On the Mend: Revolutionizing Healthcare to Save Lives and Transform the Industry [Kindle Edition] Author: John Toussaint | Language: English | ISBN:
B003QCINDA | Format: PDF, EPUB
On the Mend: Revolutionizing Healthcare to Save Lives and Transform the Industry
Direct download links available On the Mend: Revolutionizing Healthcare to Save Lives and Transform the Industry [Kindle Edition] from mediafire, rapishare, and mirror link Part case study, part manifesto, this groundbreaking new book by a doctor and a healthcare executive uses real-life anecdotes and the logic of lean thinking to make a convincing argument that a revolutionary new kind of healthcare — lean healthcare — is urgently needed and eminently doable.
In On the Mend: Revolutionizing Healthcare to Save Lives and Transform the Industry John Toussaint, MD, former CEO of ThedaCare, and Roger A. Gerard, PhD, its chief learning officer, candidly describe the triumphs and stumbles of a seven-year journey to lean healthcare, an effort that continues today and that has slashed medical errors, improved patient outcomes, raised staff morale, and saved $27 million dollars in costs without layoffs. Find out:
- How lean techniques of value-stream-mapping and rapid improvement events cut the average “door-to-balloon” time for heart attack patients at two hospitals from 90 minutes to 37.
- What ThedaCare leaders did to replace medicine’s “shame and blame” culture with a lean culture based on continuous improvement and respect for people.How the lean principle of “building in quality at the source” broke down divisions among medical specialties allowing teams to develop patient care plans faster.
- Why traditional modern management is the single biggest impediment to lean healthcare.
- How the plan-do-study-act cycle coupled with rapid improvement events cut the wait time at a robotic radiosurgery unit from 26 days to six.
- How the lean concept of “one piece flow” saved time in treating ischemic stroke patients, increasing the number of patients receiving a CT scan within 25 minutes from 51% to 89%.
- How senior leaders at other healthcare organizations can begin their own lean transformations using a nine-step action plan based on what ThedaCare did — and what it would do differently.
Toussaint and Gerard prove that lean healthcare does not mean less care. On the Mend shows that when care is truly re-designed around patients, waste and errors are eliminated, quality improves, costs come down, and healthcare professionals have more time to spend with patients, who get even better care. Get your copy of this important new book today. Books with free ebook downloads available On the Mend: Revolutionizing Healthcare to Save Lives and Transform the Industry
- File Size: 1249 KB
- Print Length: 181 pages
- Publisher: Lean Enterprise Institute, Inc. (June 6, 2010)
- Sold by: Amazon Digital Services, Inc.
- Language: English
- ASIN: B003QCINDA
- Text-to-Speech: Enabled
X-Ray:
- Lending: Enabled
- Amazon Best Sellers Rank: #172,445 Paid in Kindle Store (See Top 100 Paid in Kindle Store)
- #71 in Kindle Store > Kindle eBooks > Nonfiction > Professional & Technical > Medical eBooks > Administration & Policy > Health Care Delivery
- #77 in Kindle Store > Kindle eBooks > Business & Money > Organizational Behavior > Organizational Learning
1- I am sure some so-called "Lean Expert" will say that the book is not a "technical" illustration of lean. I happen to believe that the greatness of On the Mend lies in the fact that it is not technical. Rather, it is a practical illustration of how an organization can realize gains from using few tools, and at the same time, utilize the best capital it already has: the experience and involvement of the organization's own people.
2- I think this is the first book on lean that fully addresses clinical areas with real examples i.e. STEMI, Stroke, primary clinic and laboratory. Most lean books talk about supply chain, sterilization areas and process related to production.
3- The introduction touched on Toyota's recent problems (page 3) and explained that this is a reminder of the consequences of failing to adhere to lean principles. I believe that the problems that Toyota faced, and the subsequent actions taken by the company, provide us with better examples as to why we need lean. When I am asked about this issue (which is almost every day), I reply by asking the person: "Do you remember what Toyota did first after the problems became public knowledge?" Most say that Toyota acknowledged the problem. I remind them that one of the first actions that Toyota took was to stop producing cars. Toyota asked its 137,000 employees to stop producing cars until a new process is designed and put in place to repair current defects and ensure that the new cars do not have the same defect. My argument proceeds to ask, "Are we in healthcare ready to close the OR, pharmacy or lab if we discover that errors (I have been using the term error instrad of defect because most healthcare workers will say we handle people not machines) have been committed?
While I am not a Lean Healthcare professional per say I am a Lean professional that has worked in various aspects of healthcare. My experience varies from the patient floor, to the ER and OR, to long term care, to psychiatric ward and a few things in between. Most of my family are healthcare professionals of some kind and I have been on both sides of care. So when I had the opportunity to review On the Mend I jumped on it.
On the Mend, authored John Toussaint, MD and Roger A Gerard, PhD, is about the seven year Lean healthcare journey of the author's medical system Thedacare. After some false starts with trying to improve clinical performance they went outside healthcare for an improvement strategy. They studied the manufacturing industry and found Lean. The Lean principles they learned had to be adapted to healthcare.
The first part of the book is about defining the principles that make up the lean healthcare process. In summary they are:
Focus on patients and design care around them.
Identify value for patient and get rid of everything else (waste).
Minimize time to treatment and through its course.
Continuous improvement of work practices every day in every area.
The principles are presented with real life medical examples from the authors' Lean journey. This creates a compelling reason to adapt these principles. For instance, they relate the loss of time in healthcare to the loss of muscle, loss of brain, or even loss of life.
The second half of the book focuses on people aspect of Lean healthcare. John and Roger introduce the leadership skills needed in a lean environment, how to engage Doctors in the process, how to create the problem solver culture, and how to develop future lean healthcare leaders.
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