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The Toyota Way to Healthcare Excellence: Increase Efficiency and Improve Quality With Lean 1st Edition

by John Black (Author), David Miller (Author)
4.3 4.3 out of 5 stars 27 ratings
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The Toyota Production System model, or Lean, is not new. It has been successfully used in manufacturing companies for decades and is now making dramatic improvements in healthcare institutions as well. This straightforward guide explains what Lean is, how it works, and how to implement the strategy at your organization. What do the production of cars and the care of patients have in common? In both cases, the goal is to deliver high-quality, error-free results. Lean is a proven strategy for providing safe, hassle-free, and cost-effective care. Learn from success stories from healthcare organizations Real-life examples illustrate how well Lean works. These accounts will help you gain a sense of what s involved in implementing Lean in healthcare. How do you get an organization to adopt Lean as its improvement strategy? How do you bring people on board? How do you put the Lean infrastructure in place? How do you even start? These stories will answer your questions about applying Lean, and perhaps most important, convey the remarkable results you can expect.
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  1. ISBN-10
    1567932932
  2. ISBN-13
    978-1567932935
  3. Edition
    1st
  4. Publisher
    Health Administration Pr
  5. Publication date
    May 1, 2008
  6. Language
    English
  7. Dimensions
    5.75 x 0.6 x 8.75 inches
  8. Print length
    255 pages
  9. See all details
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Editorial Reviews

About the Author

John Black was a pioneer of Lean Operations at The Boeing Company. His ideas also paved the way for the Boeing 737 moving assembly line, the world's first for a jet aircraft. Since retiring from Boeing and founding his own consulting firm, John Black and Associates, Black has developed broad experience helping healthcare organizations implement Lean operations. David Miller is a former executive speechwriter and communications director at a Fortune 500 company. He also has published two novels and numerous articles for corporate and non-corporate publications.

Product details

  • Publisher ‏ : ‎ Health Administration Pr; 1st edition (May 1, 2008)
  • Language ‏ : ‎ English
  • Paperback ‏ : ‎ 255 pages
  • ISBN-10 ‏ : ‎ 1567932932
  • ISBN-13 ‏ : ‎ 978-1567932935
  • Item Weight ‏ : ‎ 12.8 ounces
  • Dimensions ‏ : ‎ 5.75 x 0.6 x 8.75 inches
  • Customer Reviews:
    4.3 4.3 out of 5 stars 27 ratings

About the author

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John R. Black

John R. Black

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John Black, MBA, president and CEO of JBA, has served his country and corporate America throught a career spanning five decades. He is one of the nation’s leading authorities on Lean operations, becoming known as a Lean expert through four decades of first implementing Lean at Boeing and then consulting for industry and major healthcare systems, including Virginia Mason Medical Center in Seattle and the Saskatchewan Ministry of Health. In the 1980s, while with Boeing, Black helped innovate with the first moving assembly line in aerospace and was subsequently appointed to President Reagan’s White House Council on Productivity.

Prior to his Boeing career, Black served two military tours during the Vietnam War and the Cold War, with a decade split between the Republic of South Vietnam and U.S. Armed Forces Europe. His military awards included two Meritorious Service Medals, two Bronze Star Medals for Meritorious Achievement, among others. He was raised in a family known for its military service in everything from the U.S. Revolutionary War through World War I, World War II, the Korean War, and Vietnam, as well as during the Cold War era.

Having been raised by a professional musician, Black cut his first vinyl album in 1959, signed a recording contract in 1962, and was on his way to a music career prior to commissioning as a Distinguished Military Graduate, Regular Army Second Lieutenant, Infantry in 1963. Today he uses music to heal from his war experiences and connects with military veterans around the world through his website, MeetMeinVietnam.net and his albums on Spotify at https://open.spotify.com/artist/2QVW9siWMKhzIHB8CmSj6J and CD baby at https://store.cdbaby.com/Artist/JohnRBlack.

Black is the author of four books on Lean as well as his memoir, Tears and Triumphs. In addition to his MBA, Black holds Bachelor of Science and Masters degrees as well as a diploma from the U.S. Army’s Command and General Staff College.

Customer reviews

4.3 out of 5 stars
4.3 out of 5
27 global ratings

Top reviews from the United States

Snohomojo
5.0 out of 5 stars Lean is not just for manufacturing!
Reviewed in the United States on December 3, 2012
Verified Purchase
As a nursing healthcare administrator who was at Virginia Mason when the Toyota Production System (TPS) was first introduced in 2002 and was in the first group of 7 leaders to be certified in Lean, I can honestly say this is a fair and accurate account of what it takes to become a Lean healthcare organization.

John Black, prior Boeing engineer and expert in Lean, first introduced Lean to Virginia Mason, under the tutelage of Senesis Nakao and Iwata. "Lean is not for the faint of heart" is saying it mildly and success will come as a result of a top-down (and everybody in) initiative. I know personally the amount of work that was required to start Lean in healthcare and at times John Black was more like a drill sergeant than an engineer, but it paid off, and I am personally indebted to him for that rich experience. Having the Japanese senseis on site was absolutely invaluable!

Don't be surprised if you start out as a "concrete-head" (I know I did) meaning you don't believe lean manufacturing can cross over to healthcare (patients aren't cars)...but as I say in my lean lectures, "We in healthcare want what Toyota wants...safety, efficiency, and quality"...it's as simple as that.
4 people found this helpful
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S. Manthey
5.0 out of 5 stars Excellent
Reviewed in the United States on January 13, 2011
Verified Purchase
Healthcare today must be transformed! Politicians will not solve this problem that faces America. Healthcare professionals including administrators and providers must take the lead and make healthcare affordable. Mr Black has given America the answer. Imagine if all of America could see 50% improvement in number of patients seen with ZERO defects at the same cost. This is possible with John Blacks approach to LEAN!
7 people found this helpful
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Donald Bryant
4.0 out of 5 stars Usefulness of this book
Reviewed in the United States on February 12, 2009
Verified Purchase
The Toyota Way to Healthcare Excellence: Increase Efficiency and Improve Quality with Lean
The book is great for leaders who are new to the concepts of Lean as a tool to greatly improve the delivery of healthcare. Gives a good overview of what Lean is about.

I do disagree with Mr. Black about the need for having a mentor or sensei who has 20 years of experience and has been through training with Toyota Lean masters. It is ridiculous to think that such a large body of trained experts exist to help the population of healthcare providers. Plus, his assertion that a company needs only this approach and none others, such as TQM or Six Sigma, is debatable. After all, the American Society of Quality endorses a Lean Six Sigma approach. I am sure that Toyota uses other techniques too, such as DOE and Taguchii methods to overcome special problems in manufacturing.
12 people found this helpful
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Jasmine Ahuja
5.0 out of 5 stars Five Stars
Reviewed in the United States on June 15, 2017
Verified Purchase
Loved the notes that were in it and it was a good read
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David Kahaku
5.0 out of 5 stars Five Stars
Reviewed in the United States on August 18, 2016
Verified Purchase
Simple language and everyday examples.
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splat911
1.0 out of 5 stars Buy my Services
Reviewed in the United States on August 19, 2016
Verified Purchase
Look, there is some good stuff in here about the application of lean to healthcare. Nothing earth shattering, but solid. The reason it gets one star in my mind, however, is the over-the-top and completely misleading emphasis on the need to have an expert outside consultant guide you through the journey (i.e. read that "hire me").

Placing the importance of having a outside consultant on par with creating a vision for the organization, or stating that one of the most important first steps is to get rid of all "other" improvement methods, or finally, emphasizing that the minimum contract with your outside consultant should be 5 years "to demonstrate management's commitment to the journey" is complete hogwash and results in a complete loss of credibility of the author.

I've been doing business improvement for over 20 years, I teach it at a top 100 global university, and I've worked with some of the the top consulting firms in the world. I've implemented lean, as well as six sigma, MBNQA, BPM and many other methodologies in organizations in multiple industries around the world. Each method has value. No one method, lean included, can solve all of a healthcare providers challenges. It pays to have a rich toolkit, and to apply each in a way that emphasizes the solution over the technique.

Outside consulting help can be a real help, but this recipe is way outside the means of most organizations, and the long time that many consultants insist is required to provide meaningful impact results in negative NPV very quickly, and for a longer period of time than senior leaders in most organizations can afford.

Again, there's some good stuff in here, and if you can overlook the obvious sales job you can get some good information. Just go in with your eyes open and apply a good measure of common sense.
One person found this helpful
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Dr. Tom Lawless
5.0 out of 5 stars Five Stars
Reviewed in the United States on September 19, 2016
Verified Purchase
Great book
One person found this helpful
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Ask Doctor Lean
4.0 out of 5 stars Great Message
Reviewed in the United States on November 2, 2009
Verified Purchase
Today I can count on two fingers the people who are truly qualified to write a book on Lean Systems. John Black would be the first I would recommend. Yes, there is much more more to be learned and eventually written on the topic of transforming organizations into waste free work places, but this is a great beginning.
4 people found this helpful
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Top reviews from other countries

NOThankYou
3.0 out of 5 stars LEAN for Healthcare
Reviewed in Canada on June 25, 2012
Verified Purchase
Some very good information. A very thin book, especially after all the unnecessary stories are removed. Actual content with workable value would fit maybe two chapters. Definitely pricey for what is there.
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