Rethinking Lean in Healthcare

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Author :
Publisher : CRC Press
ISBN 13 : 1315350025
Total Pages : 143 pages
Book Rating : 4.3/5 (153 download)

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Book Synopsis Rethinking Lean in Healthcare by : Thomas G. Zidel

Download or read book Rethinking Lean in Healthcare written by Thomas G. Zidel and published by CRC Press. This book was released on 2016-08-05 with total page 143 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book deals with a hospital's struggle to secure and maintain financial stability. In the story, the leadership team of a fictional hospital adopts the tools and principles associated with the Toyota Production System or Lean. The story takes the reader through leadership's arduous journey from rejecting the methodology to embracing it, to successful implementation. This book is important because many of our nation's hospitals are besieged with financial difficulties with declining reimbursement and the public is losing confidence in our hospital's ability to provide quality care without error. Lean can provide relief from these issues but only if it is properly implemented.

Reengineering Health Care

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Author :
Publisher : FT Press
ISBN 13 : 0137052650
Total Pages : 241 pages
Book Rating : 4.1/5 (37 download)

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Book Synopsis Reengineering Health Care by : James Champy

Download or read book Reengineering Health Care written by James Champy and published by FT Press. This book was released on 2010 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: """Reengineering Health Care" gets to the core of transforming our current system by advocating the widespread use of IT, eliminating inefficient practices, and keeping the system focused on a healthy individual and not on a broken process.""--Newt Gingrich, Founder of the Center for Health Transformation, and former Speaker of the U.S. House of Representatives ""This book is a prescription for streamlining health care. Using the techniques that have successfully transformed business into customer-focused and efficient organizations, the authors provide a step-by-step approach to improving health care processes, guiding health care into the next generation of Lean delivery systems.""--Dr. John Halamka, Chief Information Officer, Beth Israel Deaconess Medical Center ""In health care, we tend to inundate our people with information, rather than enabling them to have insights. This concise guide will resonate with both senior and front-line managers who know they're engaged in unproductive work. They will see that reengineering is not overly difficult and can enable them to improve patient care and efficiency.""--Trevor Fetter, President and CEO, Tenet Health Corporation, and Trustee, Federation of American Hospitals ""It isn't reform that will fix our ailing health care system, its reengineering. Champy and Greenspun highlight organizations that have transformed, and reinvented, themselves by reengineering care delivery-they've lowered costs, improved care quality and patient safety, and increased the satisfaction of those giving and receiving care. Every clinician, hospital executive, and politician should read this book.""--Bill Crounse, M.D., Senior Director, Worldwide Health, Microsoft Corporation ""Implement health care technology, and you have better health care tools; reengineer with a focus on technology, process, and people, and you have a better health care system. This straightforward guide shows how to transform health care to maximize quality, safety, convenience, and impact the cost of delivery. No one can read this book and not feel a profound call to action.""--H. Stephen Lieber, CAE, President & CEO, HIMSS In their legendary book, "Reengineering the Corporation", Jim Champy and Michael Hammer introduced businesspeople to the enormous power of a revolutionary methodology called "reengineering". Using reengineering, businesses around the world have systematically retooled their processes--achieving dramatic cost savings, greater customer satisfaction, and more value. Now, Jim Champy and Dr. Harry Greenspun show how to apply the proven reengineering methodology in health care: throughout physician practices, hospitals, and even entire health systems. You'll meet innovative and visionary leaders who've been successfully reengineering organizations across the entire delivery spectrum and learn powerful lessons for improving quality, reducing costs, and expanding access. This book doesn't just demonstrate the immense potential of health care reengineering to revolutionize health care delivery: "it offers a clear roadmap for realizing that potential in your own organization""." Deliver Better Care to More People, at Lower Cost How reengineering can lead to more efficient, safer delivery--and sharply reduced costs How to focus on prevention and wellness, as well as chronic disease and hospital care How to earn the trust, contributions, and passion of skeptical physicians and health care professionals How to harness technology to create more seamless, accessible, valued, and sustainable health care systems--and avoid technology's pitfalls How Zeev Neuwirth transformed the Lenox Hill Hospital ER and the 700-doctor Harvard Vanguard Medical Associates practice How Tom Knight is revolutionizing patient safety at Methodist Hospital System, one of America's largest private, nonprofit medical complexes How to start today in your own organization!

Lean Thinking

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Author :
Publisher : Simon and Schuster
ISBN 13 : 1471111008
Total Pages : 365 pages
Book Rating : 4.4/5 (711 download)

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Book Synopsis Lean Thinking by : James P. Womack

Download or read book Lean Thinking written by James P. Womack and published by Simon and Schuster. This book was released on 2013-09-26 with total page 365 pages. Available in PDF, EPUB and Kindle. Book excerpt: Lean Thinking was launched in the fall of 1996, just in time for the recession of 1997. It told the story of how American, European, and Japanese firms applied a simple set of principles called 'lean thinking' to survive the recession of 1991 and grow steadily in sales and profits through 1996. Even though the recession of 1997 never happened, companies were starving for information on how to make themselves leaner and more efficient. Now we are dealing with the recession of 2001 and the financial meltdown of 2002. So what happened to the exemplar firms profiled in Lean Thinking? In the new fully revised edition of this bestselling book those pioneering lean thinkers are brought up to date. Authors James Womack and Daniel Jones offer new guidelines for lean thinking firms and bring their groundbreaking practices to a brand new generation of companies that are looking to stay one step ahead of the competition.

Lean Done Right

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Publisher : Ache Management Series
ISBN 13 : 9781567934229
Total Pages : 0 pages
Book Rating : 4.9/5 (342 download)

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Book Synopsis Lean Done Right by : Tom Zidel

Download or read book Lean Done Right written by Tom Zidel and published by Ache Management Series. This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Winner of the Axiom Business Book Award Silver Medal - Operations Management and Shingo Research and Professional Publication Award! Your healthcare organization cannot afford to waste time, money, or resources on an improper Lean implementation. You want to create a culture of continuous improvement, not a regime of tools that address problem areas but have short-lived results. Lean Done Right: Achieve and Maintain Reform in Your Healthcare Organization provides a roadmap for launching a transformative and sustainable Lean initiative. The Lean implementation model focuses on strategically directed action, developing a lean organizational culture, and enhancing the care delivery system. Chapters include: Death by Kaizen Event A Lean Implementation Model Strategically Directed Action The Culture-Creating Path Implement the Value Stream Work Plan The System-Creating Path Instructor Resources: PowerPoint slides of the exhibits from selected chapters.

Lean Thinking for Healthcare

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 1461480361
Total Pages : 663 pages
Book Rating : 4.4/5 (614 download)

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Book Synopsis Lean Thinking for Healthcare by : Nilmini Wickramasinghe

Download or read book Lean Thinking for Healthcare written by Nilmini Wickramasinghe and published by Springer Science & Business Media. This book was released on 2013-10-04 with total page 663 pages. Available in PDF, EPUB and Kindle. Book excerpt: A growing, aging population; the rise to epidemic proportions of various chronic diseases; competing, often overlapping medical technologies; and of course, skyrocketing costs compounded by waste and inefficiency - these are just a few of the multifarious challenges currently facing healthcare delivery. An unexpected source of solutions is being imported from the manufacturing sector: lean thinking. Lean Principles for Healthcare presents a conceptual framework, management principles, and practical tools for professionals tasked with designing and implementing modern, streamlined healthcare systems or overhauling faulty ones. Focusing on core components such as knowledge management, e-health, patient-centeredness, and collaborative care, chapters illustrate lean concepts in action across specialties (as diverse as nursing, urology, and emergency care) and around the globe. Extended case examples show health systems responding to consumer needs and provider realities with equal efficiency and effectiveness, and improved quality and patient outcomes. Further, contributors tackle the gamut of technological, medical, cultural, and business issues, among them: Initiatives of service-oriented architecture towards performance improvement Adapted lean thinking for emergency departments Lean thinking in dementia care through smart assistive technology Supporting preventive healthcare with persuasive services Value stream mapping for lean healthcare A technology mediated solution to reduce healthcare disparities Geared toward both how lean ideas can be carried out and how they are being used successfully in the real world, Lean Principles for Healthcare not only brings expert knowledge to healthcare managers and health services researchers but to all who have an interest in superior healthcare delivery.

Lean Daily Management for Healthcare

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Author :
Publisher : Productivity Press
ISBN 13 : 9781138431546
Total Pages : 189 pages
Book Rating : 4.4/5 (315 download)

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Book Synopsis Lean Daily Management for Healthcare by : Brad White

Download or read book Lean Daily Management for Healthcare written by Brad White and published by Productivity Press. This book was released on 2017-08-02 with total page 189 pages. Available in PDF, EPUB and Kindle. Book excerpt: You likely don�t need any more tools, programs, or workshops to improve your hospital. What you need is a simple and consistent approach to manage problem-solving. Filling this need, this book presents a Lean management system that can help break down barriers between staff, directors, and administration and empower front-line staff to resolve their own problems.Lean Daily Management for Healthcare: A Strategic Guide to Implementing Lean for Hospital Leaders provides practical, step-by-step guidance on how to roll out Lean daily management in a hospital setting. Ideal for leaders that may feel lost in the transition process, the book supplies a roadmap to help you identify where your hospital currently is in its Lean process, where it�s headed, and how your role will change as you evolve into a Lean leader.Illustrating the entire process of implementing Lean daily management, the book breaks down the cultural progression of units into discreet, objectively measurable phases. It identifies what leaders at all levels of the organization must do to progress units into the next phase of development.Complete with case studies from different service areas in the hospital, the book explains how to link problem-solving boards together to achieve meaningful and measurable improvements in: the emergency department, the operating room, discharge times, clinics, quality, and patient satisfaction.After reading this book you will understand how consistent rounding, a few whiteboards, pen-and-paper data, and a focused effort on working the Plan-Do-Study-Act cycle can help you build a common problem-solving bench strength throughout your organization�establishing the framework upon which future improvement can be built.

Freedom from Command and Control

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Author :
Publisher : CRC Press
ISBN 13 : 1439885087
Total Pages : 260 pages
Book Rating : 4.4/5 (398 download)

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Book Synopsis Freedom from Command and Control by : John Seddon

Download or read book Freedom from Command and Control written by John Seddon and published by CRC Press. This book was released on 2019-02-13 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Command and Control is failing us. There is a better way to design and manage work - a better way to make work work - but it remains unknown to the vast majority of managers." An adherent of the Toyota Production System, John Seddon explains how traditional top-down decision making within service organizations leads to managers

Whole

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Publisher : BenBella Books, Inc.
ISBN 13 : 1937856259
Total Pages : 310 pages
Book Rating : 4.9/5 (378 download)

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Book Synopsis Whole by : T. Colin Campbell

Download or read book Whole written by T. Colin Campbell and published by BenBella Books, Inc.. This book was released on 2013-05-07 with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt: New York Times Bestseller What happens when you eat an apple? The answer is vastly more complex than you imagine. Every apple contains thousands of antioxidants whose names, beyond a few like vitamin C, are unfamiliar to us, and each of these powerful chemicals has the potential to play an important role in supporting our health. They impact thousands upon thousands of metabolic reactions inside the human body. But calculating the specific influence of each of these chemicals isn't nearly sufficient to explain the effect of the apple as a whole. Because almost every chemical can affect every other chemical, there is an almost infinite number of possible biological consequences. And that's just from an apple. Nutritional science, long stuck in a reductionist mindset, is at the cusp of a revolution. The traditional “gold standard" of nutrition research has been to study one chemical at a time in an attempt to determine its particular impact on the human body. These sorts of studies are helpful to food companies trying to prove there is a chemical in milk or pre-packaged dinners that is “good" for us, but they provide little insight into the complexity of what actually happens in our bodies or how those chemicals contribute to our health. In The China Study, T. Colin Campbell (alongside his son, Thomas M. Campbell) revolutionized the way we think about our food with the evidence that a whole food, plant-based diet is the healthiest way to eat. Now, in Whole, he explains the science behind that evidence, the ways our current scientific paradigm ignores the fascinating complexity of the human body, and why, if we have such overwhelming evidence that everything we think we know about nutrition is wrong, our eating habits haven't changed. Whole is an eye-opening, paradigm-changing journey through cutting-edge thinking on nutrition, a scientific tour de force with powerful implications for our health and for our world.

Healthcare Kaizen

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Publisher : CRC Press
ISBN 13 : 143987297X
Total Pages : 395 pages
Book Rating : 4.4/5 (398 download)

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Book Synopsis Healthcare Kaizen by : Mark Graban

Download or read book Healthcare Kaizen written by Mark Graban and published by CRC Press. This book was released on 2018-06-08 with total page 395 pages. Available in PDF, EPUB and Kindle. Book excerpt: Healthcare Kaizen focuses on the principles and methods of daily continuous improvement, or Kaizen, for healthcare professionals and organizations. Kaizen is a Japanese word that means "change for the better," as popularized by Masaaki Imai in his 1986 book Kaizen: The Key to Japan‘s Competitive Success and through the books of Norman Bodek, both o

Lean Hospitals

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Author :
Publisher : CRC Press
ISBN 13 : 1138031585
Total Pages : 383 pages
Book Rating : 4.1/5 (38 download)

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Book Synopsis Lean Hospitals by : Mark Graban

Download or read book Lean Hospitals written by Mark Graban and published by CRC Press. This book was released on 2016-06-30 with total page 383 pages. Available in PDF, EPUB and Kindle. Book excerpt: Organizations around the world are using Lean to redesign care and improve processes in a way that achieves and sustains meaningful results for patients, staff, physicians, and health systems. Lean Hospitals, Third Edition explains how to use the Lean methodology and mindsets to improve safety, quality, access, and morale while reducing costs, increasing capacity, and strengthening the long-term bottom line. This updated edition of a Shingo Research Award recipient begins with an overview of Lean methods. It explains how Lean practices can help reduce various frustrations for caregivers, prevent delays and harm for patients, and improve the long-term health of your organization. The second edition of this book presented new material on identifying waste, A3 problem solving, engaging employees in continuous improvement, and strategy deployment. This third edition adds new sections on structured Lean problem solving methods (including Toyota Kata), Lean Design, and other topics. Additional examples, case studies, and explanations are also included throughout the book. Mark Graban is also the co-author, with Joe Swartz, of the book Healthcare Kaizen: Engaging Frontline Staff in Sustainable Continuous Improvements, which is also a Shingo Research Award recipient. Mark and Joe also wrote The Executive’s Guide to Healthcare Kaizen.

Poor Economics

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Publisher : PublicAffairs
ISBN 13 : 1610391608
Total Pages : 321 pages
Book Rating : 4.6/5 (13 download)

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Book Synopsis Poor Economics by : Abhijit V. Banerjee

Download or read book Poor Economics written by Abhijit V. Banerjee and published by PublicAffairs. This book was released on 2012-03-27 with total page 321 pages. Available in PDF, EPUB and Kindle. Book excerpt: The winners of the Nobel Prize in Economics upend the most common assumptions about how economics works in this gripping and disruptive portrait of how poor people actually live. Why do the poor borrow to save? Why do they miss out on free life-saving immunizations, but pay for unnecessary drugs? In Poor Economics, Abhijit V. Banerjee and Esther Duflo, two award-winning MIT professors, answer these questions based on years of field research from around the world. Called "marvelous, rewarding" by the Wall Street Journal, the book offers a radical rethinking of the economics of poverty and an intimate view of life on 99 cents a day. Poor Economics shows that creating a world without poverty begins with understanding the daily decisions facing the poor.

The Birth of Lean

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Publisher : Lean Enterprise Institute
ISBN 13 : 1934109339
Total Pages : 302 pages
Book Rating : 4.9/5 (341 download)

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Book Synopsis The Birth of Lean by : Takahiro Fujimoto

Download or read book The Birth of Lean written by Takahiro Fujimoto and published by Lean Enterprise Institute. This book was released on 2012-03-04 with total page 302 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is an honest look at the origins of lean, written in the words of the people who created the system. Through interviews and annotated talks, you will hear first-person accounts of what these innovators and problem-solvers did and why they did it. You¿ll read rare, personal commentaries that explain the interplay of (sometimes opposing) ideas that created a revolution in thinking.

Gemba Walks

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Publisher :
ISBN 13 : 9781934109380
Total Pages : 0 pages
Book Rating : 4.1/5 (93 download)

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Book Synopsis Gemba Walks by : James P. Womack

Download or read book Gemba Walks written by James P. Womack and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 12 new essays, ranging from the provocative to the practical and written specially for the second edition of Gemba Walks author and management expert Jim Womack reflects on the past 30 years of lean, and assesses the current state of lean today.He also shares thoughts on how lean thinking and practice can continue to make the world a better place by gaining traction in areas such as government and healthcare, provides practical guidance for how leaders everywhere can realize the full benefits of a lean management system, and shares hope for continued improvement on the path to better work and more value.Over the past 30 years, Womack has developed a method of going to visit the gemba at countless companies and keenly observing how people work together to create value. He has shared his thoughts and discoveries from these visits with the lean community through a monthly letter. With Gemba Walks second edition, Womack has selected and re-organized his key letters, as well as written 12 new essays.Gemba Walks shares his insights on topics ranging from the application of specific tools, to the role of management in sustaining lean, as well as the long-term prospects for this fundamental new way of creating value. Reading this book will reveal to readers a range of lean principles, as well as the basis for the critical lean practice of: go see, ask why, and show respect.Womack explains: - whatever happened to Toyota and what happens next to lean?- how lean got its name 25 years ago; a special essay co-authored by Jim and John Krafcik, president and CEO, Hyundai Motors America- work, management, and leadership -- what is the real work of the lean leader?- don't offshore or reshore -leanshore- why companies need fewer heroes and more farmers (who work daily to improve the processes and systems needed for perfect work and who take the time and effort to produce long-term improvement)- how "good" people who work in "bad" processes become as "bad" as the process itself- how the real practice of showing respect comes down to helping workers frame and solve their own problems- how the short-term gains from lean tools can be translated to enduring change from lean management.- how the lean manager has a "restless desire to continually rethink the organization's problems, probe their root causes, and lead experiments to test the best currently known countermeasures"By sharing his personal path of discovery, Womack sheds new light on the continued adoption and development of the most important new business system of the past fifty years. His journey will provide courage and inspiration for every lean practitioner today.

Innovating Lean Six Sigma: A Strategic Guide to Deploying the World's Most Effective Business Improvement Process

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Author :
Publisher : McGraw Hill Professional
ISBN 13 : 1259584410
Total Pages : 305 pages
Book Rating : 4.2/5 (595 download)

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Book Synopsis Innovating Lean Six Sigma: A Strategic Guide to Deploying the World's Most Effective Business Improvement Process by : Kimberly Watson-Hemphill

Download or read book Innovating Lean Six Sigma: A Strategic Guide to Deploying the World's Most Effective Business Improvement Process written by Kimberly Watson-Hemphill and published by McGraw Hill Professional. This book was released on 2016-02-26 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: The New and Definitive User’s Guide to Lean Six Sigma If you’re a business manager, you already know that Lean Six Sigma is one of the most popular and powerful business tools in the world today. You also probably know that implementing the process can be more than a little challenging. This step-by-step guide shows you how to customize and apply the principles of Lean Six Sigma to your own organizational needs, giving you more options, strategies, and solutions than you’ll find in any other book on the subject. With these simple, proven techniques, you can: * Assess your current business model and shape your future goals * Plan and prepare a Lean Six Sigma program that’s right for your company * Engage your leadership and your team throughout the entire process * Align your LSS efforts with the culture and values of your business * Develop deeper insights into your customer experience * Master the art of project selection and pipeline management * Tackle bigger problems and find better solutions * Become more efficient, more productive, and more profitable This innovative approach to the Lean Six Sigma process allows you to mold and shape your strategy as you go, making small adjustments along the way that can have a big impact. In this book, you’ll discover the most effective methods for deploying LSS at every level, from the leaders at the top to the managers in the middle to the very foundation of your company culture. You’ll hear from leading business experts who have guided companies through the LSS process—and get the inside story on how they turned those companies around. You’ll also learn how to use the latest, greatest management tools like Enterprise Kaizen, Customer Journey Maps, and Hoshin Planning. Everything you need to implement Lean Six Sigma—smoothly and successfully—is right here at your fingertips. When it comes to running a business, there is no better way to improve efficiency, increase productivity, and escalate profits than Lean Six Sigma. And there is no better book on how to make it work than Innovating Lean Six Sigma.

Anti-Diet

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Publisher : Little, Brown Spark
ISBN 13 : 0316420360
Total Pages : 304 pages
Book Rating : 4.3/5 (164 download)

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Book Synopsis Anti-Diet by : Christy Harrison

Download or read book Anti-Diet written by Christy Harrison and published by Little, Brown Spark. This book was released on 2019-12-24 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: Reclaim your time, money, health, and happiness from our toxic diet culture with groundbreaking strategies from a registered dietitian, journalist, and host of the Food Psych podcast. 68 percent of Americans have dieted at some point in their lives. But upwards of 90% of people who intentionally lose weight gain it back within five years. And as many as 66% of people who embark on weight-loss efforts end up gaining more weight than they lost. If dieting is so clearly ineffective, why are we so obsessed with it? The culprit is diet culture, a system of beliefs that equates thinness to health and moral virtue, promotes weight loss as a means of attaining higher status, and demonizes certain ways of eating while elevating others. It's sexist, racist, and classist, yet this way of thinking about food and bodies is so embedded in the fabric of our society that it can be hard to recognize. It masquerades as health, wellness, and fitness, and for some, it is all-consuming. In Anti-Diet, Christy Harrison takes on diet culture and the multi-billion-dollar industries that profit from it, exposing all the ways it robs people of their time, money, health, and happiness. It will turn what you think you know about health and wellness upside down, as Harrison explores the history of diet culture, how it's infiltrated the health and wellness world, how to recognize it in all its sneaky forms, and how letting go of efforts to lose weight or eat "perfectly" actually helps to improve people's health—no matter their size. Drawing on scientific research, personal experience, and stories from patients and colleagues, Anti-Diet provides a radical alternative to diet culture, and helps readers reclaim their bodies, minds, and lives so they can focus on the things that truly matter.

A Lean Guide to Transforming Healthcare

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Author :
Publisher : Quality Press
ISBN 13 : 0873897013
Total Pages : 241 pages
Book Rating : 4.8/5 (738 download)

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Book Synopsis A Lean Guide to Transforming Healthcare by : Tom Zidel

Download or read book A Lean Guide to Transforming Healthcare written by Tom Zidel and published by Quality Press. This book was released on 2006-09-01 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is an implementation manual for lean tools and principles in a healthcare environment. Lean is a growth strategy, a survival strategy, and an improvement strategy. The goal of lean is, first and foremost, to provide value to the patient/customer, and in so doing eliminate the delays, overcrowding, and frustration associated with the existing care delivery system. Lean creates a better working environment where what is supposed to happen does happen. On time, every time. It allows clinicians to spend more of their time caring for patients and improves the quality of care these patients receive. A lean organization values its employees and encourages their involvement in organizational initiatives which, in turn, sustains hospital-wide quality improvements. The opportunities for lean in healthcare are limitless. This is not a book to be read and forgotten, nor is it meant to sit on a book shelf as another addition to an impressive but underutilized collection of how-to books. As the name implies, it is a guide; a companion to be referenced again and again as the organization moves forward with its lean transformation.

Lean Management Beyond Manufacturing

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Author :
Publisher : Springer
ISBN 13 : 331917410X
Total Pages : 300 pages
Book Rating : 4.3/5 (191 download)

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Book Synopsis Lean Management Beyond Manufacturing by : Sanjay Bhasin

Download or read book Lean Management Beyond Manufacturing written by Sanjay Bhasin and published by Springer. This book was released on 2015-04-20 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: Exploring Lean manufacturing in a holistic manner, this book helps organizations to implement Lean principles successfully by offering theoretical, empirical and practical knowledge. It empirically demonstrates how a successful Lean initiative can improve organizational efficiency, and incorporates valuable primary research to substantiate findings. It argues that Lean principles need to be applied throughout the value chain in order to be successful , and suggests that these tools need to be aligned with culture and change management. Chapters examine issues including Lean cultures, impediments to Lean, Lean and performance measurement, and the impact of Lean. Viewing Lean as a never-ending journey, this book provides a valuable resource to practising Lean managers, and specialist researchers and students, and also offers an important reference for organizations embarking on their Lean voyage.