11May 2018 by Steve Musica 1 Comment
Understanding Key Performance Indicators

Understanding Key Performance Indicators

Lesson
Key performance indicators (KPIs) are the vital few metrics that define success or failure for a process. KPIs vary based upon the process being studied and the definitions of success for the process. Good organizations understand their KPIs. Better organizations measure them. The best organizations seek to improve them every day. Read on to learn about Key Performance Indicators and how a team or department can use a balanced scorecard of KPIs to support improvement.     The initial challenge with KPIs is selecting them properly from the many possible performance indicators available. The second challenge is determining how to measure and share them throughout the organization. Our team has helped numerous organizations establish and measure KPIs. Here are some highlights from the Lean East training module covering the selection…
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08Mar 2018 by Steve Musica 94 Comments
The Power of A3 Process Improvement

The Power of A3 Process Improvement

Lesson
The Lean East team helps organizations learn how to use Lean thinking and tools to remove waste from their processes. We prefer to employ a “learn by doing” approach where we train and coach these methods while engaged in organizational improvement projects. If organizations already have an established improvement process we will work within that process and seek to improve it. But if the organization does not have a robust process in place (and most do not) then we recommend using the Lean East A3 Process Improvement tool.   Lean thinking Let’s define a few terms first. Lean refers to a philosophy and management strategy focused on customer value and respect for people. Lean is not about layoffs or running the organization on a shoestring. Lean is continually improving the…
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17Dec 2017 by Steve Musica 3 Comments
Five Ways to Engage Millennials

Five Ways to Engage Millennials

Lesson
Millennials (also known as Generation Y) represent people born from about 1982 to 2000.1  These 17 to 35-year-olds are expected to represent 75% of the US workforce by 2025 and are technologically savvy and purpose driven. Yet business leaders have expressed frustration from this group of workers. How can they attract, hire and retain talented young millennials?   Leaders find millennials make challenging employees due to their sense of entitlement, impatience, and inattention to authority.2  Many millennials struggled to find good jobs during the 2008 recession and have been called “lazy, entitled narcissists who still live with their parents” by Time Magazine. Yet millennials are technologically savvy and purpose-driven. Companies that relate well to this age group can benefit greatly. Here are five ways you can engage the millennials who already…
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31Jul 2017 by Steve Musica 2 Comments
Establishing a Sense of Urgency

Establishing a Sense of Urgency

Lesson
People Don't Hate Change II Establishing a Sense of Urgency This is our second post reviewing why some teams and organizations struggle with change more than others. In our previous post, we share the need to create a burning platform – a clear reason to change. Unfortunately, many leaders struggle with this first important need. Consider these two scenarios: Leader A:         The leader meets with the team and shares recent performance results. The new initiative is not meeting goal, putting the future of the entire team at risk. A 20% cost reduction will need to be made, and each member of the team is asked to help identify and make the changes. Leader B:         The leader meets with the team and offers coaching and facilitation for team members to improve the process…
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21Jun 2017 by Steve Musica 1 Comment
An American Sickness

An American Sickness

Review
An American Sickness: How Healthcare Became Big Business and How You Can Take It Back is a 2017 book by Dr. Elisabeth Rosenthal about the US business of healthcare. Dr. Rosenthal identifies the motives of the profit-takers in the US healthcare market and learned behaviors of the marketplace. Many of her real-life stories and examples leave the reader frustrated in the system. I found most of the book focused on the problems that have developed in the US healthcare market. The book did not have many new answers for fixing the system, but Dr. Rosenthal did offer several great actions one should take as an informed consumer. Ten economic rules are referenced throughout the book:   Dr. Rosenthal shares many shocking examples for these rules throughout the book. She breaks…
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16Mar 2017 by Steve Musica No Comments
Simplify the Customer

Simplify the Customer

Lesson
To improve health care delivery in the United States, simplify the customer Lean Six Sigma focuses on maximizing value for the customer by removing waste from processes. The customer is usually easy to identify; they purchase a product or service and expect that product or service to have the features they want, at the time they want it, with perfect quality at the lowest possible price. In a free market system, companies that provide customers the most value at the lowest cost are rewarded. US-based health care is not a free market system, making the customers in health care harder to identify and understand. Our Lean Healthcare East team has identified customers for our (United States based) client organizations as: Client organization Customer Hospital and physician practice The admitted patient…
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11Jul 2016 by Steve Musica 1 Comment
Five Thoughts on Lean Transformation Models

Five Thoughts on Lean Transformation Models

Lesson
Various models have been created to share key steps in a successful Lean transformation, whether in healthcare or other industries. In my career, and as President of Lean East, I have been a leader in multiple transformations but am always searching for ways to continually improve my coaching and teaching. In this post I will provide an overview of two transformation models I have researched and provide five thoughts based on the models and my personal experience.   The Lean Enterprise Institute (LEI) has created a very nice framework or model describing the required steps for a Lean transformation within an organization. Their graphic is below and you can click this link to see further details about their model.   LEI’s model was developed for any Lean transformation, be it…
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