Healthcare is different. So there.

Taking models from industry is always controversial in health care. It is now uncommon to come across people who feel there is no role for quality improvement in health and social care. Anyone who works with Lean methods, however, regularly meets people who feel that ‘it’s all about cars’, and ‘you’re treating people like mechanical…

Lean: Perfection, or Incremental Improvement?

Linda LaGanga, who works in a community mental health service in Denver, has written a useful summary of her service’s experience of applying Lean. Their use of Lean is shaped by the economic context of US health care, but there are several useful lessons in their work. The Mental Health service’s interest in Lean began,…

Evidence for Lean Effectiveness

Health care staff in general, and doctors in particular, like randomised controlled trials (RCT). I discussed evaluation of Lean in a previous post, but it comes up often in health care, and it is worth spending more time on it. Randomised controlled trials are very good ways of reducing bias in an evaluation. In a…