Wed, 01/25/2012 - 16:58
As I’m sure most of you have discovered, transformation is not a linear, predictable process. People have insights and breakthroughs in fits and starts, and growth is full of individual, inner personal transformational phenomena. This process can be…
Mon, 12/12/2011 - 12:26
I recently attended the annual forum of the Institute for Healthcare Improvement (IHI), which is probably the leading health improvement organization in the world. The forum has grown from under 100 attendees in 1989 to almost 6,000 this year—…
Mon, 08/22/2011 - 14:48
Any improvement effort ultimately faces the issue of standardizing processes, in many cases under the intense pressure of an impending certification audit. Ask yourself: Is your rationale for standardization merely to pass the audit, or is it a…
Mon, 08/22/2011 - 13:15
Because many organizations are trying for formal certification, the pressure is on to standardize and document processes. This is also true for any robust improvement effort. Organizations are currently drowning in processes that have evolved…
Thu, 08/18/2011 - 12:30
Any article about control charts leads to inevitable (and torturous) discussions of special cause tests—all nine of them. No wonder confused people continue to use things like trend lines. But I’m getting ahead of myself.…
Tue, 08/02/2011 - 12:18
Finally, the medical industry is putting aside its “We’re medicine; we’re different” mindset and taking a more practical look at quality improvement. Bravo! Although an element of physician culture remains convinced that improvement is all about…
Mon, 07/18/2011 - 15:52
After reading Joe De Feo’s July 8, 2011, Quality Digest Daily article, “A Positive Prognosis: Transforming Health Care in America,” I took another look at the wonderful book, Escape Fire (Jossey-Bass, 2003), a compendium of Dr. Donald Berwick’s…
Wed, 04/20/2011 - 05:30
My March 30, 2011 article ended with wisdom from Yogi Berra as a warning to the quality profession. Some prickly reactions to it got me thinking about the last 30 years or so of quality improvement.
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Wed, 03/30/2011 - 10:00
There are four statements regarding control charts that are myths and in my experience, just refuse to die. The next time you're sitting in a seminar and someone tries to teach you how to transform data to make them normally distributed, or at any…
Tue, 03/22/2011 - 08:22
When teaching the I-chart, I’m barely done describing the technique (never mind teaching it) when, as if on cue, someone will ask, “When and how often should I recalculate my limits?” I’m at the point where this triggers an internal “fingernails…