The Power of Checklists
My wife and I recently went on a trip for business and pleasure. As we were preparing to go, she put together a packing list. I, being a non-list person, began filling up my suitcase and finished much sooner than she did. Needless to say, I discovered a few key items that I had forgotten to pack once we reached our destination, necessitating a stop at the local drug store. In looking back on this incident, I can see the advantage that my wife had in creating a checklist of items she wanted to take with her. We’ve traveled enough that she has a standard list that she works from each time. Although she may add or subtract a few items based on our destination or time of year that we’re traveling, it seems that she never forgets any of the items that she wants to bring for the trip. Lists such as this are very useful in a variety of settings. While discussing airplanes with a pilot friend, he told me that he uses a checklist each time he goes flying. And while he’s been flying more than 30 years (currently in a two-seater instead of a 747), he still uses a checklist for each flight. Checklists have also been utilized in medicine, particularly in hospital settings. In his book The Checklist Manifesto, surgeon and researcher Atul Gawande, MD, MPH, argues that today’s workplaces have become so incredibly complicated that mistakes of one kind or another are virtually inevitable. He illustrates how a simple, low-tech checklist can make all the difference in reducing errors and ensuring patient safety. When designing a new continuous improvement process, checklists can be extremely handy in ensuring that everyone knows what the process is, and follows the process the same way. This helps to ensure uniformity and completeness of the new process. It also prevents the tendency to relapse into old methodologies, thus negating the gains from the new process. Most organizations have standard operating procedures of some nature. Within those, how many actually have a checklist of the steps involved within that process? Does your organization use checklists, and, are there ways to incorporate checklists in the work that you are doing? I look forward to hearing your thoughts! How are you helping your employees to work smarter by reducing the amount of time they spend on non-productive activities and correcting errors? If your business processes need a “check-up,” please email me at michael@leadingchangeforgood.com! I’d love to help you get back to a healthy, productive...
Read MoreUsing Data to Turn the Tide of the Opioid Crisis
We’ve all seen the statistics: Drug overdoses, most of which are related to opioids, killed over 64,000 people in the United States last year — an increase of 21% over 2015, according to the Centers for Disease Control. The opioid crisis hit Indiana especially hard. In 2015, IV drug use in Indiana caused the nation’s worst HIV outbreak in 20 years, affecting rural Scott County. Let’s face it — the issue is complicated. There are challenges with both prescription and illicit drugs. Solutions must reduce the number of people who become addicts in the first place, as well as cure those who do. The underlying issue of pain management must be addressed. For all these reasons, the State of Indiana has recognized that understanding the data, and blending them with statistics from other agencies, is key to solving the complexities of the drug crisis in Indiana, and hopefully the nation. Issie Lapowsky described the state’s efforts to attack the problem in an enlightening articlethis fall in Wired magazine. Earlier this year, Indiana started an online opioid data center, where pharmacies, hospitals, mental health organizations, police departments and others can share data to help everyone see the big picture of what is really going on across the state. Working with the analytics-software provider SAP, the State of Indiana constructed a database that includes information on drug arrests, drug seizures, death records, pharmacy robberies, overdose-related ambulance calls, and the use of naloxone, an overdose-reversal drug. State officials also incorporated the data-visualization tools from Tableau, so agencies providing the data can log in and observe trends over time. This far-reaching data-sharing effort—including some 16 government agencies—is amazing in a country still struggling to keep up with the recent explosion of opioid abuse. The state’s efforts are beginning to pay off. To decide where to locate five new opioid treatment facilities, the team took a map of state’s existing treatment facilities and meshed it with a map of overdose cases and instances where paramedics administered naloxone. Then, they measured the distance from the areas with the most overdoses to the nearest treatment location to identify gaps where new facilities might be most helpful. They’ve also been able to monitor drug seizures real time, to monitor new drugs that are hitting the black market. This can help the state spot new drug outbreaks before they reach crisis levels. If you’d like to hear more about how big data is transforming public health and learn what’s next in the battle against the opioid scourge, check out the INconversation with Dr. Jennifer Walthall, Secretary of the Indiana Family and Social Services Administration on Jan. 24 from 4-5:30 p.m. at Indiana Humanities, 1500 N. Delaware. Dr. Walthall is leading the charge to use data to target the areas of the state most in need of treatment programs. Kudos to the team for their efforts to foster collaboration and data sharing to help agencies collectively address the opioid issue real...
Read MoreSanta’s Secret: Lean Six Sigma
Have you ever wondered how Santa manages to deliver ALL those presents, to the right children who asked for them, at the right time, at the right house – every single Christmas? There’s only one plausible explanation. To accomplish this monumental task each year, Old Saint Nick MUST run a very Lean organization! In fact, I wouldn’t be at all surprised if he uses Lean Six Sigma processes to eliminate waste in inventory management, transportation and materials, as he and his elves assemble millions of toys and flawlessly distribute them worldwide. This fun holiday blog by Six Sigma green belt @JaredMunk got me to thinking. Who has a more demanding and impatient customer base than Santa? And he has one chance to get it right. To get input from his customers, he collects data from parents and Santa’s helpers around the world. They help him understand who has been naughty or nice, as well as what special gift each child would love to have. Of course, there’s only one Santa….but he has a lot of look-alike assistants at the malls, doesn’t he? No double Santa uses data from NORAD’s Santa Tracker to improve the precision of his delivery logistics, as their scientific instruments map his delivery route across the sky. He probably employs just-in-time manufacturing techniques to keep down inventory and ensure that the hottest gifts – like this year’s Fingerlings – are available when needed. Spreading Christmas joy to children worldwide is a complex undertaking. Santa must use Design for Six Sigma to coordinate all the intricate processes so that everything works together smoothly. So if your son or daughter begins to doubt if Santa is really real and asks you this holiday season, “How does he do it?,” you can reply with a smile – “Six Sigma, my child.” Happy holidays to you all! How are you helping your employees to work smarter by reducing the amount of time they spend on non-productive activities and correcting errors? If your business processes need a “check-up,” please email me at michael@leadingchangeforgood.com! I’d love to help you get back to a healthy, productive workplace! How are you helping your employees to work smarter by reducing the amount of time they spend on non-productive activities and correcting errors? If your business processes need a “check-up,” please email me at michael@leadingchangeforgood.com! I’d love to help you get back to a healthy, productive...
Read MoreKindness As A Process Improvement
While perusing my LinkedIn account last week, I ran across an article in Business Insider that caught my eye. The author, Kate Taylor, discussed how Chick-fil-A is beating is the competition, not with technology or undercutting prices, but with simple acts of kindness. By teaching employees to use simple phrases like “please” and “thank you,” the company has developed a customer satisfaction rating that leads the food industry. This is somewhat counter-intuitive, as we often think that process improvements cost a great deal of money. Yet coaching staff to use certain phrases that address customer expectations is probably one of the least expensive and most cost-efficient ways one can use to improve customer satisfaction. A good way to evaluate factors for customer satisfaction is the Kano model, developed by Dr. Noriaki Kano. It involves multiple customer need levels, including an expected and/or base quality, a normal quality, and a high or exciting quality. In the expected quality category, one would include standard items such as a bed in a hotel room, or chairs in a waiting room. Normal qualifiers could be items that satisfied basic needs or basic requirements, such as three bedrooms in a new home. If a couple with two kids found a home with three bedrooms, then they would likely be satisfied because it meets their basic expectations. The real goal is to obtain those factors that are considered exciting qualities or “delighters.” These are things that, while not an expectation of the customer, are actually above and beyond the expectation. For me, an example of this is receiving warm cookies when checking into a hotel room. After driving all day and being hungry and tired upon arrival, who knew what a satisfier a sweet treat could be! The Kano model is good for helping to demonstrate what a company must provide for its customers, what it should provide, and those factors that will excite or “wow” a customer — those things that are unexpected, but very much appreciated. The next time you end a conversation with your customer, perhaps instead of using “thank you,” try Chick-fil-A’s approach and use, “My pleasure. I hope to see you again soon.” Let me know how it goes! How are you helping your employees to work smarter by reducing the amount of time they spend on non-productive activities and correcting errors? If your business processes need a “check-up,” please email me at michael@leadingchangeforgood.com! I’d love to help you get back to a healthy, productive...
Read MoreUsing Process Improvement to End Homelessness
Homelessness is an issue that pervades many societies around the world, but it seems to be an exceptional struggle for the United States. It’s a complex problem that leads many to conclude that the homeless will always be a part of today’s urban environment. However, an organization called Community Solutions believes that homelessness is truly a solvable problem. It’s just an issue that’s lost its sense of urgency. By utilizing data, Community Solutions is helping communities combat homelessness real time, by tracking progress against monthly goals, and accelerating the spread of proven strategies. Through an initiative called Built for Zero, they’re creating systems that are built for learning, allowing organizers to change and improve as they go, prioritize resources, identify gaps and match people to the best housing opportunities to fit their needs. And, it seems to be working. In January, The City of Rockford, Illinois Department of Human Services announced that the City has been recognized as the first community participating in Built for Zero to effectively end homelessness among local veterans. Using data for improvement isn’t only about having the correct numbers and facts – it’s about using them for decision-making – to make adjustments, refine systems and track progress in real time. This isn’t a new or revolutionary approach. In fact, most operations and business excellence problem solvers across industries already make daily improvements and adjustments that are centered on data analysis. It is unusual, though, to see it applied to improving the well-being of a community. In the case of Built for Zero, data analysis has enabled evaluation, troubleshooting and process improvement across a community’s entire housing placement system, helping communities prioritize resources, identify gaps and ensure that individuals and families experiencing homelessness are referred to housing opportunities that best fit their needs. In the past, cities have not kept track of housing placement data on a community level. Individual agencies may collect data on the number of clients it houses in a week or a month, but odds are that data isn’t relayed across the system. Without this data, community leaders have know way of knowing if progress is being made. In theory, fixing the problem is simple. In order for a community to end homelessness, the total number of people it places into housing each month should be greater than or equal to the number of people it needs to house that month to achieve a path to zero. If those numbers are out of whack, then it’s easy to tell that a community needs to adjust its strategy. That’s where an openness for data collaboration comes in. Participating communities are publicly sharing their monthly housing placement measurements, allowing community leaders, partners and stakeholders to track progress in real time. This transparent feedback loop not only allows a community to constantly evaluate and enhance its system, it also creates shared accountability and buy-in across the entire housing placement system and encourages learning and communication across communities within the initiative. It is this type of transparent, real-time, person-specific data that will help communities optimize resources, improve multi-agency coordination and accelerate housing placements, ultimately bringing the goal of ending veteran and chronic homelessness nationwide over the next few years within reach. What other societal issues do you think could be helped by process improvement? Please share your ideas! How are you helping your employees to work smarter by reducing the amount of time they spend on non-productive activities and correcting errors? If your business processes need a “check-up,” please email me at michael@leadingchangeforgood.com! I’d love to help you get back to a healthy, productive...
Read MoreAn Rx from Pharma: Quality by Design
Several years ago, I spent a summer working for a company that manufactured communication antennas. I can still remember the quality control analyst coming by, twice a day, with a grocery cart full of parts that had been rejected for not meeting tolerance standards. I was amazed at the amount of work that went into creating these parts, just to have such a large volume returned because they did not meet quality standards. What a waste! The main problem with late-stage quality analysis is that it only detects and gets rid of substandard products or parts—it doesn’t prevent them from being created in the first place. As manufacturing has evolved over the years, companies have put in place a variety of techniques to evaluate quality more rigorously, and in many cases, to embed quality control throughout the manufacturing process. In a recent article in Pharmaceutical Technology, Hermes Pharma‘s Analytical Development Senior Manager Martin Koeberle, Ph.D. and QbD & Drug Regulatory Affairs Senior Manager Wolfgang Schiemenz discuss the use of quality by design in pharmaceutical manufacturing. By utilizing quality by design techniques, pharmaceutical companies like Hermes Pharma are able to determine critical quality attributes (CQAs) that may significantly affect the quality of their final product. By honing in on these CQAs in advance, the team can identify the key variables that affect the production process, or critical process parameters (CPPs). These can be actively monitored to avoid any deviation in the manufacturing process, ensuring product quality and that CQAs are met. Techniques such as this also may enable the company to simplify regulatory compliance. By making early adjustments to the manufacturing process, they can avoid costly late-stage adjustments that have to be formally registered with regulatory bodies after large scale production has begun. As pharmaceuticals become increasingly complex to manufacture, it’s more important than ever that quality is designed into the them from the beginning to ensure patient safety. And ultimately, to deliver a better product that improves lives and better patient outcomes. If you haven’t checked out the article, it’s worth the read. The lessons learned can be applied across many industries that are working to boost production output, reduce throughput times, lower costs, and deliver an amazing products that meet the needs of customers. How are you helping your employees to work smarter by reducing the amount of time they spend on non-productive activities and correcting errors? If your business processes need a “check-up,” please email me at michael@leadingchangeforgood.com! I’d love to help you get back to a healthy, productive...
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