Latest "Improvement Insights" Posts
My career was dipped in various management methods such as MBO and MBWA. Recently I read a new term: Management by Spreadsheet (MBS). Maybe there’s a better way.
“When I was working at the phone company we had a variety of management fads. I think first there was MBO, or “Management By Objectives.” Of course, that assumed that you know what your objectives were. We had MBWA, “Management By Wandering Around,” so the management team was wandering around all the time and just getting in our way. Recently I saw a different phraseology and I kind of liked it: MBS, which stands for “Management By Spreadsheet.”
“You know, if you think about it, there’s very few people who can actually read a spreadsheet and get intelligence out of it.
Continue Reading "Management By Control Chart"
IHI set a goal to reduce healthcare waste by 50% by 2025. Here’s how to do it with the Trillion Dollar Prescription.
“Hi, I’m Jay Arthur, author of “Lean Six Sigma for Hospitals.” We were just out at the Institute for Healthcare Improvement conference in Orlando, Florida. [There were] like, 4500 medical doctors and nurses and CNO’s and CNMO’s and people all involved in improving healthcare quality. This is their 31st annual conference. (I can tell you based on what I was looking at on the posters, people are not really aggressively going after change…)
“The IHI announced that it’s tackling what they call the “Trillion-Dollar Checkbook.” Their goal is to cut health care waste by 50% by 2025 – that’s five years from now.
Continue Reading "IHI’s Trillion Dollar Aim – Reduce Healthcare Waste by 50% by 2025"
Many people take Six Sigma classes but only do one project. “One and Done” as it’s known in the trade. Make a resolution to start making improvements every month! Here are my suggestions.
“Hi, I’m Jay Arthur. It’s 2020, and last week I suggested that you go out and learn one new tool in the QI Macros every month. Now I’m also going to suggest that you set a New Year’s Resolution to make one improvement a month as well.
“Set a goal to do one improvement every month and by the end of the year, you’ll have made 12 improvements and dramatically reduced the amount of waste and rework and lost time and overtime and everything else that is involved in your world, right?
Continue Reading "2020 New Year’s Resolution Part 2 – Improve"
Many people tell us that they have QI Macros, but they don’t know how to use it. Make a resolution to learn how! Here are my suggestions.
“Hi, I’m Jay Arthur and… it’s 2020. How did that happen? A new year; a new decade. Seems like just yesterday everybody was worried about Y2K. Somebody out there is thinking, “What’s Y2K?” That was a thing that happened back in the year 2000… you probably forgot all about it, but I’ve been at this for over twenty years now in the software field around Quality Improvement, so I’ve seen a lot of things.
Continue Reading "2020 New Years Resolution Part 1 – Learn One Tool Per Month"
Take time to celebrate with friends, family and coworkers this holiday season.
“After you’ve made an improvement, after you’ve “Focused,” “Improved,” and “Sustained,” you have to take time to “Honor” your progress. At this time of year, most of us gather together (And I’m going to encourage you to gather together with your friends, family, co-workers, whoever) to celebrate your improvements this year and the things that you’ve accomplished. Take time to celebrate because this is the time to do that.
“I’m honored that all of you invite me into your workspace to listen to these Improvement Insights each week, and that you’ve taken the time to use the QI Macros, (just like I had to teach myself how to use them) to go out and start to make improvements in the world.
Continue Reading "Take Time To Honor Your Progress This Year"
What do Christus Health, Novartis and Underwriters Laboratories have in common? In the last few years they’ve rediscovered the essence of Agile Lean Six Sigma. Here’s How:
“Every year we go out to these conferences and trade shows and exhibit the QI Macros, and I get a chance to go see some of the presentations that people are doing. About two years ago I started to notice an interesting trend, and so I got some observations out of this whole thing.
“So about two years ago, I was at the Lean Six Sigma conference in Phoenix and Christus Health was presenting about their quality journey.
Continue Reading "Agile Process Innovation Case Studies"
The September/October 2019 issue of Harvard Business Review asks this question. The answer is obvious, but some people will read this the wrong way. Here’s why:
“This is a September / October 2019 edition of the Harvard Business Review. You can see here it says, “Are Metrics Undermining Your Business?”
“Now the essence of the article is “Bad metrics drive bad behavior.” Well, I think we all know that, but I think too often people who hate metrics will just look at that and say, “There’s proof! See? Measurements are ruining our business. We’ve got to go back to gut feel, common sense and trial-and-error.” Wrong!
Continue Reading "Are Metrics Harming Your Business?"
Some people think they have to climb Mount Everest or do a fire walk to overcome their fears. Maybe it’s just as easy to do the thing you are afraid to do in your normal life. Maybe it’s time to climb Mount Quality. Maybe it’s time to create a hassle-free experience for your company’s customers.
“My wife’s been watching these shows about people climbing Mount Everest. You see people, they’re waiting for the final the final [ascent] and there’s a huge queue of people waiting to go up to the top of Mount Everest… (It’s like [maybe] they should put in an express lane or something!) It [seems] like everybody’s doing it.
Continue Reading "Climbing Mount Quality"
What charts do you need to stay safe and in control?
“Most of you have driven on a highway. It may have been a two-lane rural [road] or a four-lane interstate, but you know that the lines on each side of the road help you stay on track, keep you safe and know that you’re going in the right direction.
“But if you’ve ever driven in a blizzard, you know all those lines are totally obscured and you can hardly see. I had to go over Raton Pass once upon a time driving from Denver to Tucson to see my parents, and it was a pouring blizzard and I could barely see where I was going.
Continue Reading "Line Charts Are Like Driving in a Blizzard"
A recent report from NAHQ (National Association of Healthcare Quality) found that three-quarters of hospitals had a quality department. But to achieve hassle-free healthcare and zero harm, it will take more than a department to achieve the results desired.
“The National Association for Healthcare Quality just released a report on Quality professionals in health care, and it turns out that in a lot of the situations, about three-quarters of the people responding reported that in their hospital or wherever, that Quality was a department, and in about a quarter [of the responses] Quality was individuals working on stuff.
“Let me be clear about this: Quality is not a department.
Continue Reading "Quality Is Not a Department"