Are We 84.7% Certain We’re in the 90th Percentile? Of course, hospitals should focus on patient satisfaction. That’s important but is often a vague and uncertain thing to measure. But, as Dr. Deming said: “The most important figures that one…
One of the books that’s had the biggest impact on my work is Donald Wheeler’s Understanding Variation: The Key to Managing Chaos. It’s the best guide for applying simple and powerful “statistical process control” (or SPC) practices to management data…
Yesterday, my blog post featured a YouTube video that Everett Clinic was kind enough to share with the world, showing their Daily Huddle process (“Video of a Daily Huddle at Everett Clinic“). In that post, I alluded to there being…
As I’ve been re-reading Dr. Deming’s Out of the Crisis, stuff like this jumps out at me more and more. I saw similar signs at Heathrow Airport last month bragging about the airport exceeding targets for customer service. This is,…
Note: Welcome LEI visitors… you can check out my main blog page at www.leanblog.org, as I hope you’ll come back. Here are some other recent posts: Where Did I Start With Lean? One Purple Audacious Goal Caution! Warning Signs in…
Baylor Rewards Freshmen Who Retake SAT – NYTimes.com Baylor Newspaper Article Show me a ranking system and I’ll show you a way to “game the system” to manipulate the apparent results. You see this with sales quotas, annual bonus plans,…
TL;DR: When leaders impose arbitrary targets without improving the underlying system, people will find ways to hit the number without helping the patient. The problem isn’t the people — it’s the design. I’m here in the UK for work, and…
Freedom from Command & Control: Rethinking Management for Lean Service Here is a fascinating post from John Seddon at his website www.lean-service.com (link is dead) about ambulances “making their numbers”: The stupidity of measuring the eight-minute response time has been…
Manufacturing Engineering December 2006 I was sent the link to this article by Professor Thomas Johnson, noted author of books including Profit Beyond Measure. After reading the article, I’m a bit confused (although he makes some excellent points). Dr. Johnson…
A somewhat recent experience prompted me to re-read portions of Donald Wheeler’s outstanding book, Understanding Variation: The Key to Managing Chaos, with its section on the three ways people can improve a metric or a target (he gives credit to…
NPR : What the U.S. Jobless Numbers Really Mean I heard this NPR story via one of their podcasts, the “Daily Shuffle.” The economist makes a great point — when the government releases numbers that say “unemployment fell from 4.8%…
