Lean Blog Audio

Tour Preview: The Japanese Health Care System at a High Level As I prepare to go back to Japan, I'm sharing some insights about the Japanese health system from the excellent book "The Healing of America," by T.R. Reid.

The WSJ Overgeneralizes about The "Japanese Model," Not All Companies Are Toyota Not all Japanese companies are the same. "Lean isn't easy" if you're a Japanese company. Toyota has created something special, since "Toyota culture" is not exactly the same as "Japanese culture." The WSJ says the "model is cracking." Do scandals involving quality and ethical lapses involving companies including those and Nissan tarnish Lean and the Toyota Production System? No. That's as silly as thinking the Wells Fargo banking scandal tarnishes Silicon Valley (although the Valley does enough to tarnish itself).

#Lean Can Be Very Fragile, Especially With Executive Changes Lean can be very fragile. History shows that Lean can fall apart even in an organization that is years into a "Lean journey" with strong CEO involvement. How is this possible? If often happens when a new CEO is brought in from the outside. In the case of the manufacturing company, Wiremold, it happened when they were acquired by a French company, Legrand. As an aside, the team that coined the term "Lean" almost used the term "fragile," as I blogged about here. Back in 2007, Bob Emiliani joined me for Episode #30 of the podcast. As we revisit the podcast and the new transcript I had made, what are the lessons for manufacturers or hospitals? What's the risk that's created when new leadership takes over?

Employee Complaints About Lean in Healthcare, Even at Some of the Best Organizations Last week, I blogged about some employee complaints related to rotating day and night shifts at the Toyota San Antonio plant. In that post, I mentioned that employees who post on Glassdoor.com and other sites might not be a representative sample of the full employee population. With that in mind, what happens when we search the Glassdoor surveys of some well-known "Lean hospitals?" I posted a few of these employee comments on LinkedIn the other day (a short post that has received over 50,000 views and prompted a lot of discussion).

Somebody *Did* Get Unjustly Fired in Hawaii, But System Problems Should be Blamed TL;DR Summary: "Employee 1" (the guy who pushed the "wrong" button) got fired. But the FCC report says: "The report finds that the false alert was not the result of a worker choosing the wrong alert by accident from a drop-down menu, but rather because the worker misunderstood a drill as a true emergency. The drill incorrectly included the language "This is not a drill."  So, the language from the drill didn't meet the standard for what the drill language is supposed to say. So, how is it fair to fire the worker who heard "this is not a drill?"

I often get asked a question along the lines of "So, what exactly do you do?" Today, I give some updates about my various projects and partnerships, including continuing with KaiNexus (with a different title) and a new partnership with Value Capture.

I've written about many of these ideas and themes before in various blog posts, but I wanted to consolidate my thoughts on the Lean concept of "standardized work" in a single place. This is partly for my own personal reference (and future linking), but also can prompt some discussion amongst my friends, the Lean Blog readers.

What We're Looking Forward to Learning at the Toyota Plant Tour Tomorrow, with the entire KaiNexus team, I'm going to visit the Toyota truck plant in San Antonio, the plant referred TMMTX. The 15 of us will be there in closed toed shoes and all other required clothing to learn about the Toyota Production System, Kaizen (continuous improvement), and Lean. I've blogged about it on the KaiNexus blog. I asked the KaiNexus team to say a little bit about what they hope to learn in the visit and you can read their comments it here. In this post, I share a 24-minute tour preview webinar that I put together, links to past tour blog posts, and more.

What the Book "Lean Thinking" Said About Healthcare in 1996 http://www.leanblog.org/audio244 When the book Lean Thinking (by Jim Womack and Dan Jones) was originally published in 1996, it seems likely that hardly anyone was applying Lean principles in healthcare. Sure, you had organizations applying TQM or CQI principles (or even some of the lessons of Dr. W. Edwards Deming). Joan Wellman did some of her first Lean healthcare experiments in 1995, but there weren't any "Lean healthcare" case studies yet. What does their book say?

The Response to the Hawaii False Alarm Can't End With Firing Someone -- This and other nuclear threats due to bad systems http://www.leanblog.org/audio243 Saturday, you might have seen the news about a "false alarm" push alert that was sent to many iPhones and other smart phones in Hawaii. An alert was also sent out over many TV channels through the Emergency Response System. Is the response one that focuses on blame and punishment? Or is it focused on understanding how systems fail and how to improve them to prevent future recurrence? How does this all apply to your organization?