
The Conundrum that is Dr. Deming on Metrics, Measures,
There are Dr. W. Edwards Deming quotes that get thrown around... one that sounds incredibly "pro-data" and others that say data and measures are not the only thing... which is it? How do you reconcile...
16 Jul 20177min

Lean Healthcare Featured in Sunday's NY Times Business
An article from this week in 2010... Today's New York Times has an outstanding article about Lean Healthcare and what Seattle Children's Hospital calls C.P.I. or Continuous Performance Improvement. T...
11 Jul 201711min

Is This a 5S Problem or a Broader Healthcare Leadership Issue?
A few of you sent me this sad article from the Wall St. Journal: "'People Are Dying Here': Federal Hospitals Fail Tribes." I feel like I've some variation of this article and exposé many times ...
11 Jul 201714min

The Power of "How Might We?"
In this post, I write about a phrase that I heard many times when visiting Franciscan St. Francis Health in Indianapolis. How can this phrase help us challenge ourselves and to find positive solutions...
20 Jun 20172min

Is it a "Lean Transformation" or a "Lean Metamorphosis"?
Does the Phrase "Lean Transformation" Jump to a Solution? Another in the series of "do words matter?" posts... do phrases like "Lean Transformation" resonate as much as "Business Transformation?"
19 Jun 20178min

Imitation as a Path to Innovation... If You Know What..
Imitation as a Path to Innovation... If You Know What to Copy... At the recent Lean Healthcare Transformation Summit, there were thought provoking presentations... and we had many discussions about t...
15 Jun 201711min

Do Words Matter on a Kaizen Card?
If we're going to practice Kaizen (continuous improvement), do the words matter? Should we call it a Kaizen Card or something else? Do we start with a "problem" or something else? Are we writing down ...
4 Jun 20176min

Easier, Better, Faster, Cheaper... What's Missing There?
What if "easier" is less safe? Great question. It begs the question of why Safer isn't first in Shingo's list? Is it because safety is assumed to be such a fundamental pre-condition in the Toyota cult...
4 Jun 20174min



















