Book self reflection – on the Mend Harvard Case Solution & Analysis


                        This book is about the matters and deficiencies that are related to the patients’ health and safety in the U.S. medical institutions. Their past regrettable performances and increasing number of medically hurt cases are elaborated along with personal experiences of the author along with the introduction of a new medical management and patient care system that can serve the medical institutions of the country in order to minimize health hurt incidents and maybe eradicate them completely if possible.


This revolutionary new book is a masterpiece of a doctor and a healthcare executive. It is co- authored by John Toussaint, he is the CEO of Theda Care Hospital       and Roger A Gerard, PhD and he was the home executive at the very same facility. In this book the authors have used real-life examples/scenarios along with their vast professional experience and a blend of reasoning of lean thinking to construct a compelling case against a new and innovative new type of organizational structure, environment and policies are the urgent need of the health care system and industry in the country and they termed this new policy aslean healthcare.

Upon revisiting the medical discrepancies, errors and ill treatment cases that runs about 15 million cases of medical harm it is urgently needed and exceedingly doable. In the book the author illustrates that when care is truly evolved around patients, waste and errors are eradicated, the quality progresses, costs downcast, and healthcare professionals have more phase to apply with patients and this way they get even better care. This eventually leads to maximum results and perfection in the management control system. It may take some time but results will eventually reveal as the perfection of the system increases with the time.

                     The context of this book is about the seven year period of the co-authors when they were the management brass at the Theda Care and the policy they adopted of Lean healthcare during that time along with the results they achieved. While they did had some difficulties with trying to better clinical performance initially but they went outside healthcare industry for answers of an advance strategy. They discovered this lean principle from the manufacturing industry and realized that these principles they learned had to be adapted to healthcare. So the lean health care policy was derived and put into effect at the hospital from the manufacturing industry

. They found this strategy as very comprehensive and adopted it and the results of the hospitals efficiency spoke for itself, it become one of the best hospital in patient care and reduced cases of medical harm. This did not happen overnight but the new principles of the lean medical management that the company employed rather took its time as the system adjusted itself with the practice and culture of the organization. This was achieved due to undeniable faith of the management in its new management principles against all sorts of problems with tolerance and passion to make itself a better health care facility.

The initial half of the book is precisely about defining and elaborating the doctrines and strategies that account for the lean healthcare process and better and comprehensive quality control procedures and reduction in medical treatment related accidents that account due to neglect of patient care protocols or shortcomings in the existing health care management systems and protocols that are being pursued by numerous health care institutes across the country in both government funded or private organizations and the case is presented through real life incidents that the authors have witnessed during their professional careers in this very field.

These principles are elaborated with real life medical examples that transpired in the past from the authors' Lean passage.  This creates a resounding argument to adapt these principles. They relate the wastage of time in healthcare to the damage of muscle, harm to brain and even loss of life.Book self reflection – on the Mend Case Solution


  1. Attention on patients and design care around them.
  2. Recognize value for patient and get cleared of everything else.
  3. Reduce time to treatment and through its course.
  4. Continuous perfection of work practices every day in every area.

While the second part of the book emphasizes on people side of Lean healthcare.  John and Roger familiarize the leadership skills needed in a lean environment, how to involve Doctors in the process, how to form a problem solving culture, and how to cultivate future lean healthcare leaders.  The examples and references in this part are more private in nature as you might assume. I predominantly liked Roger's "communities of practice" where he describes the five stages of transformation: initiation, reality, resistance, compromise, and integration...........................

This is just a sample partial case solution. Please place the order on the website to order your own originally done case solution.

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