In On the Mend: Revolutionizing Healthcare to Save Lives and Transform the Industry, Toussaint, former CEO of ThedaCare, and Gerard, its chief learning officer, candidly describe the triumphs and stumbles of a seven-year journey to lean healthcare, an effort that continues today and that has slashed medical errors, improved patient outcomes, raised staff morale, and saved $27 million dollars in costs without layoffs. Find out:
- How lean techniques of value-stream-mapping and rapid improvement events cut the average "door-to-balloon time for heart attack patients at two hospitals from 90 minutes to 37 minutes.
- What ThedaCare leaders did to replace medicine’s "shame and blame" culture with a lean culture based on continuous improvement and respect for people. How the lean principle of "building in quality at the source" broke down divisions among medical specialties allowing teams to develop patient care plans faster.
- Why traditional modern management is the single biggest impediment to lean healthcare.
- How the plan-do-study-act cycle coupled with rapid improvement events cut the wait time at a robotic radiosurgery unit from 26 days to 6 days.
- How the lean concept of "one piece flow" saved time in treating ischemic stroke patients, increasing the number of patients receiving a CT scan within 25 minutes from 51% to 89%.
- How senior leaders at other healthcare organizations can begin their own lean transformations using a nine-step action plan based on what ThedaCare did--and what it would do differently.