Planet Lean: The Official online magazine of the Lean Global Network
Interview with Helen Zak on lean healthcare challenges

Interview with Helen Zak on lean healthcare challenges

Helen Zak
November 6, 2015

INTERVIEW – At the recent European Lean Healthcare Transformation Summit, we sat down with Helen Zak for a few minutes to discuss the state of change in the healthcare sector.


Words: Helen Zak, Chief Development Officer, ThedaCare Center for Healthcare Value


Roberto Priolo: What does a successful lean transformation look like, in your opinion?

Helen Zak: Process matters, not just the outcomes. This means that an organization that has successfully completed a lean turnaround is one that has a clear focus on process.

Secondly, in a lean organization employees are the real engine of value creation and are actively engaged in problem solving and continuous improvement (each person providing hundreds of new ideas every year). Finally, you see executive teams getting involved and practicing what they preach (going to the gemba, role-modeling, and using A3s).

In essence, you see systems, behaviors and – yes – tools working together in harmony.


RP: What are some of the systemic challenges that healthcare faces today?

HZ: The payment system is certainly one. In its current form, it drives bad behavior, rewarding quantity over quality. Until that changes, we are going to continue to see the same bad outputs we see today. Tragically, this means us being unintentionally hurt and killed every day.

Healthcare has also gotten so complex that it is hard to manage. We need system architects in the industry to rationalize the way we work. Lean teams and heroic leaders are starting to put the right systems in place, but this does not happen across the sector yet. It still takes a special hospital to have a special leader who can see the future; sadly, most places are not like that.

We tend to see lack of leadership and lack of vision, instead of the will (or the grit) to do the hard work of changing.


RP: What makes it so hard to understand the role of a managing system?

HZ: Senior healthcare executives have become successful thanks to a certain set of behaviors, but those aren’t the behaviors that you need in a lean management system.

As we all know, habits are hard to break and not everybody is willing to do that. It takes a burning platform, first, and then a leader who understands the need to change himself or herself.

Additionally, people don’t know what good looks like; they just know what has made them successful. That’s why we take them to ThedaCare and Virginia Mason and so on, to show them what good looks like so they have that mental model that allows them to understand what lean is all about. These are just small steps, but they hopefully help us to plant a seed in their heads. When they see how fundamentally different a lean organization is, they start to get it – “There are no bells going off here,” “This ward is not chaotic,” or “Is that the manager at the huddle board?”


RP: What has ThedaCare Center for Healthcare Value been up to recently?

HZ: We are trying to share all the new knowledge that is coming out. The Healthcare Value Network (which we run) is a group of 60 organizations across North America that really act as incubators of new knowledge. Our job is to disseminate the lessons they learn with organizations around the world (for example through conferences, gemba visits, and publications, like the latest book by John Toussaint, Management on the Mend).

Our new frontier, however, is focusing more on CEOs, because we firmly believe that you can’t have a lean transformation only from the bottom up. We see this as a big gap in the industry, and we are working hard to fill it, mainly by trying to make CEOs understand that transformations start with them and by coaching them through what they need to do (from the definition of the organization’s True North to the strategy deployment process). We are trying to help them understand their role.


THE INTERVIEWEE

Helen Zak photograph
Helen Zak is Chief Development Office at the ThedaCare Center for Healthcare Value

Read more

What does lean management look like in our every-day life?
April 2, 2015
What does lean management look like in our every-day life?

OPINION - If you have ever 5S-ed your daughter’s room or tried to bring one-piece flow to your grocery routine, this article on what lean management looks like in our personal lives is for you.

Continue reading
To the end of the world
November 17, 2023
To the end of the world

WEB SERIES - In the last episode of our It's a Lean World series, we travel to the tip of South America to visit the southernmost Distribution Center in the world and learn about its lean work.

Continue reading
Alice Lee's story - why lean learning and teaching coexist
April 19, 2016
Alice Lee's story - why lean learning and teaching coexist

PROFILE – While pioneering the application of lean thinking in healthcare, Alice Lee realized that you should always approach teaching as you do problem solving: scientifically, situationally, and with the humility of a learner.

Continue reading
Resilience: problems Ukrainian firms are experiencing today
May 6, 2022
Resilience: problems Ukrainian firms are experiencing today

FEATURE – Ahead of their exclusive webinar next week, the authors outline some of the problems Ukrainian companies are facing as the Russian invasion continues.

Continue reading

Read more

No items found.