Parallels between Lean Startups and Lean Hospital Design

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Mark Graban

My "ignite" talk from the 2012 Lean Startup Conference... see video here: http://www.youtube.com/watch?v=70OXsRL3CiI

Empresariales

Parallels Between  
Lean Startups and  
Lean Hospitals"
@MarkGraban"

Healthcare $$ as % of GDP"
20!

15!

10!

5!

0!
1960! 1970! 1980! 1990! 2000! 2010!

Traditional Hospital Design Process"
Pre-
Design!
Design
Team!

Consultants!

Builder!

Current State Observation"
Patient Needs Assessment"
Strategic Plan"

Staff &" Hospital "
Patient Feedback" Prototypes"
Outcomes"

Lean Integrated Project Delivery"

Owner!

Builder! Architect!

FASTER! 3.5 months (20%)"
SMALLER! 34k sq ft (20%)"
CHEAPER! $6.7M (17%)"

# of Recorded Kaizens!
5,000 !
4,000 !
3,000 !
2,000 !
1,000 !
- !
2007! 2008! 2009! 2010! 2011

No waiting!

No waste!

Zero harm!
@MarkGraban!

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