I really enjoyed and appreciated this new white paper that was written by Dr. Lisa Yerian and Nate Hurle from The Cleveland Clinic:
The paper was published by Catalysis and is available through them (free registration required).
Before sharing some highlights from the paper, I'll share a link to the podcast that I did with Lisa and Nate:
And you can find other blog posts I've written about visits to the Clinic.
The title of the paper, “No More Projects” points to Cleveland Clinic shifting from a reliance on big improvement projects to their aim of a culture of continuous improvement.
I'd suggest that instead of saying “no more projects,” the mindset should be “more than projects.” There's a time and a place for formal projects, A3s, Rapid Improvement Events, and the like. Some big challenges require that format.
That said, we can ALSO work to engage everybody in continuous improvement on a daily basis. It's either/or, it's AND. It all fits together. You can have lots of small “PDSA cycles” (daily improvement), a handful of “A3s” being used for problem solving, and a few larger PDSA cycles (projects) happening at once. You can engage people in different ways.
Their realization and goal at Cleveland Clinic:
I love the message of the paper, which includes:
- “Focus on what matters”
- Standardizing for the right reasons (“highest quality, most compassionate, and lower cost care”)
- Improvements “being led and sustained by the people doing the work”
- The projects approach works, but it has limitations
- Starting with problems that need to be solved and start with purpose
- Building problem solving capabilities in care givers
- Start with a “model area”
- Be patient
- “The internal CI team does not have all the answers”
- You have to engage “hearts and minds”
And the white paper includes a link to this playlist of YouTube videos:
I shared the paper with some people who work in other healthcare organizations and this was one reaction:
Mark, this paper is perfect for helping us make the case here for the 2018 plans I'm proposing to move from projects to getting all staff more involved and capable of engaging in small improvements every day. I might try to build on one area which is doing extremely well with their new idea board huddle, using them as a “model area” as the paper suggests.
Thanks to Lisa, Nate, and Catalysis for the paper!
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