Lean Blog by Jay Arthur
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2020 New Years Resolution Part 1 – Learn One Tool Per Month

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.

Posted by Jay Arthur in Improvement Insights, Jay Arthur Blog, Lean, QI Macros, Six Sigma.

Agile Process Innovation Case Studies

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.

Posted by Jay Arthur in Agile Lean Six Sigma, Improvement Insights, Lean, QI Macros, Six Sigma.

Are Metrics Harming Your Business?

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.”

Posted by Jay Arthur in Improvement Insights, Jay Arthur Blog, Lean, Six Sigma.

Climbing Mount Quality

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!)

Posted by Jay Arthur in healthcare, Improvement Insights, Lean, Six Sigma.

Quality Is Not a Department

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.

Posted by Jay Arthur in healthcare, Improvement Insights, Jay Arthur Blog.

Control Charts for KPIs

Several attendees told me they had ripped out their line charts and started using Control Charts for their KPIs. Here’s why:



 

“Hi, I’m Jay Arthur, author of “Lean Six Sigma for Hospitals” and the QI Macros [software].

“We were out at the National Association for Healthcare Quality conference; I was speaking and we were exhibiting there. After I spoke, I had a couple people come up to me who said they’d seen me at the previous year’s convention talking about how to improve things and how line [charts] and bar charts can be harming patients and they said, “You know, I went back to my hospital and we ripped out all of our line charts and we put in control charts for all of our key process indicators.

Posted by Jay Arthur in Agile Lean Six Sigma, healthcare, Improvement Insights, QI Macros, Six Sigma.

No Design Survives Contact with the End User

No matter how well you design something using DFSS, users will find ways to use it or break it in ways you can’t imagine!



“In Six Sigma we have all these tools for designing for Six Sigma, so we have Quality Function Deployment and Failure Modes and Effects Analysis and all this other stuff; PPAP forms in automotive to help you design an entire sub-assembly or whatever it is… but what are these things designed to do?

“Well, they’re designed to help you come up with something that’ll come out at least a four signal level, maybe a four and a half signal level, but one of the things I’ve learned from software is “No design survives contact with the end user.”

Posted by Jay Arthur in Improvement Insights, Jay Arthur Blog, Lean, Six Sigma.

I Love Improvers

I love people who fight the good fight of quality improvement. Problem solving isn’t sexy, but it’s vital to corporate health. Hugs!



“Hi, I’m Jay Arthur. If you’ve been watching my Improvement Insight videos, you’re probably going, “Gee, Jay, you’re sharing all this stuff… What’s that all about?”

“Well, it turns out if you don’t know it by now… I love people who do Quality Improvement. They’re out chasing the big ugly things that are causing too much hassle in America and trying to eliminate them and eliminate waste and eliminate all the stuff that goes into landfills and into sewers and all kinds of stuff like this.

Posted by Jay Arthur in Improvement Insights, Jay Arthur Blog, Lean, Six Sigma.

Not Everyone Likes Quality Improvement

There are a number of fears that make people hesitant to share data and or let you make improvements. Here’s why.



 

“Not everybody is in love with this whole idea of improvement. There are people who, when you come to them and say, “I need your data about such-and-such,” they don’t want you looking at their data because they don’t want to look stupid. If they’re the manager of that organization and they’ve had all this data and they can’t find what I call the “invisible low-hanging fruit,” they think that they’re stupid or something. No, they just don’t know how to analyze the data.

Posted by Jay Arthur in Improvement Insights, Jay Arthur Blog, Lean, Six Sigma.

Flood-Proofing in Holland

While some European cities were devastated by fire, Holland has had to deal with flooding. What have they done to mistake-proof flooding since 1953?



“Hi, this is Jay Arthur, author of “Lean Six Sigma for Hospitals” and the QI Macros [software]. “I recently had an Improvement Insight video about how they were burning down the capitals of Scandinavia repeatedly until the king said “Thou shalt build thy buildings out of stone” and so that stopped the fire problem. I discovered there was a 60 Minutes article on a recent Sunday, and they were talking about Holland.

Back in the 50s there was a massive flood and it tore down a lot of barriers because a lot of Holland is below sea level.

Posted by Jay Arthur in Improvement Insights, Jay Arthur Blog, Lean, Six Sigma.