3 Lessons About Culture Every Organization Can Learn from The United Video

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The recent United video involving a man being dragged from a flight due to overbooking has been all the talk this week in the media.  The incident highlights a few key lessons about a company culture that every organization can heed. The general understanding of what happened is four customers were chosen at random on an overbooked […]

leadership rounds

5 Steps to Effective Leadership Rounding

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Any change in process in the work place will require a level of effective leadership rounding to ensure the new ways of operating are carried out. Mark Graban talk about this concept here, in this article on his Lean Blog titled, “Managing with Red/Green Charts is Like Driving By Looking at the Rear-View Mirror“.  Managing by result […]


Productivity Improvement: What Side of The Equation Has Your Focus?

Posted on Leave a commentPosted in Culture, Healthcare, Lean Tools, Management System

Lately, I’ve been working on productivity improvement with hospital teams within their operations.  The basic concept of productivity improvement is the team has to do the same amount of work or more with less resources to be more efficient.  Use the following equation to calculate productivity within a department: Productivity = Worked Hours divided by […]


Four Indicators Your Lean Effort is NOT Creating a Culture Shift

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1. People are saying, “We’ve tried this before.” Flavor-of-the-month efforts come and go. There are many organizations in healthcare that you’ve never heard of that have tried to implement any number of process improvement methodologies trying to change the culture. One of the most common phrases I hear when working with a new organization on a Lean transformation […]

Burying Your Head in the Sand Doesn’t Work in Times of Change

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Burying your head in the sand does not work in times of change.  I’ve worked with many process improvement teams, and the most successful tackle change head on.  They make it a point to acknowledge the challenge ahead and proactively act to limit any negative impact. Here are three reasons why refusing to adapt proactively […]

Lean in Healthcare: Improving a Housekeeping Operation

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Find this and other posts of mine at my blog covering lean application in healthcare.  (www.smartleanhealthcare.com) Healthcare is complex.  There are many pressures competing against any organization succeeding in providing a good patient experience; let alone a great one. In my time as a health system executive with oversight for a multi-facility housekeeping operation, I […]

lean education

Three Options for Deploying Lean Education within Your Organization

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When rolling-out a new strategy, a process change or even something as culture-shifting as lean education, there are several options to consider regarding the method used to educate the intended audience. I’ve observed several types of deployment, and it is my belief that they all can serve a purpose. No one method is right or […]

leadership engagement

Leadership Engagement: 3 Pitfalls to Avoid and the Tools to Use to Avoid Them

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Your Team’s Process Improvement Effort is NOT Viewed as Integral to Achieving the Bigger Picture:  I’ve seen multiple organizations present their quality or process improvement functions as integral to improving the patient experience and reducing inefficiencies within the operation.  The same leaders will shy away from publicly supporting team efforts and making tough decisions to […]