Here's the latest installment of “Key Tweets,” a (usually) weekly post that presents 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.
You could call this initial release a "minimum viable book" — Measures of Success by Mark Graban [@Leanpub PDF] #Lean #LeanStartup https://t.co/LfPCP2dVNB
— Mark Graban (@MarkGraban) April 6, 2018
John Shook thought the book “Learning to See” was a bad idea and a bad title, but he ended up co-authoring it … @LeanDotOrg https://t.co/0IaP7Ba458
— Mark Graban (@MarkGraban) March 29, 2018
It's never just a frontline staff problem… “The hospital’s leadership also was criticized for lack of oversight and awareness of problems at the hospital.” https://t.co/3DzbYv612a
— Mark Graban (@MarkGraban) March 26, 2018
“Multiple members of the sales department told me they were constantly reminded that Cuban would “know their numbers”—how many tickets they were moving—and that they felt like their jobs were always on the line.” https://t.co/VHoy54qozI
— Mark Graban (@MarkGraban) March 25, 2018
It's never just a frontline staff problem… “The hospital’s leadership also was criticized for lack of oversight and awareness of problems at the hospital.” https://t.co/3DzbYv612a
— Mark Graban (@MarkGraban) March 26, 2018
Ups & downs = noise in the data?
"Florida State League experimented with a 15-second pitch clock in all situations the past two years, and its average time dropped from 2:41 in 2015 to 2:35 the following season before rising to 2:38 last year. ” https://t.co/KEtGjXvBIN
— Mark Graban (@MarkGraban) March 26, 2018
When will we solve our nation's crucial shortage of red and green markers? #Lean #PatientSafety #WhatsYellowMean? pic.twitter.com/dwoDXf9Nd2
— Mark Graban (@MarkGraban) March 26, 2018
Bankruptcy?
“Tesla’s own 2017 4th quarter financial report (page 24) states that Elon “does not devote his full time and attention to Tesla”.
https://t.co/EwuCcjr0a8 pic.twitter.com/inx8TuB9lp
— Mark Graban (@MarkGraban) March 27, 2018
Clever use of a Sharpie-drawn chart to accompany a WSJ article about Sharpies. I’d rather see a run chart of actual sales than a column chart of % change though. pic.twitter.com/rD2pOdHGUz
— Mark Graban (@MarkGraban) March 27, 2018
“Investigators say the company knew the waterslide was unsafe and could result in injuries and deaths, but still rushed to open it to the public.”https://t.co/cEH7y6qdqR
— Mark Graban (@MarkGraban) March 27, 2018
One clinic's #Lean learning: "Some medical practices consider a waiting room full of patients a measure of success. In a Lean culture, a full waiting room indicates waste in the process—patients should move through appointments without waiting."
— Mark Graban (@MarkGraban) March 27, 2018
“'People don't like to make mistakes. Change the system and the workers are suddenly a lot happier. They're no longer being blamed for what they have no control over.'' – W. Edwards #Deming
— Mark Graban (@MarkGraban) March 27, 2018
“UMMC has put a corrective action plan into place in response to the violations” – hopefully that plan is more than the ineffective countermeasure of "re-training" frontline staff.
— Mark Graban (@MarkGraban) March 27, 2018
“fewer than 30% of customers who have been invited to take delivery of the Model 3 have actually done so” https://t.co/P8hFZ7Mgvz
— Mark Graban (@MarkGraban) March 28, 2018
Possible book covers… can't figure out how to do an image and a poll. What are your thoughts, reactions, likes, dislikes, get new concepts? pic.twitter.com/InpwhEdTTv
— Mark Graban (@MarkGraban) March 28, 2018
I'm old enough to remember how difficult it was to cancel AOL. Oh, you'll give me three months free to stay? Well, OK then.
Want To #DeleteFacebook? Surprise, It’s Designed To Be A Nightmare https://t.co/CIfvOlVQYh
— Mark Graban (@MarkGraban) March 28, 2018
Red Sox player: “There are so many things that are new. So much technology. So we have to make adjustments in dealing with it. I think it will make baseball better, but for us it’s sometimes uncomfortable. It’s a lot of information.”
Read more at: https://t.co/mM5umWKtZe
— Mark Graban (@MarkGraban) March 28, 2018
“Although Ms. Strohla did not have an active nursing license, she was listed on the hospital's website as a registered nurse, and she wore an employee badge that identified her as an RN.” https://t.co/3wIRxWcGU7
— Mark Graban (@MarkGraban) March 28, 2018
“So much of our knowledge is still theoretical,” said Mejdal, who the Astros now call a special assistant for “process improvement.” https://t.co/kux4mLtVGX
— Mark Graban (@MarkGraban) March 29, 2018
It’s good to proactively prevent a problem by updating the standard work before there’s a huge controversy.
NFL closes overtime rule loophole — NBC Sports https://t.co/GiNbt49vEW
— Mark Graban (@MarkGraban) March 29, 2018
A “process behavior chart” example from Don Wheeler that shows a “highest in three years” data point isn’t necessarily a signal that the system has changed or that it’s worth reacting to. pic.twitter.com/rROTFNkhsG
— Mark Graban (@MarkGraban) March 29, 2018
“"When it comes to auto production, Elon may have fallen in love with the wrong thing. He's fallen in love with robots and automation," Max Warburton, European autos analyst at Bernstein” https://t.co/YftN4AgieF
— Mark Graban (@MarkGraban) March 29, 2018
It's funny to me that RED color coding in a metric or chart usually means "bad."
Shouldn't a number below target be GREEN because it means "go improve"??
But then, RED for an above-target number might imply "stop improving" and that's not what we really want. pic.twitter.com/y1nQzgNwWC
— Mark Graban (@MarkGraban) March 29, 2018
Tesla = amazing technical product innovation, but struggles to build high quality at high volume.
Hospitals = amazing clinical innovation and caring staff, but struggle with providing safe, error-free care at high volume.
— Mark Graban (@MarkGraban) March 29, 2018
How do you allow SELF-REPORTED quality data to be used in objective-sounding ratings?
“CMS star ratings are comprised of three measures: self-reported staffing, self-reported quality measures and an objective score from an on-site inspection.” https://t.co/F4F76L0l3A
— Mark Graban (@MarkGraban) March 29, 2018
Instead of rallying workers and putting pressure on them, Tesla leaders should improve systems. Quality starts in the boardroom.
Tesla Asks for Model 3 Factory Volunteers to Prove ‘Haters’ Wrong https://t.co/3Lu9x2VFH0
— Mark Graban (@MarkGraban) March 30, 2018
#Deming: “Appraisal of people is ruinous. You cause humiliation, crush out joy of learning, innovation, joy on the job. Most of what anybody does is governed by the system that he works in” https://t.co/lxjLNbMCe8
— Mark Graban (@MarkGraban) March 30, 2018
“Layoffs are a relatively blunt instrument" that should only be used in emergencies because of the negative reaction it has on workforces… That is a one-time thing. You need to change work processes and cultures.” https://t.co/u82iv4QYZb
— Mark Graban (@MarkGraban) March 30, 2018
“Forty% of healthcare providers have canceled a surgery and 69% of providers have rescheduled a surgery due to a lack of medical supplies, according to a survey conducted by @cardinalhealth — https://t.co/9ISkukpTuP
— Mark Graban (@MarkGraban) March 30, 2018
"Quality and safety is our true north at @MaryGreeley Medical Center" – from the intro to the webinar Karen Kiel Rosser & Ron Smith are doing now. pic.twitter.com/RV1LDsujgi
— Mark Graban (@MarkGraban) March 30, 2018
How they connect #Lean to @BaldrigeProgram pic.twitter.com/egP87EZ0u7
— Mark Graban (@MarkGraban) March 30, 2018
6 traits of a #Lean leader, as expressed by @MaryGreeley pic.twitter.com/AzRF4gQrQs
— Mark Graban (@MarkGraban) March 30, 2018
Tesla “employees will have to use paid vacation days or take unpaid time off if they don’t move to the Model 3 line.”
So they are throwing people at their supposedly super automated assembly line. And not paying those who don’t switch from the S/X line. https://t.co/DphlE7Ke22
— Mark Graban (@MarkGraban) March 30, 2018
Sticky note: “I don’t need recognition. I just want you guys to fix it!” https://t.co/0PvOT7Cj8Q
— Mark Graban (@MarkGraban) March 30, 2018
Interesting approach and a stark contrast to Toyota, who have made reference in the industry. The genius of Toyota was to treat people as knowledge workers, able to improve continuously. Even on production chain, Kaizen matters. https://t.co/wh9M4zpvQM https://t.co/A9iKgaPGDH
— Philippe Guenet (@Phil_LeanIT) March 31, 2018
I’ve been reading a preview copy. Good stuff… check it out: https://t.co/N2y4xUDi2l
— Mark Graban (@MarkGraban) April 1, 2018
Funny stuff — “Manager Isn't Command & Control, Just Knows What Is Best” https://t.co/a11iRIupP6
— Mark Graban (@MarkGraban) April 1, 2018
Trump played by his own rules in his family business. He doesn’t know how HR and real corporations work. Stuff like this is no surprise. Wharton should be embarrassed every time he brags about his degree. pic.twitter.com/jnPnrYyoYJ
— Mark Graban (@MarkGraban) April 1, 2018
“Only for dumb people” pic.twitter.com/qKMHN54hs8
— Mark Graban (@MarkGraban) April 1, 2018
The KaiNexus Suggestion Box — put out of the box thinking… INTO THE BOX! https://t.co/p7b94BI5rB
— Mark Graban (@MarkGraban) April 2, 2018
“Zingerman's Mail Order uses the Toyota Production System, a "#lean production" model that focuses on efficiency, respect in the workplace and constant improvement.” https://t.co/ItEl3EJNcV
— Mark Graban (@MarkGraban) April 2, 2018
"Measures of Success" — Release of the initial "in-progress" book via @LeanPub – https://t.co/SSUYf6cjRu pic.twitter.com/oi788Vzluk
— Mark Graban (@MarkGraban) April 2, 2018
This is not just a VA problem. Civilian hospitals too. Except maybe leaders don’t know about problems. pic.twitter.com/vukylw6IOn
— Mark Graban (@MarkGraban) April 2, 2018
So arrogant pic.twitter.com/UHpO9mx2v1
— Mark Graban (@MarkGraban) April 2, 2018
Process Behavior Charts: A Better Way to Evaluate Your KPIs https://t.co/ly4wbTWuRP
— Mark Graban (@MarkGraban) April 2, 2018
Begging for scores…. a symptom of a dysfunctional management system. https://t.co/Pvbmt7nbUS
— Mark Graban (@MarkGraban) April 2, 2018
Turn data into insight. My new book has methods that are helpful for #Lean daily management. https://t.co/LfPCP2dVNB
— Mark Graban (@MarkGraban) April 2, 2018
I'm barely into this book, and it has been great so far RT @leanpub: Measures of Success: React less, improve more, lead better https://leanpub.commeasuresofsuccess by Mark Graban is the featured book on https://t.co/tndUQp0a3w! @MarkGraban
— Joel Tosi (@joeltosi) April 2, 2018
Mark Graban Webinar on Lessons from Statistics and Pyschology: https://t.co/EZyVJXJ1fl via @YouTube
— Mark Graban (@MarkGraban) April 3, 2018
Since my book is about metrics, charts, and management, I'm glad that @LeanPub gives me a line chart instead of columns. Next step, when I have more data points, is making a "process behavior chart"
Measures of Success by Mark Graban [Leanpub PDF] https://t.co/LfPCP2vxcb pic.twitter.com/OvzhmtFOaB
— Mark Graban (@MarkGraban) April 3, 2018
Check out this engaging talk by @MarkGraban that asks what we can learn from the field of addiction research that can help in change and transformation work. (Spoiler: A LOT)#systemsthinking #psychology #Deming #motivationalinterviewinghttps://t.co/QBBE4FP4ZV
— Chris R. Chapman (@DerailleurAgile) April 3, 2018
“[Elon Musk] now says that he is back sleeping on the factory floor for the Model 3.” Is this how you build a sustainable business? In basketball, this is called "hero ball." In their crazy end of quarter ramp, how much did quality & safety suffer?
— Mark Graban (@MarkGraban) April 3, 2018
A 1976 cartoon from the New Yorker pic.twitter.com/nOZbSIQVEq
— Mark Graban (@MarkGraban) April 3, 2018
TIL that Dr. #Deming liked scotch. So said a guy who had Deming on his PhD panel. Another reason to like and respect him 🥃
— Mark Graban (@MarkGraban) April 3, 2018
This system dynamics diagram illustrates hospital settings too, including nurse staffing. You get into a vicious cycle of understaffing, fatigue, and poor quality. pic.twitter.com/EvnGgy1gB6
— Mark Graban (@MarkGraban) April 3, 2018
You’re always a winner unless you’re failing, apparently. pic.twitter.com/2jHCYrFoD2
— Mark Graban (@MarkGraban) April 3, 2018
I don’t think viewing change acceptance as two separate steps (develop solution then get buy in) is the right model. It should be more integrated in iterative cycles. Engaging people in creating a solution creates more acceptance. Forget “selling” ideas – engage people. pic.twitter.com/EHTVi1ySY2
— Mark Graban (@MarkGraban) April 3, 2018
“Multiple sources say it wasn’t uncommon for her group to take months to respond to backlogged abuse tickets.” https://t.co/7PkpYxX6Ud
— Mark Graban (@MarkGraban) April 4, 2018
I love @leanpub – here is the link to my “in-progress book” — https://t.co/LfPCP2dVNB #lean #deming #plotthedots pic.twitter.com/YHlrQS56jz
— Mark Graban (@MarkGraban) April 4, 2018
So great to hear @Captsully speak. #SullySpeaks pic.twitter.com/GVto1gtjht
— Mark Graban (@MarkGraban) April 5, 2018
I had a chance to submit a Q for @Captsully when I saw him speak yesterday. “You’ve been a great advocate for #patientsafety. How would you gauge progress (or lack of) in healthcare improvement?” Answer follows in thread.
— Mark Graban (@MarkGraban) April 5, 2018
“Kaizen” cocktails? My kind of place. pic.twitter.com/aEQ0vfO4SA
— Mark Graban (@MarkGraban) April 5, 2018
Good video regarding signals vs noise in data. @MarkGraban has a new book coming out soon as well addressing this and other topics. @leanhealthcare https://t.co/3DkDIK6tg4 https://t.co/nxgSQgIYPz
— Dr. Charles Hagood (@LeanHealthcare) April 5, 2018
@MarkGraban and @cdeao discuss strategies to effectively #engage #employees in this #podcast on the #Lean Blog. https://t.co/hx1Va8IoAv
— Studer Group (@studergroup) April 5, 2018
Compare this to @ElonMusk sleeping in the Tesla factory…. From 3 years ago: Says @Jack Dorsey: It's an "Organizational Failure" if the CEO Has to Make a Decision – Lean Blog https://t.co/Z4nzVmGbUK
— Mark Graban (@MarkGraban) April 6, 2018
Do you find the variation to be charming or annoying?
The Masters Logo Is Riddled With Inconsistencies | Uni Watch https://t.co/IgFozgOgtH
— Mark Graban (@MarkGraban) April 6, 2018
Good example of being proactive on safety and player protection:
“[Some baseball players are] wearing it to prevent an injury, not while rehabbing a past injury.” https://t.co/6vpVBoBcQa
— Mark Graban (@MarkGraban) April 6, 2018
The servant leader is a “leader of leaders.” At their core is the belief that superior results come from prioritizing the team (“we”) over themselves (“I”). The sooner people realize it, the faster they become #leaders. #TrueNorth #AuthenticLeadership https://t.co/EacFiA3iEm
— Bill George (@Bill_George) April 5, 2018
Learn, share, and connect with the lean healthcare community in Chicago June 14-15 #HCSummit18 https://t.co/Y8m0DZunY9 pic.twitter.com/EXfa9ff574
— Catalysis (@HCValue) April 6, 2018
Mark Graban
Mark Graban is an internationally-recognized consultant, author, and professional speaker who has worked in healthcare, manufacturing, and startups. His latest book is Measures of Success: React Less, Lead Better, Improve More. He is author of the Shingo Award-winning books Lean Hospitals and Healthcare Kaizen, as well as The Executive Guide to Healthcare Kaizen. He also published the anthology Practicing Lean that benefits the Louise H. Batz Patient Safety Foundation, where Mark is a board member. Mark is also a Senior Advisor to the technology company KaiNexus.