Archive for January, 2010
Freedom within Framework
A fence keeps us safe from harm – often, from harming ourselves and from harming others. In deployments of Lean Thinking at organizations, the principle of Freedom within Framework describes our approach well.
Disambiguating the Fence
A fence can be understood a few different ways:
- A Silo: A fence marks “mine” from “yours”. This is NOT what we are talking about.
A fence keeps us safe from harm – often, from harming ourselves and from harming others. In deployments of Lean Thinking at organizations, the principle of Freedom within Framework describes our approach well.
Disambiguating the Fence
A fence can be understood a few different ways:
- A Silo: A fence marks “mine” from “yours”. This is NOT what we are talking about.
In Their Natural Environment
I scheduled a meeting this week and a room for our meeting. During the course of our conversation, we began to discuss process and other items related to the their work. Gratefully, I had enough awareness to stop the conversation and we, as a team, walked out to the Gemba and continued our discussion there.
I scheduled a meeting this week and a room for our meeting. During the course of our conversation, we began to discuss process and other items related to the their work. Gratefully, I had enough awareness to stop the conversation and we, as a team, walked out to the Gemba and continued our discussion there.
Staring at Acoustic Ceiling Tiles

There is a Design Thinking opportunity to Emergency Room care. In my previous post, I discussed the time involved in waiting to receive care -queueing properties of ER care. What I didn’t discuss is the feeling and experience of the patient during care. That’s the topic for this post today.

There is a Design Thinking opportunity to Emergency Room care. In my previous post, I discussed the time involved in waiting to receive care -queueing properties of ER care. What I didn’t discuss is the feeling and experience of the patient during care. That’s the topic for this post today.
Emergency Room (ER) Wait Times
The Emergency Room plays a vital role in patient care and plays an important role in communities and society. According to the CDC, there were 119.2 million visits to the Emergency Room in 2007 1. Indeed, the demand for emergency room care is great.
The Emergency Room plays a vital role in patient care and plays an important role in communities and society. According to the CDC, there were 119.2 million visits to the Emergency Room in 2007 1. Indeed, the demand for emergency room care is great.

