Best of Lean Blog 2012

Posts & Essays from Mark Graban's LeanBlog.org

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About the Book

This book was published incrementally during 2012, and is now complete, with the best posts and commentary from Mark Graban's www.LeanBlog.org.

Highlights include:

  • Posts from Mark's first trip to Japan
  • Highlights and notes from conferences, including Society for Health Systems, the Lean Healthcare Transformation Summit, Northeast Shingo Prize, Lab Quality Confab, and The Lean Startup Conference
  • Posts about "kaizen" or "good change" - the practice of continuous improvement in Lean settings
  • Posts about Lean Healthcare
  • Essays about Lean concepts in everyday settings ranging from the kitchen, to airports, and other businesses
  • Some early "Lean Memes" or funny images and pop culture references related to Lean

If reading on an iPad or connected e-Reader, the book contains hyperlinks to sources, articles, and videos that can be viewed when online.

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Table of Contents

  • Introduction
  • About the Author
  • 1 January 2012
    • 1.1 Blame the Stanford Kicker! Blame the Kicker?
    • 1.2 Book Review: One Small Step Can Change Your Life: The Kaizen Way
    • 1.3 Lean in Your Life – Preventing Health Problems with Technology
    • 1.4 This Commercial is Not Exactly the “Five Whys”
    • 1.5 Kaizen Videos from a Franciscan “Kaizeneer”
    • 1.6 An Inc. “Best Small Company Workplace” & Their Lean Culture
    • 1.7 Steve Jobs as a Model Leader? As a Manufacturing Leader?
    • 1.8 Suggestion Boxes are Disliked & Ineffective Around the World
    • 1.9 Guest Post: Finding Waste at the Stadium
    • 1.10 A Lean Guy Watches Moneyball
    • 1.11 A Lean Lesson from Dr. Martin Luther King, Jr.
    • 1.12 A Nice Kaizen Example from the PACU
    • 1.13 A Vivid Example of Gaming the Numbers on “The Office”
    • 1.14 Guest Post: Talking Lean at the Baseball Winter Meetings
    • 1.15 Lean in the Livonia Public Schools
    • 1.16 ThedaCare’s “Business Performance System” – and a 10% Target
    • 1.17 Guest Post: Is your management system the constraint in Kaizen?
    • 1.18 “The speed and flexibility is breathtaking” – But in a good way?
    • 1.19 A Reinforcing Loop of Kaizen and Respect
  • 2 February 2012
    • 2.1 Guest Post: Some Tips & Advice for Young Change Agents
    • 2.2 My Podcasting Gear, Setup, and Process – Lean Blog Podcast
    • 2.3 Reader Question: “No layoffs due to Lean” extends to “no demotions?”
    • 2.4 Reader & Book Reviewer Question: The Business Case for Lean Healthcare?
    • 2.5 Kaizen on the Boeing 737 Line
    • 2.6 The Fall and Rise of Automotive (and Healthcare) Quality
    • 2.7 Mental Models and How We View the Gemba & Workers: GM & Dell
    • 2.8 WSJ: How to Be a Better Boss? Spend Time on the Front Lines
    • 2.9 What People Think a Lean Healthcare Consultant Does
    • 2.10 Continuing Experiments in Self Publishing & Lean Publishing
    • 2.11 Hello from the SHS Conference & a Question for the Readers
    • 2.12 10 Tips from a Hospital CEO – from the #SHS2012 Conference
    • 2.13 ASQ Influential Voices: Young People and the Future of Engineering and Healthcare
    • 2.14 Guest Post: Demand for #Lean Professionals Now Exceeds #SixSigma?
    • 2.15 Failure to Follow Process Leads to NL MVP’s Suspension Being Overturned
    • 2.16 Weekend Fun – Quality Related Band Names (#QualityTermBandName)
    • 2.17 “On the Mend” Wins Shingo Award
    • 2.18 Lots of Great Lean Healthcare Progress in Iowa
    • 2.19 Reader Questions: Lean and Process Improvement in Healthcare
    • 2.20 My Conference Kaizen
    • 2.21 Today Would Have Been Taiichi Ohno’s 100th Birthday
  • 3 March 2012
    • 3.1 Wasted Data Entry on my Microwave – Why Enter the Date??
    • 3.2 Public Radio Story on VIBCO Helping Rhode Island Healthcare
    • 3.3 Management Lessons from Zingerman’s CEO Ari Weinzweig
    • 3.4 1 in 7000 – What are the Odds for Lean Healthcare Transformation?
    • 3.5 Staff Ideas Improving Freeman Health System
    • 3.6 Preview of the KaiNexus iPhone App – making improvement easier, anywhere
    • 3.7 Farewell to the “Move to Healthcare” Ning Group; Sharing a Success Story
    • 3.8 Learning to See (and Spell) in the NHL
    • 3.9 Thoughts on National Patient Safety Awareness Week
    • 3.10 Momentum of Lean Healthcare Design Continues to Build
    • 3.11 Guest Post: Healthcare Kaizen in The Netherlands
    • 3.12 Standardized, but Not Identical – College Basketballs
    • 3.13 Transcript of Podcast #142 – @EricRies on Taiichi Ohno & #LeanStartup
    • 3.14 94% of Problems are Really Caused by…
    • 3.15 The More Sophisticated Brains – Robots or Employees?
    • 3.16 Guest Post – #LeanProblems
    • 3.17 How hospitals are implementing lean healthcare practices
    • 3.18 Protecting Patients IS Affordable Care
    • 3.19 ASQ Influential Voices: Selling Quality?
    • 3.20 Danger vs. Hysteria — “Pink Slime” & Medical Errors (and a Guest Post)
  • 4 April 2012
    • 4.1 April Fool: Back to the Future: Hospital CEOs and Virtual Reality “Gemba Bots”
    • 4.2 Paul O’Neill Video, Speaking to Healthcare Leaders on Quality
    • 4.3 Ending the Home Kanban System (For This Home, At Least)
    • 4.4 Emergency Department Wait Times are Down, but not Being Measured?
    • 4.5 Guest Post: Lean is Patient
    • 4.6 My Essay in Naida Grunden’s New Book on Lean Design – Be Lean not L.A.M.E.
    • 4.7 Quotes from Lean Healthcare PowerDay
    • 4.8 Robert Andino of the Baltimore Orioles & Dr. W. Edwards Deming
    • 4.9 Is McDonald’s Really the Big Problem in Hospitals? Or Preventable Infections and Healthcare Quality Problems?
    • 4.10 Visual Management in a Prepared Foods Counter
    • 4.11 Move to Healthcare Wrap Up – “Feels like Bias” to a #Lean #SixSigma Pro
    • 4.12 Mistake Proofing the Home Alarm System
    • 4.13 Update on KaiNexus – Making Improvement Easier in New Ways & Places
    • 4.14 Mistake Proofing Designed Into a Lock
    • 4.15 To Better Protect Patients, Healthcare Needs More “Lean Thinking”
    • 4.16 My Trip to the Apple Store was Like a Hospital Visit
    • 4.17 ASQ Influential Voices: Happy Quality Professionals?
  • 5 May 2012
    • 5.1 TED Video: Atul Gawande: How do we heal medicine?
    • 5.2 Blame Outsourcing or Bad Processes & Bad Management?
    • 5.3 Not Exactly News – TSA Wastes Money
    • 5.4 All Saudi hospitals to report serious errors online
    • 5.5 What’s Wrong with “What’s Wrong With the Lean Start-up”
    • 5.6 Scared to Death: Worry about hospital errors, not pink slime
    • 5.7 Changing Leadership Styles with Lean
    • 5.8 “Lean Effort Pays Big” in a Colorado Springs Hospital
    • 5.9 My Flight Attendant’s Coffee Kaizen
    • 5.10 Lean on Alaska Public Radio
    • 5.11 DirecTV Makes it Hard to Cancel & Move
    • 5.12 Goodbye Dr. House, Hello “Respect for People”
    • 5.13 A Hard Habit to Break
    • 5.14 New eBook Compilation – Lean Blog: Sports
    • 5.15 Guest Post: Book Review – “Adventures in Leanland”
  • 6 June 2012
    • 6.1 Weekend Fun: This Park Puts the K in Quality
    • 6.2 A Lean Guy Listens to NPR – Waste & Problems in Healthcare
    • 6.3 Virginia Mason’s Improvement Cited in NYT Editorial; Their New Blog
    • 6.4 Lean Healthcare Transformation Summit 2012, Day 1
    • 6.5 Lean Healthcare Transformation Summit 2012, Day 2
    • 6.6 Interview with Former ThedaCare Leader Kathryn Correia
    • 6.7 The Passing of Dr. Genichi Taguchi: January 1, 1924 – June 2, 2012
    • 6.8 Lean at the Peterborough (Ontario) Regional Medical Centre
    • 6.9 Meeting Masaaki Imai Today in Seattle
    • 6.10 Notes from Meeting Masaaki Imai
    • 6.11 A Lean Guy Watches “CNN’s 25 Shocking Medical Mistakes”
    • 6.12 Moving Beyond “Be More Careful”
    • 6.13 Healthcare Kaizen: You Mean Everyone Isn’t Doing This?
    • 6.14 Analyzing the Kaizen Improvements in Our Book “Healthcare Kaizen”
    • 6.15 More Than Grammar in This WSJ Grammar Quiz
    • 6.16 Are Suggestion Boxes Really Going Away? What Say Amazon?
    • 6.17 New Book by @PaulFLevy – “Goal Play!” with Lessons for Healthcare
    • 6.18 Even with “ObamaCare” Upheld, Much Hard Work Remains to Protect Patients and Make Care Affordable
  • 7 July 2012
    • 7.1 Weekend Fun: My Ironic Home Office
    • 7.2 Google Nexus Q – Made in the USA
    • 7.3 Jerks Can Be Creativity Killers, Alright
    • 7.4 Reader Question: Hiring for a Lean Culture in Healthcare?
    • 7.5 Dr. Gary Kaplan, CEO of Virginia Mason, on Healthcare Morale
    • 7.6 “Blame & Shame” is Shameful
    • 7.7 Lifeguard Saves Swimmer, Gets Fired
    • 7.8 Should Have a Question Mark: Inc’s “The Leanest Startup?”
    • 7.9 “Why Charter Schools Work” – Questions of Autonomy, Responsibility, Standardized Work & Results
    • 7.10 KaiNexus Gives People a Voice
    • 7.11 I Wish American Airlines Would Error Proof This on Their Website
    • 7.12 RIP, Dr. Stephen Covey (1932-2012)
    • 7.13 “Living Lean” Vignette – Good Illustration or a Bit of a Stretch?
    • 7.14 10 Common Problem Solving Mistakes
    • 7.15 ASQ Influential Voices: Quality & Social Responsibility (& Lean)
    • 7.16 Looking at Medical Mistakes – Learning and Preventing or Repeating?
    • 7.17 Quoted in: 7 Ways Lean Healthcare Management Reduces Cost
    • 7.18 MD Anderson Presentation: W. Edwards Deming: The Man and the Message
    • 7.19 CBC on Lean in Saskatchewan Hospitals
  • 8 August 2012
    • 8.1 The Two Root Causes of Everything?
    • 8.2 For the Want of a Screwdriver…
    • 8.3 Dr. Donald Berwick – Ahead of his Time on Kaizen in 1989
    • 8.4 I’m Sorry, Did You Blame Me?
    • 8.5 A Brave Analogy from Dr. Atul Gawande
    • 8.6 Dr. John Toussaint Says “Don’t Kill Me!”
    • 8.7 Dr. Berwick’s 1989 Advice on Making Kaizen Happen in Healthcare
    • 8.8 Counting the Ways to Solve the Counting Problem w/ Hospital Supplies
    • 8.9 Looking Back – What Dr. Deming Taught the Japanese
    • 8.10 Paul O’Neill Talks ThedaCare, Lean Healthcare on CNBC
    • 8.11 Fun Stuff from the #LeanMeme Contest
    • 8.12 For Real Improvement, You Need Honesty & Transparency, Not Anonymity
    • 8.13 A Kidney Accidentally Trashed – More Questions Than Answers
    • 8.14 Characteristics of Lean Leaders
  • 9 September 2012
    • 9.1 How @KaiNexus is Different Than “Collaborative Ideation” Software
    • 9.2 Labor Day Reflections for a Safer Week (and Years) Ahead
    • 9.3 Stephen Strasburg & the Washington Nationals – Long Term vs. Short Term
    • 9.4 Reader Question: Getting Clinical Education to Transition into Healthcare?
    • 9.5 Reader Question: Lean Healthcare Conferences I Like
    • 9.6 My Article: “Lean as an Alternative to Mass Layoffs in Healthcare”
    • 9.7 Do You Foster Innovation? Ask Your Employees
    • 9.8 More Improvement Requires Less “Change Management”?
    • 9.9 Two Blog Posts About “Healthcare Kaizen”
    • 9.10 “L.A.M.E.” in the News; These Three Articles Get Lean Wrong
    • 9.11 Weekend Fun: LeanMemes.com #LeanMeme Contest Winners
    • 9.12 Improving “Door to Balloon” Times and Patient Care – in Some Hospitals, Why Not Every One?
    • 9.13 “Lean Management” Debated in the Washington Gubernatorial Race
    • 9.14 Can SPC Show if American Airlines Pilots are Staging a “Sick Out”?
    • 9.15 Notes from the 2012 Northeast Shingo Prize Conference, Day One
  • 10 October 2012
    • 10.1 Back from Vacation; Chinese Translation; Champagne Gemba Time
    • 10.2 KaiNexus Update – User Badges & Sharing Improvements Widely
    • 10.3 Google’s Early Earnings Release – “Human Error” or Process Problem?
    • 10.4 Just Call it “5S Six Sigma” Instead of “Lean Sigma,” Please
    • 10.5 Make Patients Responsible for Reporting Medical Errors? Really?
    • 10.6 Elon Musk Pooh-Poohs Process
    • 10.7 Learning Jazz (and Lean?): Imitate, Integrate, Innovate
    • 10.8 The Invisible Waste in Healthcare Leads to Visible Harm to Patients
  • 11 November 2012
    • 11.1 A Test for Executive Candidates – It’s Time to Power Off and Stow…
    • 11.2 Guest Post: Showing True Respect by Going to the Gemba
    • 11.3 The Gemba and Respect for People
    • 11.4 Getting to the Root Cause on ABC’s Grey’s Anatomy
    • 11.5 Watching the Steve Jobs “Lost Interview,” Part 1
    • 11.6 Watching the Steve Jobs “Lost Interview,” Part 2
    • 11.7 A Panel of Early Lean Lab Innovators
    • 11.8 Lean Startup Conference Talk – Parallels to Lean Hospital Design
    • 11.9 Visiting the Toyota Museum in Nagoya
    • 11.10 Tweets from Japan, Day 1
    • 11.11 Andon Cords at the Toyota Takaota Plant – It Doesn’t Come Naturally?
    • 11.12 “Unity in the Essential, Liberty in the Non-Essential…”
    • 11.13 A Japanese Hospital CEO on Kaizen, Innovation & Breakthrough
    • 11.14 The “Gold Prize” Kaizen QC Project Saved How Much?
    • 11.15 A Small Batch of Bread, Other Random Japan Pictures
    • 11.16 Article on Lean Design and Evidence-Based Design
    • 11.17 “5 Questions” for Mark Graban on the Evolving Excellence Blog
    • 11.18 Hospital Workers, Flu Shots & Standardized Work
    • 11.19 A Lean Thinker Watches the Documentary “Escape Fire” – A Review
    • 11.20 Dr. Gary Kaplan’s Piece on Lean for the Institute of Medicine
    • 11.21 Guest Post: The Risk of Ignoring Muri
    • 11.22 5 Questions on “Healthcare Kaizen”
  • 12 December 2012
    • 12.1 Lies, Damn Lies, and Vanity Metrics – in Policing and Healthcare
    • 12.2 BCS & College Football Coaches Poll Shenanigans – Bad Voters or Bad System?
    • 12.3 #LeanStartup Conference 2012 Notes – Get Out of the Building
    • 12.4 Patient Participation in Lean Renews Her Faith in Health Care
    • 12.5 Japan Tour Reflections: Taking Home Lean Artifacts or Lean Thinking?
    • 12.6 The Newtown Tragedy – Our National Response and Problem Solving
    • 12.7 Visiting and Teaching at Ohio State – Meeting Archie Griffin, Reflecting on Values and Winning
    • 12.8 My Human Error with my Keurig
    • 12.9 Start 2013 with “The Spirit of Kaizen”

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