Lessons from the Wells Fargo Scandal, Mismanagement, and Gaming the Numbers
It's been a busy fall so far. I've wanted to blog about the Wells Fargo scandal and management mess, but haven't…
Browsing Tag
Gaming the Numbers
Updates: NICU Innovation, Labs, MLB Netting, VA Waiting (and Cheating)
I recently saw some updates and new details related to some topics I've covered here on the blog, so I'm combining…
“Accountability” Shouldn’t Mean Blaming People for Things Out of…
"Accountability" is a word that's easy to throw around in an organization. It's often pretty meaningless (or not…
The Real #VAscandal is the Long Waiting Times & Bad Management, Not Gaming by…
Look at the System, Not the Individuals
I've been wanting to blog about the "VA Scandal," but have avoided it…
WSJ Video on Gaming the VA Wait List System & Targets
From the Wall St. Journal:
Read more:
The Real VA Scandal is the Long Waiting Times & Bad Management,…
Memorial Day – A Reminder to Provide Better Care for Living Veterans
Today is Memorial Day, a U.S. holiday. It's a day to honor those who have given their lives in military service.…
Gaming the System: Graduation Rates & Pneumonia Rates
Regular readers of the blog will know that one of my favorite topics is "Gaming the Numbers" (or…
Easier to Game the Numbers than Fix the System — in Education and Healthcare
I've cited his book before (including this post with an example from The Office)... Brian Joiner wrote, in his…
Stuff I’m Reading, February 21, 2013: Transparent Errors, Hidden Gorillas,…
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…
Looking at Medical Mistakes – Learning and Preventing or Repeating?
Working in healthcare, it's hard not finding stories about preventable errors. I keep hearing stories from friends…
ThedaCare’s “Business Performance System” – and a 10%…
One of the most powerful thoughts in the book On the Mend: Revolutionizing Healthcare to Save Lives and Transform…
A Vivid Example of Gaming the Numbers on “The Office”
NBC's "The Office" is often a good source for clips that illustrate the opposite of Lean thinking. Last week's…
One Problem with Healthcare Data
This article caught my eye recently: "Canada leads in surgical mishaps." By "leads," the article means they have a…
ThedaCare’s CEO: “The Goal is Zero – The Target is…
On his blog, John Toussaint shared this letter from ThedaCare CEO Dean Gruner to all employees. Toussaint said the…
An Astronaut’s Viewpoints on Systems & Patient Safety
Today, I'm sharing a brilliant Slate.com interview : "Risky Business: James Bagian—NASA astronaut turned…
Texas Snow Days Expose the Gaming of Standardized Tests
As you might have heard, considering all of the Super Bowl media hype from here in North Texas, our weather has…
Individual NFL Player Incentives – Why Are They Necessary? Do They Distort…
There's a really good discussion and story on the ESPN program "Sunday NFL Countdown" today about individual player…
What Would #Deming Say? Polish Police Offer Fines Himself to Meet Quota
Here's a hilarious, yet somewhat sad, story that will instantly resonate with students of Dr. W. Edwards Deming.…