An American Sickness

An American Sickness

Lesson
An American Sickness: How Healthcare Became Big Business and How You Can Take It Back is a 2017 book by Dr. Elisabeth Rosenthal about the US business of healthcare. Dr. Rosenthal identifies the motives of the profit-takers in the US healthcare market and learned behaviors of the marketplace. Many of her real-life stories and examples leave the reader frustrated in the system. I found most of the book focused on the problems that have developed in the US healthcare market. The book did not have many new answers for fixing the system, but Dr. Rosenthal did offer several great actions one should take as an informed consumer. Ten economic rules are referenced throughout the book:   Dr. Rosenthal shares many shocking examples for these rules throughout the book. She breaks…
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Simplify the Customer

Simplify the Customer

Summary
To improve health care delivery in the United States, simplify the customer Lean Six Sigma focuses on maximizing value for the customer by removing waste from processes. The customer is usually easy to identify; they purchase a product or service and expect that product or service to have the features they want, at the time they want it, with perfect quality at the lowest possible price. In a free market system, companies that provide customers the most value at the lowest cost are rewarded. US-based health care is not a free market system, making the customers in health care harder to identify and understand. Our Lean Healthcare East team has identified customers for our (United States based) client organizations as: Client organization Customer Hospital and physician practice The admitted patient…
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Five Thoughts on Lean Transformation Models

Five Thoughts on Lean Transformation Models

Summary
Various models have been created to share key steps in a successful Lean transformation, whether in healthcare or other industries. In my career, and as President of Lean East, I have been a leader in multiple transformations but am always searching for ways to continually improve my coaching and teaching. In this post I will provide an overview of two transformation models I have researched and provide five thoughts based on the models and my personal experience.   The Lean Enterprise Institute (LEI) has created a very nice framework or model describing the required steps for a Lean transformation within an organization. Their graphic is below and you can click this link to see further details about their model.   LEI’s model was developed for any Lean transformation, be it…
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