Comments on: Standardized Work Should Not be Robotic – Especially in Healthcare http://www.leanblog.org/2009/04/standardized-work-should-not-be-robotic/ Mark Graban's leanblog.org - Lean Healthcare, Lean Thinking, Lean Manufacturing, Toyota Production System Fri, 10 Feb 2012 10:01:31 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Mark Graban http://www.leanblog.org/2009/04/standardized-work-should-not-be-robotic/#comment-4797 Mark Graban Thu, 16 Apr 2009 11:25:00 +0000 http://leanblog.bigbigdesign.net/2009/04/standardized-work-should-not-be-robotic-especially-in-healthcare/#comment-4797 Good letters to the editor on this topic in yesterday's WSJ:<br /><br />Donald Berwick of the IHI wrote, in part:<br /><br />"...mindless enforcement of standards is dangerous..." but he also pointed out a study that showed only 56% of patients got recommended care.<br /><br />Lawrence McAndrews wrote:<br /><br />"our health-care system's quality, costs, and individual patient outcomes suffer far more from unnecessary variability than from over-standardization."<br /><br />Peter Gentling wrote:<br /><br />"... these rigid rules cannot fit the complexity of the human condition..."<br /><br />Joel M. Zinberg (M.D. and J.D.) wrote:<br /><br />"'pay-for-performance' is really 'pay-for-process."<br /><br />and Daniel Keays complained that the mandates don't take long-term effects into account, that his hospital caves to the short-term pressure to give certain anti-biotics, but that might be bad for the long-term (causing antibiotic resistance). Good letters to the editor on this topic in yesterday’s WSJ:

Donald Berwick of the IHI wrote, in part:

“…mindless enforcement of standards is dangerous…” but he also pointed out a study that showed only 56% of patients got recommended care.

Lawrence McAndrews wrote:

“our health-care system’s quality, costs, and individual patient outcomes suffer far more from unnecessary variability than from over-standardization.”

Peter Gentling wrote:

“… these rigid rules cannot fit the complexity of the human condition…”

Joel M. Zinberg (M.D. and J.D.) wrote:

“‘pay-for-performance’ is really ‘pay-for-process.”

and Daniel Keays complained that the mandates don’t take long-term effects into account, that his hospital caves to the short-term pressure to give certain anti-biotics, but that might be bad for the long-term (causing antibiotic resistance).

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]]> By: Mark Graban http://www.leanblog.org/2009/04/standardized-work-should-not-be-robotic/#comment-4779 Mark Graban Fri, 10 Apr 2009 13:31:00 +0000 http://leanblog.bigbigdesign.net/2009/04/standardized-work-should-not-be-robotic-especially-in-healthcare/#comment-4779 I tempt fate every time I mention Marriott while staying at a Marriott hotel (as I had been Wednesday night).<br/><br/>With their vaunted standardized process, there was a minor defect in their room cleaning process... I ended up with no shampoo bottle in my room for Thursday morning... I tempt fate every time I mention Marriott while staying at a Marriott hotel (as I had been Wednesday night).

With their vaunted standardized process, there was a minor defect in their room cleaning process… I ended up with no shampoo bottle in my room for Thursday morning…

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]]> By: Andy Wagner http://www.leanblog.org/2009/04/standardized-work-should-not-be-robotic/#comment-4778 Andy Wagner Fri, 10 Apr 2009 01:07:00 +0000 http://leanblog.bigbigdesign.net/2009/04/standardized-work-should-not-be-robotic-especially-in-healthcare/#comment-4778 Where can I find one of those robotic standardized factories?<br/>I'd love to work there, but I suppose once you set-up one of 200 different part numbers on an NC lathe, you've set-up them all, right? Where can I find one of those robotic standardized factories?
I’d love to work there, but I suppose once you set-up one of 200 different part numbers on an NC lathe, you’ve set-up them all, right?

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]]> By: Mike Sporer http://www.leanblog.org/2009/04/standardized-work-should-not-be-robotic/#comment-4777 Mike Sporer Thu, 09 Apr 2009 13:29:00 +0000 http://leanblog.bigbigdesign.net/2009/04/standardized-work-should-not-be-robotic-especially-in-healthcare/#comment-4777 Mark;<br/>People confuse mindless conformity with "set a standard, follow a standard, look for a better way". First reaction is to make rules and incentives. Check out Barry Schwartz's TED talk which I posted. Maybe you have seen it before. http://freshperspectives.typepad.com/fresh_perspectives/2009/02/great-ted-talk.html<br/>Mike Mark;
People confuse mindless conformity with “set a standard, follow a standard, look for a better way”. First reaction is to make rules and incentives. Check out Barry Schwartz’s TED talk which I posted. Maybe you have seen it before. http://freshperspectives.typepad.com/fresh_perspectives/2009/02/great-ted-talk.html
Mike

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