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Lean Hospitals: Improving Quality, Patient Safety, and Employee Engagement, Second Edition Paperback – November 7, 2011

ISBN-13: 978-1439870433 ISBN-10: 1439870438 Edition: 2nd

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Product Details

  • Paperback: 268 pages
  • Publisher: Productivity Press; 2 edition (November 7, 2011)
  • Language: English
  • ISBN-10: 1439870438
  • ISBN-13: 978-1439870433
  • Product Dimensions: 9.5 x 6.7 x 0.5 inches
  • Shipping Weight: 1 pounds (View shipping rates and policies)
  • Average Customer Review: 4.6 out of 5 stars  See all reviews (14 customer reviews)
  • Amazon Best Sellers Rank: #53,253 in Books (See Top 100 in Books)

Editorial Reviews

Review

Praise for the New Edition of this Shingo Prize Winner:

Whether it is the ThedaCare story … Seattle Children’s … or Virginia Mason, the answer is in: Lean works. The question now for all of you is how are you going to do it? What is the leadership model required? … There will be many questions, and I believe starting with Mark Graban’s updated book Lean Hospitals is a good first step. … This book lays out the nuts and bolts of the Lean methodology and describes the more difficult challenges, which have to do with managing change. … I wish I could have read this in 2004, as it might have prevented some of the mistakes we made in our Lean transformation journey.
John Toussaint, MD, CEO, ThedaCare Center for Healthcare Value

 Praise for the First Edition:

Leaders of today’s healthcare organizations are on a continuous journey to improve results, requiring a relentless focus on improving the underlying process of care delivery and leadership practices. Mark has written a book that provides compelling ideas to help create better places to work, practice medicine and receive safe, high quality care.
—Quint Studer, Founder and CEO of Studer Group, a 2010 recipient of the Malcolm Baldrige National Quality Award, Author of Hardwiring Excellence: Purpose, Worthwhile Work, Making a Difference and Results That Last: Hardwiring Behaviors That Will Take Your Company to the Top

Mark Graban is the consummate translator of the vernacular of the Toyota Production System into the everyday parlance of health care. With each concept and its application, the reader is challenged to consider what is truly possible in the delivery of health care if only standardized systems borrowed from reliable industries, were implemented. Graban provides those trade secrets in an understandable and transparent fashion.
—Richard P. Shannon, MD, Frank Wister Thomas Professor of Medicine, Chairman Department of Medicine, University of Pennsylvania School of Medicine

There is an enormous shortfall between the healthcare we receive and what we actually get. Mark Graban explains how those in the system can make care delivery better for everyone –patients, providers, and payors.
—Steven Spear, Sr. Lecturer at MIT Sloan School of Management and Sr. Fellow at IHI, Author of The High Velocity Edge

Mark Graban has been tirelessly studying the application of LEAN to health care, with an emphasis on respect for the people served by the system as well as the people who provide excellent care. He has an accurate sense of how things work in health systems, which makes his work more meaningful for people who want to make them better.
—Ted Eytan, MD

The concepts outlined in this book are the most powerful tools that I have ever encountered to foster innovation, ownership, and accountability at the front line staff level. This is a must-read for any leader in today’s increasingly complex healthcare industry.
—Brett Lee, PhD, FACHE, SVP of Health System Operations at Children's Healthcare of Atlanta

The Lean approach to healthcare, including a strong emphasis on culture, is the best way to ensure the optimal patient experience. The multiple examples of the application of Lean given in this book provide a wealth of information to draw from for a hospital that is venturing into Lean principles for the first time. In addition, this book emphasizes not only methodology, but also the cultural changes that must occur for sustainability - something often forgotten in change management.
—Beverly B. Rogers, MD, Chief of Pathology, Children’s Healthcare of Atlanta, Clinical Professor of Pathology, Emory University School of Medicine

Finally! The healthcare industry has needed this book for many years. Informative, understandable, and timely, Mark Graban’s book will leave you with an appreciation for what lean is and what it can do for your hospital. After you read this book, I’ll be surprised if you don’t make implementing lean your highest strategic priority.
—Jim Adams, Senior Director, Laboratory Operations, Children’s Medical Center, Dallas

It’s obvious that Mark Graban has spent time in the trenches of healthcare and understands the complexities of applying the Lean philosophy and tools to that environment. If you want to improve your chances of surviving in today’s healthcare system (both literally and figuratively), read this book.
—Dean Bliss, Senior Lean Coach, Altarum Institute.

Graban provides a helpful translation of the terms, practices, and tools of Lean thinking into hospitals’ everyday situations and challenges. His book illustrates Lean’s elements with many actual examples of Lean applications in typical hospital practices and procedures. Graban’s book should definitely be on the reading list for those who want to bring the benefits of lean thinking to healthcare.
—David Mann, Principal, David Mann Lean Consulting

Lean health care is becoming a global movement. The reasons given are overrun costs, errors that compromise patient safety, time of patients wasted, and general bureaucratic inefficiency. In Lean terms the problem is how to eliminate waste. Health care is different than car making. This is true but many, many hospitals are finding the principles of the Toyota Production System apply well and are making remarkable improvements. Unfortunately the remarkable improvements are in specific areas and challenging to sustain because of a mysterious ingredient which the folks at Toyota seem to understand quite well--humans. The humans that health care exists to help also operate the system and are far from perfect. Toyota's system is actually designed to support the development of people, not to provide a quick fix set of technical solutions, and this takes time and patience. Many health care consultants have rebadged themselves as lean consultants and do not understand the real thinking behind the Toyota Production System. Mark Graban is an exception. He has worked hard to study the philosophy and stay true to the thinking of Toyota. His book is a welcome translation of the Toyota Production System into language any health care professional can understand.
—Professor Jeffrey K. Liker, University of Michigan & Bestselling Author of The Toyota Way

About the Author

Mark Graban is a consultant, author, keynote speaker, and blogger in the field of Lean healthcare. Mark is an experienced consultant and change agent, with a background in industrial and mechanical engineering and an MBA from the MIT Sloan Leaders for Global Operations Program. Prior to healthcare, Mark worked in multiple industries, including automotive (General Motors), electronics (Dell), and industrial products (Honeywell). At Honeywell, Mark was certified as a Lean Expert (Lean Black Belt).

Since August 2005, Mark has worked exclusively in healthcare, where he has coached Lean teams at client sites in North America and the United Kingdom, including medical laboratories, hospitals, and primary care clinics. Mark's motivation is to apply Lean and Toyota Production System principles to improve quality of care and patient safety, to improve the customer/patient experience, to help the development of medical professionals and employees, and to help build strong organizations for the long term.

From June 2009 to June 2011, Mark was a Senior Fellow with the Lean Enterprise Institute (LEI), a not-for-profit educational organization that is a leading voice in the Lean world. In this role, Mark also served as the Director of Communication & Technology for the Healthcare Value Network, a collaboration of healthcare organizations from across North America, a partnership between LEI and the ThedaCare Center for Healthcare Value. Mark continues as an LEI faculty member.

In June 2011, Mark joined the software company KaiNexus as their Chief Improvement Officer, to help further their mission of "making improvement easier" in healthcare organizations, while continuing his other consulting and speaking activities. Mark was raised in Livonia, Michigan and currently resides in San Antonio, Texas with his wife, Amy. To interact with Mark and the Lean healthcare community, visit LeanHospitalsBook.com.

More About the Author

Mark Graban is an internationally-recognized expert in the field of "Lean Healthcare," as a consultant, author, keynote speaker, and blogger. Mark is also the Vice President of Customer Success for the software company KaiNexus, helping further their mission of "making improvement happen" in healthcare organizations and other industries.

He is the author of the book Lean Hospitals: Improving Quality, Patient Safety, and Employee Engagement (Productivity Press), which was selected for a 2009 Shingo Research and Professional Publication Award, the first healthcare book to win this award, and is being translated into eight languages. A 2nd revised edition was released in November, 2011.

Mark has also co-authored a new book, titled "Healthcare Kaizen: Engaging Front-Line Staff in Sustainable Continuous Improvements," which was released in June 2012 and also given the Shingo Research Award in 2013. A newly revised and condensed edition, "The Executive Guide to Healthcare Kaizen: Leadership for a Continuously Learning and Improving Organization" was released in August, 2013.

Mark earned a BS in Industrial Engineering from Northwestern University as well as an MS in Mechanical Engineering and an MBA from the MIT Sloan Leaders for Global Operations Program (previously known as Leaders for Manufacturing). Mark has worked in automotive (General Motors), the PC industry (Dell), and industrial products (Honeywell). At Honeywell, Mark was certified as a "Lean Expert" (Lean Black Belt).

Since August 2005, Mark has worked exclusively in healthcare, where he has coached lean teams at client sites in North America and the United Kingdom, including medical laboratories, hospitals, and primary care clinics. Mark's motivation is to apply Lean and Toyota Production System principles to improve quality of care and patient safety, to improve the customer/patient experience, to help the development of medical professionals and employees, and to help build strong organizations for the long term.

In from June 2009 to June 2011, Mark was a Senior Fellow with the Lean Enterprise Institute, a not-for-profit educational organization that is a leading voice in the Lean world. Mark served as the LEI's "Chief Engineer" for healthcare activities, including workshops, web & social media, and other publications. Mark also served as the Director of Communication & Technology for the Healthcare Value Network, a collaboration of healthcare organizations from across North America, a partnership between LEI and the ThedaCare Center for Healthcare Value. Mark continues as an LEI faculty member.

Mark, a member of the National Speakers Association, is a popular speaker at conferences and private healthcare meetings. He has guest lectured at schools including MIT, Wharton, UT Health Science Center, and Ohio State University and has served as a faculty member for the ThedaCare Center for Healthcare Value and the Institute for Healthcare Improvement. He has been quoted and interviewed in many publications, including Health Affairs and the New York Times.

Customer Reviews

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Well written, easy to understand,and comprehensive.
AHMAD F ALANI
This is a "must read" for any exec healthcare team thinking about implementing lean in their organization.
triche
It should be required reading for everyone managing in healthcare.
Lawrence M. Miller

Most Helpful Customer Reviews

3 of 3 people found the following review helpful By Rich D on November 29, 2011
Format: Paperback
An excellent read. This edition provides enhanced ideas and recommnedations on the original, the examples Mark uses are real world and applicable - they make you think. This book is a must for those in healtcare. His discussion regarding standard work in healtcare was right on. After reading this book you won't see things in your facility the same way again. Highly Recommend
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2 of 2 people found the following review helpful By Lawrence M. Miller on May 16, 2013
Format: Paperback Verified Purchase
This is the single most comprehensive and helpful book applying lean management practices to the hospital setting. It is obvious that Mark Graban has done a great deal or work in hospitals and this book clearly demonstrates his practical knowledge. It should be required reading for everyone managing in healthcare. If you are in healthcare, get it, read it, and apply it.
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1 of 1 people found the following review helpful By Henrieta Madarova on September 21, 2013
Format: Kindle Edition Verified Purchase
I found it very useful for my work in health care because it transforms the principles from automobile industry into service industry like health care where due to third party payment concept of customers and ineffectiveness and number of other things is "little bit" different
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1 of 1 people found the following review helpful By Kindle Customer on July 31, 2013
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This is a good book which explained in easy language about lean management of hospitals. Evergreen info that physicians, administrators and healthcare professionals can use.
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1 of 1 people found the following review helpful By Russ Emrick VINE VOICE on April 27, 2013
Format: Paperback Verified Purchase
I was behind the times not fully appreciating how Toyota's LEAN processes are impacting healthcare. As such I needed a quick primer on the subject. "LEAN Hospitals" is an excellent resource for learning how to implement useful, cost effective, and powerful change elements into a medical enterprise. Easy to read, well illustrated, and full of practical examples "LEAN Hospitals" is an excellent book that I keep close at hand on my resource shelf.

A patient died because three syringes all had the same color of fluid: an anesthetic, a disinfectant, and a contrast agent. This was an accident ready to happen. Standard solution: fire the nurse, insist people read each label = result that doesn't really work. LEAN solution: have each solution be a different color. Zero cost, clearly visible = result that worked and prevented deaths, pain, and lawsuits.

Many such examples with solutions are used throughout "LEAN Hospitals". The concepts, forms, and principles of LEAN are fleshed out. However to really effectively use LEAN and the Toyota system, you will need additional materials that deep dive LEAN. However for a primer on LEAN within healthcare this is simply the best resource available.
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2 of 3 people found the following review helpful By Bastien Le Gendre on November 11, 2012
Format: Paperback Verified Purchase
[...] Toyota's system is actually designed to support the development of people, not to provide a quick fix set of technical solutions, and this takes time and patience. Many health care consultants have rebadged themselves as Lean consultants and do not understand the real thinking behind the Toyota Production System. Mark Graban is an exception[...]. His book is a welcome translation of the Toyota Production System into language any health care professional can understand[...].
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By Ed Johnson on July 2, 2014
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Great information if you plan on implementing Lean in a hospital environment.
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