


What does "Lean" mean in Japan? Are Japanese hospitals practicing "Lean"?
As a Lean healthcare practitioner and coach, it has been one…

Japan Gemba visit: Tokyo hospital with strong commitment to quality improvement Part 3 - Data Transparency, Kaizen and PDCA
Data and measurement are key components to improvement. As I…

Gemba visit: Tokyo hospital with strong commitment to quality improvement Part 2 - Quality Committee Meeting
When I met with the President of a Tokyo metropolitan hospital…

Japan Gemba visit: Tokyo hospital committed to quality improvement - Part 1 - Conversation with the President
Two weeks ago, I visited a hospital in Tokyo that is one of…

Japan Conference for Healthcare: "Let's use our strengths to improve hospitals"
As part of my week of healthcare related conferences in Japan several…

Japan gemba visit: Lean in hospitals
It has been surprising to me since moving to Japan six months…

Mid-year review: reflections from 6 months in Japan
Six months ago exactly, my family arrived in Japan on an 18-24…

Leading Daily Improvement: Creating New Habits and Practices to Support Continuous Improvement
Australian Lean Conferences Last month I was in Australia for…

Overview of the Japanese Healthcare System
I recently attended a two-day class for newcomers to Tokyo. One…



Hospital management in Japan - is it Lean?
I've been told that most hospitals and healthcare organizations…