Ready…Fire!…Aim

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Ready Fire Aim

In the 21st century it is necessary for continuous improvement to become a habit ingrained within organizations. Change today occurs so fast that you are either improving or you are quickly falling behind your peers. But how can organizations and teams establish continuous improvement practices and habits?

A key step in continuous improvement is usually the first one – taking action. Begin by realizing that no change effort is ever going to achieve perfection. Over-planning a change loses momentum and interest from the team; another problem will soon develop that pushes the current issue aside. Perfection can be the enemy of “good enough.”

“You don’t have to be great to start, but you have to start to be great.” ~ Zig Ziglar.

In many organizations, people and teams are debilitated by a fear of failure. When risk aversion is part of the culture and risk-taking is not rewarded, developing a bias to action is never easy. Encouraging a team to test a change – take a shot and Fire!, even if the test fails – must be a goal when establishing a culture of continuous improvement.

Lean East works with leaders to ensure they are not only endorsing continuous improvement efforts but reinforcing habits of success. Individuals and teams must be coached to improve on a daily basis. Practicing problem solving and critical thinking skills regularly will form new neural pathways and eventually develop good habits. Over time these habits will change the mindset of the organization. Over many years this mindset leads to a continuous improvement culture.

Most complex problems are multi-faceted and do not have obvious solutions. Any time you and your team isn’t sure how to start planning a solution, your best bet may be to limit the problem solving discussion to 5 minutes and then . . . try something! Here is the simple Lean Healthcare East model, based upon Plan-Do-Check-Adjust (PDCA) methods:

 

PREPARE

  1. Identify an outcome you want – your goal or target condition.
    • You are measuring this goal . . . right? If you aren’t already measuring your outcome then is it really important to your customer? If so, you must setup a simple way to measure the outcome. How would your customer measure it?
    • If you don’t have a consistent process or standardized way of achieving your outcome . . .STOP! Your immediate need is to standardize the process. Get the team together and decide upon one way to achieve the process from now on . . . and measure the results.
    • Once you have a standard process and a way to measure your goal,
  1. Reflect on the actual condition right now – what obstacles can you identify that are preventing you from meeting your goal? Discuss them, brainstorm them as a team, ask your customer, etc.

READY

  1. Pick one obstacle and identify one action you can take right now that you believe will eliminate that one obstacle. (Yes, this means keeping everything else the same so work on this as a team. A morning huddle is a great time to review this.)
    • What do you expect will happen because of your change?
    • How quickly can you measure and evaluate the results of this one change?

 FIRE!

  1. Take the action! Now, not later. You are seeking feedback. Even a failure to improve the outcome will be a learning and growth experience.

 AIM

  1. Reflect on the action as soon as you have some measures of the result. Hopefully this is by the end of the shift or by the next morning. You should review outcomes at least on a daily basis, even if the decision is to collect more data.
    • What did you try?
    • What did you expect as an outcome?
    • What actually happened?
    • What did you learn during your trial?
  1. You will use this new knowledge to adjust your aim before you try something else. The goal is to have quick feedback so you can re-aim at your target the next day. Remember the final step of the PDCA process: should you adopt your change as a standard part of the process? Should you adjust the action and measure results again?
  1. Have you met your goal? Have you identified other obstacles to achieving your goal? Return to step 3 and repeat!

Remember that we all have many arrows in our quiver; it is better to take action and learn from our trial rather than delay getting started.

Target

Don’t be afraid of trying and failing – that is part of learning.


Imagine a team that takes a week to decide to work on a project, or to obtain management permission to start an improvement project. What if instead the team tried out five different solutions to learn what works and what doesn’t work? Each “miss” provides valuable feedback, not to mention practice. Develop new habits that avoid “paralysis by analysis” and try something!

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