What really motivates people to improve their work–especially in healthcare and other complex environments? Drawing on Daniel Pink’s Drive, Dr. W. Edwards Deming’s teachings, and Lean principles, this post explores why intrinsic motivation consistently outperforms incentives, rewards, and punishment in…
Note: I edited the post title on April 3 to make it clear this was an April Fool’s Joke. Comments posted by readers on 4/1 and 4/2 may have been “fooled” – thanks for taking the joke in good spirits.…
Episode #87 is a discussion with a returning guest, Steven J. Spear, DBA, author of the outstanding book Chasing the Rabbit: How Market Leaders Outdistance the Competition and How Great Companies Can Catch Up and Win. The book is due…
In recent years, healthcare has been learning a lot of lessons from aviation — including checklists and “Crew Resource Management,” as written about in the excellent books The Checklist Manifesto and Why Hospitals Should Fly. Aviation has gotten much…
TL;DR: The Olympic gold-medal puck was almost lost not because of bad intent, but because the system relied on people remembering under chaotic conditions. The real lesson is timeless: leaders must design processes that account for human fallibility instead of…
Episode #85 is a conversation with David Meier, a former Toyota Georgetown Group Leader and the co-author of the books The Toyota Way Fieldbook and Toyota Talent: Developing Your People the Toyota Way. With Toyota facing widespread attention during the 2010…
Here’s one to ponder and comment on – does putting a pharmacist in jail for six months and ruining his career and life do anything to bring back a two year-old girl? Does it do anything to make future patients…
On Friday, I co-presented at the Society for Health Systems / ASQ Healthcare Division conference in Atlanta. It was the first time this was done jointly and it seemed we had more physicians and other clinical people around, which is…
Episode 84 is audio from Video Podcast #10 (available on YouTube). This is a conversation with Karl Wadensten, President of VIBCO, a manufacturer in Wyoming, R.I. and host of the now-retired radio program The Lean Nation. Karl shares the remarkable…
Continuing my series on re-reading Dr. W. Edwards Deming’s book Out of the Crisis, I’m posting a series of tweets from the Chapter along with my thoughts and comments. At about 70 pages, it’s a long, dense chapter, including Deming’s…
Podcast #83 is an in-depth conversation with Jim D’Addario, the CEO of D’Addario, Inc., a manufacturer of guitar strings, drum heads, and other musical accessories. Jim and his family company were featured on CNN late last year, highlighting how lean…
It’s an honor to again contribute to John Hunter’s amalgamated Management Improvement Blog Carnival. The main page is located here. Ten bloggers are each selecting a few favorite posts from their favorite blogs to highlight. It’s quite a collection. Dan…