Lean Blog Audio: Practical Lean Thinking, Psychological Safety, and Continuous Improvement

The 1994 book Why TQM Fails And What to Do About It is a book that could be very relevant today, in the context of Lean. I'll give credit to Greg Jacobson, MD from KaiNexus who had a copy of this book on his shelf. I bought a copy and have recently been reading it because I was curious to see if there parallels to be found with Lean failures.

http://leanblog.org/audio147

http://leanblog.org/audio146

Earlier this year, we had rantings from two doctors about Lean in the esteemed New England Journal of Medicine... except what they described didn't really sound like Lean (as I wrote about here and here - and also see Dr. John Toussaint's rebuttal).Now, there's a story written by an emergency medicine physician, Dr. Brad Cotton, that appears in a publication called "Emergency Medicine News" -- FIRST PERSON: 'We Fired Our Hospital'

What appears on the front page of their publication in the June 2016 edition isn't news -- it's a first-hand story and an opinion piece. This is the "most trusted" name in "news" for emergency medicine professionals? Good grief.

Ah, whiskey. I like whiskey. I'm not afraid to say that. I've blogged about whiskey (or whisky) once before: Why Kaizen is an Important Differentiator for Japanese Whisky. I also have a personal Kaizen story that I need to write about from my day volunteering at a Texas bourbon distillery.On a recent flight, I was reminded of the need to follow standardized work, even in the context of something as simple as ordering a drink.

A passenger seated across from me (yes, it was another passenger, not me), responded to the flight attendant asking him if he wanted a drink.

Previously on LinkedIn, I’ve written about Kaizen in a wine bar and the need for restaurants to not blame employees for problems.

Yesterday, I published my 50th post for their Influencers program:

This Restaurant Server Sadly Explains a Widespread Management Problem…

I hope it’s thought provoking about your own workplace.

http://leanblog.org/audio143

I've written before about the subject of hospitals "flexing" nurses and employees. I've criticized flexing (or the practice of sending employees home early because patient census is low) and I've pointed out that it's not keeping with "Lean" principles to "save money" by sending people home early.See these posts:

Is This The One Question That Determines If You're Truly a Lean-Thinking Hospital?

"The Emperor's Sacred Cow's New Clothes - "Flexing" Hospital Staff"

Where Do Hospitals Get the Idea that Lean is Only About Cost Reduction?

http://leanblog.org/audio142

You might remember the hubbub (and my earlier blog post) about this article that somehow appeared in the NEJM: "Medical Taylorism."It's sad and frustrating that people so often talk past each other in these different "debates" about Lean. Drs. Groopman and Hartzband seem unwilling to learn about Lean and TPS. They have just now doubled down on their assertion that Lean equals Taylorism and that it's not appropriate for healthcare. Sigh.

The NEJM just published two letters to the editor.

As is often the case, I have too many open browser tabs full of articles that I was going to potentially blog about. This slows down my Mac (thanks, Chrome!).So, it's time for me to clear out my backlog and a little mental overhead... to share some articles I've been reading with some quick notes, instead of doing full blog posts. Well, I'll get my backlog down a little.

Why Giant Hospital Systems Might Be Getting it Wrong

Resiliency Training - Important but Not Nearly Enough

'Lean Six Sigma' comes to the VA; Collins cheers

Rotarians tour hospital to see improvement model

I'm always happy to see success stories where healthcare organizations solve problems that matter through Lean concepts, practices, and principles. Today, I'm blogging about two articles I saw about this recently.One of the problems that needs to be solved in healthcare is long waiting times, whether that means waiting for care in the emergency department, waiting for an appointment, or waiting for test results.

http://leanblog.org/audio140

http://leanblog.org/audio139

In the previous editions of my book Lean Hospitals, I've included case examples from Avera McKennan Hospital and Avera Health. Fred Slunecka is the former president of Avera McKennan and he is now chief operating officer for the Avera system.I talked with Fred again for the updated and revised third edition (available for pre-order now, shipping in June), with my highlights added for this post:

Reflecting further in 2015, Slunecka says:

After the previous CEO of JC Penney, Ron Johnson, was fired (see my post "Lack of PDSA made JCP CEO SOL?"), it seems that new CEO Marvin Ellison might be taking a different approach.See this article from FORTUNE: "The CEO Who's Reinventing J.C. Penney."