On the Mend

On the Mend

John Toussaint Roger Gerard / Jul 14, 2020
On the Mend Part case study part manifesto this groundbreaking new book by a doctor and a healthcare executive uses real life anecdotes and the logic of lean thinking to make a convincing argument that a revolu
  • Title: On the Mend
  • Author: John Toussaint Roger Gerard
  • ISBN: 9781934109281
  • Page: 409
  • Format: ebook
  • Part case study, part manifesto, this groundbreaking new book by a doctor and a healthcare executive uses real life anecdotes and the logic of lean thinking to make a convincing argument that a revolutionary new kind of healthcare lean healthcare is urgently needed and eminently doable.In On the Mend Revolutionizing Healthcare to Save Lives and Transform the IndustryPart case study, part manifesto, this groundbreaking new book by a doctor and a healthcare executive uses real life anecdotes and the logic of lean thinking to make a convincing argument that a revolutionary new kind of healthcare lean healthcare is urgently needed and eminently doable.In On the Mend Revolutionizing Healthcare to Save Lives and Transform the Industry John Toussaint, MD, former CEO of ThedaCare, and Roger A Gerard, PhD, its chief learning officer, candidly describe the triumphs and stumbles of a seven year journey to lean healthcare, an effort that continues today and that has slashed medical errors, improved patient outcomes, raised staff morale, and saved 27 million dollars in costs without layoffs Find out How lean techniques of value stream mapping and rapid improvement events cut the average door to balloon time for heart attack patients at two hospitals from 90 minutes to 37 What ThedaCare leaders did to replace medicine s shame and blame culture with a lean culture based on continuous improvement and respect for people How the lean principle of building in quality at the source broke down divisions among medical specialties allowing teams to develop patient care plans faster Why traditional modern management is the single biggest impediment to lean healthcare How the plan do study act cycle coupled with rapid improvement events cut the wait time at a robotic radiosurgery unit from 26 days to six How the lean concept of one piece flow saved time in treating ischemic stroke patients, increasing the number of patients receiving a CT scan within 25 minutes from 51% to 89% How senior leaders at other healthcare organizations can begin their own lean transformations using a nine step action plan based on what ThedaCare did and what it would do differently.Toussaint and Gerard prove that lean healthcare does not mean less care On the Mend shows that when care is truly re designed around patients, waste and errors are eliminated, quality improves, costs come down, and healthcare professionals have time to spend with patients, who get even better care.
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      Posted by:John Toussaint Roger Gerard
      Published :2020-04-27T10:24:56+00:00

    About "John Toussaint Roger Gerard"

      • John Toussaint Roger Gerard

        John Toussaint Roger Gerard Is a well-known author, some of his books are a fascination for readers like in the On the Mend book, this is one of the most wanted John Toussaint Roger Gerard author readers around the world.


    531 Comments

    1. Healthcare is in an extremely challenging state and this book brings up a series of great points regarding where our focus should be in addressing the issues The target audience is primarily other healthcare organizations, so if you don t work in healthcare you may find some of the statistics and stories alarming The authors make great points, and I hope this book will help in making the case for shifting the focus across the board cost cutting rather than quality improvement and better service [...]


    2. Good info but way to heavy on all the details of Thedacare Too bad tools weren t included And if the Thedacare people come to talk to you about the LEAN process, bring a pillow Kim Barnas droned for two hours at our facility two people fell asleep at my table Ask AONE and RWJ to come instead and give their Transforming Care at the Bedside presentation same concept They ll keep you interested and will get you involved in hands on demonstrations now if only they AONE or RWJ would write a book Hmm [...]


    3. Governments can tweak payment systems and probably get some temporary fiscal relief But until we focus reform efforts on where most of the money goes, which is healthcare delivery, we will remain stuck in a revolving door of near disaster and narrow escapes To get to the point where all people have access to high quality healthcare, affordably, we must focus our attention on how the healthcare delivery system determines costs and quality Then we need to change that delivery model entirely.


    4. I found myself nodding so many times while reading Toussaint s chronicle of how LEAN was introduced and managed in their healthcare business that I ve already thought of a million ways to make things better for my operation at work This is an inspiring and humble book about practical aspects of LEAN It doesn t try to teach LEAN rather it provides an example of how LEAN can be applied to non manufacturing businesses If you work in a service company, you should read this.


    5. An interesting story of how ThedaCare managed to apply the principles of Lean thinking to improve clinical outcomes and transform their organizational culture The book is a good introduction to what is possible with lean in health care, but is certainly no step by step guide nor reference as to some of the key methods used.


    6. This book is all about applying Lean ideas to Healthcare John was the CEO at ThedaCare, and put this transformation into practice there For people who think Lean is only about manufacturing, this book might be an eye opener And for anyone who, like me, is in the healthcare industry and interested in Lean, it is invaluable as a source of ideas.


    7. A very inspirational journey through Thedacare s journey in lean transformation Quick read and good jump start to hospital or clinic implementation of lean tools Doesn t serve as a true description of tools themselves but rather a nice description of what can be accomplished through improved quality and efficiency.


    8. An interesting book that gives the LEAN journey of a large healthcare system This is an invaluable read for champions to provide to hospital executives, directors and managers in the pursuit of quality culture change.


    9. Good summary of Lean production with several good insights about the curlture of medicine and medical delivery systems.






    10. Very good, series of stories that include classic lean as well as topics such as succession planning, change stages.



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