Tag: Gaming the Numbers

Gaming the System: What a USPS Smiley Face Reveals About Bad...

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TL;DR: A USPS clerk tapping the green smiley face on a customer feedback screen is a small but telling example of gaming the system....

If Dolphins Game the System, What Are Your Employees Doing?

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TL;DR: Dolphins gaming rewards illustrate a core Lean lesson: behavior follows system design. In organizations, quotas and incentives combined with fear lead to gaming...

Wells Fargo Scandal: How Bad Management and Sales Quotas Drove Gaming...

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tl;dr: Wells Fargo didn't have a "bad apples" problem--it had a bad management system. Unrealistic sales quotas and fear-driven incentives made gaming the numbers...

When Systems Improve–and When They Don’t: Recent Lessons from Healthcare, Sports,...

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Recent lessons from NICU innovation, primary care access, fan safety in baseball, and ongoing VA wait-time gaming This post is a collection of recent updates...

Redefining Accountability in Lean: Moving from Blame to System Improvement

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tl;dr: In many organizations, "accountability" is code for blame and punishment. Lean leadership redefines accountability as improving systems, clarifying expectations, and helping people succeed...

The Real VA Scandal: Long Wait Times, Bad Management, and the...

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TL;DR: Long VA wait times weren't the result of "bad apples." They were the predictable outcome of bad management systems that used unrealistic targets,...

Memorial Day – A Reminder to Provide Better Care for Living...

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Today is Memorial Day, a U.S. holiday. It's a day to honor those who have given their lives in military service. Lately, the news has...

Gaming the System: Graduation Rates & Pneumonia Rates

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Regular readers of the blog will know that one of my favorite topics is "Gaming the Numbers" (or "Gaming the System"). As Brian Joiner so...

Easier to Game the Numbers than Fix the System — in...

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I've cited his book before (including this post with an example from The Office)...  Brian Joiner wrote, in his outstanding book Fourth Generation Management:...

Stuff I’m Reading, February 21, 2013: Transparent Errors, Hidden Gorillas, Gaming...

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It's time again for a regular feature I call "Stuff I'm Reading." I have too many browser tabs open and my Mac is bogging...

Looking at Medical Mistakes – Learning and Preventing or Repeating?

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Preventable medical mistakes remain one of the most serious challenges in healthcare. From emergency departments to pathology labs, the same types of errors continue...

ThedaCare’s “Business Performance System” – and a 10% Target

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One of the most powerful thoughts in the book On the Mend: Revolutionizing Healthcare to Save Lives and Transform the Industry  (by John Toussaint...
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