Tag Archives: Health care

Robots for Health Care from Toyota

Japan has an extremely rapidly aging population. This increases the need for health care and for assistance with everyday tasks from the elderly. Japan is also among the leading countries for developing robots for health care and living assistance. I have written about the efforts to have robots fill some needs in Japan previously, on this management blog and also my partner Curious Cat Engineering blog: Toyota Develops Thought-controlled Wheelchair (2012), Toyota’s Partner Robot (2007), Toyota Human Support Robot (2012) … Continue reading →

Posted in Innovation, IT | Tagged , , , , , ,

Understanding Design of Experiments (DoE) in Protein Purification

This webcast, from GE Life Sciences, seeks to provide an understanding Design of Experiments (DoE) using an example of protein purification. It begins with a good overview of the reason why multi-factorial experiments must be used while changing multiple factors at the same time in order to see interactions between factors. These interactions are completely missed by one-factor-at-a-time experiments. While it is a good introduction it might be a bit confusing if you are not familiar with multi-factorial designed experiments. … Continue reading →

Posted in Design of Experiments | Tagged , , , , ,

Decades Later The USA Health Care System is Still a Deadly Disease for Our Economy

Decades ago W. Edwards Deming named 7 deadly diseases of western management. One of those was excessive health care costs. Sadly that deadly disease has become much worse in the last several decades. Americans pay 300% more for this prostate cancer drug than much of the rest of the world Xtandi, a prostate cancer drug co-licenced by Japan’s Astellas Pharma and Medivation Inc. was developed at a U.S. university with grants funded by taxpayer dollars. That gives the federal government … Continue reading →

Posted in Competition, Economics, Health care | Tagged , , , , , | 3 Comments

Getting Retweeted by Marc Andreessen Generated a Flood of Retweets

On Twitter today I was getting more than 30 times the notifications I normally get. So I took a look to see what is going on. One of my tweets was getting retweeted and liked quite a lot (nearly 100 times each, so far). I figure most likely someone with many more followers than I must have retweeted it. A bit more investigation and sure enough that is what happened. Marc Andreessen had retweeted it. He has 432,000 followers (a … Continue reading →

Posted in Innovation, Science | Tagged , , ,

Visual Management and Mistake-Proofing for Prescription Pills

Good ideas often just require some sensible thought to think of an improved approach. Management concepts can help guide such thinking, such as mistake-proofing and visual management. To apply visual management requires giving a bit of thought to how to make visually obvious what is important for people to know. Mistake proofing is often really mistake-making-more-difficult (for some reason this term of mine hasn’t caught on). I believe mistake-proofing should put barriers in the process that make a mistake hard. … Continue reading →

Posted in Management | Tagged , , , , , , , , , , , , , | 4 Comments

Some Thoughts on Investing from My Recent Interview

In the first few years of this blog I posted occasionally, but still much more than the last few years, on investing and economics. Now I mainly post on those topics on the Curious Cat Investing and Economics blog (see how the name and that practice are in sync with each other?). I was recently interviewed about investing strategies and thoughts and decided to share that with the readers of this blog. Some excerpts from the interview: I have maintained … Continue reading →

Posted in Health care, Investing | Tagged , , , ,

Management Blog Review 2012: Gemba Walkabout

This is my second, of two, 2012 management blog review posts. In this post I look back at the last year on Mike Stoecklein’s Gemba Walkabout blog. Mike is the Director of Network Operations at Thedacare Center for Healthcare Value. In a very long post, Some thoughts on guiding principles, values & behaviors, he provides a sensibly explanation for one the real difficulties organization have making progress beyond a certain point (project success but failure to succeed in transforming the … Continue reading →

Posted in Carnival, Deming, Health care, Process improvement | Tagged , , , | 1 Comment

Management Blog Review 2012: Not Running a Hospital

Paul Levy started the Running a Hospital blog when he was the CEO of Beth Israel Deaconess Medical Center. Thankfully he has continued the blog, renamed to Not Running a Hospital, after leaving that position. Paul provides a huge number (the lowest number of posts in a month was 32) of valuable posts focused on health care, but worthwhile for everyone interested in improving the practice of management. In addition to his blog, during 2012 Paul published a wonderful book … Continue reading →

Posted in Health care, Management | Tagged , | 4 Comments

USA Spent $2.6 Trillion, $8,402 per person,17.9% of GDP on Medical Expenses in 2010

The federal government financed 29% of total health spending in 2010, a substantial increase from its share of 23% in 2007. Meanwhile, the shares of the total health care bill financed by state and local governments (16%), private businesses (21%), and households (28%) declined during the same time period. Continue reading →

Posted in Economics, Health care, Systems thinking | Tagged , , , , , , | 2 Comments

Management Improvement Blog Carnival #150

Mark Graban is hosting Management Improvement Blog Carnival #150 on the Lean Blog, highlights include: Watching Waste in the ER! – As part of his relatively new blog, Anthony Scott (Frontline Lean) writes about his experiences with waste in an emergency department. The waste isn’t surprising to those who have been a patient or those who have worked in the E.D. Scott is a supervisor in a lean manufacturing setting and he applies lean thinking to this unfamiliar environment. Case … Continue reading →

Posted in Carnival, Lean thinking, Management | Tagged , ,

Management Improvement Carnival #111

Mark Graban hosts the Management Improvement Carnival #111 on the lean blog, highlights include: Daily Kaizen (Lee Fried), Teach Everyone the Business – Lee, a lean facilitator at Group Health in Washington, writes “When I reflect on Health Care and my own organization I do not think we do a very good job at helping team members understand the financial side of the business.” Doing Common Things Uncommonly Well (Anna Roth), A Culture of Safety: Forgiving – A hospital CEO … Continue reading →

Posted in Carnival, Management | Tagged ,

Hospital Providing Better Health Care While Reducing Costs

Business Week has a good article on the strides one hospital has been able to make at reducing costs and improving quality. Hospitals: Radical Cost Surgery [the broken link was removed] Walk into Providence Regional Medical Center, in Everett, Wash., and you will see a hospital trying something different: It brings the equipment to the patient. In 2003, Providence opened one of the few “single stay” wards in the nation. After heart surgery, cardiac patients remain in one room throughout … Continue reading →

Posted in Creativity, Health care, Innovation, Management | Tagged , , ,

Video Overview of the PDSA Cycle

Robert Lloyd, PhD From the IHI Open School‘s, presents a nice overview of the PDSA Cycle (plan-do-study-act). The webcast includes an example of using PDSA to improve the discharge process for a hospital. As I have said many times the keys to success are to turn the PDSA cycle rapidly, predict the results in advance, and analyze the results to continually improve. the Improvement Handbook is an excellent resource. The IHI Open School is a great resource and exactly the … Continue reading →

Posted in Deming, Health care, Management, Process improvement, Quality tools, Science, webcast | Tagged , , , , | 2 Comments

Management Improvement Carnival #79

Mark Graban is hosting Management Improvement Carnival #79 on the lean blog, highlights include: A Natural Match (Deborah Dolezal, Lean Healthcare Grand Rounds): “As a healthcare worker and an implementer of lean, I am often struck by the similarity of the human body and the lean methodologies.” Kaizen Corner — for lack of a battery (Paul Levy, Running a Hospital): “The idea is to keep asking why (the 5 why’s) until they discover the root cause, which is defined as … Continue reading →

Posted in Carnival | Tagged , | 1 Comment

Blame the Road – Not the Person

The system is responsible for 90, 92, 94, 97% of problems – W. Edwards Deming. Fix the system, don’t blame the people. When you seek system fixes you approach situations differently than if you search for people to blame. By the way, I am often asked about the data supporting Deming’s contention that the system was responsible for 97% of the problems. This statement was not based on a set of data but on Dr. Deming’s decades of experience. And … Continue reading →

Posted in Creativity, Data, Deming, Economics, Health care, Management, Systems thinking | Tagged , , , , , , | 5 Comments

Don’t Hide Problems in Computers

Making things visible is a key to effective management. And data in computers can be easy to ignore. Don’t forget to make data visible. Paul Levy, CEO of Beth Israel Deaconess Medical Center in Boston recently hosted Hideshi Yokoi, president of the Toyota Production System Support Center and wrote this blog post: Together, we visited gemba and observed several hospital processes in action, looking for ways to reduce waste and reorganize work. It was fascinating to have such experts here … Continue reading →

Posted in Data, IT, Lean thinking, Management, Quality tools, Toyota Production System (TPS) | Tagged , , , , , , , | 3 Comments