Blog Posts


EmCare Writes the Book on Lean

Posted on Mon, Sep 26, 2016
EmCare Writes the Book on Lean

By Kirk Jensen, MD, MBA, FACEP

We in healthcare are passionate about providing exceptional quality, safety and service to our patients.

Applying lean principles to streamline our systems and processes can free us to focus on delivering high-quality care, leading to increased satisfaction both for patients and for healthcare teams.

Quality and performance advances in the automotive industry are the foundation of what we now call lean manufacturing and lean services – standardizing processes to reinvent a business, department or even a country. Lean emphasizes processes that deliver client value, eliminate waste, promote flow and encourage the practice of continuous improvement.

In healthcare, an industry focused on quality, safety and patient care, the stakes can be high and the challenges all too real – at times literally a “matter of life or death.” We all want, and seek to build, environments where our people - talented, trained and motivated healthcare team members - can focus on their mission of delivering superior healthcare and service. The systems and processes in place must facilitate, rather than hinder, the attainment of these goals. Lean provides a philosophy, an approach, and effective tools to advance and enhance our work on all levels.

Peter Drucker said, “The only things that evolve by themselves in an organization are disorder, friction and malperformance.” Disorder, friction and malperformance exist in the complex world of healthcare, with resultant catastrophic consequences. Healthcare administrators increasingly are examining and retooling processes to improve safety, quality and efficiency while wringing out waste. For many organizations, this means implementing lean.

EmCare recently published “Making Healthcare Work Better™ with Lean,” a book and supporting workbook developed by the company’s clinicians and operational experts to help hospital leaders and process improvement teams better understand and implement lean process improvement techniques.

The goals for the publication are:

  • To highlight the application of lean principles in the healthcare sector, using practical real-world examples informed by the people who have actually done the work;
  • To illustrate the tools, approaches and philosophy that have enabled multiple departments and services to significantly improve their operations;
  • To put lean in its proper place or perspective as an adjunct in improving the lives of our patients and our people; and
  • To infuse a note of optimism into the current healthcare delivery conversation as we press forward in the face of healthcare delivery challenges.

The book is a compilation of lean experiences and advice from nearly 30 practicing experts. It covers a broad base of healthcare services within and beyond the walls of the hospital. It is accompanied by a free, downloadable workbook with practical tips and exercises to help you break down barriers to getting lean in your organization. It’s the perfect reference book for someone who needs to understand what lean is about, how to make it work, how to overcome road blocks and how to gain buy-in.

Content Highlights

The publication includes chapters on:

  • Implementing Integration Strategies
  • Lean in the ED
  • Case Study: Lean Tabletop Simulation Exercise
  • Process Improvement in Perioperative Medicine
  • Why do you need Lean in the OR?
  • Improving Value
  • Hospital Medicine Was Born of Lean Thinking
  • Culture Change versus Secret Sauce
  • Technology that Supports Lean Process Improvement
  • Strategies for Improvement: Tried and True, Bold and New
  • Creating a Lean-focused Transitional Care Team
  • Lean Beyond the Hospital Stay
  • A Lean Solution: Mobile Integrated Healthcare
  • The Value of Lean in Radiology
  • Changing Mindsets at Every Turn
  • Lean Processes for Leaders
  • Applying Lean and Creating a Culture of Excellence
  • Lean Terms and Tools
  • 10 Rules of Engagement for Change Management

Every one of our patients, every one of our client hospitals and every one of our healthcare workers deserves an environment and a department that works – people, processes and performance that reliably deliver the care, services and outcomes we want.

To learn more about “Making Healthcare Work Better™ with Lean” or to download your free copy, visit Our Website.

Kirk Jensen

Kirk Jensen, MD, MBA, FACEP, is the Chief Innovation Officer for EmCare.



Do you work in one of Forbes' 2015 Best Cities for Jobs?

Posted on Tue, Jan 13, 2015
Do you work in one of Forbes' 2015 Best Cities for Jobs?

Forbes has released its list of 10 best and worst cities for jobs in 2015 and EmCare has healthcare careers in all of your favorites!

Accorsding to Forbes, to determine the list, "Researchers used data from government agencies as well as information from Yelp, Indeed, and Gallup Healthways to consider factors for each metro include job opportunities, employment growth, monthly median starting salary, median annual income, time spent working and commuting, and housing affordability."

The top 10 cities for jobs in 2015 accorsing to Forbes are:

  1. Seattle, WA
  2. Des Moines, IA
  3. Gilbert, AZ
  4. Sioux Falls, SD
  5. Fremont, CA
  6. Chandler, AZ
  7. Omaha, NE
  8. Salt Lake City, UT
  9. Scottsdale, AZ
  10. Plano, TX
Click here for the Forbes list of top 10 worst cities for jobs in 2015

Want a healthcare career in one of the best cities for jobs in 2015? Browse this collection of featured EmCare jobs!

EmCare Named as a "Great Place to Work" by Becker's Hospital Review



EmCare has Careers in All Top 7 Best Cities to Invest in Homes for 2014, according to Forbes

Posted on Thu, Nov 20, 2014
EmCare has Careers in All Top 7 Best Cities to Invest in Homes for 2014, according to Forbes

Forbes has released their list of best cities to invest in homes for 2014 and EmCare has great opportunities for clinicians in all top 7 cities! View the top 7 list below to see interesting facts and current opportunities in some of the best cities in the U.S to invest in a home.

1.  Fort Worth-Arlington, Texas
Fun Facts via

  • In 1909, the Fort Worth Zoo opened as the first zoo in Texas.
  • The Modern Art Museum in Fort Worth is the oldest museum in Texas and is the second-largest museum gallery space for modern art in America, next to MoMA New York.
  • Fort Worth is home to the oldest stock show and rodeo in the country - the Southwestern Exposition and Livestock Show.

2.  Dallas-Plano-Irving, Texas
Fun Facts via
  • Dallas is home to more than 200 golf courses
  • The largest permanent model train exhibit in the country is on display in the lobby of Dallas Children's Medical Center.
  • The largest permanent model train exhibit in the country is on display in the lobby of Dallas Children's Medical Center.
3.  Charlotte-Gastonia-Concord, North Carolina-South Carolina 
Fun Facts via and
  • Nearly 60 percent of the country's population lives within a two-hour flight of Charlotte, North Carolina, and 6.9 million people live within a 100-mile radius.
  • Charlotte stands second to New York in terms of its contributions to Philanthropic pursuits.
  • This region houses 37 higher learning institutions and has 50 campuses that provide training and academic expertise to an increasingly growing workforce.
4.  Nashville-Davison—Murfreesboro--Franklin, Tennessee
Fun Facts via and
  • Long before Nashville became Music City, it was known as the Athens of the South because of its many higher educational institutions.
  • A Country Christmas – Gaylord Opryland is host to the world’s largest nativity display.
  • Nashville has the world’s only exact replica of the ancient Greek temple, The Parthenon.
5.  Houston-Sugar Land-Baytown, Texas 
Fun Facts via
  • Forbes named Houston the "Coolest City" in the country in 2012, citing factors such as the strong economy, dynamic arts scene and multiculturalism.
  • Houston’s cultural events and exhibitions report 9.2 million visits per year.  
  • 77030, the Texas Medical Center Zip code, is home to 21,000 physicians, scientists, researchers and other advanced degree professionals in the life sciences at 385 medical offices, the highest concentration in the country.
6.  Atlanta-Sandy Springs-Marietta, Georgia 
Fun Facts via
  • You can ride your bike from Atlanta to Alabama. The Silver Comet Trail is a recreational path that begins in Smyrna and runs all the way across the Alabama border.
  • Pemberton Place, home to the New World of Coca-Cola, is named after Dr. John Stith Pemberton, an Atlanta pharmacist.
  • Runners from around the world descend on Atlanta each Fourth of July for the Peachtree Road Race. Approximately 60,000 runners participate each year, making it one of the largest 10K foot races in the world.
7.  Oklahoma City, Oklahoma ​
Fun Facts via
  • Oklahoma City is equidistant from Los Angeles and New York, and within 500 miles of 71 million people
  • The state capitol building at 23rd and Lincoln is the only capitol in the nation with a working oil well on its grounds.
  • Oklahoma City averages more than 300 days of sunshine per year
Click here to browse more of EmCare's nationwide clinical healthcare opportunities!
Click here to view Forbes’ entire list of Best Places to Invest in 2014.