Reminder: I'm giving a free webinar tomorrow, through KaiNexus:
Bridging the Gap: How to Turn Ideas into Improvements
September 10 from 1 to 2 pm EDT
Now to today's post:
=As is often the case, I have too many open browser tabs full of articles that I was going to potentially blog about. This slows down my Mac (thanks, Chrome!) and it's mental overhead…
So, it's time for me to clear out my backlog and to share some articles I've been reading with some quick notes, instead of full blog posts. Well, I'll get my backlog down a little.
A Sense of Urgency About Misplaced Urgency
It's a story about her son who had a nice first job working at a store… until this guy Nick became the manager. Nick thought everybody needed to develop more of a “sense of urgency” (which is a phrase I used to hear at GM 20 years ago… a phrase and slogan that never really helped).
Liz asked Nick about this:
Since Nick was in his glory I pushed the envelope with one more question. “Why's that?” I asked.
“Because it's a business!” crowed Nick. “Faster, faster, faster – that's the name of the game!”
“Awesome,” I said, wondering when Jack would tell me that he was planning to quit his job.
Jack, her son, did indeed quit his job. Many of us learn, even at that age, not to “suffer the fool” (or it's in our nature). In one high school summer job, I worked for a business where the owner liked to huff and puff and his idiot son liked bossing people around… I had an instinctual bad reaction to “leaders” like that and I've tried to avoid them ever since.
Hear Mark read this post (and subscribe to the “Lean Blog Audio” podcast series):
Not Knowing Your Problem is a Problem
Here's a great post from the pithy and thoughtful Seth Godin: Agreeing on the problem.
Seth is the king of the short high-value, thought-provoking blog post. This one is a big longer (and full of even more value).
Seth states something that we'd recognize as Lean thinking… before jumping to solutions, we need to first understand the problem:
“Organizations, scientists and individuals always do better in solving problems that are clearly stated. The solution might be complicated, the system might be complex, but if we don't agree on the problem, it's hard to find the resources and the will to seek out a solution.”
John Shook, from LEI, articulates this well in discussion of the LEI “Lean Transformation Model” – first ask, “what problem are we trying to solve?” Toyota's Taiichi Ohno wrote we should “start from need.” And, of course, Toyota folks always say, “No problems is a problem.”
When training and coaching, I've seen organizations (and especially senior leaders) struggle with the shift from “jumping to solutions” to “understanding and clarifying the problem.” It feels good to have solutions (or to think we do).
“Often, the reason people don't want to agree on a problem is that it's frightening to acknowledge a problem if we don't know that there's a solution…”
Lean isn't about knowing the right answer. Lean is about having a process we can go through to figure out the answer (or an answer). This requires humility, investigation, reflection, observation, testing… not just declaring a problem solved.
If we have a good problem solving methodology, we can feel more confident about our ability to solve problems, therefore it might be easier to speak up about them.
The Lemming Effect Kills Industries
Robert X. (Bob) Cringely is a well-known tech commentator and writer. I was able to speak to him on the phone a few years ago after I commented on his article about IBM's approach to Lean (an approach that was really L.A.M.E.).
This article (it's long) caught my eye and held my attention: The U.S. computer industry is dying and I'll tell you exactly who is killing it and why.
“First is the lemming effect where several businesses in an industry all follow the same bad management plan and collectively kill themselves. We saw it in the airline industry in the 1980s and 90s. They all wanted to blame regulation, then deregulation, then something else. The result was decimation and consolidation of America's storied airlines and the services of those consolidated companies generally sucks today as a result. Their failings made necessary Southwest, Jet Blue, Virgin America and other lower-cost yet better-service airlines.”
Does the same thing happen (or is it happening in healthcare?)… with the exception of the equivalents of Southwest, Jet Blue, and Virgin America generally not entering the hospital and health system market?
Do hospitals always have some outside factor to blame for their poor performance? Are they all mostly following the same old cost-cutting strategies? Will merging and getting bigger be the solution to every problem? It wasn't for Compaq and HP.
“When you treat and pay people poorly you lose their ambition and desire to excel, you lose the performance of your work force.”
Better leadership and more employee engagement are the key. We see pockets of that in healthcare… but we need more of it, desperately.
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- When Burnout Turns to Moral Injury for Healthcare Clinicians - February 6, 2023
- Jody Crane, MD: Lean in Emergency Medicine and Hospitals; 3 Big Issues Causing Tough Times in Healthcare - February 1, 2023
- Alternative History: GM Uses Lean to Remain #1 in the Auto Industry - January 31, 2023