Organizations implement management systems for many different reasons; to improve performance, open lines of communication, and to develop a team of problem-solvers (to name a few). Adopting a management system requires a different way of leading. It means managing by process rather than managing by objectives. Often organizations realize some quick gains when they begin […]
https://createvalue.org/blog/how-to-sustain-a-management-system/
Recently, I have had several leaders talk with me about how executives connect to the lean management system. This gap in understanding gave me pause and created an opportunity to think about how we are presenting systems in our coaching and teaching. I feel it is important to speak more directly about how the executive […]
https://createvalue.org/blog/questions-for-examining-your-executive-management-system/
Many healthcare organizations hit a patient safety roadblock on their Lean transformation journey. Leaders and staff who are learning to see waste discover the connection between good process design and patient safety. Suddenly, every problem seems to cry out for a full-blown root cause analysis (RCA) because it could have caused serious harm! It is […]
https://createvalue.org/blog/let-your-daily-management-system-reduce-the-need-for-root-cause-analyses/
By Lisa Yerian M.D. and John Toussaint M.D. There is great concern throughout the U.S. that health systems will not be able to meet the demand of the potential exponential growth of critically ill patients with COVID-19. This is playing out in New York where some hospitals have full ICUs and too few ventilators to […]
https://createvalue.org/articles_and_news/standardized-management-system-improvement-culture-allow-fast-safe-efficient-response-covid-19/
I liked the recent Catalysis blog post on “How to Create an Area Scorecard,” but I’d like to use this blog post to build upon the helpful thoughts that were shared there. The previous blog post focused on the important question of “what should we measure?” The recent book Measure What Matters by John Doerr […]
https://createvalue.org/blog/beyond-emojis-how-to-visualize-your-area-scorecard-metrics/
The health care system I worked for began its lean journey as many organizations do; using lean tools and rapid improvement or kaizen events. We experienced huge improvements and were excited about our results. However, after about four years our operational managers started to express frustration that we were not sustaining breakthrough improvement. We realized […]
https://createvalue.org/blog/why-a-lean-management-system/
Blog Post #1 of 4 in a Series by Kim Barnas One of the first components needed in a management system is a way to look at your day. We call that our status sheet. It’s a daily check-in. It could be a huddle, it could be a conversation, whatever it is that you are […]
https://createvalue.org/blog/daily-management-making-it-visible/
In the spring of 2008, the leadership at ThedaCare recognized they were on the cusp of a necessary cultural shift. Furthermore, the changes that were coming, based on a series of management experiments, required a deep understanding of how problems were being solved and how decisions were being made. Like most health systems that were […]
https://createvalue.org/blog/experimental-management-systems/
One of the core elements missing in most healthcare organizations’ lean transformation is the management system required to support continuous improvement. The core elements of that system include: A3 thinking Daily status sheet Daily performance-and-defect review huddle Unit-based leadership teams Standard work for leaders and supervisors Standard work audits Visual progress tracking Andons John Toussaint describes each […]
https://createvalue.org/blog/frontiers-of-health-services-management-publishes-john-toussaint-lean-management-article/
Is your Improvement Team supporting the current leadership to become principle-based leaders? Before you can help other leaders transform, you must be willing to transform yourself. Through our experience at Catalysis we have seen that ideal behaviors for organizational excellence are derived from the principles first codified by the Shingo Institute. We have developed a […]
https://createvalue.org/customized-services/principle-based-development-improvement-team/