Mark’s Note: Today’s guest post is by Christina Kach, who I met via Twitter and email. I’m hoping this will be the first in a series of posts geared toward young Lean and continuous improvement professionals, but I think there are lessons and good reminders for all of us, regardless of our age.
Christina Kach
Pop quiz: Do you know the best time to catch the shortest lines at Walt Disney World? During a family trip in the 4th grade, I figured it out by studying the travel guide, observing park behavior, and mapping out routes on the Magic Kingdom pamphlet. (I’ll share my secret, the answer: during a parade). I believe those out there like myself, with minds and enthusiasm for processes improvement – the Industrial Engineers, Lean practitioners, continuous improvement leads, and Six Sigma gurus of the world – are born this way (and likely figured it out years before we studied it in school).
After college graduation in 2009, I was fortunate to land a job where I am able to incorporate my passion for process improvement. In the time since, I’ve learned a few things I’d like to share – to motivate the next generation of Lean thinkers.
You’re Not in College Anymore
Hear the reality check now, before you start your first “real world” job. It isn’t all about you anymore. It WAS all about you; your grades, your extracurricular activities, your weekend plans. Now it is about the team, the department success, and the goals of the company. Furthermore, there is no course outline or syllabus of expectations and due dates to help you navigate week to week. It is on you to map the work on your own.
Make it Personal
If there is one thing you do not want to be known for in your career (I speak from experience), it is to be “that guy” who only comes to talk when he needs something from you. Getting to know your new coworkers is #1. What is their passion? Travel, their children, cooking? (Hint: try looking around their cubicle). The reverse is also true; share your interests with people and have a few pictures in your work space to prompt conversations. Don’t just “hear” to give the impression you are paying attention – really LISTEN. Be truly engaged with your team, getting to know them, learning from them, and asking questions. And here’s the kicker: you can’t just do it once and be done. You have to follow up, build the relationship, and nurture the connection.
Attitude
There are many factors in a job you can’t control – so focus on the ONE variable that you can à your own attitude. Your own attitude affects interactions, overall demeanor, and motivation – try to keep it positive. On any given day you can make the decision to be happy or cranky. You can react poorly to criticism or you can say to yourself, “well I’ve figured out what NOT to do.” Attitude isn’t one size fits all; you must adapt your interactions with each person. As time goes by, you’ll learn what works best in each situation. This is a topic worth finding guidance on from a coach or mentor.
Engagement
You were hired to solve problems. Sitting at your desk and waiting for problems to show up looking to be solved isn’t the way. Keep an ear out for opportunities and speak up – “I can help with that.” Talk to your teammates and your boss. Just keep this in mind: how can I help? While I don’t have an exact solution on how to go about this, adapt according to your specific situation, I do know that sitting around waiting for a project to appear is NOT going to work.
Lean doesn’t have to be in a formal job title for you to apply it to your work or pursue it as an interest. If you see an opportunity for improvement, work it. If there is a formal “Lean” member of the team, bring it up. Or take the improvement ideas to your manager. Just remember to go in with a solution for the problem, not just to complain about the problem.
The ideas I’ve talked about here may seem unnatural at first. Like an athlete in training, continue to practice these skills, they will strengthen over time. No matter what the naming convention – Lean, Six Sigma, operational excellence – the theme is the same: continuous improvement. The same goes for your career: continually reach out to your team, learn, engage, and persevere on those frustrating days.
Christina Kach is a Continuous Improvement Lead for a defense company based in Massachusetts, focusing on Lean implementation and process improvement in a manufacturing environment. Christina held her first Lean position as in intern in 2006. Since then she has continued to seek out varied roles of increasing responsibility and actively pursues further Lean education. Christina holds a Bachelor of Science degree in Industrial Engineering from Northeastern University and is SME Lean Certified.
Christina invites you to connect with her via Twitter (@ChristinaKach)
About LeanBlog.org: Mark Graban is a consultant, author, and speaker in the “lean healthcare” methodology, focused on improving quality and patient safety, improving access, reducing costs, and fully engaging healthcare professionals. He is also the Chief Improvement Officer for KaiNexus.
While this photo looks like a dangerous situation, I guess we can call it a light-hearted look at a questionable improvement, via the wonderful FailBlog.org and its ThereIFixedIt.com site (photo link).
An employee might fill out an Idea Card, as I’ve mocked up below:
Let’s say an employee brought this card to you. You would talk about the card and thank the employee for identifying a problem statement. Maybe we’re buying bulbs in retail packaging that’s hard to open and there has to be a way to address that. Now, the idea of installing the bulb while still in the packaging… this is why Kaizen involves at least a quick discussion with a supervisor. It’s not meant to be a bureaucratic process, but sometimes Kaizen requires the input and experience of a supervisor.
The supervisor (or a teammate) might question if leaving the packaging on might create a fire risk. You might decide NOT to try that idea (safety risk outweighs time savings), but you’re not done.
In a traditional suggestion box approach, the focus is on the idea. So we’d say “no” to the idea – it’s not safe, it would be deemed a “bad idea.”
But with Kaizen, we honor the identification of a PROBLEM – the packaging is hard to open. The role of the supervisor is to work with the employee to find something that can be done. Maybe we need to buy bulbs that come in a type of packaging that’s easier to open? The supervisor certainly shouldn’t say “Hey, dummy, are you trying to burn the place down?”
Kaizen is about collaboration and coaching toward solutions, not accepting or rejecting ideas like a judge.
About LeanBlog.org: Mark Graban is a consultant, author, and speaker in the “lean healthcare” methodology, focused on improving quality and patient safety, improving access, reducing costs, and fully engaging healthcare professionals. He is also the Chief Improvement Officer for KaiNexus.
Episode #137 is a chat with Jerry Bussell, founder of the Jacksonville Lean Consortium. I’ve met and talked with Jerry many times through LEI, so I’m thrilled to finally get him on the podcast. Jerry is a retired Medtronic executive (leading Lean efforts in a unit that won the Shingo Prize), he’s now doing work with healthcare quality improvement, he’s writing a new book, and he’s speaking at the Lean Transformation Summit next month in Jacksonville.
Jerry is also friends with Sami Bahri, DDS – and he’s also a patient of the “World’s First Lean Dentist” (click here for my podcasts with Sami, episodes 29, 69, and 82).
You can use the player (use the VCR-type controls) at the top of the post to listen to a streaming version of the podcast (or click here for the streaming audio and RSS subscription). The streaming link is faster for one-time listening (hardly any delay to start listening). Or you can use the download link to put it on your iPod or other MP3 player.
If you have feedback on the podcast, or any questions for me or my guests, you can email me at leanpodcast@gmail.com or you can call and leave a voicemail by calling the “Lean Line” at (817) 776-LEAN (817-776-5326) or contact me via Skype id “mgraban”. Please give your location and your first name. Any comments (email or voicemail) might be used in follow ups to the podcast.
Sporting a license plate reading “Leanjax,” Jerry Bussell is the past chairman and founder of the Jacksonville Lean Consortium, a group of companies and government agencies improving business performance by sharing knowledge about implementing lean principles. Recently retired as vice president, Global Operations, at Medtronic Surgical Technologies, Bussell is president of Bussell Lean Associates, a lean management advisory service for CEOs and their executive teams. He is also executive advisor to Underwriters Laboratories’ Center of Continuous Improvement and Innovation.
Bussell received the prestigious Medtronic Wallin Leadership award for transforming Medtronic ENT’s traditional manufacturing operation into a nationally recognized model of lean manufacturing. Under his leadership, Medtronic ENT/NT received an IndustryWeek Best Plants award for North America in 2002, a Shingo Prize in 2003, and a Shingo Silver Medallion recipient in 2009. In 2005 Bussell was inducted into the Shingo Academy for his contributions to operational excellence. He is a past chairman of the Board of Governors for the Shingo Prize and is a member of the Champions Club with the Association for Manufacturing Excellence. Bussell holds a bachelor’s degree from St. John Fisher College and a master’s degree from Baylor University. He is currently writing a book on lean leadership lessons from Abraham Lincoln that will be available in 2012.
About LeanBlog.org: Mark Graban is a consultant, author, and speaker in the “lean healthcare” methodology, focused on improving quality and patient safety, improving access, reducing costs, and fully engaging healthcare professionals. He is also the Chief Improvement Officer for KaiNexus.
As the CEO Norm Gruber says at the beginning was “an experiment” but they concluded afterward it was “clearly it was worth going.” During the trip, “[job] titles disappeared completely,” says Gruber. COO Cheryl Nester Wolfe commented, “a patient is not a car – absolutely not – but the work that people do to make that product (or that patient) better are very similar. Ours is about how do we take exceptional care of our patients every single time.”
The video:
Some other things that stood out to me:
The discussion about the role that Japanese culture plays – are the Japanese people more collaborative? Toyota has done well in the U.S. with their Kaizen approach and I’ve seen data that suggests the U.S. plants often outperform the Japanese plants in their Kaizen activity. It maybe “comes more naturally,” in Japan, says Gruber, but I’d point out that it’s definitely possible here – including in healthcare.
The COO said that the focus on “respect for people” became her “most clarifying moment” especially related to the role of leaders in engaging people to come forward with and implement their ideas (a core theme in my upcoming book Healthcare Kaizen).
Senior leaders are going to start rounding (or what we’d usually call a “gemba walk” in the Lean framework) to help managers get to the CEO on the front-line to help understand problems and to work together on improvements. Nester Wolfe points out that Lean and Kaizen are not the quick fix that so many are usually looking for in healthcare.
I don’t it’s absolutely necessary to go to Japan, but it sounds like Salem Health got a lot out of the trip. Their lessons learned will benefit their patients, their staff and physicians, and the long-term health of Salem Health, the organization.
About LeanBlog.org: Mark Graban is a consultant, author, and speaker in the “lean healthcare” methodology, focused on improving quality and patient safety, improving access, reducing costs, and fully engaging healthcare professionals. He is also the Chief Improvement Officer for KaiNexus.
We are going through the editing and typesetting process for our upcoming book Healthcare Kaizen this week.
After not really looking at the manuscript for a few months, a particular line stood out and made me think, as it’s the description of a “chicken and egg” dynamic – what comes first in Lean, TPS, and Kaizen: respect for people or continuous improvement? You can’t have one without the other.
We wrote:
“We strive for continuous improvement out of our respect for people, but it is our basic respect for people that helps make continuous improvement possible.”
I hope people find that to be an interesting point or something that’s helpful in their Kaizen work. It’s what the “systems dynamics” field of Jay Forrester and Peter Senge would call a “positive reinforcing loop.” But how do you get it started?
About LeanBlog.org: Mark Graban is a consultant, author, and speaker in the “lean healthcare” methodology, focused on improving quality and patient safety, improving access, reducing costs, and fully engaging healthcare professionals. He is also the Chief Improvement Officer for KaiNexus.
This video talks about how KaiNexus and the kaizen methodology, upon which it is based, are very different than the traditional suggestion box systems that hospitals and other types of organizations have struggled with.
When we talk to healthcare organizations about the idea of continuous improvement, people often mention the suggestion box–and they often talk about how their suggestion box, while well intended, never really worked or it certainly didn’t live up to it’s potential.
In this video, I will talk about what often goes wrong with suggestion boxes and how the modern improvement principles built into KaiNexus are different.
The 1st issue is that suggestion boxes often lead to a slow response or none at all to the person who submitted the suggestion. The process of submitting a suggestion alone usually means the staff member gives up ownership of their idea – and the idea is often lost… never to be heard from again! As one healthcare professional once told me, “that box is where good ideas go to die…”
Suggestion boxes are almost always a very batchy process with a monthly or sometimes quarterly review being done by a group of managers or a far off committee. With ideas being hidden in a locked opaque box and with slow infrequent reviews, it’s understandable that employees get frustrated by slow response to their ideas. These suggestion review committees often just vote yes or no to suggestions without talking to the submitter and without going to the place where the problem or opportunity exists. When people have ideas, we should work to make them happen or at least give people the feedback they deserve.
So many organizations have tried a slow non-transparent non-collaborative process in suggestion boxes. We can do better than that and that’s where KaiNexus is comes in.
Our system is built upon proven modern continuous improvement concepts and management mindsets, including “kaizen,” as we talk about in our other videos.
First is the idea that employees deserve a fast collaborative response to an opportunity for improvement (or OI) that they have identified. KaiNexus facilitates a transparent open process where the employee’s supervisor and coworkers can see ideas and participate in their implementation.
In an effective improvement system, employees who have ideas should find their idea responded to within just a day or two – to start the improvement process. KaiNexus prompts leaders to do so through their individualized dashboard screen and a daily e-mail digest.
Instead of having a high number of suggestions summarily rejected, KaiNexus’ customers are able to work to find something that can be implemented up to 90% of the time – doing improvement work this way builds enthusiasm for more improvement.
And unlike the humble suggestion box, KaiNexus prompts users to evaluate the impact of their OI to help generate reports that measure the impact of your important improvements. It becomes infectious – but in a good way.
Our experience shows that modern improvement principles and methods can help us all get beyond the dysfunctional suggestion box – we hope you’ll join us in this important healthcare improvement effort.
About LeanBlog.org: Mark Graban is a consultant, author, and speaker in the “lean healthcare” methodology, focused on improving quality and patient safety, improving access, reducing costs, and fully engaging healthcare professionals. He is also the Chief Improvement Officer for KaiNexus.
There has been a lot of buzz over last Sunday’s New York Times article “How the U.S. Lost Out on iPhone Work.” It’s good to see issues of manufacturing competitiveness talked about in the media and among my Facebook friends who usually aren’t talking about factories. So why aren’t iPhones assembled here in the U.S.? Apple used to build Macs in California. I used to work for Dell when they built PCs in Texas. Now, Apple products are made by Foxconn in China and the Dell factory in Texas is now closed. My iMac, my Kindle Fire, and my iPhone – all made in China – in some conditions we would never tolerate here.
The NY Times article points out that producing in China isn’t just about low wages. It seems to me that it’s about the unfair advantages of a country where workers aren’t free. I’m all for companies making profits, but I wish those profits didn’t have to be made on the back of people suffering under the tyranny of a repressive, totalitarian, “Communist” government.
Yeah China can move fast, but at what human cost?
From the NY Times article, one part that still has me a bit angry (which kept me from blogging about this, since I try to avoid blogging when angry):
One former executive described how the company relied upon a Chinese factory to revamp iPhone manufacturing just weeks before the device was due on shelves. Apple had redesigned the iPhone’s screen at the last minute, forcing an assembly line overhaul. New screens began arriving at the plant near midnight.
A foreman immediately roused 8,000 workers inside the company’s dormitories, according to the executive. Each employee was given a biscuit and a cup of tea, guided to a workstation and within half an hour started a 12-hour shift fitting glass screens into beveled frames. Within 96 hours, the plant was producing over 10,000 iPhones a day.
“The speed and flexibility is breathtaking,” the executive said. “There’s no American plant that can match that.”
What the Apple executive gushes over makes me cringe and hurt inside. I believe people deserve freedom. Being forced awake and marched en masse into a factory to make iPhones seems pretty close to prison labor conditions to me. The counter argument is “well, these people wouldn’t have jobs otherwise” rings hollow to me. We have to hope that people can have better than the minimally tolerable conditions, regardless of where they live. As the argument goes:
Without Foxconn and other assembly plants, Chinese workers might still be working in rice paddies, making $50 a month instead of $250 a month (Kristof’s estimates. In 2010, Reuters says, Foxconn workers were given a raise to $298 per month, or $10 a day, or less than $1 an hour). With this money, they’re doing considerably better than they once were. Especially women, who had few other alternatives.
Of course “no American plant can match that,” as the Apple exec says. It’s not that American workers are lazy. We just enjoy living in our own home instead of being packed like sardines into a company dormitory and we enjoy a luxury called work/life balance (so says the guy here who gets picked on for working so many jobs and blogging all the time, but I love that I do).
Living within dormitories inside the factory walls, employees are packed into 144 square foot (12-by-12) cement rooms with 15 beds stacked up like bunk-beds. Employees are often placed into rooms where they do not know anyone as well.
Any attempt at forming a union is met with arrest and a prison sentence as unions are illegal within China.
Workers cleaning iPhone screens used a chemical called hexane, specifically because the chemical solution evaporates faster and allows the production line to speed up. However, hexane is a neuro-toxin. Inhalation of hexane causes mild euphoria, followed by nausea and headaches. Repeated exposure causes extensive peripheral nervous system failure, a result that Daisey spotted as the hands of the workers on the line shook involuntarily.
Five percent of the workers Daisey spoke to were underage, some as young as twelve. The children working at the factory mentioned that Foxconn doesn’t check ages and shifts older employees to the front line when inspections occur.
The standard working shift at the plant lasts 12 hours, but that’s pushed up to 16 hours when Apple is getting ready to launch a new gadget like the upcoming iPad 3. However, a worker on a 34 hour shift dies while Daisey tours the facility.
On the factory floor, there’s no talking allowed among the 20,000 to 30,000 workers. There’s also little machinery on the floor since labor costs are far lower than machines. However, Gau has stated publicly that investing in advanced automation is a high priority.
Workers that have developed severe carpal-tunnel issues from repeating the same process over and over are simply fired. Foxconn could eliminate this issue by rotating jobs between employees, but they do not.
Workers that get severely injured on the job are fired without any severance and workers that complain about working conditions are fired as well as black-listed with all companies that operate within Shenzhen.
America can’t match any of that.
There’s a lot to absorb from the above bullet points. Looking at the n-hexane issue… the factory was choosing to use a more dangerous chemical because it was FASTER than the readily available alternative.
Faster or safer? Easy choice, right?
Read that again and think about that. Faster trumps safer.
They could have used rubbing alcohol, but they chose faster over safer. They’ve now supposedly switched away from n-hexane (thanks, Apple!), but who knows if that’s true. It might be true when inspectors are present (more on that later). To be fair to Foxconn, it was a separate company, Wintek, that was using n-hexane and hurting workers. Apple forced some of the changes, but how many other problems go undiscovered and unfixed? Apple is doing something and they argue they are doing more than others — but is it enough?
Daisey’s report says independent unions (or “secret unions”) are illegal in China. I’m not the biggest fan of unions, but you should have the right to form one in a free country (and companies should be free to move to right-to-work states). If you can’t form a union in a supposed socialist worker’s paradise, the world is upside down. For all of their current-day problems, it’s undeniable that American labor unions have led to safer and better working conditions for all in this country. So, I guess the ultimate revenge from factory owners came in moving so many of these jobs to a country with, shall we say, less demanding standards.
No wonder American can’t compete when safety and ergonomics are lower priorities than production line speed and fast ramp ups. Now, Mike Daisey could be full of crap, but he claims to have “gone to the gemba” at Foxconn, something I have not (and the experts cited in This American Life couldn’t dispute much other than Daisey maybe overstated the number of underaged workers).
Beyond the safety issues, Apple and Foxconn receive other advantages from the Chinese government, including subsidized factories that are built for companies that haven’t yet decided to build products in China.
Another critical advantage for Apple was that China provided engineers at a scale the United States could not match. Apple’s executives had estimated that about 8,700 industrial engineers were needed to oversee and guide the 200,000 assembly-line workers eventually involved in manufacturing iPhones. The company’s analysts had forecast it would take as long as nine months to find that many qualified engineers in the United States.
In China, it took 15 days.
America can’t match that.
I’d have to check with the Institute of Industrial Engineers (of which I’m a member) to see how many unemployed IEs there are in the U.S. Apple could find that many engineers in the U.S., but it might take too long (or those engineers might be too expensive). Another advantage in China is that they could basically force 100,000 technical college students to move to another city to work in a factory. Nope, the U.S. can’t match that. As I discussed this NY Times piece on Twitter, one person replied “These workers choose to work there.” Do they? Do they?
Chinese newspaper China Daily reports 100,000 pupils visiting vocational schools in the province of Henan are being forced to work at Foxconn’sShenzhen plant.
Pupils were informed on the 17th of June that they had to pack their bags to head up north in nine days, by command of the provincial government. Should they not follow orders, they would be kicked out of school – so kids training to be locksmiths are being forced to work for Foxconn…. On top of it all, a civil servant added the provincial disgovernment gave “internal orders” stating towns had to send off 100 people aged 18 to 45 to Foxconn… A further source said 300,000 people are supposed to travel from Henan province to Foxconn’s plant in Shenzen.
Because 31 years ago, when Deng Xiaoping carved this area off from the rest of China with a big red pen, he said, this will be the special economic zone. And he made a deal with the corporations. He said listen, use our people. Do whatever you want to our people. Just give us a modern China. And the corporations took that deal, and they squeezed and they squeezed. And what they got was the Shenzhen we find today.
America can’t match that.
I believe in free trade. But, I’m starting to turn to the side that thinks we need “fair trade” where my devices and gadgets aren’t leading to child labor and people being harmed or killed due to 19th-century (by our standards) working conditions. Things seem pretty disgusting at Foxconn. Thank goodness nobody referred to them as “lean” because that would be the furthest thing from the truth. China doesn’t need Lean, although there are rumors that Lean Manufacturing has a future in China.
But Apple has a policy and audits…
Apple puts on a good face that they have supplier standards and that audits are performed to try to ensure that things are done properly. New CEO Tim Cook says:
No one in our industry is driving improvements for workers the way Apple is today.
OK, but maybe they still aren’t doing as much as they could.
He adds:
We insist that our manufacturing partners follow Apple’s strict code of conduct, and to make sure they do, the Supplier Responsibility team led more than 200 audits at facilities throughout our supply chain last year. These audits make sure that working conditions are safe and just, and if a manufacturer won’t live up to our standards, we stop working with them.
It seems unlikely Apple, and other electronics companies, will stop doing business with Foxconn, even if they have stopped working with some who break the rules. They can’t break with Foxconn. No other manufacturer has the scale and size to make products that sell at such high volumes. No country with freedom and good working conditions can match Foxconn’s “breathtaking” capabilities.
Using audits to ensure good working conditions is like the failed approach of “inspecting in quality” when manufacturing something. As this article points out:
Han praised Apple for agreeing to random inspections. “Oftentimes, the company knows when an inspection is coming and they plan for it by constructing a new plan to circumvent the inspection or reducing the number of employees,” she says.
The outside companies do have inspections, but workers told me Foxconn always knows when there’s going to be an inspection. So what they do then, they don’t even check ages then. They just pull everyone from the affected line, and then they put the oldest workers they have on that line.
… in my first two hours of my first day at that gate, I met workers who were 14 years old, 13 years old, 12.
Do you really think Apple doesn’t know? In a company obsessed with the details, with the aluminum being milled just so, with the glass being fitted perfectly into the case, do you really think it’s credible that they don’t know? Or are they just doing what we are all doing? Do they just see what they want to see?
Could Apple do more? I think this quote is telling (source):
“We’ve known about labor abuses in some factories for four years, and they’re still going on,” said one former Apple executive who, like others, spoke on the condition of anonymity because of confidentiality agreements. “Why? Because the system works for us. Suppliers would change everything tomorrow if Apple told them they didn’t have another choice.”
Final thoughts
I guess I’m a big awful hypocrite for typing this on my MacBook Air – a product a love, produced in working conditions that I hate. I’m all for corporations – but it’s sad when companies that exist due to freedoms provided by some governments make money on the backs (and twisted carpel tunnel-y hands) of those who do not have such freedoms. Maybe it’s true that capitalist companies are truly Soviet in nature.
This is such a complication situation that leaves me and many others I’ve chatted with this week very conflicted. You feel bad for the workers, but you love your gadgets. You want to shake your fist at Apple, but they’re not the only ones involved. You’d like to think you could do something, but maybe this is just the way works. There are no easy answers. Just an uneasy feeling.
I tried interviewing Siri about this and she wasn’t very helpful…. “that’s classified” was the response when I asked her where she was built (hat tip to Ira Glass for the idea).
About LeanBlog.org: Mark Graban is a consultant, author, and speaker in the “lean healthcare” methodology, focused on improving quality and patient safety, improving access, reducing costs, and fully engaging healthcare professionals. He is also the Chief Improvement Officer for KaiNexus.
This week, I’ve been reading and listening to a lot of articles about working conditions at the Foxconn facilities in China. These stories are primarily focused on Apple, but nearly any computer, gadget, or mobile device is made there, ranging from iPhones to Android tablets to my Kindle Fire.
I have a longer blog post teed up that I might post tomorrow – a combination of some analysis with a bit of emotion, which I’m trying to temper.
The items that I’ve read (and you might want to read or listen too) include:
There are plenty of documented working conditions, safety problems, child labor, etc. that are deplorable. It makes you stop and think about the human cost of our cheap shiny gadgets. It makes you think about the decline of American manufacturing (remembering that Apple used to assemble Macs in Fremont, California).
I’ve been tweeting about this a lot and I’ve learned much from my followers. “Prison labor” is probably not the right term to use for the Foxconn plants, as employees can quit (and high turnover has been a concern and cost for Foxconn), but some of the working and living conditions sure seem prison-like.
Also interesting are comments from readers of a Chinese-language version of last weekend’s NYT piece: “Chinese Readers on the ‘iEconomy.”
It was pointed out that I haven’t “been to the gemba” to see first hand, having never worked in China. But, I’m reading first-hand accounts of those who have been there. Granted, those people might have “an agenda,” but who doesn’t?
Another frequent comment is “You might think Foxconn is bad, but other factories there are far worse.” Others frequently say, “Well, the alternatives – working on a farm and being poor and starving – aren’t good, so working in that factory is actually a leg up for Chinese workers.” But, I think it’s a false choice that the only two alternatives starving on a communal farm and working in unsafe factory conditions.
So what are your thoughts and reactions to these articles? Do you have first hand experiences to share? I’d like to keep the discussion fact-based, but feel free to share your emotions about this as well – as it’s not just a business story or an engineering story, it’s a human story.
About LeanBlog.org: Mark Graban is a consultant, author, and speaker in the “lean healthcare” methodology, focused on improving quality and patient safety, improving access, reducing costs, and fully engaging healthcare professionals. He is also the Chief Improvement Officer for KaiNexus.
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About LeanBlog.org: Mark Graban is a consultant, author, and speaker in the “lean healthcare” methodology, focused on improving quality and patient safety, improving access, reducing costs, and fully engaging healthcare professionals. He is also the Chief Improvement Officer for KaiNexus.
Mark’s note: Today’s guest post by Bart Sellers is a timely contribution to follow up to yesterday’s post about the ThedaCare Business Performance System and the journal article about that great work. Bart has been a frequent commenter here on the blog and I’ve enjoyed working with him through the Society for Health Systems (come join both of us at the upcoming SHS conference where we are both presenting on Kaizen).
Organizations that are trying to engage staff members in Kaizen (continuous improvement) efforts often ask questions about how many ideas they should be getting from each employee and how to motivate or inspire more Kaizen.
I recently shared some data with Mark Graban about the participation rate of employees in kaizen (“ideas” for some of us) based on department size for a group of hospitals that have recently implemented an idea system. See the chart below:
For smaller departments of less than 40 employees, there is wide variation in participation rates. In some of these smaller departments, employees average over five ideas per year while others are barely getting any participation.
In contrast, larger departments with more than 40 employees are almost uniformly unsuccessful in generating participation rates of more than one idea per employee per year. The one exception is a food services department with four full-time supervisors plus the manager.
These larger departments invariably have a list of good ideas waiting for either a preliminary evaluation or to be actively worked on. Managers for these departments report the bottleneck is that they and their employees don’t have enough time to move ideas along. So, while the mechanics of the idea system are in place, and working extremely well, in a few instances, there are obvious shortcomings that are limiting participation in larger units.
Perhaps there are some lessons to be learned from a local auto parts manufacturer that adopted a Toyota type of organizational structure. Employees in this plant average several dozen implemented Kaizens, or small improvements, per employee per year. The plant is organized with a team lead for every five to six operators. The team lead is a production worker, but has two hours a day to work on staff development, trouble-shooting, and maintaining and improving performance. Each week, the plant is shut down for approximately 30 minutes on each shift for the operators to work on kaizen.
In addition to coaching from the team leads, there are also several employees on each shift that work in a small fabrication shop to support the front-line employees in implementing ideas. This type of support structure was a radical change from the flat organizational structure that was in place before and may even seem to be extravagant to some outsiders. But, this organization achieves substantial year-over-year quality and productivity improvement and continues to grow while all of its domestic competitors have moved off-shore.
Hospitals can’t shut down for 30 minutes at a time, but the need to provide time and resources to support improvement is real and may require a dramatic change in management systems. Some hospitals have responded to this challenge, at least in part, by blocking out substantial portions of the workday or week for managers to engage in improvement. Kim Barnas, a senior leader at ThedaCare, has been leading such a change over the last two to three years and describes it in an article recently published in the Joint Commission Journal on Quality and Patient Safety (as Mark blogged about on Tuesday). Perhaps it is time for those organizations that have hit the wall on continuous improvement to re-examine their management systems to see if such dramatic changes are needed.
About the Author: Bart Sellers has worked as a process engineer in the aircraft and healthcare industries and over the last five years has focused on implementing Lean in healthcare. He is currently the editor of the Society for Health Systems newsletter.
About LeanBlog.org: Mark Graban is a consultant, author, and speaker in the “lean healthcare” methodology, focused on improving quality and patient safety, improving access, reducing costs, and fully engaging healthcare professionals. He is also the Chief Improvement Officer for KaiNexus.