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With 30 years of driving Lean transformations under his belt—both in-house at Danaher and as the founder of Lean Horizons—Mark C. DeLuzio has a vantage point across a variety of industries. He often hears the challenges Lean leaders face now that they’ve been implementing Lean for a decade or more. They are concerned that they aren’t getting the results they used to, and they don’t know why. Most leaders believe their problems are unique to their company, but Mark sees more commonalities than differences. Flatlined: Why Lean Transformations Fail and What to Do About It draws on the author’s experience as the original pioneer of the most successful Lean business system next to Toyota, as well as his progress over the past 18 years in helping companies replicate what Danaher achieved. Mark DeLuzio knows you need an actionable approach to make rapid shifts, not theory. With this book, Mark DeLuzio gives you: • the reasons why companies are now flatlining with Lean; • five steps to solving this problem, no matter what your industry or corporate culture; • real talk on why your organization is probably mediocre (even if it’s making a lot of money) and how to disrupt it to make it genuinely world class; • the questions you should always be asking at every stage and level of your Lean initiative.
Flatlined lifts the veil of secrecy on twenty-first century health care and delves into the realities of good people caught in a bad medical system. Dr. Guy L. Clifton, a practitioner as well as a policy advocate, reveals first-hand accounts of needless tragedy, such as the young man who died after a car wreck for lack of a bed in a qualified hospital and the surgeon who was dejected by the scarcity of resources needed to enable him to perform heart surgery on an uninsured man. Arguing that a lack of coordinated care and quality medical practice benchmarks result in high levels of redundancy and ineffectiveness, Clifton proposes that the key to reducing health care costs, improving quality, and financially protecting the uninsured, is to reduce wastefulness, and offers a solution for achieving success. Flatlined sounds the warning call: By 2018 Medicare and Medicaid will consume about one-third of the federal budget. American businesses now pay three times as much of their payroll for health care as global competitors, expected to worsen as health care grows at twice the rate of the U.S. economy. Based on his years of experience in policy and medicine, Clifton offers an attainable solution through the development of an American Medical Quality System.
Addresses the causes and consequences of the breakdown in American health care and proposes a National Medical Quality System that would be dedicated to reducing waste and improving the quality of medicine.
What happens to black health care professionals in the new economy, where work is insecure and organizational resources are scarce? In Flatlining, Adia Harvey Wingfield exposes how hospitals, clinics, and other institutions participate in “racial outsourcing,” relying heavily on black doctors, nurses, technicians, and physician assistants to do “equity work”—extra labor that makes organizations and their services more accessible to communities of color. Wingfield argues that as these organizations become more profit driven, they come to depend on black health care professionals to perform equity work to serve increasingly diverse constituencies. Yet black workers often do this labor without recognition, compensation, or support. Operating at the intersection of work, race, gender, and class, Wingfield makes plain the challenges that black employees must overcome and reveals the complicated issues of inequality in today’s workplaces and communities.
Presents the stories of seven survivors of Hurricane Katrina who tried to evacuate, protect their possessions, and save loved ones before, during, and after the flood.
NEW YORK TIMES BESTSELLER • A marvelous new novel from the Pulitzer Prize-winning author of The Lowland and Interpreter of Maladies about a woman questioning her place in the world, wavering between stasis and movement, between the need to belong and the refusal to form lasting ties. “Another masterstroke in a career already filled with them.” —O, the Oprah Magazine Exuberance and dread, attachment and estrangement: in this novel, Jhumpa Lahiri stretches her themes to the limit. In the arc of one year, an unnamed narrator in an unnamed city, in the middle of her life’s journey, realizes that she’s lost her way. The city she calls home acts as a companion and interlocutor: traversing the streets around her house, and in parks, piazzas, museums, stores, and coffee bars, she feels less alone. We follow her to the pool she frequents, and to the train station that leads to her mother, who is mired in her own solitude after her husband’s untimely death. Among those who appear on this woman’s path are colleagues with whom she feels ill at ease, casual acquaintances, and “him,” a shadow who both consoles and unsettles her. Until one day at the sea, both overwhelmed and replenished by the sun’s vital heat, her perspective will abruptly change. This is the first novel Lahiri has written in Italian and translated into English. The reader will find the qualities that make Lahiri’s work so beloved: deep intelligence and feeling, richly textured physical and emotional landscapes, and a poetics of dislocation. But Whereabouts, brimming with the impulse to cross barriers, also signals a bold shift of style and sensibility. By grafting herself onto a new literary language, Lahiri has pushed herself to a new level of artistic achievement.
From an engineer and futurist, an impassioned account of technological stagnation since the 1970s and an imaginative blueprint for a richer, more abundant future The science fiction of the 1960s promised us a future remade by technological innovation: we’d vacation in geodesic domes on Mars, have meaningful conversations with computers, and drop our children off at school in flying cars. Fast-forward 60 years, and we’re still stuck in traffic in gas-guzzling sedans and boarding the same types of planes we flew in over half a century ago. What happened to the future we were promised? In Where Is My Flying Car?, J. Storrs Hall sets out to answer this deceptively simple question. What starts as an examination of the technical limitations of building flying cars evolves into an investigation of the scientific, technological, and social roots of the economic stagnation that started in the 1970s. From the failure to adopt nuclear energy and the suppression of cold fusion technology to the rise of a counterculture hostile to progress, Hall recounts how our collective ambitions for the future were derailed, with devastating consequences for global wealth creation and distribution. Hall then outlines a framework for a future powered by exponential progress—one in which we build as much in the world of atoms as we do in the world of bits, one rich in abundance and wonder. Drawing on years of original research and personal engineering experience, Where Is My Flying Car?, originally published in 2018, is an urgent, timely analysis of technological progress over the last 50 years and a bold vision for a better future.
The youngest living Medal of Honor recipient delivers an unforgettable memoir that "will inspire every reader” (Jim Mattis) NATIONAL BESTSELLER | A Marine Commandant's Reading List selection On November 21, 2010, U.S. Marine Lance Corporal Kyle Carpenter was posted atop a building in violent Helmand Province, Afghanistan, when an enemy grenade skittered toward Kyle and fellow Marine Nick Eufrazio. Without hesitation, Kyle chose a path of selfless heroism that few can imagine. He jumped on the grenade, saving Nick but sacrificing his own body. Kyle Carpenter’s heart flatlined three times while being evacuated off the battlefield in Afghanistan. Yet his spirit was unbroken. Severely wounded from head to toe, Kyle lost his right eye as well as most of his jaw. It would take dozens of surgeries and almost three years in and out of the hospital to reconstruct his body. From there, he began the process of rebuilding his life. What he has accomplished in the last nine years is extraordinary: he’s come back a stronger, better, wiser person. In 2014, Kyle was awarded the nation’s highest military decoration, the Medal of Honor, for his “singular act of courage” on that rooftop in Afghanistan, an action which had been reviewed exhaustively by the military. Kyle became the youngest living recipient of the award–and only the second living Marine so honored since Vietnam. Kyle’s remarkable memoir reveals a central truth that will inspire every reader: Life is worth everything we’ve got. It is the story of how one man became a so-called hero who willingly laid down his life for his brother-in-arms—and equally, it is a story of rebirth, of how Kyle battled back from the gravest challenge to forge a life of joyful purpose. You Are Worth It is a memoir about the war in Afghanistan and Kyle’s heroics, and it is also a manual for living. Organized around the credos that have guided Kyle’s life (from “Don’t Hide Your Scars” to “Call Your Mom”), the book encourages us to become our best selves in the time we’ve been given on earth. Above all, it’s about finding purpose, regardless of the hurdles that may block our way. Moving and unforgettable, You Are Worth It is an astonishing memoir from one of our most extraordinary young leaders.
People are dying in Dr. Joshua Salvador’s ER. His medical assistant, only weeks from delivering her baby, hangs on to life by a thread. The symptoms seem horrifyingly familiar, and he begins to suspect the deaths are targeted at him. But, before he can figure things out, top TV investigator Rachel Wright is standing in the middle of his ER, convinced an outbreak, an epidemic, or even a botched flu vaccine could be the cause, and she’s going to tell the world. Each book in the Investigators series is STANDALONE: * Alive at 5 * Cuba Undercover * Flatline
POWERLESS? For Amy Sturgess, life in the big city comes with even bigger problems. Her marketing career is being derailed by a conniving coworker stealing her accounts. Her family crises range from her down-and-out brother running afoul of the law to her mother’s growing affections for the house cats. And Amy’s love life just flatlined thanks to an unexpected reunion with the one that got away—who’s now engaged. When Xanax and therapy fail to relieve her stress, Amy does what any young woman in her position would do: She uses her superstrength, speed, flight, and ability to generate 750 volts from her hands to fight crime as the mysterious masked vigilante Starling. But while Starling is hailed as a superhero, will Amy remain a super-zero?