Operational Excellence Mixtape: October 30, 2020


Thanks as always to Ryan McCormack for this…

Healthcare — Creating Value for Patients

How Virginia Mason is using lessons learned from Covid-19

The proliferation of Electronic Health Records means more data is available to clinicians and administrators than ever before.  But too much data can be overwhelming, and may not effectively support clinicians and managers in decision-making and improvement.  Here is a great case study from Mount Sinai Morningside Hospital in New York on Integrating a Real-Time Information Framework with Daily Management to Improve Flow and Revenue.

The moral imperative to do no harm is a good enough reason to improve patient safety.  But it's also good business.  Why most hospitals could save millions by improving patient safety.

Consistent hand hygiene is still a challenge, even during a pandemic – 66% of physicians are compliant to best practices in a recent audit in Winnipeg.  I'm not sure if making it a “performance issue” will have any impact.  

Meanwhile, in New Brunswick, health system administrators acknowledge that a decade of simply measuring patient experience has not resulted in improvement.  It seems evident that measurement is necessary but insufficient for improvement, but why did it take 10 years to figure that out?

Operational Excellence

With more folks working from home, there is a renewed discussion on how to measure productivity.  Does quantifying the work help drive productivity?  A study from Stanford suggests that quantification and gamification of work drives productivity if the tasks are simple

We often hear that we need to “break down silos” to encourage innovation. Collaborating across functions is necessary for innovation, right?  Interestingly, Apple, respected as one of the greatest innovators, is structured in deep functional and technical silos.   

One way to tell if leaders are ready to lead and own transformation is how often the word ‘they' is used, according to Bruce Hamilton aka Toast Guy.  

Leading & Enabling Excellence

Steve Denning shares an excellent read on management vs. leadership in a 21st century model of agile management in Reclaiming Leadership in the Age of Agile

If you're a leader, what's the right ‘altitude' to operate at?  50,000 ft? 500 ft? 5 ft?  Or all three?  The three altitudes of leadership

Buzzwords, books, and consulting practices of the ‘newest' trend are time-honoured traditions in management.  Think you know your history of management trends?  Check out this quiz from the Wall Street Journal.

Coaching – Developing Self & Others

If your coachee is too reliant on you, it may be a sign they are not developing.  A study shows that transformational coaching helps athletes develop, and therefore become less reliant on their coach over time.  

How to Foster Psychological Safety in Remote Teams

Books, Podcasts, Videos

I struggle with initiating difficult conversations.  This episode of Coaching for Leaders: The Way Into Difficult Conversations was helpful. 

I review (in under 1000 characters) the excellent book When More is Not Better

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Ryan McCormack
Ryan is an operational excellence professional with over 18 years experience practicing continuous improvement in healthcare, insurance, food manufacturing, and aerospace. He is an avid student of the application of Lean principles in work and life to create measurably better value.


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