It’s been very encouraging to see results in U.K. and Sweden confirming lean in healthcare works all over the world. I have spent the last few days in Sweden and visited St. Gorans hospital in Stockholm and the Lund University Hospital Lean Healthcare conference where I gave an address. I can say that there are committed […]
https://createvalue.org/blog/washington-could-take-a-lesson-from-the-swedes/
This 7th blog on organizational transformation again is under the rubric of process, standard work, and it is a key part of the Methodology of lean. Standard work is the codified work sequence that comes about as a result of improvement activity. When a care process is changed the staff and physicians delivering that care act differently […]
https://createvalue.org/blog/organization-transformation-blog-7-processstandard-work/
This paper titled, Unmet Needs, outlines a number of fundamental flaws in the present medical education system. I have commented in presentations,in articles,and now in a book the Lean enterprise Institute will publish in June that the shame and blame culture instilled in our medical schools is our biggest barrier to patient care improvement. This paper by […]
https://createvalue.org/blog/lucian-leape-challenges-medical-educators/
This is the 6th blog in my series on organizational transformation. We have organized these blogs into three categories based on the important components of Purpose, Process, and People. We are still exploring the category of process and this week are focused on kaizen. Kaizen is from the Japanese symbols meaning “change” and “good.” It […]
https://createvalue.org/blog/blog-6-organizational-transformation/
The TV cameras captured the Acute Heart Attack Value Stream designed by ThedaCare doctors and nurses. This is an interesting look at how lean has collapsed time for an acute heart attack patient. The remarkable thing is as the time has collapsed state of the art therapy is now available for patients that wasn’t before […]
https://createvalue.org/blog/heart-attack-value-stream-captured-by-fox-news/
In the end after the T.V. cameras had been turned off have we gotten any closer to real healthcare reform with President Obama’s health care summit? Our politicians were cordial with each other and the Thursday summit was civil.But did it do anything to change fundamental flaws of the original discussions on health reform? The […]
This is the 8th in a series of blogs devoted to organizational transformation. We have covered Purpose, Process and now are going to cover the hardest part, People. In a system wide transformation the most challenging part is transforming the way people think. Coming from a top down autocratic environment (which is the current […]
https://createvalue.org/blog/blog-8-organizational-transformation-people-leadership/
The following article by the Toyota CEO Akio Toyoda outlines the renewed focus Toyota has on quality. It’s called “Back to Basics for Toyota” and was published in the Wall Street Journal opinion section today. Toyota is testifying in front of congress today for quality missteps that have rarely happened before. The quality of their product […]
The 3rd entry in this series on organizational transformation using lean comes again,under the rubric of Process:Transparency is one of the keys to improvement but there are critical core characteristics of implementation that can make or break success. Admitting mistakes is not easy. Look at the problems Toyota is dealing with because of their […]
https://createvalue.org/blog/organization-transformation-blog-3-processtransparency/
This is the first in a series of blogs I am writing over the next few weeks that will help define the high level framework for a whole system transformation using the lean methodology. I am not going to focus on the specific tools required to achieve each of the framework components because there are many […]
https://createvalue.org/blog/organizational-transformation-blog-1-purpose/
