Chris Backous

Chris Backous


“Heijunka” is a Toyota Production System term defined as production leveling or smoothing. Our experience at Virginia Mason and in our work with health care clients proves that heijunka is essential to delivering the highest-quality, most patient-focused care we can provide. We know that patients benefit from care processes that flow seamlessly between teams and departments. We also know that when processes flow continuously, less...
What Is Heijunka in Health Care?
Recent Blog Posts
How an Improvement System is Helping North Shore...

Our recent blogs have focused on stories of how we have used our management system, the Virginia Mason Production System® (VMPS) during the COVID-19 response at...

Improving Through Crisis: Deploying Improvement...

As we face the ongoing challenges in responding to the COVID-19 crisis, we continue to be inspired by how our clients and partners are meeting this pandemic...

Achieving 10-15% Cost Reduction Through...

A client recently requested our assistance in redefining how facilities are developed within their organization. In sitting down together, their C-suite shared that...

Why “we have always done it that way” no longer...

I grew up in Seattle, a city known as America’s soccer city, at least according to…well, everyone that lives here. I played through college and have been coaching...

Using a 3P to Create a Vision and Plan for Better...

How 3Ps enable a new vision to take hold A 3P (Production Preparation Process) workshop is an approach that enables health care teams to create revolutionary...

Measuring Success When the Lean Improvement Work...

When I talk with health care leaders about lean improvement work, I’m often asked, “How much should I expect to receive as a return?” At Virginia Mason, we don’t...

Why Adding More Space Isn’t the Only Answer to...

The best health care leaders are always looking for ways to increase quality and run their business more efficiently. To understand their business, they need to...

Making Your New Space Work for Your Team

“Furniture is what people buy. Flow is what people create and what adds value to your organization.” – Chris Backous, MHA Using teams to create a new patient...

Selected Resources

Healthcare Improvement Insights

Explore articles, case studies, and research that help healthcare leaders drive sustainable improvement.

Mistake Proofing in Ambulatory, Procedural, and ...

Mistake Proofing in Ambulatory, Procedural, and ...

Welcome to our blog miniseries: Transforming Healthcare, featuring some of the biggest takeaways ...

Mistake Proofing in Ambulatory, Procedural, and Inpatient Care

Welcome to our blog miniseries: Transforming Healthcare, featuring some of the biggest takeaways ...

Culture of Care

Culture of Care

Explore how equity-focused improvement, coaching and lived experience can strengthen staff ...

Culture of Care

Explore how equity-focused improvement, coaching and lived experience can strengthen staff ...

Bridge to Excellence with Three Rivers Hospital

Bridge to Excellence with Three Rivers Hospital

Join host Brenda McLeod in conversation with Jamie Boyer, German Meza, and Karen Gifford about ...

Bridge to Excellence with Three Rivers Hospital

Join host Brenda McLeod in conversation with Jamie Boyer, German Meza, and Karen Gifford about ...