Lean / Healthcare Process Improvement
“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
is a good rst step. … This book lays out the nuts and bolts of the
Lean methodology and describes the more dif cult 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 transforma tion journey.”
—John Toussaint, MD, CEO, ThedaCare Center for Healthcare Value
Building on the success of the Shingo Prize-Winning rst edition,
Lean Hospitals: Improving
Quality, Patient Safety, and Employee Engagement, Second Edition
explains how to use
the Lean management system to improve safety, quality, access, and morale while reducing costs.
Lean healthcare expert Mark Graban examines the challenges facing today’s health systems,
including rising costs, falling reimbursement rates, employee retention, and patient safety.
The new edition of this international bestseller begins with an overview of Lean methods. It
explains how Lean practices such as value stream mapping and process observation can help
reduce wasted motion for caregivers, prevent delays for patients, and improve the long-term
health of your organization. In addition to a new introduction from John Toussaint, this updated
• New material on process audits, performance measures, employee suggestion
management, and strategy deployment
• New case studies—including a new Kanban case study (Northampton General Hospital)
and another that ties together the themes of standardized work, Kanban, 5S, visual
management, and Lean leadership
• New examples throughout, including revised chapters on patient safety and medical errors
Detailing the steps needed for a successful transition to a Lean culture, the book provides the
understanding of Lean methods—including standardized work, error proong, root cause
problem solving, and daily improvement processes—needed to reduce common hospital errors.
The balanced approach outlined in this book will guide you through the process of improving
quality of service while reducing costs in your hospital.
*The Lean Certication and Oversight Appeals committee has approved Lean Hospitals as recommended
reading for those in pursuit of Lean Bronze Certication from SME, AME, Shingo Prize, and ASQ.
9 781439 870433
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Improving Quality, Patient Safety, and Employee Engagement