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...

Mindset

When I was a practicing psychologist, people often brought their children to me for intelligence testing. Ostensibly, they said they wanted their children to be in the “right” program at school.  Of course they were talking about the “gifted” program.  Some parents,...

Leadership Salad

I am not convinced that facilitating kaizen events will produce a Lean culture. I am also not convinced that value stream mapping, balanced scorecards, A3 problem solving, 5S, visual management, standard work, Poka yoke, statistical process control, quality function...