“Chaos in the emergency department is common. How to fix it is not always clear. Mary P. Mercer, MD, MPH, from the University of California, San Francisco, discusses how they successfully fixed their long dwell times at the emergency department at San Francisco General Hospital. Their solution was to create a fast-track unit that managed low-acuity […]
Mark Graban’s Lean Blog Episode #336 is Gladys Bogoshi, the Chief Executive Officer at Charlotte Maxeke Johannesburg Academic Hospital, one of the ten central hospitals in South Africa and the main teaching platform of the University of the Witwatersrand. The Hospital is situated in Johannesburg and has a bed capacity of 1189. Gladys is going to […]
Hospital board members can sometimes feel isolated from the rest of the organization. Even under ideal circumstances – they receive good data and information from the senior leadership team and during board meetings have great discussions about the organization’s True North measures – they may still feel disconnected, depending on the size of the organization and […]
The rate of change in the business of healthcare has been extraordinarily fast in the past two decades. The shift to electronic medical records, mergers that create giant hospital systems, nationwide plans to insure more (or less) people—all of these systemic transformations have been rolled out with promises that healthcare will be improved for all. […]
Joining Mark Graban for this podcast is Steve Shortell. He is Blue Cross of California Distinguished Professorship, HPM and is a Professor of Organizational Behavior at the University of California, Berkeley School of Public Health. In this episode, they discuss some initial research that was released in a paper that was published in The Joint Commision Journal on Quality and Patient Safety. […]
Managing vision and purpose with strategic agility has never been more important for healthcare leaders in a turbulent and transforming industry. We know that our old mental models and systems for strategic planning are insufficient; yet in our early attempts to translate the lean-based system of hoshin planning into strategy deployment, the essence of strategy […]
Originally posted at Lean.org by Helen Zak December 7, 2017 “A bad system will beat a good person every time.” These sage words from W. Edwards Deming, sum up what many healthcare leaders face on a daily basis: bad systems working directly against the ability to deliver quality outcomes for patients. For decades, industry has […]
Ted Toussaint, a healthcare innovation strategist, and Sarah Steinberg, from Atrius Health, discuss innovative work that they led at Atrius, using a variety of modern product development and innovation methods, including lean, lean start up, design thinking, and more to create new “Care in Place” model for home-based patient care that helps reduce trips to […]
by John Toussaint, MD December 5, 2017 The landscape for the delivery of health care in the United States is changing, but the traditional care-delivery players are not the change agents. The recent announcement of CVS’s $69 billion deal to acquire Aetna brings an insurer together with a large network of primary care providers: CVS has built […]
Success and Failure in Medicine In this BBC podcast, Dr. Kevin Fong explores the concept of ‘lean’ in healthcare. He visits Toyota’s largest car assembly plant in the United States and discovers how the company’s legendary management philosophy – the Toyota Production System – is being implemented in hospitals, in an effort to improve patient […]
