ThedaCare has long been regarded as one of the most influential examples of Lean thinking in healthcare. These posts explore what ThedaCare’s journey actually teaches leaders—about management systems, executive commitment, strategy deployment, culture change, and the fragility of improvement when leadership changes.
Rather than treating Lean as a set of tools or success stories frozen in time, this archive examines real lessons, missteps, evolution, and leadership reflections from ThedaCare and others who have studied or worked with the organization.
I was at the ThedaCare Center for Healthcare Value office a few months ago when Dr. John Toussaint reported that he had gotten a call from Dr. Don Berwick, the head of Medicare and Medicaid. Dr. Berwick wanted a collection…
As regular readers know, I’m working on a second book: Healthcare Kaizen: Engaging Front-Line Staff in Sustainable Improvements. My co-author, Joe Swartz, and I have many examples of “daily kaizen” that will be shared in the book. The idea isn’t…
This has been sitting in my “to blog about” queue since March, but I wanted to catch up and post this article: “What Makes a Hospital Great” by Dr. Pauline Chen. Maybe it’s not very “lean” of me to have…
There was an interesting article in the most recent Inc. Magazine called “Domestic Medical Tourism: How one company is saving businesses big bucks on employee medical treatments.” Much of the talk about “medical tourism” has focused on patients flying halfway…
Podcaster Cali Lewis (a fellow DFW-area Texan) hosts a show called GeekBeat.tv, where she normally highlights new consumer tech gadgets and nerdy robots from MIT. Her most recent video features video from her visit to Boeing and their 737 assembly…
Produced in partnership with the Healthcare Value Network, episode #119 is a discussion with Dean Gruner, MD, the president & CEO of ThedaCare. Here, we talk about Strategy Deployment as a Lean management system and how it fits into their ongoing management and improvement efforts in their health system.
In conjunction with our newly released DVD on strategy deployment in healthcare, the ThedaCare Center for Healthcare Value has released a new white paper on the subject that you can download for free. PAPER LINK (PDF) The white paper features…
Sorry for what might seem like a very promotional post, but I’m happy to share some details with you about a project I’ve been deeply involved in – a new DVD produced by the ThedaCare Center for Healthcare Value about…
On Friday, there was yet another Wall Street Journal article about Lean (fixating as they always do on the “Just In Time” component). The article titled “For Lean Factories, No Buffer” yet again takes an outdated 1980s view that Lean…
I recently “fired” my primary care physician. I’m lucky to not have to go to the doctor very often, but the last few times I did, I had to wait more than an hour beyond my scheduled appointment time (in…
In the news yesterday, a General Motors recall over what could be just one isolated steering wheel problem in an Ohio-built Chevrolet (don’t call it Chevy) Cruze. Most news stories, like this one, about the recall just mention that one…
Jim Womack explains why real gemba walks–not management strolls–are essential for lean leadership, and why healthcare leaders must change behavior to improve systems and outcomes. In Episode #116 of the Lean Blog Interviews Podcast, Mark Graban talks with Jim Womack,…
