tag:blogger.com,1999:blog-32053362.post2744193080966646390..comments2024-03-29T06:28:28.181-04:00Comments on Not Running a Hospital: With Brown medical studentsPaul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-32053362.post-32352171387337528652011-11-22T20:18:40.161-05:002011-11-22T20:18:40.161-05:00The greatest opportunity to eliminate waste is to ...The greatest opportunity to eliminate waste is to enlist the patient to say "no" to care they don't need. Prescribe care instructions to patients so they are prepared before visits and stays. Give patients independent access to health education materials so they know the guidelines and can ask that their providers follow them. Front-line staff can direct patients to these materials and that can help establish a standard of care. Very Lean indeed.Devhttps://www.blogger.com/profile/09051751682224768602noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-41640248952926448212011-11-18T19:21:09.326-05:002011-11-18T19:21:09.326-05:00I strongly recommend the book "Making Hospita...I strongly recommend the book "Making Hospitals Work" by Marc Baker and Ian Taylor, who are Senior Fellows with the Lean Academy UK. It is based on their improvement work with several NHS hospitals, and we are now using both the book and their experimental framework in our current improvement efforts at BIDMC. The book is available through LEI, as Paul suggests.Eric Buehrensnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-61606371075656642132011-11-18T15:51:21.771-05:002011-11-18T15:51:21.771-05:00Pam, the folks at the Lean Enterprise Institute (...Pam, the folks at the Lean Enterprise Institute (www.lean.org) can help you with suggestions.Paul Levyhttps://www.blogger.com/profile/17065446378970179507noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-12059821268459622122011-11-18T15:50:46.603-05:002011-11-18T15:50:46.603-05:00Is there a book or easy summary that could be used...Is there a book or easy summary that could be used to introduce the Lean process to administrators who quite clearly have never heard of it -- or have such a vague idea of how to begin that they are unwilling to even consider it?<br /> <br />Through your many blogs you have surely convinced me that even beginning to employ the concept would be better than muddling along as "we've always done it". Change is hard, however, if the top doesn't know how to begin and the bottom no longer trusts the top to have a clue.Pamnoreply@blogger.com