title: Real-Time Culture Change Improves Lean Success: Sequenced Culture Change Gets Failing Grades.
abstract: Success with the Lean management system is rooted in a culture of stakeholder engagement and commitment. Unfortunately, many leaders view Lean as an "add-on" tool instead of one that requires a new way of thinking and approaching culture. This article addresses the "why, how, and what" to promote a Lean culture that works. We present a five-phased approach grounded in evidence-based practices of real-time culture change. We further help healthcare leaders understand the differences between traditional "sequenced" approaches to culture change and "real-time" methods--and why these real-time practices are more sustainable and ultimately more successful than traditional culture change methods.
authors.forename: Mitchell
authors.initials: M
authors.lastname: Kusy
authors.forename: Marty
authors.initials: M
authors.lastname: Diamond
authors.forename: Scott
authors.initials: S
authors.lastname: Vrchota
mesh_terms: D003299:Cooperative Behavior; D017598:Efficiency, Organizational; D006801:Humans; D007318:Inservice Training; D007857:Leadership; D015279:Organizational Culture; D009936:Organizational Innovation; D058996:Quality Improvement / Q000458:organization & administration*; D013997:Time Factors