Podcast #348 — Cinnamon Dixon, Tiered Huddles at Cleveland Clinic

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Our guest today for Episode 348 is Cinnamon Dixon, Director Of Continuous Improvement at Cleveland Clinic. I interviewed her for the KaiNexus Continuous Improvement Podcast series and I'm cross posting that interview here to give it more exposure.

Our KaiNexus team members who were at the Lean Healthcare Transformation Summit in June were really impressed with Cinnamon's presentation on their “tiered huddle” process that's part of their Lean methodology. So, we asked her to do the podcast.

You can a full transcript via the KaiNexus blog.

I recently had a chance to visit Cleveland Clinic and I spent the morning observing their tiered huddles, so I'll be writing a blog post about that soon. Thanks to Cinnamon and Cleveland Clinic for being so willing to share!


Streaming Player:



For a link to this episode, refer people to www.leanblog.org/348.

For earlier episodes of my podcast, visit the main Podcast page, which includes information on how to subscribe via RSS, through Android appsor via Apple Podcasts.  You can also subscribe and listen via Stitcher or Spotify.

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Questions, Topics, and Links:

  • Hi, Cinnamon, please introduce yourself to the listeners… what's your professional background?
  • When did you first get introduced to Continuous Improvement — under the banner of Lean or what methodology?
  • Please give us a quick overview of the Cleveland Clinic Improvement Model?
  • What role does Visual Management play in the CCIM system?
  • What are the “tiered huddles?” Can you talk first about the front-line huddles? What gets talked about? What are the expected responses or actions coming out of the meeting?
  • Then, how do the huddles flow upward in the leadership chain?
  • What sorts of issues get escalated vs. being handled locally or at a certain level of the organization?
  • How did you roll these out?
  • What have you learned and adjusted during the time you've been using these huddles?
  • What advice would you have for others on daily tiered huddles?

Thanks for listening!

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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.

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