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Stop Rising Healthcare Costs Using Toyota Lean Production Methods

Posted on: Tuesday, 15 November 2005, 09:00 CST

By Farris, Dale

Stop Rising Healthcare Costs Using Toyota Lean Production Methods Robert W. Chalice, ASQ Quality Press, 2005, 192 pp., $20 member, $25 list (book).

Robert Chalice applies his 25 years of experience in the healthcare industry in Stop Rising Healthcare Costs Using Toyota Lean Production Methods: 38 Steps for Improvement. The book begins with a concise analysis of the major concerns in today's U.S. healthcare system, including rising healthcare premium costs, the increasing number of uninsured Americans, waste, expenditures as a growing percentage of the gross domestic product and Chalice's perspective on the failure of quality improvement and total quality management in healthcare.

Chalice follows this with a brief synopsis of the importance of employee respect and-at the heart of the booksummarizes his 38 key steps, all based on the well-known Toyota lean production methodology. The steps are briefly explained and directly related to the healthcare industry. They are based on the advice of lean advocates and quality experts, as well as the author's own experience with process improvement in healthcare.

The appendixes include summaries of how three healthcare facilitiesChildren's Hospital and Regional Medical Center in Seattle, the Veteran's Administration Pittsburgh Health System and the Department of Pathology in the University of Pittsburgh Medical Center's Shadyside Hospital-have successfully applied some of the Toyota production system principles.

Chalice does a super job relating the principles of Toyota's manufacturing prowess to the needs and interests of healthcare managers. Readers will better understand how to implement a Toyota based organizational structure to continuously improve quality and reduce cost in healthcare organizations. I highly recommended this book for anyone in healthcare leadership and healthcare quality improvement.

Dale Farris

Groves, TX

Copyright American Society for Quality Nov 2005


Source: Quality Progress

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