“Games” about Volume to Value
Recently I attended a meeting in suburban Washington that was designed as a “war games” exercise to examine strategic moves in the finance of Medicare. The introductory comments to the exercise excited me when I heard that the objective was to understand what CMS...
Imagine a World Without Healthcare Disparities
It is easy to talk about the disparities in healthcare, but making progress against the current of complex social issues that are at the root of the differences in care experience and outcomes between populations has proven to be very hard. We have preferred “military...
Leadership: More Than A Position, An Activity
“Standard work” for leaders includes being involved and practicing a style of management that includes coaching, mentoring and teaching rather than just commanding, expecting, and holding accountable the people who do the work. John Toussaint has postulated that...
“Speak Truth To Power”: Engaging Leadership in Lean Transformation
Lean gets started in different ways, but for it to survive and thrive and move from being used as a set of tools to being the core of a culture and operating system that is the source of sustained excellence, eventually the CEO and senior management must lead. One...
Relational Contracts and Lean
I believe that without the total commitment of senior leadership, especially the CEO, Lean can’t succeed. Leadership can launch Lean or leadership can tolerate Lean and enjoy the benefits that it offers for a while, but if leadership wants Lean to be a sustainable...Case Study – Elizabeth Mcarthy
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