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January 2010

Freedom within Framework

by Pete Abilla on January 29, 2010

freedom within framework, lean manufacturing

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 [...]

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In Their Natural Environment

by Pete Abilla on January 28, 2010

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. [...]

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Staring at Acoustic Ceiling Tiles

by Pete Abilla on January 25, 2010

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. We know that ER Wait [...]

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Emergency Room (ER) Wait Times

by Pete Abilla on January 21, 2010

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. With the aging demographic, we can expect the demand for emergency [...]

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