Lean Blog Audio

Imitation as a Path to Innovation... If You Know What to Copy... At the recent Lean Healthcare Transformation Summit, there were thought provoking presentations... and we had many discussions about the role of incremental improvement vs. redesign or transformation. And, lots of discussions about imitating vs. innovating... so I explore those themes in this post.

If we're going to practice Kaizen (continuous improvement), do the words matter? Should we call it a Kaizen Card or something else? Do we start with a "problem" or something else? Are we writing down "ideas" or "countermeasures?" Does it matter?

What if "easier" is less safe? Great question. It begs the question of why Safer isn't first in Shingo's list? Is it because safety is assumed to be such a fundamental pre-condition in the Toyota culture or the Lean approach? Safety is such a non-negotiable point that it doesn't need to be said?

Does your healthcare organization struggle with keeping hand sanitizer dispensers full? Let me know what you think of this "two-bin kanban" system prototype from a vendor that might more forward on this...

Thanks to Lean Frontiers for sharing a story from Mike Hoseus on LinkedIn. Mike is, of course, co-author of the excellent book Toyota Culture: The Heart and Soul of the Toyota Way (written with Jeff Liker, who I just learned is retiring from the University of Michigan... more on that soon).

Here are three audience questions we didn't have time to address after a recent talk that I gave... questions about engaging people in improvement and about how to share and spread improvement ideas broadly.

Today's reader question comes from somebody who has been put in the position of what I call "the lone wolf" in a health system. This happens a lot. A health system hires or designates one person to be "the Lean change agent." It doesn't matter how amazing and/or experienced this individual is... I'd very skeptical about the organization's Lean journey.

What are the parallels between the mindsets and approach of a world-class university band director and our mindsets in Lean, Kaizen, and continuous improvement, in healthcare or beyond?

It's good that United's CEO has taken responsibility for system problems. It's great that they are changing some policies. But why does he say they don't have a culture problem if employees aren't empowered? That sounds like "culture" and a "problem" to me.

I'm excited to announce that Practicing Lean is now available as an audio book... or least the first half is, but you can buy today.