and challenges.… More »
Overcoming the Challenges of Lean in Public Health
"Continuous improvement in public health has potential for optimizing quality gains in disease surveillance, public health emergency response, health promotion, policy advocacy, and research that lead to actual improvements in health outcomes," write Ghassan Saleh and Joe Mando.… More »
The Question All Healthcare Leaders Should be Asking Themselves
Lean healthcare expert Mark Graban takes a common problem he sees again and again in hospitals (errors with hourly rounds or inconsistent hourly rounds) and explains how this problem is a symptom of a larger systems issue.… More »
Building Problem Solving Muscle at University of Michigan Health System
"We are beginning to realize the wisdom of Henry Ford’s adage: 'There are no big problems, there are just a lot of little problems,...'"… More »
Why Lean Isn't Successful in Healthcare
How often do you choose to improve processes that may not provide any financial benefit whatsoever? Read why lean practitioner Janice Brathwaite thinks we can no longer afford to sell the concept of lean process improvement as only that – process improvement.… More »
More Evidence That ThedaCare Rocks
LEI coach Danielle Blais reflects on her recent gemba visit to the lean healthcare organization, Appleton Medical Center in Appleton, Wisconsin—a ThedaCare hospital widely known for its exceptional patient care.… More »
A Total Shift in Mindset
Lean thinking isn't easy to put into practice, particularly for beginners. Ghassan Saleh, lean engineer at MaineGeneral Medical Center in Augusta, Maine, shares his advice for what to keep in mind when you're just getting started.… More »
Alice Lee on the Challenges and Rewards of Applying Lean to Healthcare
Alice Lee, VP of Business Transformation at Beth Israel Deaconess Medical Center in Boston, discusses BIDMC's unique application of lean thinking and practice to healthcare. "This is critical treatment, life saving treatment, so flow is very important," Lee says. "It’s important in every industry, but in this case it was very meaningful. We were able to get flow in such simple ways that I’m still astounded." Why translate lean for hospitals? Where do lean change agents in healthcare even begin? Lee shares her thoughts in response to these questions and more.… More »
Designing Hospitals in Collaboration with Patients and Families
LEI coach Danielle Blais shares her reflections on a recent visit to Nemours Children's Hospital in Orlando, a hospital built from the ground up using lean principles.… More »
When is technology in healthcare actually valuable?
Technology should support the worker (and the patient), not vice versa. Co-author of the book Perfecting Patient Journeys, Judy Worth, gives us the current state of healthcare technology and reminds us what we should be thinking about if we want to use technology well.… More »
Engaging Physicians to Solve Real Problems in Healthcare
Trained in the scientific method, practical to the core, focused on the patient--one would think physicians would be the first adopters of lean thinking and practice, but many healthcare professionals resist learning more about what lean can do for them. Dr. Jack Billi explains why this may be and makes the case for lean in healthcare.… More »
healthcare on Lean.org
Leadership Q&A: Dr. Jack Billi, associate dean and associate vice president for medical affairs
From the LEI senior executive series on lean leadership: Jack Billi, M.D., associate dean for clinical affairs, University of Michigan Medical School, professor of Internal Medicine and Medical Educa… More »
Donald Berwick: Curing the Healthcare System
The Institute for Healthcare Improvement (IHI) is a not for profit organization that is a leading figure in healthcare process improvement and innovation. This article and accompanying video interview… More »
Lean Transformational Leadership Webinar - Follow-up Q & A and Reading List
During the Transformational Leadership webinar, many of you asked for the list of related books and articles that presenter Jim Luckman cited. He has provided the list as a chart at the end of his ans… More »
Forward to Fundamentals Webinar with John Shook and Jim Womack, Written Transcript
In recent years, most discussions around lean transformation have understandably evolved toward more managerial and strategic matters. Yet there remains an alarming lack of solid implementation of the… More »
Continuous Improvement Using Personal Kanban
A simple, effective management system for digging out of work -- and staying dug out -- to achieve higher quality, better productivity, greater job satisfaction, and peace of mind.… More »
Lead with Respect: Practicing Respect for People to Enable Engagement, Teamwork & Accountability
Building a great organization requires effective leadership. It turns out that leadership skills can be learned. A key element that is often misunderstood is what it means to lead with respect. This l… More »
Lean Lexicon 5th Edition
The fifth edition of the Lexicon, first published in January 2003, is 140 pages, containing 60+ illustrations and 207 key terms from A3 Report to Yokoten. The Lexicon already covers such key lean ente… More »
Lean Lexicon 5th Edition - PDF
The fifth edition of the Lexicon, first published in January 2003, is 140 pages, containing 60+ illustrations and 207 key terms from A3 Report to Yokoten. The Lexicon already covers such key lean ente… More »
The Lean Dentist
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 boo… More »
Using TWI Job Instruction to Supplement CDC Guidelines
"Healthcare organizations across the country have been implementing lean practice into their work, but not without some resistance," writes Patrick Graupp. One thing fighting the Ebola virus reminds us is the "reality that much of the work in healthcare can and should follow standard practice," Graupp says. Read more.… More »
Is it Possible to Transform Healthcare (Leaders)?
Check out Alice Lee's slides from her talk "Is it Possible to Transform Healthcare (Leaders)?" last week in Cambridge, MA at the Lean Enterprise Institute. Lee unpacks vague words like "transformation" and "innovation" in healthcare and shares her personal "why" for striving to change things for the better.… More »
A Lean Management System Starts with Senior Leaders
"From events, projects, and A3s to focusing on a lean management system, we’re discovering a new way to run and lead our healthcare organizations, or any organization for that matter," writes lean healthcare coach Steven Leuschel. But where do you start? How do you get senior leaders engaged?… More »
Cost Reduction, Waste, and Purpose
"Eliminating waste makes it easier to see and find problems, which is the first step to solving them," writes Katrina Appell. "It removes frustrations, which improves worker and customer satisfaction."… More »
One Idea for Improving Hospital Emergency Room Care
Sami Bahri, dentist and author of "Follow the Learner: The Role of a Leader in Creating a Lean Culture," suggests an idea for improving hospital emergency rooms: level the workload across the ER and other departments.… More »
Your Conversations on Lean Thinking and Practice in Healthcare
Check out the conversation topics (and report outs) from the Open Space learning session at the Lean Healthcare Transformation Summit last week in LA!… More »
The Best Lean Healthcare Stories You May Have Missed
Looking ahead to the Lean Healthcare Transformation Summit June 5-6, Lex Schroeder rounds up some of the best lean healthcare pieces on the Post.… More »
Lean Talks: Learning Proactive Versus Reactive Management
At our Summit, lean practitioners shared stories of meaningful organizational change in about 10 minutes or less. Here's a powerful story from Brenda Kenefick, change agent at University Health Network in Toronto.… More »
Transforming Healthcare is Complex, Start with a Model Cell
John Toussaint from the ThedaCare Center for Healthcare Value explains what he's learned about how meaningful organizational change happens from visiting and working with over 130 healthcare organizations in 12 different countries, all with their own unique problems and challenges.… More »
Overcoming the Challenges of Lean in Public Health
"Continuous improvement in public health has potential for optimizing quality gains in disease surveillance, public health emergency response, health promotion, policy advocacy, and research that lead to actual improvements in health outcomes," write Ghassan Saleh and Joe Mando.… More »
The Question All Healthcare Leaders Should be Asking Themselves
Lean healthcare expert Mark Graban takes a common problem he sees again and again in hospitals (errors with hourly rounds or inconsistent hourly rounds) and explains how this problem is a symptom of a larger systems issue.… More »
Building Problem Solving Muscle at University of Michigan Health System
"We are beginning to realize the wisdom of Henry Ford’s adage: 'There are no big problems, there are just a lot of little problems,...'"… More »
Why Lean Isn't Successful in Healthcare
How often do you choose to improve processes that may not provide any financial benefit whatsoever? Read why lean practitioner Janice Brathwaite thinks we can no longer afford to sell the concept of lean process improvement as only that – process improvement.… More »
More Evidence That ThedaCare Rocks
LEI coach Danielle Blais reflects on her recent gemba visit to the lean healthcare organization, Appleton Medical Center in Appleton, Wisconsin—a ThedaCare hospital widely known for its exceptional patient care.… More »
A Total Shift in Mindset
Lean thinking isn't easy to put into practice, particularly for beginners. Ghassan Saleh, lean engineer at MaineGeneral Medical Center in Augusta, Maine, shares his advice for what to keep in mind when you're just getting started.… More »
Alice Lee on the Challenges and Rewards of Applying Lean to Healthcare
Alice Lee, VP of Business Transformation at Beth Israel Deaconess Medical Center in Boston, discusses BIDMC's unique application of lean thinking and practice to healthcare. "This is critical treatment, life saving treatment, so flow is very important," Lee says. "It’s important in every industry, but in this case it was very meaningful. We were able to get flow in such simple ways that I’m still astounded." Why translate lean for hospitals? Where do lean change agents in healthcare even begin? Lee shares her thoughts in response to these questions and more.… More »
Designing Hospitals in Collaboration with Patients and Families
LEI coach Danielle Blais shares her reflections on a recent visit to Nemours Children's Hospital in Orlando, a hospital built from the ground up using lean principles.… More »
When is technology in healthcare actually valuable?
Technology should support the worker (and the patient), not vice versa. Co-author of the book Perfecting Patient Journeys, Judy Worth, gives us the current state of healthcare technology and reminds us what we should be thinking about if we want to use technology well.… More »
Engaging Physicians to Solve Real Problems in Healthcare
Trained in the scientific method, practical to the core, focused on the patient--one would think physicians would be the first adopters of lean thinking and practice, but many healthcare professionals resist learning more about what lean can do for them. Dr. Jack Billi explains why this may be and makes the case for lean in healthcare.… More »
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November 28, 2017 | 4 Comments
The Lean Bakery: A Q&A with 365's Staff
By Agus Tena & Leo Tena
November 16, 2017 | 2 Comments