Sphere of Influence

Most healthcare organizations have a strategic plan. Some have robust plans that are built with careful consideration of strengths and weaknesses of the organization. Fewer health systems have plans that drive significant improvement within their organization. What...

Where Should We Begin?

Imagine you’re part of an improvement team that has just completed a current state process map or a current state Value Stream Map (VSM). The team has diligently included storm clouds to identify problem areas that need to be addressed. The team realizes it will be...

Deming’s Juice Box

The sun was hot on my face as I tried to keep my laptop in the shade of the umbrella outside my favorite coffee shop. From my left, I was startled by the sound of a young rascal coming out the door with the dreaded straw-in-a-juice-box combination, apparently locked...