Explaining Lean in Healthcare

Category Archives: Physician Burnout

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

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

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

Preventing Physician Burnout – Q & A

“As an RN, this presentation is on target with the level of frustration we deal with as well…great delivery.” This was one of the comments I received following a presentation on Preventing Physician Burnout at IBM’s office in Cambridge, MA.  This nurse is right, burnout is not unique to physicians, and in fact affects all… Continue Reading

The Last Straw

We are all familiar with the saying, The Last Straw. It refers to the fable of the camel who could carry heavy loads.  The camel is a beast of burden. Its owner, in an effort to transport as much straw as possible, keeps piling more and more on the camel’s back. Camels are strong and… Continue Reading

The Physician Suicide Pandemic

In case you had any doubt that there is a physician suicide pandemic, read Dr. Eric Levi’s latest blog post, The Dark Side of Doctoring. Eric is an ENT surgeon in Australia.  This post starts with a letter from the wife of a gastroenterologist in Brisbane who took his life last week. This eloquent letter… Continue Reading

Physician Leaders Need to Get Angry

I’m on my way home from the Annual Meeting of the American Association for Physician Leadership in New York.  Three hundred physician leaders came together from across the nation to share their challenges and learn from great keynote speakers and from each other. Among the 35 breakout sessions were five on physician burnout, including a… Continue Reading

The Hamster Wheel – Shorthand for Physician Burnout

Using the burnout model of Maslach and Leiter, and relating it to a hamster wheel, and a busy physician, the impact of this analogy becomes clear. Lean Done Right is an effective way to address the problem. Continue Reading