It’s The System, But Not Just Any System … It Depends on the Principles

People want better results.  I hear it every day.  Costs are over-running revenues.  There are too many customer complaints.  There are too many patient injuries and even deaths.  Yes, people [...]


The Mythology Of Management Seems To Start in First Grade

I still remember some things from when I was in kindergarten.  My teacher was Mrs. Sears.  We took naps and I learned to skip.  One day we had a fire drill that was supposed to include a chance [...]


So, You Want To Be A Healthcare Value Network Member? Oregon Tour

As part of my work to support the Healthcare Value Network, I had the good fortune to visit two great organizations in Oregon last week.  Here’s a brief summary. I asked to learn about the [...]


Lean Thinking and Information (Technology) – Converting Data Into Wisdom

I recently had to upgrade to a new computer.  When I say “had to” I don’t mean that I was coerced, or that my old computer died.  But it became apparent that my 5 year-old [...]