Why Lean is Not Mean in Healthcare
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Transcript of Why Lean is Not Mean in Healthcare
Lean is Not Mean in Healthcare
Mark Graban(From 2007)
Why LEAN Works in Healthcare
• LEAN is not a list of things to do that applies only to factories
• LEAN is a philosophy of management that applies to any system
• LEAN rallies people around goals we can all agree on:– Patients and Employees
© Mark Graban & Constancy, Inc. 2007-2014 www.MarkGraban.com
Why is LEAN sometimes seen as MEAN?
© Mark Graban & Constancy, Inc. 2007-2014 www.MarkGraban.com
Reason 1: Focus on Cutting Heads
• MEAN: Announcing staff cuts to fit budget numbers, then making everyone figure out how to get by with fewer people
• MEAN: Having lean success and then laying off people from that area
© Mark Graban & Constancy, Inc. 2007-2014 www.MarkGraban.com
Reason 2: Not Helping Employees
• MEAN: Mandating an isolated lean tool because management thinks it will help– “We’re doing 5S, so you need to put tape around
everything”
• MEAN: Not understanding that lean is more than just a tool or tools
© Mark Graban & Constancy, Inc. 2007-2014 www.MarkGraban.com
Reason 3: It’s You, Not Us
• MEAN: Pointing the finger at everyone else:– Employees, suppliers, partners, customers– “We’re OK, but YOU need to get lean”
© Mark Graban & Constancy, Inc. 2007-2014 www.MarkGraban.com
Reason 4: Mandating Lean
• MEAN: Telling employees they need to use some lean tools without explaining:– Why the tools will help– How lean tools fit into an overall lean approach– How using the tools will help employees and
patients– How lean fits into the long-term vision
© Mark Graban & Constancy, Inc. 2007-2014 www.MarkGraban.com
LEAN: Mean or Not
• You can be “mean” and drive out waste today
• “Real Lean” is not mean– Much more sustainable in the long term
© Mark Graban & Constancy, Inc. 2007-2014 www.MarkGraban.com
LEAN: Mean or Not
• MEAN– Telling/ordering people to do lean so they resent it
– Lean methods add an additional “burden” to employees
• NOT MEAN– Explaining why lean benefits them so they want to
do it
– Lean methods reduce waste and free up employee time
© Mark Graban & Constancy, Inc. 2007-2014 www.MarkGraban.com
Reasons Why LEAN is Not Really MEAN
LEAN is Good For the Patient
• Improvements in Clinical Quality– Fewer mistakes and errors– More time with providers
• Reduced Waiting Time– Fewer delays, less waiting– Lean values patient time almost as much as
MD time
© Mark Graban & Constancy, Inc. 2007-2014 www.MarkGraban.com
LEAN is Good For the Employees
• Reduced waste• Reduced walking• Reduced frustration• Solving the “everyday problems”• More time available for value-added work– Patient care– Lab testing working
© Mark Graban & Constancy, Inc. 2007-2014 www.MarkGraban.com
LEAN is Good For the Organization
• LEAN is about:– Building a strong organization in the long term– Reducing costs through eliminating waste– Driving revenue growth through• Improved quality (clinical and patient satisfaction)• Increased capacity without huge investment
– Attracting and keeping great employees
© Mark Graban & Constancy, Inc. 2007-2014 www.MarkGraban.com