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Tag: Leadership

To Create a Culture of Continuous Improvement, Put Away the Gavel!

To Create a Culture of Continuous Improvement, Put Away the Gavel!

I am giving a new webinar on Wednesday, hosted by the ThedaCare Center for Healthcare Value (to promote a public registration workshop on Kaizen that we’re doing in October). The webinar’s theme is: “Practical Continuous Improvement Leadership: Coaching, Not Judging” I’ll give a bit of a preview of the webinar in this blog post. As […]

By August 26, 2014 2 Comments Read More →
Teaching Up in the Organization?

Teaching Up in the Organization?

People often talk about the need for senior leadership support for Lean. If we’re going to really transform our culture, workplace, and performance, “quality starts in the boardroom,” as Dr. Deming said. Lean is not about “fixing” the employees — it’s about changing the way we think and lead at all levels. If executives and […]

By August 20, 2014 3 Comments Read More →
The One Where a Dog Reviews the Strategy Deployment Metrics Wall

The One Where a Dog Reviews the Strategy Deployment Metrics Wall

I’ve had some cartoons on the blog before, including a few “Doofus & Leanies.”  I can’t draw at all, believe me (although I sometimes do my own simple digital graphics). I’ve been fortunate to partner up with other artists before and today’s cartoon is a new collaboration with Carrie Howarth, CMA (AAMA), a workflow facilitator at […]

Kaizen: What if We Get Bad Ideas from Employees?

Kaizen: What if We Get Bad Ideas from Employees?

In our Healthcare Kaizen books, Joe Swartz and I have tried to make the case that the Kaizen style of continuous improvement isn’t just a nice way to treat employees… it’s smart business and it’s good for patients. It’s a practical approach that we can make a part of our organizational culture with effort, patience, creativity, […]

3 Ways to React to Human Error

3 Ways to React to Human Error

What happens when a mistake is made in your organization? How do you react when an error occurs? A lab specimen gets mislabeled. The wrong product is shipped to the wrong customer. A patient is injected with the wrong medication. These are moments that matter. Does emotion take over or do we stay calm? How […]

Intuit CEO Brad Smith & Lean Thinking

Intuit CEO Brad Smith & Lean Thinking

I was happy to see this article in FORTUNE’s recent issue: “Brad Smith, Intuit CEO: How To Be A Great Leader: Get Out Of The Way.” Smith (@IntuitBrad) talks about the Lean Startup concept often called “getting out of the office” to see how customers live and work.  Toyota would call this “Genchi Genbutsu” (go […]

Webinar Recording: What to Do When you Have Lots of Employee Ideas

Webinar Recording: What to Do When you Have Lots of Employee Ideas

At KaiNexus, Dr. Greg Jacobson and I have been doing new webinars each month (see the library here). Our most recent one was hosted by our friends and partners at Gemba Academy, so thanks to them for that and all of their support. Last week’s webinar is archived on our website, which you can access […]

Another PDSA: Please Don’t…

Another PDSA: Please Don’t…

PDSA, back to the days of Dr. Deming, has stood for Plan Do Study Adjust. A key point in the application of PDSA (and a key to A3 problem solving), is to avoid jumping to solutions. We Plan — and this includes understanding the problem and the current state of our process or system. We don’t […]

CNN Head Jeff Zucker Doesn’t Realize There’s a Culture of Fear at CNN?

CNN Head Jeff Zucker Doesn’t Realize There’s a Culture of Fear at CNN?

Back in May, I saw news reports about the head of CNN, Jeff Zucker: “CNN boss Zucker shocked by staffer’s fearful question.” Back when I worked for big companies, I had to be an audience member for many “all hands” meetings – either all hands at a local site or, as technology evolved, “all hands […]

What People Say is Their “Biggest Challenge Related to Innovation and Improvement”

What People Say is Their “Biggest Challenge Related to Innovation and Improvement”

Yesterday’s post was about some of our work at KaiNexus and today’s post is hosted over on the KaiNexus Blog: Challenges to Innovation and Improvement In the post, I share some of the survey reflections that were shared with us by attendees of our webinars (our next one is on July 9, hosted by Gemba Academy). […]

A Sad Story About “Lean” That Wasn’t Really Lean Management At All

A Sad Story About “Lean” That Wasn’t Really Lean Management At All

In March, I wrote a post titled “Is it Lean’s Fault or the Old Management System’s?” about how people’s complains about Lean are actually often complaints about old management mindsets. Unfortunately, what’s described as “Lean” in an organization is sometimes not a transformation in management thinking… in those cases, it’s really just a few new tools […]

Spurs Win the NBA Title: Systems, Learning, Teamwork, & Leadership

Spurs Win the NBA Title: Systems, Learning, Teamwork, & Leadership

Since my wife and I moved to San Antonio just over two years ago, we’ve become big Spurs fans. Since the Spurs are the only major pro sports team here, it’s basically a civic obligation to get behind our local team. The ThedaCare folks and others in Appleton and Green Bay feel that way about […]

Cleaning out the Backlog: Krafcik, Email, Lincoln, Leadership, Humility, Patient Falls

Cleaning out the Backlog: Krafcik, Email, Lincoln, Leadership, Humility, Patient Falls

As I sometimes do, I’m going to close out a bunch of browser tabs and share some articles that caught my eye recently but don’t merit full blog posts of their own. I’m cleaning out the LeanBlog backlog and trying to reduce inventory… so here we go: Where is Jon Krafcik Now? You might remember […]

Day 2 Notes: Lean Healthcare Transformation Summit 2014

Day 2 Notes: Lean Healthcare Transformation Summit 2014

Today is the second and final day of the 5th annualLean Healthcare Transformation Summit. Follow along on Twitter with hashtag#HCSummit14 to see my tweets and thoughts from others. I will be adding updates to this post during the day, as well. These are not meant to be complete notes or a transcript… but quotable and interesting thoughts or […]

Live Blogging Day 1: Lean Healthcare Transformation Summit 2014

Live Blogging Day 1: Lean Healthcare Transformation Summit 2014

Today is the first day of the 5th annual Lean Healthcare Transformation Summit. Follow along on Twitter with hashtag #HCSummit14 to see my tweets and thoughts from others. I will be adding updates to this post during the day, as well. These are not meant to be complete notes or a transcript… but quotable and interesting thoughts or comments […]

Secretary Shinseki Has Resigned; Will Things Change at the VA?

Secretary Shinseki Has Resigned; Will Things Change at the VA?

Following up on posts from Monday and Wednesday, we see this headline today: “Shinseki resigns after VA scandal.” As I wrote about on LinkedIn, instead of blaming “bad managers” or a “lack of integrity” at local VA sites, like Phoenix, we have to look at the system. Dr. W. Edwards Deming always said that senior […]

The Real #VAscandal is the Long Waiting Times & Bad Management, Not Gaming by Bad Apples

The Real #VAscandal is the Long Waiting Times & Bad Management, Not Gaming by Bad Apples

Look at the System, Not the Individuals I’ve been wanting to blog about the “VA Scandal,” but have avoided it because it is somewhat politicized (as tends to happen), the allegations and story are moving quickly, and the whole thing just makes me sad, so I stop writing. Building on Monday’s post… when the news first […]

Blame: Human Error Occurs Even IF We’re Being Careful

Blame: Human Error Occurs Even IF We’re Being Careful

I’m not sure why “error” was put in quotes since this seems like an actual error, not a quote-unquote error: Staff ‘error’ blamed for chlorine leak at Louth’s Kenwick Park Hotel which led to five being taken to hospital When people talk about human error, they often seem to miss the point. They think calling […]