NOTES FROM THE GEMBA – On this gemba walk in the cardiology department of a Parisian hospital, the author discovers how the team is changing its internal dynamics and processes to make lean their way of thinking.
FEATURE – The Palo Alto Medical Foundation has used lean to redesign workflows in its primary care clinics since late 2011. With changes now spread to a total of 17 facilities, the team started to analyze what it took to sustain the results achieved.
CASE STUDY – There is more to Siena than the Palio: the Tuscan city boasts of one of the most advanced examples of lean healthcare in Italy. We asked the team at the University Hospital how they are doing it.
FEATURE – By using lean management, the Hospital São Francisco Hospital (HSF) near São Paulo, Brazil, has improved its ability to deal with dengue epidemics – treating patients more quickly and efficiently.
CASE STUDY – The whole of Helsinki’s hospital district is leaning out, with incredible results. It isn’t every day that we come across – let alone have the opportunity to observe – a lean transformation in such a large healthcare organization.
PROFILE – Lean is spreading like wildfire across the Catalonian healthcare sector, following a do-it-yourself model unique to this part of the world. Our editor met one of the practitioners who are making it happen.
PROFILE – This month we meet another member of the lean community, a true pioneer of lean thinking, who contributed to introducing the methodology in Australian cities and healthcare organizations.
CASE STUDY – How an improvement program of the British national healthcare system inspired a Belgian hospital to launch an organization-wide lean transformation with the active support of the HR and nursing departments.
PROFILE – While pioneering the application of lean thinking in healthcare, Alice Lee realized that you should always approach teaching as you do problem solving: scientifically, situationally, and with the humility of a learner.
FEATURE - What if it were your staff driving change rather than managers? A focus on improvement at the front line and on people development proved critical to the lean transformation of a Stanford hospital.
PROFILE – It isn’t every day that you come across a hospital CEO coaching people on A3s and following his own standard work. So when you do, it’s important to share their story. This month, we profile Carlos Frederico Pinto, CEO of a Brazilian cancer treatment center.
FEATURE – Moving her assistant's workstation next to hers and introducing standardized work helped a family physician in California to provide better, faster care to her patients and to avoid burnout.
INTERVIEW – At the recent Lean Healthcare Transformation Summit in Brussels, Planet Lean editor Roberto Priolo sat down with John Toussaint to discuss the state of lean thinking in healthcare, its challenges and its opportunities.
PROFILE – In this new section, Planet Lean features some of the most inspirational lean leaders out there. For the first profile, we have selected James Hereford, a former high school teacher who is now leading his third healthcare transformation.
FEATURE ARTICLE – By adopting lean thinking and establishing a dedicated care pathway, a Brazilian hospital has been able to drastically reduce the time breast cancer patients have to wait to undergo surgery or start treatment.
INTERVIEW – At the recent European Lean Healthcare Transformation Summit, we sat down with Helen Zak for a few minutes to discuss the state of change in the healthcare sector.
VIDEO CASE STUDY – In the past couple of years, the Consorci Sanitari del Garraf has been able to leverage the commitment of its people to perform a lean turnaround. Its story shows you don’t need lots of resources and money to do lean in a hospital.
FEATURE ARTICLE – You don’t always need a lot of external help to initiate a lean transformation: the experience of the Emergency Department of theHospital Clínic of Barcelona shows it can be done with very little support from the outside.
INTERVIEW – PL sits down with a consultant and a manager from the St Elisabeth hospital in the Netherlands to talk about the organization’s “loving care” approach to treating patients.
ARTICLE – While supporting the adoption of lean in a Mozambican hospital, a young engineer learned a number of valuable lessons on leadership and what it really takes to help developing countries to grow.
ARTICLE – Menlo Innovations has proved there is a different, more "joyful" way of running a software development company – could those same lessons be applied to the healthcare industry?
FEATURE ARTICLE – Introducing initial assessments by senior doctors and bedside diagnostics to improve the efficiency of the Emergency Department: a lean healthcare experiment in England.
ARTICLE – No healthcare transformation can succeed without a system-wide approach to change. In this article, Dr. John Toussaint, offers his take on the issue, providing a guide for healthcare executives.
ARTICLE - Improving healthcare architecture means truly meeting patient requirements. This article reflects on the power of 3P design and looks at an implementation in the North East of England.
ARTICLE – What makes a mentor-mentee relationship successful? This intimate account comes all of the way from a Tanzania healthcare organization, and proves how lean is fundamentally about “caring for people.”
RESEARCH - In the last 10 years lean has made its way in many hospitals and healthcare systems, often with impressive results. Professor Dan Jones looks back at the lessons learned throughout the decade.
CASE STUDY - Three successful improvement projects at a hospital in Guangzhou are proving that lean healthcare in China is an opportunity that the sector cannot afford to miss.
COLUMN - In the third article of our series, the CEO of a healthcare institution in Catalonia, Spain, discusses the implementation of lean as a mindset that has its foundations in continuous improvement.
CASE STUDY - This article reports on the efforts that Erasmus Medical Center in the Netherlands has made to apply Theory of Constraints to patients' length of stay.
INTERVIEW - In this video interview, René Aernoudts, Michael Ballé and Dan Jones answer a few key questions on what's next for the lean movement.
INTERVIEW - Joanna Omi shares the story of the transformation of New York City's public hospitals system, which leveraged lean management principles and techniques to improve the quality of healthcare and boost organizational performance.
CASE STUDY - In the past two years, the Consorci Sanitari del Garraf, a 433-bed public healthcare organization near Barcelona, experienced a lean turnaround. Basing her reflections on LGN's Lean Transformation Model, Cristina Fontcuberta Adalid of the Instituto Lean Management gives us an overview of the key building blocks of the transformation, of the approach followed from the very beginning, and of the results achieved up to now.
ARTICLE - Lean thinking draws inspiration and has the ability to learn from a variety of sources, and this is perhaps one of the reasons why it's been able to adapt so well to applications in so many environments. And sometimes the greatest learnings are hidden in unexpected places. Ever wondered what acupuncture and lean have in common?
CASE STUDY - What does having a new “true north” mean? Following a merger with a large healthcare group, Brazil-based outpatient cancer treatment center Instituto de Oncologia do Vale is looking at ways to seamlessly spread its successful lean management system to new operations and facilities.