what is lean ?

this is lean 1

I could tell ya in a sentence or twobut naaaa...

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a taleof two...

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allisonthinks she has breast cancer

this is lean 4

allison’s journey...

this is lean 5

local clinic...

this is lean 6

mamaography...

this is lean 7

breast clinic...

this is lean 8

cytology

this is lean 9

back to the breast clinic...

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42 days

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meanwhile...

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sarahfeels a lump in her breast

this is lean 13

sarah’s journey...

this is lean 14

local clinic...

this is lean 15

local clinic... mammography...

this is lean 16

local clinic... mammography... breast clinic...

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local clinic... mammography... breast clinic... cytology...

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in 2 hrs!for reals? yup.

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500 times faster care

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500 times faster care

now that’s WTF

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how didthathappen?this is lean 22

it happened

withafocuson...

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thecustomerseeing what the customer sees

this is lean 24

resolving the efficiency paradox

this is lean 25

the paradox is

resourceefficiencyvs

flow efficiency

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flow efficiencyfocuses on the amount of time from identifying to satisfying a need

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from the

resource’s perspective ➡

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from the

resource’s perspective ➡

from the

customer’s perspective ➡

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the components of flow efficiency

processesflow unitsthroughput

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patient adapting to the doctor ...OR doctor adapting to the patient?

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“your call is very important to us.”

yeah...right.

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no one to call here

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flow units

canbeinfoorpeople

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user storiesas flow units

this is lean 35

bottlenecks

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seeyourbot-tle-necks

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sources of inefficiency

long throughput timesmany flow unitstoo many restarts

this is lean 38

bugswhat if we called them

mistakes?

this is lean 39

deming

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japan

a small nation

scarce on resources

forced to focus on

customer needs

this is lean 41

toyota.#1. customer focus.

this is lean 42

just in time

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decoding toyota’s DNA

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decoding toyota’s DNAlooking at the time from when the customer creates the order... to when we collect the cash...reducing the time...by reducing the non-value added activities

this is lean 45

conditions that must exist for a soccer team to score goals...

this is lean 46

just in time

creating flow

this is lean 47

jidoka

creating picture to improve flow

this is lean 48

to resolve the paradox...

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get everyone to see the whole

this is lean 50

focus on flow

this is lean 51

avoid island thinking

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make hand-offs smooth

this is lean 53

satisfy real customer needs

this is lean 54

There’s the terminator...

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and...

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todd’svisualonepagesummarybooknotes

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