Applying the Toyota Production System to Healthcare

Until their most recent quality stumbles, Toyota’s production techniques were the darlings of the management consulting world.  The Toyota process is embodied by the concept of kaizen, a Japanese notion of continuous improvement. The latest gurus have even applied the production techniques to the health care arena (see Designed to Adapt). A Health Affairs article…

World War I’s Greatest Killer

“It is sometimes called the Great Swine Flu epidemic and sometimes the Great Spanish Flu epidemic, but in either case it was ferocious.  World War I killed twenty-one million people in four years; swine flu did the same in its first four months.  Almost 80 percent of American causalities in the First World War came…

Three Cups of Tea

I just finished reading Three Cups of Tea, an interesting book chronicling of an amazing man dedicated towards bringing schools to rural areas of Pakistan and Afghanistan.  The book describes Greg Mortenson’s single minded purpose and reinforces the saying that the pen is mighter than the sword.  In fact, according to one Pakistani Brigadier General,…

What is it like to be a librarian? “Essentially, it is all about money and power.”

Harvard Professor Robert Dardon has a fascinating piece on books, college libraries, copyrights, and what’s Google’s drive to digitize the world’s books means to society.  Some excerpts from the original New York Review of Books article are below. One of my colleagues is a quiet, diminutive lady, who might call up the notion of Marion the Librarian.…

The History of Least Squares

Let us say you have 10 observations of 2 different variables.  How do you determine which of the observations to use?  Should you throw out the outliers?  Should you only include the most similar values?  Does more observations increase or decrease the amount of measurement error? These problems can be answered by the discipline of Statistics.…

Book Review: The Great American Heart Hoax

A new book by Dr. Michael Ozner takes on the cardiovascular surgery industry head-on.  The aptly titled Great American Heart Hoax claims that although insurers pay $60 billion per year  invasive cardiovascular surgery, 70%-90% of these procedures are unnecessary.   The book has three major themes: What is heart disease?  Why is heart surgery a…

How important is credit?

“Adequate credit is to trade what altitude is to aircraft; without it, the odds of coming to grief over preilous commercial terrain are great.  All merchant enterprises sooner or later lose cargoes or encounter soft markets.  Without ample capital reserves and the ability to borrow at low rates of interest, bankruptcy is inevitable.” ~ William…