Releasing time to care is a program, based on lean, that was started in the British NHS.This video shows how one hospital in Auckland is engaging front line staff to better understand their work and to eliminate waste, freeing up more time for patient care.

In this video, John Toussaint, a co-author of the LEI publication On the Mend: Revolutionizing Healthcare to Save Lives and Transform the Industry, talks about a story from his tenure as CEO. It's a story about lean leadership and establishing a culture that focuses on process improvement instead of blaming individuals.

Instead of requiring patients to move from department to department to receive their care, a process typical in most cancer centers, the team created the "non-moving patient" care model. In the new Frauenshuh Cancer Center at Park Nicollet, patients remain in their own comfortable room with views of a healing garden, while caregivers come to them. Services rendered in the patient's room include: lab draws, nursing assessment, physician exam, IV therapy administration and the scheduling of future appointments.

During the Transformational Leadership webinar, many of you asked for the list of related books and articles that presenter Jim Luckman cited. He has provided the list as a chart at the end of his answers to the following questions that we couldn’t get to during the one-hour webinar.

Carolyn Clancy, the director of AHRQ, visited ThedaCare recently. John Toussaint blogged about her visit and took these videos: 

The Dennis Quaid Foundation was involved in the production of a new documentary called “Chasing Zero: Winning the War on Healthcare Harm”.While not mentioning lean, there is a very compatible message about the widespread medical harm problem being "bad systems" not "bad people." You'll see many of the leading voices in the patient safety movement including Dr. Don Berwick, Dr. Lucian Leape, Carolyn Clancy, and others. This aired originally 4/24/10 and airs again 5/1/10 on  Discovery.Links to the different sections of online video.Part 1 Part 2 Part 3 Part 4 

LEI Senior Fellow Mark Graban interviews Dr. Sami Bahri, D.D.S., "The World's First Lean Dentist" and author of "Follow the Learner" from LEI.In the video, Dr. Bahri discusses what he has seen and learned recently from touring manufacturing plants. He also talks about the importance of applying single-piece flow to your core processes (in his case, his patient flow).  From YouTube:

A four-minute introductory Lean Sigma video from Johns Hopkins that discusses the "7 types of waste" for healthcare and a bit about the integration between Lean and Six Sigma for better patient care. Use the link below to access the video via YouTube:

View an LEI webinar presented by John Grout, PhD, a noted expert on the application of mistake-proofing methods to healthcare. Even though the content was built around healthcare examples, we hope people from all industries will view this to learn the general mistake-proofing principles. Direct links: WebinarSlides (PDF)To view the main webinar page for this, and other archives, click the link below:

Here is a video from Hotel-Dieu Grace Hospital (HDGH) in Windsor, Ontario Canada about their Lean effort, the video is part of their main Lean page.The video starts with LEI senior advisor John Shook talking about the real definition of "Lean" (it's not "Lean and Mean"), along with LEI facultry member David Verble, who also used to work for Toyota. Others from the hospital, including Lean leaders and an Emergency Room physician also set the stage for a discussion of their Lean value stream mapping and project in the department.The whole video is a great overview of the purpose and ideas behind Lean. Might be something you can share with your team.Hotel-Dieu Grace is a member of the Healthcare Value Leaders Network.The link below goes to a .mov Quicktime movie file that you can play or download.

From the event in London, held on July 10, 2009. All of the presentation slides (in PDF) and streaming video are available on the Lean Enterprise Academy site. Presentations include: Dan Jones introduction Dr. John Toussaint keynote Presentations about the "Making Hospitals Work" methodology Lisa Smith, National Improvement Lead, NHS Improvement David Fillingham, Chief Executive, Royal Bolton Hospital NHS Trust Prof. Matthew Cooke, Warwick Medical School and Heart of England NHS Trust

ThedaCare and CEO Emeritus John Toussaint, M.D. were featured on the "On The Record" show on Fox News Channel in a six-minute segment that aired August 21, 2009. FoxNews.com posted a series of five videos with a more in depth look.In the first video, Toussaint talks about how their quality and cost improvement efforts are based on the Toyota Production System. He also mentions the Healthcare Value Leaders Network.The second video shows more detail about the Collaborative Care model, including interviews with a physician, nurse, and pharmacist who work together.The third video discusses measurement as a way of tracking performance and driving improvement, along with an interview with a patient.The fourth video is an interview with an experienced physician who shares his satisfaction with the new primary care processes.The fifth and final interview is with John Toussaint about the payer dynamics in healthcare and how quality does not get rewarded.Here is a link to a more detailed summary of the videos, by Mark Graban, LEI Senior Fellow. Share|

In this 53-minute video, Marnee Iseman from Virginia Mason talks about the Virginia Mason Production System to a group at the University of Wisconsin.

Video from CNN that highlights the use of Lean methods for reducing central line infection rates at hospitals by 90% - something that saves lives and saves money. The story features Dr. Richard Shannon, formerly of UPMC in Pittsburgh and now at UPenn in Philadelphia. The power of standardized work and designing processes so it is easy for people to do the right thing for infection control is highlighted and Toyota is mentioned as inspiration for their improvements.

View the WebinarDownload the Slides Purchase the related book:Making Hospitals WorkMaking Hospitals Work:How to improve patient care while saving everyone's time and hospitals' resourcesFeaturing Ian Taylor and Marc Baker, Senior Faculty Members of the UK's Lean Enterprise Academy and authors of Making Hospitals WorkOriginally presented July 30, 2009 More than ever, in today's demanding economic climate, nothing is more important than Healthcare. All of us will need a good hospital some day and countries can easily go broke supporting traditional hospital management practices as the baby boomers begin to check in. Healthcare contains the most important value streams in society – those that touch our lives directly.Clinicians use the scientific method to diagnose and treat patients – which is the foundation of evidence based medicine. In this webinar we will discuss how we can use the same scientific method to diagnose the root causes of broken healthcare systems and, using evidence based management, come up with the appropriate countermeasures to improve the patient experience, relieve the overburden on hospital staff and treat more patients while saving hospitals’ resources.Ian Taylor and Marc Baker Senior Faculty Members of the UK's Lean Enterprise Academy and authors of 'Making Hospitals Work' will join us in this frank discussion of the realities and impact of their findings.You'll learn about their approach, how they assist healthcare organizations to:Funnel their many problems down to their single biggest problemDiscover their current conditionSet their target conditionEstablish the root causes of their single biggest problemThink differently to enable them to come up with and implement their own, carefully planned, successful solutions to their biggest problemAbout the Presenters:Ian TaylorIan co-author (with Marc Baker) of Making Hospitals Work, is a qualified Production Engineer with considerable experience in Operational Management. Ian started his lean journey whilst managing Operations within the highly competitive Tier One, Automotive Industry supplying the likes of Toyota, Ford & General Motors. Assisting Tier Two businesses (his suppliers) in making their own successful Lean transformations became a major part of his role.Marc Baker Marc co-author (with Ian Taylor) of Making Hospitals Work, holds a degree in Process Engineering, is a Chartered Engineer and holds an MBA from Cardiff Business School. Marc started his lean journey whilst working for a well known pharmaceutical company where he first began applying lean concepts and principles in a regulated industry.Marc joined forces with Ian whilst working as the Head of Process Excellence (Umbrella term for Lean Thinking and Six Sigma) in a Johnson & Johnson company. Whilst both working at J&J the business enjoyed substantial increases in sales per employee, market share and profit margins through their application of Lean Thinking and Six Sigma.During this period Marc & Ian were able to jointly establish an extremely robust, standardised and scientific approach to both applying and de-mystifying lean thinking.Working at J&J also provided them with the opportunity to work with its customers in the Healthcare Industry, where they began their first tentative experiments in the application of lean within this massive industry.Since leaving J&J Marc and Ian have continued working together both with the Lean Enterprise Academy and as independent lean coaches. Specialising, mainly, in the UK healthcare industry they continue to learn and develop further their scientific approach to both the application & de-mystification of lean thinking.

This is a presentation from the Lean Enterprise Academy's event in July, 2009. Dr. John Toussaint is the former CEO of ThedaCare and the current CEO of the ThedaCare Center for Healthcare Value. Link to his slides (PDF)Link to the video (streaming Quicktime)

Mark Graban interviews Dr. Bahri about his work in lean dentistry and his book "Follow the Learner." Dr. Bahri talks about his role as chief learner in the dental office and how he got started with lean. As an alternative to the YouTube link below, you may also be able to watch the podcast as Episode #5 on the web at www.leanvideopodcast.org or use this embedded player:     

As part of its lean transformation,Virginia Mason Medical Center, Seattle, contacted area employers to ask what they needed most from hospital visits. Immediate appointments and getting the right treatment at the right times, is what the hospital heard. As a result, treatment time at the back clinic was cut from an average of 66 days to 12. (Published by CBS Evening News.)

This is an archived webinar video presentation by LEI Senior Fellow Mark Graban, done during his previous role as a consultant. This is a 30-minute overview video about identifying the "types of waste" in a hospital laboratory, but is applicable more generally to healthcare settings.   Used with permission of Robert Michel and The Dark Report 

A year after a medical group in Albuquerque, NM, began applying lean concepts, such as a pull system for basic supplies, staff morale was up and the office had saved $16,000 in supplies. And doctors reported seeing more patients while working fewer hours because lean had "simplified their days," acording to a nurse. (Aired by KRQE News 13, Albuquerque, Dec. 23, 2008.)

The remarkable story of how healthcare professionals found a powerful but unlikely cure for what ails hospitals and healthcare is clearly and invitingly told in The Nun and the Bureaucrat/Good News…How Hospitals Heal Themselves, a book and DVD set. 

See a video report by WCCO in Minnesota about a kaizen event at Methodist Hospital in St. Louis Park, Minn.