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The Carrot and the Stick on Steroids

I haven't done a Throwback Thursday in a while, but here's a new one.

I was reminded of an article I wrote for LinkedIn back in 2013:

The Carrot and The Stick "On Steroids"
The article begins:

There are a few cliché expressions that I've heard a lot of recently at healthcare conferences. Some of these clichés really need to be retired, including the phrases "carrot and the stick" and "on steroids."

My Article for the LEI “Lean Post”: React Less and Improve More…

It's been a while since I've contributed something to the Lean Enterprise Institute's online publication, The Lean Post (see past articles).

Today, they're allowing me to introduce some ideas from my book Measures of Success. Many "Lean thinkers" just haven't been exposed to these ideas. Many haven't read Deming or Wheeler... it's not their fault for not knowing of Process Behavior Charts and methods like this.

But, I hope this post helps people see that "bowling charts" and "red/green" analysis are not the only way (or the best way) to look at metrics.

My article:

"React Less and Improve More by Using SPC More Effectively"

Lean Shouldn’t be a Reason for Nurses to Strike

A retired labor leader from the automotive industry (who reads this blog) sent me a link to this article:

#RedforMed: 1,800 Vermont Nurses Are On Strike Demanding Their Hospital Put Patients Over Profits
The article isn't from a newspaper; it's from a site that provides "independent and incisive coverage of the labor movement and the struggles of workers to obtain safe, healthy and just workplaces."

Again, for the record, I'm all in favor of "safety, healthy, and just workplaces." That's what Lean management aims to deliver.

Lean Can Be Very Fragile, Especially With Executive Changes

Lean can be very fragile. History shows that Lean can fall apart even in an organization that is years into a "Lean journey" with strong CEO involvement.

How is this possible? If often happens when a new CEO is brought in from the outside. In the case of the manufacturing company, Wiremold, it happened when they were acquired by a French company, Legrand.

As an aside, the team that coined the term "Lean" almost used the term "fragile," as I blogged about here.

Back in 2007, Bob Emiliani joined me for Episode #30 of the podcast. As we revisit the podcast and the new transcript I had made, what are the lessons for manufacturers or hospitals?

What's the risk that's created when new leadership takes over?

Employee Complaints About Lean in Healthcare, Even at Some of the Best Organizations

Last week, I blogged about some employee complaints related to rotating day and night shifts at the Toyota San Antonio plant. In that post, I mentioned that employees who post on Glassdoor.com and other sites might not be a representative sample of the full employee population.

With that in mind, what happens when we search the Glassdoor surveys of some well-known "Lean hospitals?"

I posted a few of these employee comments on LinkedIn the other day (a short post that has received over 50,000 views and prompted a lot of discussion).

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