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October 25, 2009

Lean Performance Measures

One vitally important part of your lean transformation is getting the right measures for your Value Streams. Often the temptation is to stick with measures you already “know”, but these may not be “lean” measures, possibly encouraging non-lean behaviours, or being difficult to collect frequently.   First we need to understand the purpose of lean
October 6, 2009

The Lean Leap of Faith: Taking the Time to Talk

For 20 years I’ve been advising companies, mainly small and medium sized enterprises, on improving their performance, and I have lost count of the number of businesses I’ve gone into where poor communication is the main stumbling block to significant improvement. Everyone means well, and wants to do the best they can, but full agendas,
October 6, 2009

Process Improvement in Hospitals

This week I went to hospital (in the UK) for day surgery. I arrived at the appointed time of 11am. A nurse took my blood pressure and confirmed my answers to questions that had been asked at the pre-assessment clinic. I then sat and waited in the corridor for four hours. Finally the anaesthetist talked