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Breathe Easy – Improvement Can Occur Without Events by Sean Sessions

“Sometimes the best kaizen is no kaizen at all.” -          Jon Miller, Kaizen Institute Well, maybe only sometimes.  Reflecting on a recent Rapid Improvement Model (RIM) approach, I had my first...

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An adaptive system

Change is inevitable. You hear people say that it’s the “new normal”. Although the statement may be cliché what it true is that we are all a part of a world where the way we live and work and relate is...

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Urgent Edutainment – by Rachelle Hunt

So grab the sphere of life and aim it and you’ll be guided by Edutainment! -KRS One I first heard about educating through entertainment, or edutainment, through song. Hip hop pioneer KRS One taught me...

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Stately Partners – by Rachelle Hunt

If there is one type of work that gets a worse rap for waste than healthcare, it might just be government.  Washington State knows this and is engaging in a Lean transformation to help bring about...

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Reason for Hope by Diane Schairer

 Last week I was inspired by participants at the Washington State Government Lean Transformation Conference. More than 2000 government managers flooded in to learn how to engage teams in removing waste...

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Adopt or Adapt

One of the great challenges an organization faces is how to “spread” standard work from one site/team to another. Through solid leadership, frontline engagement and a capable improvement process an...

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What do Scallops, Toilet Paper, and 50 Year Old Scotch have in Common? By...

As adult learners, we have further to go than our younger counterparts who don’t already have information pathways worn in.  When learning new information, it’s helpful to assimilate old information...

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Rapid Improvement Model (RIM): Dermatology – Connecting Head, Heart, and...

‘I was feeling burnt out. I work three 10 hour shifts, and routinely stay two plus hours after my last patients working on charts, and end up working on my days off to finish my work. I’d been thinking...

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A Lean Christmas by Rachelle Hunt & Al Fine, MD

In the spirit of “edutainment,” and needing a little cheer in this often sad world, I am so excited to share this epic poem with you. It comes courtesy of Al Fine, MD, a board certified internal...

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On the Importance of Being Authentic by Rachelle Hunt

“Authentic behavior with a client means you put into words what you are experiencing with the client as you work.” -Peter Block, Flawless Consulting* As an internal Lean healthcare consultant, I don’t...

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“Breaking the Shell” by Diane Schairer

Last year, I visited and was inspired by organizations with a relentless, company-wide focus on continuous improvement. Herman Miller leaders reach financial targets by engaging staff in improvement,...

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Kaizen Facilitation: is what you don’t do more important than what you do?

As you facilitate lean improvement events, I hope the distillation from a few recent experiences below benefit you as they have me 1)      Other than shaping the skeleton of the event with leaders and...

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Lessons Learned in Daily Management – by Marlan Crosier

Lee, Connor, and others have written before about our progress in implementing a daily management system (DMS) across our healthcare organization (for example,  http://dailykaizen.org/2010/05/23/)....

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At the Intersection of No Wait and No Harm – by Sean Sessions and Rachelle Hunt

Have you ever had to make a significant mental shift in order to see things in a new way?  Our team is experimenting with a low-risk and fun process that helps us to observe and reflect with new eyes:...

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What Does Health Care Produce?

This week a department of our organization got together to begin to reimagine what they produce and then the process to deliver it – production preparation process (3P). However, before the 3P process...

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At the Intersection of No Wait and No Harm – Part II by Sean Sessions

A few weeks ago we shared with you the new process our team is trying – to go out and observe something random, completely unrelated to healthcare, and try to think about what it would ideally look...

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Change versus Improvement by Sean S. Sessions

Have you ever struggled to show the difference between change and improvement in a non-threatening way to your clients? Through an exercise, unrelated to the products or services our clients deliver,...

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Taking Stairs Two at a Time by Jennifer Haury

SMACK!  The other day, I was running late for a meeting and needed to climb 3 flights of stairs because I had no time for the elevator.  Of course, I thought taking the stairs 2 at a time would be a...

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The Art of Improvement

Process flows.  Standard work combo sheets.  Spaghetti diagrams.  Material and information flows.  Value stream maps.  At the end of an improvement effort, we step back, crumple them up and toss them...

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The Importance of Minding the Gap by Lori Heniff

“Mind the gap!” Travelers and commuters in London Underground tube stations regularly hear that warning to be cautious when crossing the gap between the station platform and the train itself. There...

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