On the Mend

On the Mend

3.6 5
by John Toussaint, Roger Gerard
     
 
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

Overview

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 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 more time to spend with patients, who get even better care.

Product Details

ISBN-13:
9781934109281
Publisher:
Lean Enterprise Institute, Inc.
Publication date:
06/09/2010
Sold by:
Barnes & Noble
Format:
NOOK Book
Sales rank:
535,840
File size:
3 MB

Meet the Author

John Toussaint, MD John is the founder and CEO of the ThedaCare Center for Healthcare Value. As the Center's founder and president, John has the experience and passion to be a driving force in creating healthcare value. From 2000 to 2008, he served as president and chief executive officer of ThedaCare, Inc., a community-owned, four-hospital health system including twenty-one physician clinics, as well as home health capabilities, senior care facilities, hospice care, and behavioral health. ThedaCare is the largest employer in Northeast Wisconsin with nearly 5,400 employees, serving an eight-county region. During his tenure as president and CEO of ThedaCare, John introduced the ThedaCare Improvement System (TIS), which is derived from the Toyota Production System. This model of continuous improvement helped save millions of dollars in healthcare costs by reducing patient errors, improving outcomes and delivering better quality care at a higher value. Roger Gerard, PhD Roger is the Chief Learning Officer for ThedaCare, a N. E. Wisconsin-based integrated healthcare delivery system. He has been with ThedaCare since 1991, when ThedaCare was called Novus. Roger has a career history that includes primarily significant work within the healthcare industry. However, he has also spent a quarter of his career in manufacturing and service industries nationwide. He specializes in executive and management development, process improvement, and the use of lean methodologies in bringing about significant and measurable organizational improvement. In addition, he has his own management consulting business and creative photography/illustration business that he shares with his wife, Debra. Roger has over 35 years of experience leading executive and management development initiatives, in both large and small organization environments, focusing specifically on organizational performance improvement processes. He has presented at numerous national conferences (most recently at the Association for Manufacturing Excellence on lean in the healthcare industry), and locally throughout Wisconsin and Michigan. Roger is a member of AQP, ASQ and OD Network. He earned his PhD in Management and Applied Decision Sciences from Walden University in 2001. Emily Adams Emily is an award-winning journalist and writer who has developed an expertise in writing about lean transformations, among other topi

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On the Mend 3.6 out of 5 based on 0 ratings. 5 reviews.
lkp49 More than 1 year ago
This book was recommended by a colleague and I ordered it on her suggestion. It is very interesting and gives me hope for the medical profession. Having worked in the health / pharmaceutical industry for years, I am encouraged to see more patient based health care organizations embracing the quality tools that have been used in other industries - for years - successfully. The book is well written, easy to read and very inspiring.
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