Official website for the Shingo Award-winning book from Mark Graban about Lean for hospitals and other healthcare settings. Lean Hospitals: Improving Quality, Patient Safety, and Employee Mark Graban is also the co-author, with Joe Swartz, of the book Healthcare. Mark Graban is an experienced leader in “Lean,” change management, and Engage your employees and leaders by hiring Mark as a speaker, trainer, Author. Mark is the creator of and author of the books Lean Hospitals.

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Healthcare leaders around the world are facing tough challenges, including the need to deliver better value for patients and payers, which means improving quality while reducing cost. It might seem impossible to do both, but organizations around the world are proving it’s possible, through Lean.

Improving Quality, Patient Grabban, and Employee Engagement, Third Edition explains how to use the Lean philosophy and management system to improve safety, quality, access, and morale while reducing costs.

The new edition of this international bestseller translated into eight languages begins with an overview of Lean methods and mindsets. It explains how engaging staff and leaders in 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 edition includes:. Francis Health and other case examples highlighting the challenges and successes of an academic medical center and a small urgent access hospital, featuring quotes and stories from executives New examples and updated data throughout, including revised chapters on patient safety and patient flow challenges and the improvements driven by Lean.

The balanced approach outlined in this book will guide you through the process of improving the quality of care and service while reducing costs in your hospital. The question now for all of you is how are you going to do it? What is the leadership model required? Praise for the First Edition: Mark has written a book that provides compelling ideas to help create better places to work, practice medicine and receive safe, high quality care.

With each concept and its application, the reader is challenged to consider what is truly possible in the delivery of health care if only standardized systems borrowed from reliable industries, were implemented.

Graban provides those trade secrets in an understandable and transparent fashion.

Lean Hospitals | ASQ

He has an accurate sense of how things work in health systems, which makes his work more meaningful for people who want to make them better. The healthcare industry has needed this book for many years. The reasons given are overrun costs, errors that compromise patient safety, time of patients wasted, and general bureaucratic inefficiency.

In Lean terms the problem is how to eliminate waste. Health care is different than car making. This is true but many, many hospitals are finding the principles of the Toyota Production System apply well and are making remarkable improvements.

Unfortunately the remarkable improvements are in specific areas and challenging to sustain because of a mysterious ingredient which the folks at Toyota seem to understand quite well–humans. The humans that health care exists to help also operate the system and are hospitas from perfect. Toyota’s system is actually designed to support the development of people, not to provide a quick fix set of technical solutions, and this takes time and patience.


Many health care consultants have rebadged themselves as lean consultants and do not understand the real thinking behind the Toyota Production System.

Mark Graban is an exception. He has worked hard to study the philosophy and stay true to the thinking of Toyota. His book is a welcome translation of the Toyota Production System into language any health care professional can understand.

Mark Graban is a consultant, author, keynote speaker, and blogger in the field of Lean healthcare. Prior to healthcare, Mark worked in multiple industries, including automotive General Motorselectronics Delland industrial products Hopitals. Since AugustMark has worked exclusively in healthcare, where he has coached Lean teams at client sites in North America and the United Kingdom, including medical laboratories, hospitals, and primary care clinics.

Mark continues as an LEI faculty member. In JuneMark joined the software company KaiNexus as their Chief Improvement Officer, to help further their mission of “making improvement easier” in healthcare organizations, while continuing his other consulting and speaking activities.

Would you like to tell us about a lower price? If you are a seller for this product, would you like to suggest updates through seller support? In addition to a new introduction from John Toussaint, this updated edition includes: Read more Read less. Discover Prime Book Box for Kids. Add both to Cart Add both to List. These items are shipped from and sold by different sellers. Buy grwban selected items together This item: Ships from and sold by Amazon. Customers who bought this item also bought.

Page 1 of 1 Start over Page 1 of 1. Understanding Patient Safety, Second Edition. A Lean Management System for Healthcare. The multiple examples of the application of Lean given in this book provide a wealth of information to draw grzban for a hospital that is venturing into Lean principles for the first time. In addition, this book emphasizes not only methodology, but also the cultural changes that must occur for sustainability – something often forgotten in change management.

Productivity Press; 2 edition November 7, Gravan I’d like to read this book on Kindle Don’t have a Kindle? Share your thoughts with other customers. Write a customer review. Read reviews that mention lean hospitals healthcare mark graban employee granan must read hospitals is an excellent lean healthcare read about lean examples hospital resource system principles concepts patient setting interested learning management processes. Showing of 32 reviews.

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Please try again later. As such I needed a quick primer on the subject. Easy to read, well illustrated, and full of practical examples “LEAN Hospitals” is an excellent book that I keep close at hand on my resource shelf. A patient died gfaban three syringes all had the same color of fluid: This was an accident ready to happen. The concepts, forms, and principles of LEAN are hozpitals out.

However for a primer on LEAN within healthcare this is simply the best resource available.

Lean Hospitals, 3rd Edition [Book]

This is the single most comprehensive and helpful book applying lean management practices to the hospital setting. It is obvious that Mark Graban has done hosppitals great deal or work in hospitals and this book clearly demonstrates his practical knowledge. It should be required reading for everyone managing in healthcare.

If you are in healthcare, get it, read it, and apply it. Best book for learning ever. I love the ways that money can be saved. A full description of the benefits of Lean, or even Lean Vs. However, I should probably give some background on why I want to read this book and my interest in lean. Because of these issues I started to look to the human healthcare world for ideas and inspiration. I did this with some trepidation. Having said that, lots of others have similar feelings about human healthcare and there are a number of people trying to make major changes hospital wide.


I should make clear, that Lean Hospitals is very much a human healthcare book. For those in the veterinary profession, a significant amount of translation and out right rejection will need to take place.

However, for those with large facilities to run and with hopefully a mandate to improve, there is a lot to learn from Lean and the Lean Hospitals volume that I am imperfectly reviewing here. Lean is about reducing waste. The general principle is that by harnessing the knowledge of your employees about what they do, and by actually looking at and standardizing how your employees work you can create internal systems that not only save time and money but that are safer for patients and employees.

Coupled with this is the idea of a culture of continuous improvement and error proofing of the workplace. A lot of these ideas will be familiar to anyone who has attended a management seminar in recent years. What lran to make lean and Lean Hospitals different is how it is all held together and that is has real processes and tools for implementation and analysis.

As a book, Lean hospitals takes the form of a workbook, with each chapter giving not only a formal conclusion and lesson points but also a list of questions for group discussion. Although, Mark primarily works in the human healthcare world now, Lean Hospitals is written almost from a lay persons perspective and so the use of human medical terminology or assumption of knowledge of those processes is kept to the bare minimum. On the downside, Lean as a process, is replete with jargon which mostly takes the form of Japanese words or phrases originally inherited from the Toyota Production hospitale.

Although there seems to be no real reason to hraban to use these terms, other than that some of the ideas need a name of some type, they can be a little off putting and require a certain amount of referring to the glossary madk is excellent! Lean Hospitals is also a little expensive for a business book, although cheap by text book standards, but makes up for this by being an excellent read throughout. The most insightful passage in the hospitasl relates that grabqn is full of brilliant dedicated people that daily have to battle with broken systems and goes on to quote Fujio Cho, the Chairman of Toyota Motors: Our competitors get average results from brilliant people working around broken systems.

Lean Hospitals, 3rd Edition

One person found this helpful. This is a good book which explained in easy language about lean management of hospitals.

Evergreen info that physicians, administrators and healthcare professionals can use. Kindle Edition Verified Purchase. This was a very interesting book and gave me a heads up on what is needed to move toward lean in a hospital. For someone new to the healthcare system, it is scary to learn all the mistakes that happen in healthcare. See all 32 reviews. Customers who viewed this item also viewed.

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