March 2018


In lean (Toyota Production System), value is defined by the customer. To be considered value adding, an activity must meet a high standard: Does it change the form, fit, or function toward customer needs or wants, and is it done correctly the first time (rework is never value adding)? In healthcare, we’ve also added “feeling,” as a patient moves from concerned to reassured. An equivalent question is: Would the customer pay for this activity? 1

National Doctors’ Day

It seems like most every day is a “National Day” of something. In fact, according to, National Doctor’s Day is also National Pencil Day, National Take a Walk in a Park Day, and National Turkey Neck Soup Day. I do enjoy walks in the park and the simple pleasures of using a pencil (love that eraser!), though I am fairly sure I will never have turkey neck soup.