The Need for Lean Hospitals. Overview of Lean for Hospitals and Health Systems. Value and Waste. Observing the Process and Value Streams. Standardized Work as a Foundation of Lean. Lean Methods: Visual Management, 5S, and Kanban. Proactive Root Cause Problem Solving. Preventing Errors and Harm. Improving Flow. Lean Design. Engaging and Leading Employees. Getting Started with Lean. A Vision for a Lean Hospital and Health System. Glossary. Index.
Mark Graban is an internationally recognized expert in the field
of Lean healthcare, as a consultant, author, keynote speaker, and
blogger. Mark is also co-author, with Joe Swartz, of the book
Healthcare Kaizen: Engaging Front-Line Staff in Sustainable
Continuous Improvements . He has been recognized twice (for this
book and?Healthcare Kaizen ) as the recipient of the prestigious
Shingo Research & Professional Publication Award.?
Mark is an experienced change agent, with a background in
industrial and mechanical engineering and an MBA from the MIT Sloan
Leaders for Global Operations Program. Prior to healthcare, Mark
worked in multiple industries, including automotive (General
Motors), electronics (Dell), and industrial products (Honeywell).
At Honeywell, Mark was certified as a Lean expert (Lean Black
Belt).Since August 2005, Mark has worked exclusively in healthcare,
where he has coached Lean teams at client sites in North America
and the United Kingdom, including medical laboratories, hospitals,
and primary care clinics.? Mark’s motivation is to apply Lean and
Toyota Production System principles to improve quality of care and
patient safety, to improve the customer/patient experience, to help
the development of medical professionals and employees, to make
healthcare more affordable, and to help build strong organizations
for the long term.From June 2009 to June 2011, Mark was a senior
fellow with the Lean Enterprise Institute, a not-for-profit
education organization that is a leading voice in the Lean world.
In this role, Mark also served as the director of communications &
technology for the Healthcare Value Network, a collaboration of
healthcare organizations from across North America, a partnership
between the Lean Enterprise Institute and the ThedaCare Center for
Healthcare Value. Mark continues as a faculty member for the Lean
Enterprise Institute and the ThedaCare Center.In June 2011, Mark
also joined the software company KaiNexus to help further their
mission of spreading continuous improvement, while continuing his
other work and activities. He also serves on the board of the
Louise H. Batz Patient Safety Foundation.Mark was raised in
Livonia, Michigan, and currently resides in Texas with his wife,
Amy.? To Interact with Mark, please visit
www.LeanHospitalsBooks.com or www.MarkGraban.com.
"Leaders of today’s healthcare organizations are on a continuous
journey to improve results, requiring a relentless focus on
improving the underlying process of care delivery and leadership
practices. Mark has written a book that provides compelling ideas
to help create better places to work, practice medicine, and
receive safe, high-quality care."
—Quint Studer, Founder of Studer Group, 2010 recipient of the
Malcolm Baldrige National Quality Award, Author of Hardwiring
Excellence: Purpose, Worthwhile Work, Making a Difference and
Results That Last: Hardwiring Behaviors That Will Take Your Company
to the Top
"Mark Graban’s book has documented what is now happening in
hospitals all across America as we learn to apply the Toyota
Production System methodology to healthcare. This book lays out the
nuts and bolts of the Lean methodology and also describes the more
difficult challenges, which have to do with managing change.
Graban’s book is full of wins — these are the same type of wins
that are happening at ThedaCare every day. I wish I could have read
this six years ago, as it might have prevented some of the mistakes
we made in our Lean transformation journey."
—John S. Toussaint, MD, President/CEO, ThedaCare Center for
Healthcare Value
"Mark Graban is the consummate translator of the vernacular of the
Toyota Production System into the everyday parlance of health care.
With each concept and its application, the reader is challenged to
consider what is truly possible in the delivery of health care, if
only standardized systems borrowed from reliable industries were
implemented. Graban provides those trade secrets in an
understandable and transparent fashion."
—Richard P. Shannon, MD, Executive Vice President for Health
Affairs, University of Virginia
"There is an enormous shortfall between the healthcare we receive
and what we actually get. Mark Graban explains how those in the
system can make care delivery better for everyone –patients,
providers, and payors."
—Steven J. Spear, Sr. Lecturer at MIT Sloan School of Management
and Sr. Fellow at the Institute for Healthcare Improvement, Author
of The High Velocity Edge
"Mark Graban has been tirelessly studying the application of LEAN
to health care, with an emphasis on respect for the people served
by the system as well as the people who provide excellent care. He
has an accurate sense of how things work in health systems, which
makes his work more meaningful for people who want to make them
better."
—Ted Eytan, MD
"The medical community has a tremendous opportunity to learn
methods and techniques to improve the quality and efficiency of
care and reduce costs, while at the same time engaging the staff in
these efforts. Mark Graban has deep experience applying lean in the
healthcare field, and in his book provides an outline of how to
transfer concepts originally developed in manufacturing into the
unique environment of medical care. Don’t miss the opportunity to
learn and apply some great ideas in your organization."
—David Meier, Co-Author of the bestselling books, The Toyota Way
Fieldbook and Toyota Talent
"The concepts outlined in this book are the most powerful tools
that I have ever encountered to foster innovation, ownership, and
accountability at the front line staff level. This is a must-read
for any leader in today’s increasingly complex healthcare
industry."
—Brett Lee, PhD, FACHE, Market Chief Executive Officer, Tenet
Healthcare
"The Institute of Medicine (IOM) calls for systems in healthcare
that support continuous learning and process improvement, and
highlights waste as a fundamental obstacle to attaining highly
reliable and value-based healthcare systems. Lean is a proven way
to eliminate waste, while hardwiring systems to ensure
sustainability. Eliminating waste and engaging employees are the
key to value-based medicine, where waste is identified and
eliminated, and value emanates seamlessly from continuous process
improvement in the rich environment of a continuously learning
organization. Lean Hospitals is a foundational text for
understanding the concepts and application of continuous process
improvement in a healthcare environment, and provides practical
guidance and concrete examples to eliminate waste and increase
value to the customer."
—Beverly B. Rogers, MD, Chief of Pathology, Children’s Healthcare
of Atlanta; Clinical Professor of Pathology, Emory University
School of Medicine"Mark Graban's book will leave you with an
appreciation for what Lean is and what it can do for your
healthcare organization. Since the original edition in 2008, I have
conducted Lean Hospitals book studies for all my staff. Everyone
gets a personal copy of Lean Hospitals for the study and to keep as
a reference. I look forward to the third edition. It's my Lean
bible."
—Jim Adams, Admin Director of Laboratories, Children's Healthcare
of Atlanta
"It’s obvious that Mark Graban has spent time in the trenches of
healthcare and understands the complexities of applying the Lean
philosophy and tools to that environment. If you want to improve
your chances of surviving in today’s healthcare system (both
literally and figuratively), read this book."
—Dean Bliss, Former Improvement Advisor, Iowa Healthcare
Collaborative
"Graban provides a helpful translation of the terms, practices, and
tools of Lean thinking into hospitals’ everyday situations and
challenges. His book illustrates Lean’s elements with many actual
examples of Lean applications in typical hospital practices and
procedures. Graban’s book should definitely be on the reading list
for those who want to bring the benefits of Lean thinking to
healthcare."
—David Mann, Principal, David Mann Lean Consulting
"Lean health care is becoming a global movement. The reasons given
are overrun costs, errors that compromise patient safety, time of
patients wasted, and general bureaucratic inefficiency. Health care
is different than car making. This is true but many, many hospitals
are learning from Toyota and making remarkable improvements. The
two pillars of the Toyota Way certainly fit the health care
environment—Respect for People and Continuous Improvement.
Unfortunately, the remarkable improvements are in specific areas
and seem difficult to sustain because of a mysterious ingredient,
which the folks at Toyota seem to understand quite well—humans.
Health care exists to serve humans and humans provide the services.
Humans are far from perfect. Toyota's system is actually designed
to support the development of people, not to provide a quick fix
set of technical solutions, and this takes time and patience.
Many health care consultants have rebadged themselves as lean
consultants and do not understand the real thinking behind the
Toyota Way. Mark Graban is an exception. He has worked hard to
study the philosophy and stay true to the thinking of Toyota. His
book is a welcome translation of the Toyota Way into language any
health care professional can understand."
—Jeffrey K. Liker, Professor, University of Michigan, Author of The
Toyota Way
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