I think Steve has really nailed the core components of sustainability in lean. Lean transformation is really hard work and never ending. It is not for the faint at heart and it’s not just another healthcare project. Read what he has to say. “Many organizations have looked to Toyota for a model to emulate, in pursuit […]
https://createvalue.org/blog/steven-spear-on-sustaining-lean/
Today at the Institute of Medicine I listened to Douglas Elmendorf from the Congressional Budget Office(CBO) followed by Nancy-Ann Deparle the health reform director at the Whitehouse and came away thinking we really have a bigger problem than we think.To Mr Elmendorf’s credit, he admits there is so much uncertainty in most aspects of American […]
https://createvalue.org/blog/we-really-need-to-fix-healthcare-costs/
On May 26th a number of national leaders in healthcare will come together to discuss how to create the right incentives for health care change. Two Network members are invited,Group Health of Puget Sound and the ThedaCare Center. In addition 2 other lean healthcare organizations will attend. Lean healthcare is going to be well represented […]
https://createvalue.org/blog/institute-of-medicine-hosts-value-incentives-meeting/
Walt Rugland the chairman of both the ThedaCare board and the ThedaCare Center board, testified recently in a House hearing on transparency of prices in healthcare Transparency is one of the three fundamental reforms the Center has been espousing for many months.The other two are delivery system redesign to improve value to patients using lean and […]
After gemba at many health systems in the last few months, there is one common theme that is recurring: Lean is considered as the add-on to improvement, not the improvement system itself. From academic medical centers to community hospitals I am finding that the lean method is being isolated as just another project to lower […]
Once I completed the transformational blog series I realized there is still much more to discuss.”Gemba” is an important place and it means “place where value is created”. I am going to discuss why going to the Gemba is so important. In our upcoming book “On the Mend”, we describe going to Gemba as […]
https://createvalue.org/blog/more-organizational-transformation-topicsgemba/
Now that we have a bill the next steps should be to identify the most important priorities for really changing the cost and quality of healthcare.See the link below and read a chapter in our new book “On the Mend”, then send it to your legislators! The 2,500 page plus bill is daunting in […]
https://createvalue.org/blog/healthcare-bill-is-passed-now-what/
Don Berwick has been working his entire career to improve health care. Now, he may have his best chance yet. Yesterday, several news sources announced that President Obama would nominate Don Berwick to be the next CMS director. This follows almost 4 years of the agency’s lead position being vacant. With the recent passage of the health […]
https://createvalue.org/blog/obama-may-nominate-dr-don-berwick-to-head-cms/
The House passed its version of the Senate Health Bill and it now goes back to the Senate. We still have a big cost problem that hasn’t been addressed though. Assuming the senate uses the reconciliation procedure, the house version of healthcare insurance reform is on its way for signature by President Obama. This is […]
St. Mary’s in Madison has undergone a massive nursing training program related to the tragic death of a teenage OB patient.Will what they have done make a difference to prevent other accidents? I know the leaders and doctors at St. Marys in Madison.They are dedicated,competent,caring people and belong to a great overarching organization lead […]
https://createvalue.org/blog/wsj-article-targets-mistakes-in-healthcare/
