1st Edition

Andy & Me and the Hospital Further Adventures on the Lean Journey

By Pascal Dennis Copyright 2016
    247 Pages 8 Color & 60 B/W Illustrations
    by Productivity Press

    250 Pages
    by Productivity Press

    247 Pages 8 Color & 60 B/W Illustrations
    by Productivity Press

    Based on the author's years of experience working with Toyota’s master teachers and with companies in the midst of great change, this book follows the story established in the Shingo Prize-winning book, Andy & Me: Crisis & Transformation on the Lean Journey.

    In a cool and readable style, Andy & Me and the Hospital: Further Adventures on the Lean Journey follows Tom Pappas's relationship with Andy Saito, a reclusive retired Toyota guru. Tom and Andy are pulled into a major New York City hospital in crisis. Can they translate and apply Toyota’s powerful methods and thinking to save the hospital from disaster?

    Using a compelling novel format, the book demonstrates how to apply Lean thinking in a healthcare setting. It illustrates the situations, characters, and plant politics you will most likely face as you progress through your Lean healthcare journey. As the story unfolds, you will discover the way of thinking and behavioral changes required to implement proven Toyota Production System (TPS) methods, tools, and thinking in healthcare. You will learn:

    • What a Lean transformation in a hospital should look like
    • The overall approach you need to take
    • The leadership and behavioral changes required
    • How to improve processes and better develop and engage people
    • How to build and sustain a Lean management system
    • How to translate and apply Deming’s "profound system of knowledge"

    This book provides clear and simple guidance on what it takes to successfully implement Toyota methods in healthcare settings. It shares helpful insights on how the different elements need to fit together to deliver measurable process improvement results. Just like its bestselling predecessors, this book includes study questions after each chapter to support learning and to facilitate discussion in workshops or classroom settings.

    Why Do I Feel So Lousy?

    The Humpty Dumpty Bar & Grill

    Rachel and Gwendolyn

    My Uncle’s Funeral

    Andy Saito

    The Usual Suspects

    What’s Happening behind the Curtain?

    Developing Our Strategy

    How Will We Change Their Thinking?

    Value and Waste

    Moment of Truth

    Visual Management and 5S

    Standardized Work

    Quality in the Process

    Flow—Part 1

    Flow—Part 2

    Total Involvement and Kaizen

    The Four Rules

    Practical Problem Solving

    Year-End Review



    Pascal Dennis is President of Lean Pathways, an international coaching team. He is the author of four previous books on Lean management, all of which have won the prestigious Shingo Prize for outstanding research in the field of operational excellence. Pascal and his team have worked with major healthcare systems like Inova Health System, Baptist Memorial Healthcare Corporation, Health Sciences North and Salem Health, as well as Fortune 100 companies like Kimberly Clark and Lockheed Martin.

    Pascal learned the Toyota business system in leadership positions at Toyota Motor Manufacturing Canada, one of Toyota’s best plants, and has worked with leading senseis in North America and Japan.

    Pascal lives in Toronto with his wife and three children.

    For more information please visit www.leansystems.org.