Improving Safety & Quality Matters, but...
http://www.leanblog.org/audio176 I saw this article a few days ago in one of the larger healthcare industry trade publications:How One Woman Saved IU Health $54 Million The headline is misleading, as addressed in the opening sentence / sub-headline of the story (via HealthLeaders): "With a little help from about 10,000 of her friends and colleagues, the head of Indiana University Health's office of transformation leanedin to cut waste and encourage value, one project at a time." That's more like it and more likely... Lean is a team effort that, ideally, engages everybody... so it's not surprising to hear about 10,000 participants and the need to share that credit. Like almost every health system, IU Health faced financial pressures. I'll give their board credit for pushing for a method other than traditional layoff-based "cost cutting." "IU Health had already tried some performance improvement projects, but they were scattershot and not based on a unified philosophy. In order to improve results and scalethe improvement process, the board challenged then-CEO Dan Evans to deploy a system-wide value-improvement tool that could enlist all employees."

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Episoder(472)

We Thought We Solved That: The Art and Judgment Calls in the PDSA Cycle

We Thought We Solved That: The Art and Judgment Calls in the PDSA Cycle

What does it really mean when a problem “comes back” after a team thought it had been solved?In this episode, Mark Graban reads his article, “We Thought We Solved That: The Art and Judgment Calls in t...

19 Jul 11min

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 Jul 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 Mai 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 Mai 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 Mar 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 Feb 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 Feb 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 Feb 15min

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