Our experience at ThedaCare has shown that convincing staff to help remove waste from care processes goes much smoother when they know their jobs are not at risk. Why would you work to redesign care and redesign yourself out of the organization?
It has been important to have a no layoff philosophy in order to get staff excited for change. This doesn't mean we have guaranteed they would always do the same job but we have guaranteed we would retrain them if their job changed with the goal to make sure they have work which is meaningful to them and the organization.
Here is the link to Mark's article -http://www.fiercehealthcare.com/story/how-lean-management-helped-hospitals-avoid-layoffs/2010-10-01
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