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	<title>Comments on: Highlights from Shingo Prize Conference, Day 1</title>
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	<link>http://www.leanblog.org/2010/05/highlights-from-shingo-prize-conference-day-1-pt-1/</link>
	<description>Mark Graban&#039;s leanblog.org - Lean Healthcare, Lean Thinking, Lean Manufacturing, Toyota Production System</description>
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		<title>By: Brandon Ruggles</title>
		<link>http://www.leanblog.org/2010/05/highlights-from-shingo-prize-conference-day-1-pt-1/#comment-10112</link>
		<dc:creator>Brandon Ruggles</dc:creator>
		<pubDate>Tue, 25 May 2010 13:43:21 +0000</pubDate>
		<guid isPermaLink="false">http://www.leanblog.org/?p=6479#comment-10112</guid>
		<description>I saw that you posted it and I am excited to listen to it. Dr. Covey has lots of excellent insight, I like to see that he has partnered with The Shingo Prize; I think they compliment each other quite well.</description>
		<content:encoded><![CDATA[<p>I saw that you posted it and I am excited to listen to it. Dr. Covey has lots of excellent insight, I like to see that he has partnered with The Shingo Prize; I think they compliment each other quite well.</p>
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		<title>By: Mark Graban</title>
		<link>http://www.leanblog.org/2010/05/highlights-from-shingo-prize-conference-day-1-pt-1/#comment-10101</link>
		<dc:creator>Mark Graban</dc:creator>
		<pubDate>Mon, 24 May 2010 14:00:24 +0000</pubDate>
		<guid isPermaLink="false">http://www.leanblog.org/?p=6479#comment-10101</guid>
		<description>Thanks, Brandon. Now I have to type up notes from the rest of Day 1 and Day 2. Like you said, lots of highlights. Did you see the podcast today with Dr. Covey?

http://www.leanblog.org/91</description>
		<content:encoded><![CDATA[<p>Thanks, Brandon. Now I have to type up notes from the rest of Day 1 and Day 2. Like you said, lots of highlights. Did you see the podcast today with Dr. Covey?</p>
<p><a href="http://www.leanblog.org/91" rel="nofollow">http://www.leanblog.org/91</a></p>
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		<title>By: Brandon Ruggles</title>
		<link>http://www.leanblog.org/2010/05/highlights-from-shingo-prize-conference-day-1-pt-1/#comment-10100</link>
		<dc:creator>Brandon Ruggles</dc:creator>
		<pubDate>Mon, 24 May 2010 13:57:56 +0000</pubDate>
		<guid isPermaLink="false">http://www.leanblog.org/?p=6479#comment-10100</guid>
		<description>There were too many highlights to name them all here, it was an excellent conference. I enjoyed the overall focus on the cultural elements of lean, most of the sessions I was in didn&#039;t even mention tools, which is a direction I like to see.

It was good to see you there Mark, and to meet you Mike.</description>
		<content:encoded><![CDATA[<p>There were too many highlights to name them all here, it was an excellent conference. I enjoyed the overall focus on the cultural elements of lean, most of the sessions I was in didn&#8217;t even mention tools, which is a direction I like to see.</p>
<p>It was good to see you there Mark, and to meet you Mike.</p>
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		<title>By: Mark Graban</title>
		<link>http://www.leanblog.org/2010/05/highlights-from-shingo-prize-conference-day-1-pt-1/#comment-10053</link>
		<dc:creator>Mark Graban</dc:creator>
		<pubDate>Fri, 21 May 2010 14:54:08 +0000</pubDate>
		<guid isPermaLink="false">http://www.leanblog.org/?p=6479#comment-10053</guid>
		<description>Mike! See, dang it, I knew I was leaving someone out. Great seeing you again and thanks so much for your participation in the panel discussion. 

I am definitely going to share notes from Dr. James and I would love to try to do a podcast with him.

I thought that was a provocative statement, that was a direct quote from Dr. James that they are &quot;actively paid to harm patients.&quot;</description>
		<content:encoded><![CDATA[<p>Mike! See, dang it, I knew I was leaving someone out. Great seeing you again and thanks so much for your participation in the panel discussion. </p>
<p>I am definitely going to share notes from Dr. James and I would love to try to do a podcast with him.</p>
<p>I thought that was a provocative statement, that was a direct quote from Dr. James that they are &#8220;actively paid to harm patients.&#8221;</p>
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		<title>By: Mike Stoecklein</title>
		<link>http://www.leanblog.org/2010/05/highlights-from-shingo-prize-conference-day-1-pt-1/#comment-10050</link>
		<dc:creator>Mike Stoecklein</dc:creator>
		<pubDate>Fri, 21 May 2010 14:33:28 +0000</pubDate>
		<guid isPermaLink="false">http://www.leanblog.org/?p=6479#comment-10050</guid>
		<description>Good summary Mark ... I had 2 key &quot;ah-ha&#039;s&quot; from the Shingo conference ... in the discussion where you were part of the panel (1st 10 years), 1) there was the realization that not everyone sees the health care crisis as the same crisis (physicians, administrators, the general public), 2) dialogue with Dr. Brent James (he would make a great pod cast interview).  The importance of aligning healthcare payment systems is crucial.  As Deming pointed out, improving quality leads to lower cost, but won&#039;t necessarily mean you&#039;ll stay in business unless you are not penalized for your improvement efforts.  Currently, clinicians (and hospitals) are actively paid to harm patients.
.-= Mike Stoecklein´s last blog ..&lt;a href=&quot;http://gembawalkabout.tumblr.com/post/570237571&quot; rel=&quot;nofollow&quot;&gt;Lean Thinking, Dr. Deming, Health Care Improvement and Life-long Learning.&lt;/a&gt; =-.</description>
		<content:encoded><![CDATA[<p>Good summary Mark &#8230; I had 2 key &#8220;ah-ha&#8217;s&#8221; from the Shingo conference &#8230; in the discussion where you were part of the panel (1st 10 years), 1) there was the realization that not everyone sees the health care crisis as the same crisis (physicians, administrators, the general public), 2) dialogue with Dr. Brent James (he would make a great pod cast interview).  The importance of aligning healthcare payment systems is crucial.  As Deming pointed out, improving quality leads to lower cost, but won&#8217;t necessarily mean you&#8217;ll stay in business unless you are not penalized for your improvement efforts.  Currently, clinicians (and hospitals) are actively paid to harm patients.<br />
.-= Mike Stoecklein´s last blog ..<a href="http://gembawalkabout.tumblr.com/post/570237571" rel="nofollow">Lean Thinking, Dr. Deming, Health Care Improvement and Life-long Learning.</a> =-.</p>
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		<title>By: Mark Graban</title>
		<link>http://www.leanblog.org/2010/05/highlights-from-shingo-prize-conference-day-1-pt-1/#comment-10040</link>
		<dc:creator>Mark Graban</dc:creator>
		<pubDate>Fri, 21 May 2010 04:58:20 +0000</pubDate>
		<guid isPermaLink="false">http://www.leanblog.org/?p=6479#comment-10040</guid>
		<description>Hi Simon - thanks for the comment. I&#039;m not a psychologist -- I don&#039;t even know the word &quot;conation&quot;!

Maybe safety wasn&#039;t included because it&#039;s implied as something that should be embedded in everything. Some people make 5S into 6S by adding safety. To me, that&#039;s silly, because safety should be a principle that&#039;s embedded in anything you do (like I don&#039;t list &quot;breathing&quot; as a priority for the day)?

As for the &quot;technical&quot;, I&#039;ve learned it as the &#039;things that you do&#039; in your work or in improving your work. Maybe that&#039;s wrong, I&#039;d have to go to a more primary source on that.</description>
		<content:encoded><![CDATA[<p>Hi Simon &#8211; thanks for the comment. I&#8217;m not a psychologist &#8212; I don&#8217;t even know the word &#8220;conation&#8221;!</p>
<p>Maybe safety wasn&#8217;t included because it&#8217;s implied as something that should be embedded in everything. Some people make 5S into 6S by adding safety. To me, that&#8217;s silly, because safety should be a principle that&#8217;s embedded in anything you do (like I don&#8217;t list &#8220;breathing&#8221; as a priority for the day)?</p>
<p>As for the &#8220;technical&#8221;, I&#8217;ve learned it as the &#8216;things that you do&#8217; in your work or in improving your work. Maybe that&#8217;s wrong, I&#8217;d have to go to a more primary source on that.</p>
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		<title>By: Simon Ellberger</title>
		<link>http://www.leanblog.org/2010/05/highlights-from-shingo-prize-conference-day-1-pt-1/#comment-10039</link>
		<dc:creator>Simon Ellberger</dc:creator>
		<pubDate>Fri, 21 May 2010 03:37:55 +0000</pubDate>
		<guid isPermaLink="false">http://www.leanblog.org/?p=6479#comment-10039</guid>
		<description>Mark: I too thank you for sharing. 

Interesting but puzzling quote from Shingo to Bruce on the priorities for improvement. I would have thought &quot;Safer&quot; would be number one.

Also, why just customer satisfaction and employee satisfaction? Why not stakeholder excitement?

&quot;Understanding derives from intellect but action comes from emotion&quot; sounds nice, but I wonder how accurate it is. I can think of plenty of things I am or have been very emotional about, but have failed to follow up with any action, and other things I have acted on without any real emotional push. Psychologists sometimes like to distinguish between three aspects of mind: cognition (intellect), affect or affection (emotion), and conation (will), with action derived from the last.

Does &quot;Technical&quot; in the Toyota triangle really refer to tools? I always interpreted that as specific technical process knowledge (e.g., how to make a car)--as opposed to, say, knowledge of improvement techniques, systems thinking, and so on.

Just some questioning thoughts...</description>
		<content:encoded><![CDATA[<p>Mark: I too thank you for sharing. </p>
<p>Interesting but puzzling quote from Shingo to Bruce on the priorities for improvement. I would have thought &#8220;Safer&#8221; would be number one.</p>
<p>Also, why just customer satisfaction and employee satisfaction? Why not stakeholder excitement?</p>
<p>&#8220;Understanding derives from intellect but action comes from emotion&#8221; sounds nice, but I wonder how accurate it is. I can think of plenty of things I am or have been very emotional about, but have failed to follow up with any action, and other things I have acted on without any real emotional push. Psychologists sometimes like to distinguish between three aspects of mind: cognition (intellect), affect or affection (emotion), and conation (will), with action derived from the last.</p>
<p>Does &#8220;Technical&#8221; in the Toyota triangle really refer to tools? I always interpreted that as specific technical process knowledge (e.g., how to make a car)&#8211;as opposed to, say, knowledge of improvement techniques, systems thinking, and so on.</p>
<p>Just some questioning thoughts&#8230;</p>
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		<title>By: Tim McMahon</title>
		<link>http://www.leanblog.org/2010/05/highlights-from-shingo-prize-conference-day-1-pt-1/#comment-10023</link>
		<dc:creator>Tim McMahon</dc:creator>
		<pubDate>Thu, 20 May 2010 12:19:23 +0000</pubDate>
		<guid isPermaLink="false">http://www.leanblog.org/?p=6479#comment-10023</guid>
		<description>Thanks for sharing.  I hope to see Bruce next week at EASTEC.  I am also trying to make a visit to NE Shingo in the fall so this is a great prelude for me.
.-= Tim McMahon´s last blog ..&lt;a href=&quot;http://feedproxy.google.com/~r/ALeanJourney/~3/V-M6gDEiXhI/kanban-for-personal-management.html&quot; rel=&quot;nofollow&quot;&gt;Kanban for Personal Management&lt;/a&gt; =-.</description>
		<content:encoded><![CDATA[<p>Thanks for sharing.  I hope to see Bruce next week at EASTEC.  I am also trying to make a visit to NE Shingo in the fall so this is a great prelude for me.<br />
.-= Tim McMahon´s last blog ..<a href="http://feedproxy.google.com/~r/ALeanJourney/~3/V-M6gDEiXhI/kanban-for-personal-management.html" rel="nofollow">Kanban for Personal Management</a> =-.</p>
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