Explaining Lean in Healthcare

Author Archives:

Explaining Lean in Healthcare

One of the more frequent challenges I have is succinctly explaining Lean in Healthcare. May people are either unfamiliar with it, or worse, have had a bad experience with “Lean” – usually done the wrong way. This latter issue is such a problem that in our book, Preventing Physician Burnout, my co-author Diane Shannon and… Continue Reading

The Front Lines of Care – What’s Keeping Leaders Away?

Why don’t leaders spend much time at the front lines of care (FLOC)? Why don’t they Go to the Gemba? In this post I’m not asking a rhetorical question to tee up a few paragraphs of my thoughts on the subject. I’d like you to share your thoughts, because it’s something that many of us… Continue Reading

Want Physician Engagement? Engage with Physicians!

“How’s your physician engagement?” I’m directing this question to hospital and health system leaders, because they often as for someone like me to help them with it. I’ve been asked many times by the C-suite to help them get their doctors engaged in Lean or other forms of process improvement. What I commonly find is… Continue Reading

Fail to Plan = Plan to Fail

“If you fail to plan, you are planning to fail.” Most everyone who has been in management has heard this quote. It is variously attributed to Benjamin Franklin and Winston Churchill, both great leaders whose advice is worth following. Yet it’s far to common for leaders to fail to plan. I’ve done it myself. Continue Reading

Team Care in Health Care

Why should we pursue Team Care in health care? Is it to prevent physician burnout?  Or is it to support population health? The answer is “Yes, it’s both.” Team care can help you do well in your profession and give you back the work-life balance needed to have a successful home life as well. What… Continue Reading

Resilience or Redesign: What Are You Doing About Burnout?

A question for healthcare executives – are you addressing physician burnout by investing in resilience or redesign? Same question for physicians – are you addressing burnout for you and your colleagues by investing in resilience or redesign? While most work on physician burnout still focuses on resilience, there is an increasing, and much needed, focus… Continue Reading

Do Compensation Plans Cause Burnout?

One of my good friends and leadership mentors, Dr. Tony Marzoni, had a great saying. “Every medical group has a culture committee. They simply call it the compensation committee.” I’ve been in plenty of heated compensation committee meetings and board meetings where tempers flared due to compensation disagreements. When we realize the high stakes, personal nature, and burnout drivers that are impacted by compensation decisions, it’s not surprising. Continue Reading

The Lean Lifestyle, Personally and Professionally

There are surprising similarities between getting Lean personally (losing weight) and getting Lean organizationally. Both are hard to get started, take a while to show significant results, and require personal change sustained over time. The benefits of both are also significant. Continue Reading

Executives – The Missing Stakeholders in Preventing Burnout

The National Academy of Medicine has launched an Action Collaborative on Clinician Well-Being and Resilience, but there is one missing stakeholder.  Last Friday, July 14th, NAM hosted it’s its first public meeting on establishing clinician well-being as a national priority. The inaugural sponsors include nearly many medical specialty societies, the major insurance companies, the American Associations… Continue Reading

How Does the EHR Drive Burnout?

How does the EHR drive burnout?  Let’s count the ways. By understanding this we can develop counter measures to lower the impact and reduce the risk of physician burnout. We’ve all seen the studies that show that for every hour we spend with a patient we spend two hours on administrative work, and we take… Continue Reading

Filed Under: EHR