I’m here at the Shingo Prize conference for the second year in a row. Lots of good networking and talks/panels. I’ll share a few quotes and highlights, along with a picture of my friend and sometimes guest blogger, Adam Zak.
This post (and part 2, to come) will include:
- Notes from Bruce Hamilton’s talk
- Former HHS Secretary Michael Levitt’s comments on healthcare
- A few follow ups on the healthcare panel discussions
- Dr. Stephen Covey
First off, I’m seeing a lot of familiar faces — Adam Zak, Norman Bodek, Bruce Hamilton, Bob Miller, Naida Grunden, and other Lean friends. I also got to see Gwendolyn Galsworth and her new book called “Work That Makes Sense.”
The Shingo Prize folks let me have a little space to be able to talk to people about blogs, Twitter, etc. Here’s Adam Zak in that modest space, to left. I also met Kevin Tame in person for the first time, as he’s my student assistant for the two days. I also met Dr. David Jaques for the first time in person (check out our podcast here). I’m leaving some people out, I’m afraid… there’s a good crowd here.
Yes, he’s known as “the Toast guy” from his popular DVD, Toast Kaizen. He shared some of the background of how the video even came to be. The story would make a great podcast if I can talk him into it. It was contrived as a product to sell, it was developed as a way to get execs and leaders in his company to start thinking about Lean.
Bruce knows more about Lean, TPS, Shingo and Ohno than just about anybody around. He showed a picture and video clip of Shigeo Shingo visiting his United Electric factory in 1988 or so. Dr. Shingo’s first question was always:
What is the function here?
He was asking about purpose. What is the purpose of this work and this area. What a great starting point question.
Bruce recalled how Shingo said these were the priorities for improvement:
Why “easier” first? Because it leads to the next three and it gets staff engaged in improvement. He considered customer satisfaction and employee satisfaction to be two pillars for success.
Bruce emphasized how he was taught that Lean is about “critical direct observation” at the gemba. Bruce asked,
When we go to the gemba, do we actually see anything?
You have to learn to see waste, you can’t just do drive-by gemba visits.
Some other quotes:
Understanding derives from intellect but action comes from emotion.”
From Taiichi Ohno:
“Before strategy, there must be philosphy”
Bruce emphasized the Toyota triangle that’s often shown in training, as I’ve drawn it below:
I think that helps illustrate that thinking alone is not enough. You also need technical methods (dare I say “tools”?). People development, of course, is in the middle.
From Hajime Oba (of Toyota):
Most organizations do not get the benefits of TPS because management does not understand TPS.
Great historical perspective and refreshing of core Lean points by Bruce!
Michael Levitt, former Governor and Secretary of Health and Human Services
Levitt made a number of key points that I agree with, regarding healthcare. He pointed out how our current system does not reward quality or efficiency. Poor quality often gets paid for as highly as good quality. That point was no surprise.
What was sort of a surprise was his theme of networks. Levitt said a few times:
Collaborative networks are the new frontier of human capability.
We can’t continue living in silos – organizations that are siloed from each other, or the silos within organizations. We need Networks for sharing, learning, and collaboration. Levitt said “networks aren’t a fad.”
I think Governor Levitt would love hearing about our Healthcare Value Leaders Network efforts, so I am hoping to follow up with him through the Shingo Prize leadership.
Levitt also said we “need better management” in healthcare and that the incentives are all wrong – we get paid for doing more of everything.
Levitt, a Republican, was saying many of the same things about how our system is broken, how we need to reward healthcare value and quality — the exact same message that we hear from Dr. Donald Berwick, currently nominee to head Medicare and Medicaid — but Berwick is being painted by some Republicans as a far-left liberal. It’s sad to see how polarized our political system is these days…
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Now Available – The updated, expanded, and revised 3rd Edition of Mark Graban’s Shingo Research Award-Winning Book Lean Hospitals: Improving Quality, Patient Safety, and Employee Engagement. You can buy the book today, including signed copies from the author.