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The Simple Leader: Remove Distractions
Kevin Meyer
When many people go into the office, they start their day by chatting with some colleagues, checking their email, and surfing the net for a while. Then they start working on whatever project is due that day. Soon, however, they hear the sound of a new email arriving, which they promptly open,…
Moving From Manual to eKanban Creates Right-Sized Inventory
Thomas R. Cutler
Manufacturers’ waste-reduction initiatives are rarely as effective as they could be. When reducing waste, inventory is often the main target. But how do you right-size inventory in an environment of constant variability? In a word: kanban. Electronic kanban signals keep product moving throughout…
Teaching an Old Hospital New Tricks
GBMP
Ellis Medicine is a 438-bed community and teaching healthcare system serving New York’s capital region. With four main campuses, five additional service locations, more than 3,300 employees, and more than 700 medical staff, Ellis Medicine offers an extensive array of inpatient and outpatient…
The 5 Whys: Getting to the Root of the Matter
Annette Franz
How are you getting to the root cause of any issue you or your customers are having? What types of root cause analyses are you conducting? Are you even thinking about root cause analysis? Conducting some sort of root cause analysis (and there are many different types) any time you experience an…
The Relationship Between Reliability Goals and Statistical Confidence
Fred Schenkelberg
We establish reliability goals and measure reliability performance. Goals and measures can be related; however, they’re not the same, and neither do they serve the same purpose. Recently, I’ve seen a few statements that seem to confuse the role of statistical confidence when establishing a goal.…
Speed Isn’t Everything, Part 1
Gwendolyn Galsworth
Summer with its balmy evenings and long talks with good friends, lemonades in hand, is over. Let’s set the groundwork for this new season and get our definitions in place, once again—the difference between visual and lean. What is lean? Technically speaking, lean is a predetermined set of…
Lean Medical Innovation
Anthony Harris
The proliferation of Accountable Care Organizations (ACO), spurred by the healthcare industry’s shift from fee-for-service to pay-for-performance, has focused healthcare executives’ attention on clinical outcome metrics. Yet the greatest barriers—individual clinician practices—remain difficult to…
Curing Healthcare With a Dose of Big Data and Common Sense
While commanding four vessels sailing between England and India in 1601, Capt. James Lancaster performed one of the great experiments in medical history. Each of the seamen on just one ship—his own, of course—was required to sip three teaspoons of lemon juice per day. By the midpoint of the voyage…
Kaizen—Can It Go Wrong?
Harish Jose
Kaizen is often translated as “continuous improvement” and identified as one of the core themes in lean. Today I’m pondering the question: Can kaizen ever be bad for an organization? In order to go deeper on this question, first we have to define kaizen as a focused improvement activity. The…
Taming Turbine Internal Alignment Challenges
Ryan E. Day
Sponsored Content You might say what Henry Ford did for the automobile, GE, Siemens, and Mitsubishi have done for the gas and steam turbine industry. Naturally, the tools and technicians of both sectors have had to evolve right along with the challenges of new technology and the ever-increasing…
Quality Transformation
Quality Transformation With David Schwinn
We recently had dinner with a wonderful friend and colleague, Michelle Guenther. During our meal, Michelle mentioned a conversation at work when she responded to a question with, “What I believe to be true is....” She said she frequently prefaces her answers to questions with that phrase and that…
Peripheral Discoveries
Bruce Hamilton
The following is inspired by The Teachings of Don Juan (Washington Square Press, reprint 1985), an anthropological novel from the 1960s written by Carlos Castaneda, chronicling his travels with Don Juan, a Yaqui shaman. To crudely paraphrase, according to Don Juan, the road to knowledge is first…
Lean Management Is Illegitimate. Or Is It?
Bob Emiliani
To this day, lean management has yet to enter the mainstream in business. It remains solidly on the fringe, despite great efforts by many people over many decades. You almost never hear of lean management in the business press unless the article is written by an insider such as James P. Womack or…
The Value of Depth and Detail
Kevin Meyer
Nearly three decades ago, one of my first bosses pulled me aside. I forget the underlying incident except that I had somehow screwed up, and he bluntly told me to “sweat the details.” I clearly remember it to this day, and it became one of the defining pieces of advice I have ever received. It was…
Space Junk
Bruce Hamilton
Last weekend in the Nantucket Ferry terminal, I passed a defunct phone booth: an ornate wooden kiosk used 20 years ago to frame a pay phone, provide a modicum of privacy, and hold a phone book. It appeared that this particular phone booth had been re-purposed to hold a suggestion box, or perhaps…
How to Prioritize When There Is No Priority
Jim Benson
Prioritization is stressful. We find ourselves prematurely making value decisions about what to pull and when (right now!). Recently a client asked, “How can I prioritize my work when there is no clear priority? Everything seems equally important.” This is a deeper issue than simply being…
Is Your Company Led by Lean Leaders?
Annette Franz
Last month, I wrote about the concept of lean management and what that means not only for your company but also for your customers. If company leadership wants to transform the culture of the organization and become a lean company, they’ve first got to understand what comprises lean leadership,…
Information at the Gemba
Harish Jose
Uncertainty is all around us. A lean leader’s main purpose is to develop people so they can tackle uncertainty. There are two ways to tackle uncertainty: One is genchi genbutsu (go and see, or seeing for yourself), and the other is to employ the plan-do-check-act (PDCA) cycle, a method for…
Deming’s 14 Points: Innovation as An Outcome
Barbara A. Cleary
In a rapidly changing business environment, it’s sometimes hard just to keep up with everyday demands—never mind having time to develop new and better approaches to changing requirements, needs, or markets. Staying ahead of the curve sounds as if it might demand working longer hours, hiring more…
Facebook vs. F.B. Purity
William A. Levinson
ISO 9001:2015 clause 4.2—“Understanding the needs and expectations of interested parties” requires the organization to determine the “requirements of these interested parties that are relevant to the quality management system.” The recent two-day conflict that Facebook lost to F.B. (Fluff Busting…
Consult With Humility
Bruce Hamilton
A friend and colleague remarked to me that “the lean market has become mature,” implying a depth and breadth of lean understanding in industry that I have rarely seen myself. Standardized work, for example, almost always looks like time setting to me, an occasional and cursory exercise by…
What You Can Learn From Startups
Peter J. Sherman
As organizations become successful and grow, uncertainty is generally the enemy. Thriving organizations seek to eliminate variation and increase efficiency. They identify best practices and policies, and design standard operating procedures. Such efforts can make a business wildly efficient at…
Back to the Beginning With Ohno, Suzuki, and Yoda
Kevin Meyer
As I was researching the remarkable similarities between lean and Zen for my book, The Simple Leader  (Gemba Academy, 2016) one of the most interesting—and meaningful—was the concept of the beginner’s mind. Taiichi Ohno said, “Observe… without preconceptions and with a blank mind.” Zen master…
How to Assess Your Organization’s Quality Culture
Afaq Ahmed, Yves Van Nuland
New technologies have empowered customers to seek out the best products and services at the lowest cost and shortest delivery times. Customers can compare price and delivery information as well as reviews about product quality. Thus, the importance of sustaining outstanding quality in order to…
You Say We’ve Improved? Prove It.
Steve Garbrecht
Here’s a stat that might surprise you—according to LNS Research, 50 percent of manufacturers have implemented or will be implementing cross-functional groups to support their operational excellence journeys within a year. At the same time, only 18 percent have software or processes in place to…

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