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“Quality Circles” Are Alive & Well in Japanese Organizations; We Might Call it A3 Problem Solving

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One question I was asked to ask during my Japan trip was to see if “Quality Circles” are still active in Japanese companies. I think the term was brought to the U.S. in the 1980s and 1990s, but generally wasn't widely adopted for a number of reasons – probably due to management mindsets and organizational culture, not a lack of willingness on the part of American workers. At GM in 1995, people talked about failed attempts at forming QCs (and management mainly blamed the workers, sadly).

Toyota did not talk about Quality Circles, but they did talk about Kaizen as a core part of the Toyota Production System.

kaizen toyota

The two companies we visited on Tuesday and the hospital we saw on Wednesday all had very active Quality Circle programs that were driving improvement in many ways.

Each organization has a sequence or structure for the QC process – either eight or ten steps.

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  1. Brainstorm problems
  2. Select a theme (from the brainstormed problems) and explain why you selected it
  3. Analyze the current state (and narrow the problem)
  4. Set goals
  5. Schedule the QC activities (over a six-month period)
  6. Root cause analysis
  7. Implement changes
  8. Check the effects
  9. Standardize and stabilize
  10. Identify the next QC project

The QC is a group of roughly six to eight people from a department. Different QC members will take responsibility for different steps in the process, with each person owning at least one step

japan lean healthcare tour postsAt a high level, the QC process is PDSA – Plan, Do, Study, Adjust. The Deming Cycle (they still talk about Deming here).

While the QC teams presented their “QC Story” as a multi-slide PowerPoint deck, the thought process is very similar to what we might call “A3 Problem Solving” in the U.S. or other countries. The thought process and the steps are very similar, but an A3 is documented on a single sheet of paper.

The first company we visited on Tuesday, a complex, low-volume high-mix manufacturer, explained their goals for the QC activities… just as Toyota would say:

  1. First priority / goal of QC is training people to learn problem solving
  2. Second priority is the financial benefits

We heard the exact same philosophy at the hospital yesterday.

The theme of the manufacturer's QC activities is “QMM: Quality, Mission, Morale.” That's what they would like employees to focus on. They have 30 circles active at any given time (with about 350 employees). “All employees are in a circle.” Each circle has a manager who helps them and a QC advisor helping them when they meet formally with the advisor for a 30-minute meeting each month. The QC work continues between those meetings of course. The QC advisor is not in that role full time.

Later on Tuesday, we visited a food services company that runs cafeterias all across Japan. They presented one QC story that was focused on a nursing home in Osaka. The QC stories are a “bottom up activity” that included even part-time workers, working to improve the presentation and taste of blended “mixer food” for the elderly who can't eat solid food.

IMG_7424
The managing director explains the Quality Circle process

Step #9 in their 10-step method is to document the lessons learned. The managing director said “lessons learned is the most important item.” Again, that's a familiar theme – the focus on learning.

The QC activity there is “voluntary and autonomous” and is “not directed by the boss.”

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With QC activities (and smaller Kaizen improvements), “Improvement has become the culture of the workplace… Kaizen is endless,” as the managing director said.”

The hospital we visited Wednesday presented three different QC stories:

  1. Improving home care plans of care
  2. Improving “rice jelly” food
  3. Reducing the overtime required to manage and administer medications

I love the fun and colorful graphics they use in their team names, themes, and presentations:

IMG_7493

A pharmacy employee shares a QC story
A pharmacy employee shares a QC story

The hospital started the QC approach through TQM in 2004. The first Japanese hospital to do this was in 1985. The CEO of the hospital explained how he visited the United States, including the IHI, and learned about “Lean” as a term and a method. The hospital also has employees practicing smaller daily Kaizen improvements, which I'll write about soon.

The hospital has no full-time Quality staff or department and no full-time QC or Kaizen promotion staff. Quality is an activity for everybody to participate in.

We're off to see two more hospitals on Thursday and Friday. Whether we call it TQM or Lean, Quality Circles or A3s or PDSA, what matters is focusing on the customer and engaging everybody in never ending improvement.

Tweet of the Day

See more tweets from the tour.

 

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Mark Graban is an internationally-recognized consultant, author, and speaker who has worked in healthcare, manufacturing, and startups. 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 book is an anthology 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.

8 Comments
  1. Dale Savage says

    Quality Circles are also still alive in some companies in the US as well. As a matter of fact, as I am typing this I am working with a circle group team on improving a process at our company. Also, last week I had three teams at the Honda circle group conference. Quality Circle are a great way to develop associates to be problem solvers and it is so exciting to watch them develop and grow into the best that they can be. It is just great!!!

  2. Uditha Senaratne says

    Yes, quality circles are great as long as what they do aligned with the corporate objectives… otherwise carrying out projects here and there will not add much value to the process excellence and bottom-line.

    1. Mark Graban says

      None of the companies or hospitals we visited in Japan seemed very concerned about QC activities being “aligned to corporate objectives.” They are delivering results, but they focus first on developing people and teaching problem solving through these activities. Learning first, results second.

      What you’re describing, Uditha, is a very Western view and maybe that’s why many of our organizations struggle with Lean and Kaizen.

  3. […] improvement is important to me, of course. The Japanese hospitals we’ve visited have a strong tradition of practicing Total Quality Management. Some are now embracing Kaizen as “daily continuous improvement” in addition to their […]

  4. […] They are all practicing an evolution of Total Quality Management (many for 15 or 20 years). See my earlier post about quality circles still being alive and well in Japan. TQM often creates a great foundation for what we’d recognize as Lean practices or Lean […]

  5. […] Some organizations there have been dabbling with Lean methods. One talked about their years of experience with Total Quality Management and “Quality Circle” projects (as I had heard about in Japan). […]

  6. […] in Chongqing, that the hospital is doing “quality circle” improvement projects (as I saw in Japan), with everybody (or most everybody) being involved in […]

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