tag:blogger.com,1999:blog-32053362.post3791147571299741288..comments2024-03-26T00:25:34.026-04:00Comments on Not Running a Hospital: More on Lean from MichiganPaul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-32053362.post-47846130750695411222011-12-14T21:53:51.138-05:002011-12-14T21:53:51.138-05:00Thanks to Paul, Mark and the other commentators. ...Thanks to Paul, Mark and the other commentators. At Michigan we were fortunate to have John Shook asking questions, urging us to reflect on what we learned, and to consider our our improvement efforts to be experiments. I agree with Susan and Mark that when the worker creates standard work, he/she takes ownership of the process and responsibility for changes - that is the key. As Shook told me often, some expert might suggest a more efficient way of doing a step, but that misses the point entirely. The point IS to empower the worker to make the changes. When a facilitator draws a map of a process and shows it to physicians or nurses, their eyes glaze over. It is the process of mapping, not just the map, that engages clinicians and other workers. They build consensus on problems, causes and experiments.Jack Billihttps://www.blogger.com/profile/08796978813707948079noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-9190565060746014182011-12-13T08:46:55.456-05:002011-12-13T08:46:55.456-05:00Susanne - I think you're right. The process of...Susanne - I think you're right. The process of creating the checklist (or in creating "standardized work" for lean) is a discovery process and an improvement process.<br /><br />I have a friend who is an airline pilot who does consulting with hospitals, their team teaches people how to create checklists. He cringes (and I completely understand) at their competitors who will just sell the hospital a ready-made checklist.Mark Grabanhttps://www.blogger.com/profile/07953086531083611251noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-2779099752426865152011-12-13T06:30:19.130-05:002011-12-13T06:30:19.130-05:00From Facebook:
Exactly. Could it be the magic is ...From Facebook:<br /><br />Exactly. Could it be the magic is not in the checklist but in the process of creating it, adapting it or even the process that leads us to recognize that we need it?Susannenoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-90921941747365245862011-12-13T06:22:42.386-05:002011-12-13T06:22:42.386-05:00Excellent career advice! Thanks!Excellent career advice! Thanks!Paul Levyhttps://www.blogger.com/profile/17065446378970179507noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-78387709858856830382011-12-12T23:10:42.005-05:002011-12-12T23:10:42.005-05:00Paul,
I think you missed your calling in life. Y...Paul,<br /><br />I think you missed your calling in life. Yuo should be running a closet orgainzation company!Keithnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-22139720597224377172011-12-12T18:11:09.417-05:002011-12-12T18:11:09.417-05:00MIT has published a recording of this presentation...MIT has published a recording of this presentation at:<br /><br />http://techtv.mit.edu/videos/15811-using-lean-thinking-to-transform-a-large-academic-medical-center<br /><br />You can watch online or download to watch offline.Anonymousnoreply@blogger.com