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Episode #110 is a chat with Dr. Jack Billi from the University of Michigan Health System and Medical School.

Here, we talk about their lean work and how Dr. Billi works with physicians to engage them in lean, tying lean problem solving methods, including the A3 approach, to the scientific method and medical thinking. Dr. Billi talks about the right approach to the lean concept of “standardized work” in a way that works for medicine and complex patient situations.

Dr. Billi is Professor of Internal Medicine and Medical Education. He leads the Michigan Quality System, the University of Michigan Health System's unified approach to improve quality, safety, efficiency, appropriateness and service using lean tools and philosophy. Dr. Billi's research and leadership interests are in health services delivery and the use of community consortia for quality improvement. He is active on statewide and regional groups affecting quality of care, pay-for-performance and public reporting. He chairs the Michigan State Medical Society's Committee on Quality, Efficiency and Economics and the Essential Benefit Design Work Group and is a member of MSMS's Board of Directors. Dr. Billi co-chairs the Medical Director Committee for the Michigan Quality Improvement Consortium which develops and disseminates evidence-based practice guidelines used by Blue Cross Blue Shield of Michigan and 15 other health plans representing over six million members.

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