Posts in category Uncategorized

Key Performance Indicators Found on H...

Key Performance Indicators Found on Hospital Gemba Boards

A challenge to every department in implementing LEAN daily management is determining the metrics that they will follow on the gemba board. They need to be meaningful and easy to determine without outside surveys. The following is an example of some of the metrics used in different hospitals we have worked with: Pressure ulcers  # […]

How to Teach PDCA to Your Staff

How to Teach PDCA to Your Staff

Prior to the activity you will need to presort several decks of cards. Arrange the decks so that each deck has eights aces, eight 2s, eight 3s, and so on through eight 10s. Do not use the face cards. There should be 80 cards in the deck. Eight of each number ace through 10.   […]

The Living Pareto Chart

The Living Pareto Chart

When starting any performance improvement initiative the challenge most managers face is where to start. This is a result of constant “fire fighting”. We are constantly handling problems and issues as they come up but we are not tracking them to see if our improvement efforts are effective. Conversely, because we have never tracked issues […]



Heijunka is the Japanese word for the expression “just in time”. It is not a process but rather a state of mind. It applies to every step in a lean process. Think of heijunka as maintaining a continuous flow. LEAN operates on a principle that an ideal process is one where any input or action […]

Animal Control Meeting Rules

Animal Control Meeting Rules

Animal control professionals deal with a lot of different animal behaviour in the course of their duties. There are lessons to be learned from what they deal with every day. We can learn a lot about how conduct meetings or participate in kaizen events, (rapid cycle improvement projects) by simply applying some of their rules. […]

The Accountability Conversation

The Accountability Conversation

Dealing with performance issues is the most important duties we have as managers. It is one that no one enjoys. There is a simple five step process that will allow you to deal with any negative behaviour and hold people accountable. It forces the individual to explain why they didn’t comply with policies or why […]

How to Sucessfully Implement Change

How to Sucessfully Implement Change

Most managers, when contemplating changes I thin the organization spend most of their time and energy on strategy. They develop detailed implementation plans. Then they are surprised when the plan fails. They try to determine where the strategy failed. The major reason for failure is the one thing they spent time developing, strategy. If we […]

Daily Gemba Walk Briefing

Daily Gemba Walk Briefing

Every day the senior leadership team will visit the department on their gemba walk. They are expecting a briefing on what happened in the past 24 hours. This discussion takes place in front of the gemba board. he discussion focuses on the KPI tracked on the gemba board. The following standard process should be followed […]

The Daily Senior Leadership Gemba Wal...

The Daily Senior Leadership Gemba Walk

The daily senior leadership gemba walk is one of the most important elements of LEAN daily management. It differs from gemba walk that is undertaken to observe a specific process. The daily leadership gemba walk focuses every department on meeting their key performance indicators (KPI) on a daily basis and explaining progress to the senior […]

How to Form a QAPI (Quality Assurance...

How to Form a QAPI (Quality Assurance Process Improvement) Committee

Nursing homes all have quality committees that meet regularly to review key performance indicators and incidents. The committee has the responsibility for addressing any incidents and resolving the cause of the problem. Additionally, nursing homes have resident councils that meet regularly to discuss quality issues that are important to residents and families. The problem is […]

What Others Have Said…

Michael developed a LEAN program for our hospital. This involved training both managers and front line staff in LEAN and its application in every department. Two LEAN projects were conducted in an effort to reduce inventory. There was a reduction of $135,000 in pharmacy inventory and $200,000 reduction in OR inventory."
Richard E. D’Alberto, FACHE
President & Chief Executive Officer
Laurens County Hospital

"Michael is a great speaker. He is inspirational and knows his trade."
Lynn Yarbrough

"Great quality- appreciate his openness to field question on the spot"
Rita Jones
CEO, Dundy County Hospital

"Michael is an outstanding, knowledgable speaker, keeps the flow going an involve the audience well."
Stephen Stewart
CEO, Artesian Valley Health System

"I like the process in implementation"
Brad Langdorf
VP Clinical Services, Community Hospital

“Michael is an excellent speaker. Content is exciting and educational.”
Mollie Heisel
Human Resource Coordinator
Brown County Regional Health Care
“Very good; usable; informative; real; encouraging”
Valerie Gigolyk
Loewen Windows

“Without your personality, coaching and spirit, we wouldn’t have made it so far.”
Ann Corrigan, RN
VP of Patient Services
Henry County Health Center

“We are utilizing the information on a regular basis. It has been exciting to see this growth.”
Pat Hales , Director of Quality and Educational Services Misericordia Health Center

“Excellent speaker- funny yet seriously important to improve our daily lives.”
Rebecca Ricartti, HR Director
Pacific Alliance Medical Center

“Michael is fantastic. Keeps the learning Entertaining and interesting.”
Stephen Stewart CEO
Artesian Valley Health System

“Great. Enjoyed the session.”
Curtis Hawkinson CEO
Community Memorial Healthcare

“Very clear and concise presentation. Always includes stories that make you think.”
Heather Greenwood, Med Tech
CHI St. Alexius Health

“Michael is a great presenter and presented he content in a manner that made it interesting and useful.”
Lynne Yarbrough, OR Director
Johnson Regional Medical Center

“Knowledgeable and energetic.”
Valerie Hangman, QI Coordinator
Providence Medical Center

I was impressed by the content and the clarity of the speaker.”
Jennifer Russell
Government of Manitoba

“Excellent quality, excellent information & keeps his agenda enthusiastic and timely.”
Terri Davis, RN
Providence Medical Center

“Dynamic speaker who leads the group to discover the answers for themselves.”
Jeff Dolan
Canada Cases Ltd.

“Mike is inspirational. A Great Motivator.”
Glen W. Buckler
Two Small Men with Big Hearts

“You have to see Michael Bayer’s presentation.”
Lois French

Investors Group

“Excellent speaker with an important message”
Rob Vineberg
Regional Director General
Citizenship & Immigration Canada

“Excellent speaker- funny yet seriously important to improve our daily lives.”
Rebecca Ricartti,
HR Director
Pacific Alliance Medical Center

“Fantastic! My cheeks hurt from laughing so much, yet I also gained so much knowledge too! Thanks!”
Daiva Griese
One Legacy

“Excellent, worthwhile. It was as good as it gets.”
Stephanie Bloodworth
Case Manager, New Directions

“Fantastic speaker. Great for any industry.”
Ron Farmer
Personal Banker, CIBC

Subscribe to Our Newsletter

Subscribe to our mailing list

* indicates required