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This book gives healthcare leaders a practical guide to implementing the 4 key components of lean daily management system - 1. LDM boards; 2. Leadership rounds 3. Leader daily disciplines and 4. Lean projects. Although lean is not new to healthcare, effective LDM is just now taking hold with the best lean healthcare organizations in the U.S. and Canada. Leaders are realizing that sustaining their lean projects over time has proven to be a challenge without first addressing the organizations management system/model. LDM gives leaders a straightforward approach to do just that as well as improve their ability to spread and deploy lean to other areas of the organization and tie back to strategy.
Performance management, the primary focus of a Lean organization, occurs through continuous improvement programs that focus on education, belief systems development, and effective change management. Presenting a first-of-its-kind approach, The Lean Management Systems Handbook details the critical components required for sustainable Lean management.
You likely don’t need any more tools, programs, or workshops to improve your hospital. What you need is a simple and consistent approach to manage problem-solving. Filling this need, this book presents a Lean management system that can help break down barriers between staff, directors, and administration and empower front-line staff to resolve their own problems. Lean Daily Management for Healthcare: A Strategic Guide to Implementing Lean for Hospital Leaders provides practical, step-by-step guidance on how to roll out Lean daily management in a hospital setting. Ideal for leaders that may feel lost in the transition process, the book supplies a roadmap to help you identify where your hospital currently is in its Lean process, where it’s headed, and how your role will change as you evolve into a Lean leader. Illustrating the entire process of implementing Lean daily management, the book breaks down the cultural progression of units into discreet, objectively measurable phases. It identifies what leaders at all levels of the organization must do to progress units into the next phase of development. Complete with case studies from different service areas in the hospital, the book explains how to link problem-solving boards together to achieve meaningful and measurable improvements in: the emergency department, the operating room, discharge times, clinics, quality, and patient satisfaction. After reading this book you will understand how consistent rounding, a few whiteboards, pen-and-paper data, and a focused effort on working the Plan-Do-Study-Act cycle can help you build a common problem-solving bench strength throughout your organization—establishing the framework upon which future improvement can be built.
Does your company think and act ahead of technological change, ahead of the customer, and ahead of the competition? Thinking strategically requires a company to face these questions with a clear future image of itself. Implementing a Lean Management System lays out a comprehensive management system for aligning the firm's vision of the future with market realities. Based on hoshin management, the Japanese strategic planning method used by top managers for driving TQM throughout an organization, Lean Management is about deploying vision, strategy, and policy at all levels of daily activity. It is an eminently practical methodology emerging out of the implementation of continuous improvement methods and employee involvement. The key tools in the text build on the knowledge of the worker, multi-tasking, and an understanding of the role and responsibilities of the new lean manufacturer.
Hospitals have long relied on the heroics of one brilliant nurse or doctor to save the day. Such heroics often result in temporary workarounds and quick fixes that leave not only patients and quality care at risk, but also increase costs. This is the story of an organization breaking that habit. Like a growing number of healthcare organizations around the world, ThedaCare, Inc. has been using lean thinking and the principles of the Toyota Production System to improve quality of care, reduce waste, and become more reliable. But lean thinking was incompatible with ThedaCare’s old top-down, hero-based system of management. Kim Barnas, former SVP of ThedaCare, shows us how she and her team created a management system that is stable and lean, to spur continuous improvement. Beyond Heroes shows the reader, step by step, how ThedaCare teams developed the system, using the stories of its doctors, nurses and administrators to illustrate. The book explores each of the eight essential components of the lean system, from front-line problem solving with the scientific method to daily team huddles and creating standard work for leaders all the way to the top of an organization. Finally, the author introduces four executives from healthcare systems across North America who have implemented ThedaCare’s system and share the lessons they learned along the way. Beyond Heroes is not just a call to action or an argument for a better healthcare system. It is a necessary roadmap through the rocky terrain ahead, one that healthcare leaders can customize to their special needs.
Understanding, Measuring, and Improving Daily Management explains the critical parts of a continuous improvement strategy to achieve Operational Excellence and where reactive improvement through effective daily management fits in. In addition, it shows the consequences to your Operational Excellence journey if daily management is not performed well. Reactive improvement develops the capability and discipline within the organization to be able to rapidly recover from an event or incident that stops you from achieving your expected or target performance for the day, shift, or hour and most importantly -- your ability to capture the learning and initiate corrective actions so that the event or incident will not re-occur anywhere across the organization. As such, reactive improvement focuses on improving daily management through your daily review meetings, your information centers supporting the daily review meetings, and your frontline problem-solving root cause analysis capability at all levels. The book introduces the seven elements of reactive improvement that must work in concert for effective daily management and allows the reader to rate their site or department to determine their starting point compared to best practices: 1. Supportive organization structure to support development of your people so they have ownership and accountability for the performance of their area of responsibility; 2. Effective frontline leaders to ensure everyone else in the leadership structure are not working down a level; 3. Appropriate measures with expected targets that are linked to the site’s Key Success Factors for Operations to ensure goal alignment, and are relevant to the area being focused on; 4. Structured daily review meetings to identify opportunities (problems/incidents) and monitor progress of their solution so they don’t happen again; 5. Visual information centers that visually display daily and trending performance along with monitoring of actions to address problems/issues raised; 6. Frontline problem-solving root cause analysis capability across the site; and 7. Rapid sharing of learning capability across shifts, departments, and the organization. The author outlines in detail why each of the seven elements are important to achieving Operational Excellence, and most importantly, how to implement each element supported with many templates and tools.
“At last! A book about errors, flubs, and screwups that pushes beyond platitudes and actually shows how to enlist our mistakes as engines of learning, growth, and progress. Dive into The Mistakes That Make Us and discover the secrets to nurturing a psychologically safe environment that encourages the small experiments that lead to big breakthroughs.” DANIEL H. PINK, #1 NEW YORK TIMES BESTSELLING AUTHOR OF DRIVE, WHEN, AND THE POWER OF REGRET We all make mistakes. What matters is learning from them, as individuals, teams, and organizations. The Mistakes That Make Us: Cultivating a Culture of Learning and Innovation is an engaging, inspiring, and practical book by Mark Graban that presents an alternative approach to mistakes. Rather than punishing individuals for human error and bad decisions, Graban encourages us to embrace and learn from them, fostering a culture of learning and innovation. Sharing stories and insights from his popular podcast, “My Favorite Mistake,” along with his own work and career experiences, Graban show how leaders can cultivate a culture of learning from mistakes. Including examples from manufacturing, healthcare, software, and two whiskey distillers, the book explores how organizations of all sizes and industries can benefit from this approach. In the book, you'll find practical guidance on adopting a positive mindset towards mistakes. It teaches you to acknowledge and appreciate them, take necessary measures to avoid them while gaining knowledge from the ones that occur. Additionally, it emphasizes creating a safe environment to express mistakes and encourages responding constructively by emphasizing learning over punishment. Developing a culture of learning from mistakes through psychological safety is essential in effective leadership and organizational success. Leaders must lead by example and demonstrate kindness to themselves and others by accepting their own blunders instead of solely pushing for more courage from their team. This approach, as Graban highlights, fosters a positive and productive work environment. The Mistakes That Make Us is a must-read for anyone looking to create a stronger organization that produces better results, including lower turnover, more improvement and innovation, and better bottom-line performance. Whether you are a startup founder or an aspiring leader in a larger company, this book will inspire you to lead with kindness and humility, and show you how mistakes can make things right. Table of Contents: Chapter One: Think Positively Chapter Two: Admit Mistakes Chapter Three: Be Kind Chapter Four: Prevent Mistakes Chapter Five: Help Everyone to Speak Up Chapter Six: Choose Improvement, Not Punishment Chapter Seven: Iterate Your Way to Success Chapter Eight: Cultivate Forever Afterword End Notes List of Podcast Guests Mentioned in the Book More Praise for the Book ”Making mistakes is not a choice. Learning from them is. Whether we admit it or not, mistakes are the raw material of potential learning and the means by which we progress and move forward. Mark Graban's The Mistakes That Make Us is a brilliant treatment of this topic that helps us frame mistakes properly, detach them from fear, and see them as expectations, not exceptions. This book's ultimate contribution is helping us realize that creating a culture of productive mistake-making accelerates learning, confidence, and success.” TIMOTHY R. CLARK, PHD, AUTHOR OF THE 4 STAGES OF PSYCHOLOGICAL SAFETY, CEO OF LEADERFACTOR
Winner of a Shingo Research and Professional Publication AwardThe new edition of this Shingo Prize-winning bestseller provides critical insights and approaches to make any Lean transformation an ongoing success. It shows you how to implement a sustainable, successful transformation by developing a culture that has your stakeholders throughout the o
COMMEMORATING THE 100th BIRTHDAY OF TAIICHI OHNO Businesses worldwide are successfully implementing the Toyota Production System to speed up processes, reduce waste, improve quality, and cut costs. While there is widespread adoption of TPS, there is still much to be learned about its fundamental principles. This unique volume delivers a clear, concise overview of the Toyota Production System and kaizen in the very words of the architect of both of these movements, Taiicho Ohno, published to mark what would have been his 100th birthday. Filled with insightful new commentary from global quality visionaries, Taiichi Ohno’s Workplace Management is a classic that shows how Toyota managers were taught to think. Based on a series of interviews with Ohno himself, this timeless work is a tribute to his genius and to the core values that have made, and continue to make, Toyota one of the most successful manufacturers in the world. "Whatever name you may give our system, there are parts of it that are so far removed from generally accepted ideas (common sense) that if you do it only half way, it can actually make things worse." "If you are going to do TPS you must do it all the way. You also need to change the way you think. You need to change how you look at things." -- Taiichi Ohno "This book brings to us Taiichi Ohno's philosophy of workplace management--the thinking behind the Toyota Production System. I personally get a thrill down my spine to read these thoughts in Ohno’s own words." -- Dr. Jeffrey Liker, Director, Japan Technology Management Program, University of Michigan, and Author, The Toyota Way Based on a series of interviews with Taiicho Ohno, this unique volume delivers a clear, concise overview of the Toyota Production System and kaizen in the very words of the architect of both of these movements, published to mark what would have been his 100th birthday. INCLUDES INSIGHTFUL NEW COMMENTARY FROM: Fujio Cho, Chairman of Toyota Corporation Masaaki Imai, Founder of the Kaizen Institute Dr. Jeffrey Liker, Director, Japan Technology Management Program, University of Michigan, and author John Shook, Chairman and CEO of the Lean Enterprise Institute Bob Emiliani, Professor, School of Engineering and Technology, Connecticut State University Jon Miller, CEO of the Kaizen Institute
Sam Brooks, a young superintendent with ProCon Builders, has been given responsibility for the largest and most complicated project of his career. He struggles with all of the common difficulties in construction -- lack of communication, coordination issues, and other kinds of wasteful occurrences that rob his project of time and money, while leaving him and his team frustrated and overworked. Luckily, his friend, mentor, and co-worker, Alan Phillips, brings the benefit of his experience and his knowledge of Lean Construction tools and processes to help Sam learn valuable skills for improving the operation of his project. Together, Sam and Alan discuss the merits and explore the practical applications of: Daily Huddles Visual Communication The "Eight Wastes" Managing Constraints Pull Planning The Last Planner System(TM) Percent Plan Complete