A challenge to every department in implementing LEAN daily management is determining the metrics that they will follow on the gemba board. They need to be meaningful and easy to determine without outside surveys. The following is an example of some of the metrics used in different hospitals we have worked with: Pressure ulcers # […]
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The Living Pareto Chart
When starting any performance improvement initiative the challenge most managers face is where to start. This is a result of constant “fire fighting”. We are constantly handling problems and issues as they come up but we are not tracking them to see if our improvement efforts are effective. Conversely, because we have never tracked issues […]
Animal Control Meeting Rules
Animal control professionals deal with a lot of different animal behaviour in the course of their duties. There are lessons to be learned from what they deal with every day. We can learn a lot about how conduct meetings or participate in kaizen events, (rapid cycle improvement projects) by simply applying some of their rules. […]
The Accountability Conversation
Dealing with performance issues is the most important duties we have as managers. It is one that no one enjoys. There is a simple five step process that will allow you to deal with any negative behaviour and hold people accountable. It forces the individual to explain why they didn’t comply with policies or why […]
How to Sucessfully Implement Change
Most managers, when contemplating changes I thin the organization spend most of their time and energy on strategy. They develop detailed implementation plans. Then they are surprised when the plan fails. They try to determine where the strategy failed. The major reason for failure is the one thing they spent time developing, strategy. If we […]
Daily Gemba Walk Briefing
Every day the senior leadership team will visit the department on their gemba walk. They are expecting a briefing on what happened in the past 24 hours. This discussion takes place in front of the gemba board. he discussion focuses on the KPI tracked on the gemba board. The following standard process should be followed […]
The Daily Senior Leadership Gemba Wal...
The daily senior leadership gemba walk is one of the most important elements of LEAN daily management. It differs from gemba walk that is undertaken to observe a specific process. The daily leadership gemba walk focuses every department on meeting their key performance indicators (KPI) on a daily basis and explaining progress to the senior […]
How to Form a QAPI (Quality Assurance...
Nursing homes all have quality committees that meet regularly to review key performance indicators and incidents. The committee has the responsibility for addressing any incidents and resolving the cause of the problem. Additionally, nursing homes have resident councils that meet regularly to discuss quality issues that are important to residents and families. The problem is […]