Here's the latest installment of “Key Tweets,” a (usually) weekly post that summarizes some of my tweets (or retweets) from the week, including pictures and other interesting stuff.
You can follow me @MarkGraban and join the fun and the conversation, but you don't need a Twitter account to view any of this. See the previous installments of Key Tweets.
The original Build-Measure-Learn cycle via Dr #Deming. #lean #LeanStartup pic.twitter.com/KridGCg7UX
— Mark Graban (@MarkGraban) September 17, 2017
Sounds like some complaints I hear about EMR/EHR systems. And this is from a 1986 #Deming book. pic.twitter.com/SYRcJXIO9q
— Mark Graban (@MarkGraban) September 17, 2017
Contrast: I was reading a book about #Deming. Guy next to me was reviewing corporate dashboard metrics with red/yellow/green zones.
— Mark Graban (@MarkGraban) September 18, 2017
Read this – applies quite broadly. Also underscores why you can’t coach someone in something you’ve never done yourself. https://t.co/VTU5EUPDkU
— Chris R. Chapman (@DerailleurAgile) September 18, 2017
Food Bank volunteer helped by Toyota: “If you have a good system, the work takes care of itself.” #Lean
— Mark Graban (@MarkGraban) September 18, 2017
What’s the plan? “Change Management.” Oh, you mean better managing change… I thought you meant something else 🤓
— Mark Graban (@MarkGraban) September 18, 2017
Today's control chart (process behavior chart) from #Deming's "Red Bead Experiment" – always a stable, predictable system pic.twitter.com/DMtF8Fh8ry
— Mark Graban (@MarkGraban) September 18, 2017
"Now that I'm going to 'gemba' as a leader, I can't imagine not doing it." #Lean
— Mark Graban (@MarkGraban) September 18, 2017
"When I was new to practicing #Lean leadership behaviors, I had to become comfortable being uncomfortable."
— Mark Graban (@MarkGraban) September 18, 2017
“it was possible to access an Equifax-operated employee portal in Argentina [with login of] “admin/admin.”” https://t.co/zYCoUgFe17
— Mark Graban (@MarkGraban) September 19, 2017
By what method? – (96%) of [healthcare] execs identified cost reduction as "significant" or "very significant" need https://t.co/zQ8ffqOuqx
— Mark Graban (@MarkGraban) September 19, 2017
Toussaint: “If leaders will take time to work on their own shortcomings… they will see dramatic improvements…” https://t.co/Hwx6OrIqol
— Mark Graban (@MarkGraban) September 19, 2017
Contrast: Facilitating the #Deming "Red Bead Experiment" at an organization with many "Quality is Everybody's Responsibility" posters
— Mark Graban (@MarkGraban) September 19, 2017
For example, doing a “root cause analysis” on every single below average data point https://t.co/dlXhh64bq5
— Mark Graban (@MarkGraban) September 19, 2017
Change is not easy. Art seems to imply that people who resist change are a problem for management to push through. Not sure about that. https://t.co/EQ1FbcyAmB
— Mark Graban (@MarkGraban) September 19, 2017
Dr #Deming can be tough to summarize in a single tweet – @DemingInstitute pic.twitter.com/DZiYv7gjzL
— Mark Graban (@MarkGraban) September 19, 2017
My wife said “Patients should look up the Joint Commission reports on the hospitals.” No, that’s not how it works, I had to say. 🤔
— Mark Graban (@MarkGraban) September 19, 2017
Not just efficiency or cost though… “#Lean #SixSigma is a managerial approach focused on efficiency, she said. ” https://t.co/S677vCD0cr
— Mark Graban (@MarkGraban) September 19, 2017
I still don’t think labeling other people as “resistant” is an effective strategy for sustainable change or Improvement.
— Mark Graban (@MarkGraban) September 19, 2017
It’s irony when somebody decries “command-and-control” leadership and then complains that people didn’t follow his #Lean direction.
— Mark Graban (@MarkGraban) September 19, 2017
“Rearrange the machines” might be the right technical solution, but top down mandate to get on board doesn’t seem like social side of #Lean
— Mark Graban (@MarkGraban) September 19, 2017
Is this what “bending the cost curve” looks like???? pic.twitter.com/SS69vCmCvl
— Mark Graban (@MarkGraban) September 20, 2017
Friday October 6 is Agile Day Chicago! Great event: speakers include @jeffpatton, @MarkGraban (and I snuck in too) https://t.co/G6jW2Z1R52
— Chris Powers (@chrisjpowers) September 20, 2017
Would you open a board meeting w/ a graphic showing the names of patients recently harmed at your institution? https://t.co/3gxafNjDQT #WIHI pic.twitter.com/sjTgVqT3Zf
— IHI (@TheIHI) September 20, 2017
Verma says patients need incentives to be cost conscious. But I’d add good luck in getting price & quality datahttps://t.co/uko2m77Ab4
— Mark Graban (@MarkGraban) September 20, 2017
— banksy (@thereaIbanksy) September 20, 2017
“When this [#Deming] theory manifests in a straight-jacketed fad du jour, people tend to lose sight…” https://t.co/csHsLrqXjR
— Mark Graban (@MarkGraban) September 20, 2017
MD comment: “With EHR the system is intolerable. Just what the lawyers who designed the system wanted.” https://t.co/uJogbWA2oa)
— Mark Graban (@MarkGraban) September 20, 2017
Cutting corners and reducing costs are not the same thing. https://t.co/SN3Ahh41af
— Mark Graban (@MarkGraban) September 21, 2017
“The single greatest impediment to error prevention in [medicine] is that we punish people for making mistakes” https://t.co/sUaQaxtBeO
— Mark Graban (@MarkGraban) September 21, 2017
Inconsistent or have they changed their tune? "Joint Commission to assess rates of C-sections, punishment possible" https://t.co/JDpO96m8QR https://t.co/lpwfkBcJeR
— Mark Graban (@MarkGraban) September 21, 2017
“The perfection myth: If people try hard enough, they will not make any errors.” #patientsafety #lean https://t.co/sUaQaxtBeO
— Mark Graban (@MarkGraban) September 21, 2017
A factory that doesn’t listen to employees will be less profitable. A hospital that doesn’t listen to employees harms more paitients. #lean
— Mark Graban (@MarkGraban) September 21, 2017
It's great seeing a run chart in the news. But charting the rate of cost increase paints a different picture than charting actual cost. pic.twitter.com/zmUyeNjX6j
— Mark Graban (@MarkGraban) September 21, 2017
“Cost-cutting is easier said than done, however.” There ARE options other than layoffs, by the way… https://t.co/lNpo7TJ28k
— Mark Graban (@MarkGraban) September 21, 2017
A "process behavior" chart helps me & others @KaiNexus not overreact to "noise" in webinar registration data. #LeanStartup #Lean pic.twitter.com/pS1Q5KunlY
— Mark Graban (@MarkGraban) September 21, 2017
Data without context have no meaning. Is 138 good? Bad? Better than before? Compared to other countries? What’s the trend? pic.twitter.com/W7pCPy34BS
— Mark Graban (@MarkGraban) September 21, 2017
"…you have to persuade [your audience] to let go of their status quo. That may not be endearing to them." https://t.co/ddy0KJWQRG
— Mark Graban (@MarkGraban) September 21, 2017
I feel honored to be giving this talk at #LeanStartupWeek this year. Thanks to @ericries & the great @leanstartup team for the chance… pic.twitter.com/g27rPwQ4ig
— Mark Graban (@MarkGraban) September 22, 2017
MD: “shows accreditation is basically meaningless—it doesn’t mean a hospital is safe.” https://t.co/FEqr2mN8gy
— Mark Graban (@MarkGraban) September 22, 2017
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