By February 24, 2012 10 Comments Read More →

Failure to Follow Process Leads to NL MVP’s Suspension Being Overturned

Ryan BraunThis is a hot sports news story today, as I woke up to hear ESPN’s “Mike and Mike” talking about Milwaukee Brewers slugger (and reigning National League MVP) Ryan Braun’s 50-game suspension being overturned. Braun had been suspended for testing positive for performance enhancing drugs, but that’s now been overturned due to some procedural errors that occurred.

As they said on ESPN, from a legal standpoint “not guilty” is not the same as “innocent.”  (Edit: Braun did give a CLEAN sample just after the Oct. 1 sample that somehow led to the positive test).

LeanBlog.org guest blogger Chad Walters has a post on his site that analyzes the process details and the “chain of custody” problems that were uncovered: Process Breakdown Means Ryan Braun Isn’t Suspended.”

From Chad’s post:

This was the first time a baseball player has ever successfully challenged a drug-related penalty in a grievance. He won his appeal not by arguing any evidence of tampering or the science of the test results, but because of a problem with the chain-of-custody and the collection procedure.

That’s correct – Braun had his suspension lifted because a standard agreed-upon process was not properly followed.

When “standardized work” isn’t followed, it’s a good practice to ask “why?”

  • Was their poor training, where the person didn’t know what the standardized work was?
  • Did that poor training not make it clear WHY certain things had be done a certain way, leaving the person to think there was leeway in how the specimen was stored or transported (or when)?
  • Did MLB do a poor job of selecting people to do the job?
I can’t “go to the gemba” to see what happened or talk to the people first hand, but those are some of the questions I’d look into.

Creative Commons License  photo  credit:  Steve Paluch


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Mark Graban's passion is creating a better, safer, more cost effective healthcare system for patients and better workplaces for all. Mark is a consultant, author, and speaker in the "Lean healthcare" methodology. He is author of the Shingo Award-winning books Lean Hospitals and Healthcare Kaizen, as well as The Executive Guide to Healthcare Kaizen. His most recent project is an eBook titled Practicing Lean that benefits the Louise H. Batz Patient Safety Foundation, where Mark is a board member. Mark is also the VP of Improvement & Innovation Services for the technology company KaiNexus.

10 Comments on "Failure to Follow Process Leads to NL MVP’s Suspension Being Overturned"

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  1. I see a gap in the SW, though, too. It said that the test should be taken to FedEx “as soon as possible”. In writing Standard work, ‘soon’ is not a time and ‘some’ is not a number. In the eyes of the tester, he or she may have thought they DID follow the standard work for the process…

    • Mark Graban
      Twitter:
      says:

      Great point. We should also ask “is the standardized work sufficient.” You’re right that it sounds like it was NOT.

      It says “Absent unusual circumstances” it “should” be taken ASAP — maybe the collector thought the Brewers being in the playoffs counted as such and he wanted to stay home and watch the game instead of driving to FedEx :-)

  2. Dean Bliss says:

    I agree with John. Perhaps there IS standard work in place, but maybe it is not defined or specified clearly enough.

  3. Chad Chad
    Twitter:
    says:

    In addition to “as soon as possible” being ambiguous, I also feel that the MLB Drug Agreement does not define “unusual circumstances” like I expected. MLB will be very thorough in listing every banned substance but ambiguous terminology is what helps create loopholes.

  4. Richard Ivey says:

    The collection procedures and testing protocols (Addendum A on the pdf) are difficult to read. I couldn’t imagine implementing the process. PS- I love the baseball topic.

  5. Mark Graban
    Twitter:
    says:

    Braun did, shortly after the Oct. 1 sample, provide a clean sample in an independent test:

    http://www.latimes.com/sports/la-sp-ryan-braun-20120224,0,5149562.story

    So assuming he WAS clean the entire time, the headline for this blog post could have been “Failure to Follow Process Leads to MVP Being Unfairly Suspended.”
    Mark Graban recently posted..10 Tips from a Hospital CEO – from the #SHS2012 ConferenceMy Profile

    • Chad Chad
      Twitter:
      says:

      Mark –

      I’ll go back and add the information about the second test.

      His first test was taken October 1st, and he was informed on October 19th that he had failed the test. After that he had an independent lab test a sample, which he passed. I’ll see if I can dig up when that test was taken and/or passed.

  6. Mark Graban
    Twitter:
    says:

    Braun was, today, suspended for the rest of the 2013 MLB season:

    Read more
    Mark Graban recently posted..Data vs. Facts – Bridge Wait Times & Hourly RoundingMy Profile

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