Category: Lean Health Care

Invisible Waste – Removing Friction from the Lean System

There are two words that are keys to eliminating invisible waste in organizations. These are adaptation and alignment. The failure of organizations to adapt to the dynamics of the external landscape and the failure to align internal systems and behavior both result in wasted energy. They both cause friction, friction between the organization and the environment and friction between members of the organization. Whether it is in a mechanical system or in a human system, friction is wasted energy. Too many leaders and change agents fail to address this form of waste.

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Transformational Change Management

Getting to Lean – Transformational Change Management is now available on Amazon.

There is continuous improvement, and then there is transformational change. Transformational change involves rethinking the whole-system of the organization, creating alignment to the external environment and among the internal subsystems of the organization.

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Quality of Work Life and the Toyota System

Books on lean management and the Toyota Production System are too often presented as if this system has been a virtual heaven of production efficiency and worker satisfaction. In the author’s enthusiasm, questions about...

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Dr. Deming: Joy at Work, Happiness, & the High Performance Organization

Dr. Deming was fond of promoting the idea that every employee should be able to achieve joy at work and that joy would lead to improved quality and performance for the organization. The research on happiness supports the value of his intuition. Seeking happiness is consistent with seeking a high performance organization.

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The Lean Culture Challenge: Can You Graduate from the 5S’s to The 7S’s that Really Matter?

Doing 5S is easy because it requires nothing of executives and very little if any change in the behavior of managers. It does not disrupt their world. And, that is exactly why it does not address the big issues that drive the culture and competitiveness of any organization. Real competitive advantage is derived from internal strategy, building the capabilities of the organization, and that requires managing the Big Seven S’s of organization culture.

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