What’s in an RPIW Report Out?

The first question is ‘what’s an RPIW?’. RPIW is an acronym for a Rapid Process Improvement Workshop. It is an event, usually lasting for several days, at which a clinical team focuses on improvement work. There’s a pdf document developed by the Department of Veterans Affairs in the US which offers some FAQs on similar…

Applying Lean across a Mental Health System

An Australian service provides an good example of using Lean principles across a mental health system. The description of the changes, available here, includes many Lean techniques to which I will return in future posts. There are some readily identifiable themes: there was training for staff in Lean approaches, and staff directed subsequent changes. Examples…

What Did Dr Deming Do? And Does It Matter?

W Edwards Deming is a big name in quality. There’s a well established narrative: W Edwards Deming, a renowned statistician and teacher, spent time in Japan after World War II, and sparked the revolution in Quality Control in Japan. Dr Deming was showered with Japanese awards, and the Deming Prize became the premier Japanese award,…

Lean: Methods or Approach?

I’ve been reading ‘The Birth of Lean’ by Takahiro Fujimoto and Koichi Shimokawa, published by the Lean Enterprise Institute. It’s a collation of interviews with Taiichi Ohno, and some of the other people who played important roles in the development of Lean methods. In this book, the path to Lean becomes less of the triumphal…