In My Global Lean Healthcare Travels,
http://www.leanblog.org/audio159 I do a lot of work across the U.S., but I've also been very fortunate to work with hospitals, clinics, and health systems around the world over the past 11 years.It started with a few trips to Canada to conduct some hospital lab assessments and Lean leadership training when I worked for a J&hospital consulting group. Then, came an opportunity to spend about eight weeks working with a hospital north of London in 2008, a fascinating opportunity.In recent years, I've visited and/or coached hospitals in The Netherlands, Sweden, Finland, Japan, China, and Thailand. These are very different countries in their national cultures, of course. Their high-level, big-picture healthcare systems are designed differently (including the level of universal coverage, or lack thereof, and who pays). But, when you look at the details of how the work is done... how healthcare is delivered... how people manage... things are more the same than they are different. In England, they said, "Same problems, different accent." The same has been true in my most recent stop here in Thailand - except it's same problems, different language.

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A Bending Column, a Bad Answer, and the Real Test of a Speak-Up Culture

A Bending Column, a Bad Answer, and the Real Test of a Speak-Up Culture

A construction worker named Sean Dow was working on the 22nd floor of Pfizer’s former Manhattan headquarters, a massive office building now being converted into residential apartments with additional ...

17 Heinä 5min

Calling Someone a "Process Coach" Doesn't Make Them One

Calling Someone a "Process Coach" Doesn't Make Them One

A title change is not a culture change. In this episode, Mark Graban draws on his early experience at GM in the mid-1990s — where "foreman" became "team coordinator" overnight without anything else ch...

19 Touko 13min

Still Learning: A Live Event with Elisabeth Swan on May 7

Still Learning: A Live Event with Elisabeth Swan on May 7

Blog post with linksThree years ago, The Mistakes That Make Us came out. Around the same time, Elisabeth Swan published Picture Yourself a Leader. Both books' third birthdays felt like a decent reason...

4 Touko 2min

Watch the Lean Hospitals Coach in Action -- Live, Unscripted, With Your Questions

Watch the Lean Hospitals Coach in Action -- Live, Unscripted, With Your Questions

Most AI tools answer your question with a 500-word essay full of numbered steps. You nod, close the tab, and carry on doing what you were already doing. The Lean Hospitals Coach is built around the op...

8 Maalis 8min

What a Brandi Carlile Concert Teaches About Practicing Continuous Improvement

What a Brandi Carlile Concert Teaches About Practicing Continuous Improvement

Read the blog postTL;DR: A sound check, live song requests, and a naming regret — what watching Brandi Carlile perform taught me about specific problem-solving, vulnerability, and continuous improveme...

27 Helmi 15min

What Deming and Fujio Cho Agreed On: Stop Demotivating People

What Deming and Fujio Cho Agreed On: Stop Demotivating People

The blog postTL;DR: Deming and Toyota's Fujio Cho asked the same uncomfortable question: why do management systems destroy motivation in people who started out wanting to do good work? The answer poin...

26 Helmi 15min

Create Your Own Lean System — But Don’t Lose Sight of These Three Things

Create Your Own Lean System — But Don’t Lose Sight of These Three Things

Read the blog postTL;DR: In a 1993 speech, Toyota leader Fujio Cho said organizations can create their own Lean systems, but success depends on three principles: leaders going to the gemba, asking “wh...

24 Helmi 15min

Building an AI Chat Assistant From My Lean Hospitals Book

Building an AI Chat Assistant From My Lean Hospitals Book

The blog postWhat if a book could become an interactive coach instead of a static reference?In this episode, Mark Graban shares a behind-the-scenes look at his experiment turning the award-winning boo...

19 Helmi 15min

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