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	<title>Comments on: Reflections on Lean 2008</title>
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	<description>Online Software Development by Richard Durnall</description>
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		<title>By: Daniel Haughey</title>
		<link>http://www.richarddurnall.com/?p=36#comment-54</link>
		<dc:creator>Daniel Haughey</dc:creator>
		<pubDate>Mon, 10 Mar 2008 11:50:54 +0000</pubDate>
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		<description>I attended one of the lean 2008 sessions that Rich and Jason did not ... Introducing Lean in a Complex Enterprise, John Toussaint (CEO - Thedacare) with David Ben-Tovim (Flinders Medical Centre).  Rich was too squeamish to attend.  

Some points I took away ....
- &#039;defect&#039; rates in hospitals are very poor in comparison to other industries
- Doctors are trained as individuals, not in standard work, process and continuous improvement
- Their reason for starting the journey was personal frustration, not cost reduction
- Introducing lean has been a long difficult journey (6 years and counting)
- Start with some benchmark (interestingly John chose a local snowblower manufacturer)
- Get a sensei
- You need to visualise the line (before getting to standardised work)
- Relentlessly standardise work (there were some gory examples - of this not happening)


It was great to see such a diverse group on the same journey, and I was surprised how neer the start of that journey most people consider themselves to be.</description>
		<content:encoded><![CDATA[<p>I attended one of the lean 2008 sessions that Rich and Jason did not &#8230; Introducing Lean in a Complex Enterprise, John Toussaint (CEO &#8211; Thedacare) with David Ben-Tovim (Flinders Medical Centre).  Rich was too squeamish to attend.  </p>
<p>Some points I took away &#8230;.<br />
- &#8216;defect&#8217; rates in hospitals are very poor in comparison to other industries<br />
- Doctors are trained as individuals, not in standard work, process and continuous improvement<br />
- Their reason for starting the journey was personal frustration, not cost reduction<br />
- Introducing lean has been a long difficult journey (6 years and counting)<br />
- Start with some benchmark (interestingly John chose a local snowblower manufacturer)<br />
- Get a sensei<br />
- You need to visualise the line (before getting to standardised work)<br />
- Relentlessly standardise work (there were some gory examples &#8211; of this not happening)</p>
<p>It was great to see such a diverse group on the same journey, and I was surprised how neer the start of that journey most people consider themselves to be.</p>
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		<title>By: richard durnall</title>
		<link>http://www.richarddurnall.com/?p=36#comment-53</link>
		<dc:creator>richard durnall</dc:creator>
		<pubDate>Thu, 06 Mar 2008 05:54:02 +0000</pubDate>
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		<description>Thanks Jason.

I remember that story but I hadn&#039;t realised it was Aisin. Interesting, makes more sense now!...</description>
		<content:encoded><![CDATA[<p>Thanks Jason.</p>
<p>I remember that story but I hadn&#8217;t realised it was Aisin. Interesting, makes more sense now!&#8230;</p>
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		<title>By: Jason Yip</title>
		<link>http://www.richarddurnall.com/?p=36#comment-52</link>
		<dc:creator>Jason Yip</dc:creator>
		<pubDate>Wed, 05 Mar 2008 12:04:57 +0000</pubDate>
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		<description>It was a great Summit and I&#039;ll definitely attend again next year.

Nice summary.  Reminded me of a few things I forgot to mention for my internal summary.

Re: Aisin
I didn&#039;t recognise the name either initially but then I remembered the Aisin fire story: http://en.wikipedia.org/wiki/1997_Aisin_fire</description>
		<content:encoded><![CDATA[<p>It was a great Summit and I&#8217;ll definitely attend again next year.</p>
<p>Nice summary.  Reminded me of a few things I forgot to mention for my internal summary.</p>
<p>Re: Aisin<br />
I didn&#8217;t recognise the name either initially but then I remembered the Aisin fire story: <a href="http://en.wikipedia.org/wiki/1997_Aisin_fire" rel="nofollow">http://en.wikipedia.org/wiki/1997_Aisin_fire</a></p>
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