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<?xml-stylesheet type="text/xsl" media="screen" href="/~d/styles/atom10full.xsl"?><?xml-stylesheet type="text/css" media="screen" href="http://feeds.feedburner.com/~d/styles/itemcontent.css"?><feed xmlns="http://www.w3.org/2005/Atom" xmlns:openSearch="http://a9.com/-/spec/opensearch/1.1/" xmlns:georss="http://www.georss.org/georss" xmlns:gd="http://schemas.google.com/g/2005" xmlns:feedburner="http://rssnamespace.org/feedburner/ext/1.0" gd:etag="W/&quot;CkECQ345eyp7ImA9WxJUEk4.&quot;"><id>tag:blogger.com,1999:blog-5865768815327716731</id><updated>2009-07-10T08:57:42.023-04:00</updated><title>Lean Insider</title><subtitle type="html">A blog of news, research and trends on all things lean</subtitle><link rel="http://schemas.google.com/g/2005#feed" type="application/atom+xml" href="http://leaninsider.productivitypress.com/feeds/posts/default" /><link rel="alternate" type="text/html" href="http://leaninsider.productivitypress.com/" /><link rel="next" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default?start-index=26&amp;max-results=25&amp;redirect=false&amp;v=2" /><author><name>Ralph Bernstein</name><uri>http://www.blogger.com/profile/14872065446489560244</uri><email>noreply@blogger.com</email></author><generator version="7.00" uri="http://www.blogger.com">Blogger</generator><openSearch:totalResults>409</openSearch:totalResults><openSearch:startIndex>1</openSearch:startIndex><openSearch:itemsPerPage>25</openSearch:itemsPerPage><link rel="self" href="http://feeds.feedburner.com/productivitypress/FYpa" type="application/atom+xml" /><feedburner:emailServiceId>productivitypress/FYpa</feedburner:emailServiceId><feedburner:feedburnerHostname>http://feedburner.google.com</feedburner:feedburnerHostname><atom10:link xmlns:atom10="http://www.w3.org/2005/Atom" rel="hub" href="http://pubsubhubbub.appspot.com" /><entry gd:etag="W/&quot;CkECQ344fyp7ImA9WxJUEk4.&quot;"><id>tag:blogger.com,1999:blog-5865768815327716731.post-3932639940120161946</id><published>2009-07-10T08:53:00.000-04:00</published><updated>2009-07-10T08:57:42.037-04:00</updated><app:edited xmlns:app="http://www.w3.org/2007/app">2009-07-10T08:57:42.037-04:00</app:edited><title>Book Talk: Innovative Lean Development</title><content type="html">&lt;meta equiv="Content-Type" content="text/html; charset=utf-8"&gt;&lt;meta name="ProgId" content="Word.Document"&gt;&lt;meta name="Generator" content="Microsoft Word 11"&gt;&lt;meta name="Originator" content="Microsoft Word 11"&gt;&lt;link rel="File-List" href="file:///C:%5CDOCUME%7E1%5CBERNST%7E1%5CLOCALS%7E1%5CTemp%5Cmsohtml1%5C03%5Cclip_filelist.xml"&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:worddocument&gt;   &lt;w:view&gt;Normal&lt;/w:View&gt;   &lt;w:zoom&gt;0&lt;/w:Zoom&gt;   &lt;w:punctuationkerning/&gt;   &lt;w:validateagainstschemas/&gt;   &lt;w:saveifxmlinvalid&gt;false&lt;/w:SaveIfXMLInvalid&gt;   &lt;w:ignoremixedcontent&gt;false&lt;/w:IgnoreMixedContent&gt;   &lt;w:alwaysshowplaceholdertext&gt;false&lt;/w:AlwaysShowPlaceholderText&gt;   &lt;w:compatibility&gt;    &lt;w:breakwrappedtables/&gt;    &lt;w:snaptogridincell/&gt;    &lt;w:wraptextwithpunct/&gt;    &lt;w:useasianbreakrules/&gt;    &lt;w:dontgrowautofit/&gt;   &lt;/w:Compatibility&gt;   &lt;w:browserlevel&gt;MicrosoftInternetExplorer4&lt;/w:BrowserLevel&gt; 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	mso-tstyle-rowband-size:0; 	mso-tstyle-colband-size:0; 	mso-style-noshow:yes; 	mso-style-parent:""; 	mso-padding-alt:0in 5.4pt 0in 5.4pt; 	mso-para-margin:0in; 	mso-para-margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:10.0pt; 	font-family:"Times New Roman"; 	mso-ansi-language:#0400; 	mso-fareast-language:#0400; 	mso-bidi-language:#0400;} &lt;/style&gt; &lt;![endif]--&gt;  &lt;p class="MsoNormal"&gt;&lt;img src="http://www.productivitypress.com/images/book-img/9781420092981.jpg" border="0" /&gt;&lt;/p&gt;&lt;p class="MsoNormal"&gt;Steelcase is a company with a solid reputation of implementing lean principles – in all areas, not just manufacturing. Now two of the company’s internal lean consultants have written a book about lean in product development.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;&lt;i style=""&gt;&lt;span style=""&gt;&lt;a href="http://www.productivitypress.com/shopping_cart/products/product_detail.asp?sku=PP2987&amp;amp;isbn=9781420092981&amp;amp;parent_id=&amp;amp;pc"&gt;Innovative Lean Development: How to Create, Implement and Maintain a Learning Culture Using Fast Learning Cycles&lt;/a&gt; &lt;/span&gt;&lt;/i&gt;&lt;span style=""&gt;by Timothy Schipper and Mark Swets focuses &lt;/span&gt;&lt;span style=""&gt;on the six key areas necessary for dramatic development: innovation, rapid prototyping, knowledge capture, learning cycles, process stabilization, and lean management standards.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;&lt;span style=""&gt;            &lt;/span&gt;This book, available next month, is a manual that serves as a template for starting and maintaining the lean process. It includes both explanations and real examples, and explains how to integrate innovation into product development processes, including IT development.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;&lt;span style=""&gt;            &lt;/span&gt;&lt;i style=""&gt;Innovative Lean Development &lt;/i&gt;joins &lt;a href="http://www.productivitypress.com/shopping_cart/categories/categories_products.asp?parent_id=35"&gt;other books we publish on product development&lt;/a&gt;, including &lt;i style=""&gt;&lt;a href="http://www.productivitypress.com/shopping_cart/products/product_detail.asp?sku=PP7282&amp;amp;isbn=9781563272820&amp;amp;parent_id=&amp;amp;pc="&gt;The Toyota Product Development System&lt;/a&gt; &lt;/i&gt;by James Morgan and Jeffrey Liker, and &lt;i style=""&gt;&lt;a href="http://www.productivitypress.com/shopping_cart/products/product_detail.asp?sku=PP7372&amp;amp;isbn=9781563273728&amp;amp;parent_id=35&amp;amp;pc="&gt;Value Stream Mapping for Lean Development&lt;/a&gt; &lt;/i&gt;by Drew Locher, to name just a couple.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;&lt;i style=""&gt;Do you have a question or comment about a book(s) that you would like addressed in Book Talk? Email me directly at &lt;a href="mailto:Ralph.bernstein@taylorandfrancis.com"&gt;Ralph.bernstein@taylorandfrancis.com&lt;/a&gt;.&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;i style=""&gt;&lt;span style=""&gt;&lt;span style=""&gt; &lt;/span&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/i&gt;&lt;/p&gt;  &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5865768815327716731-3932639940120161946?l=leaninsider.productivitypress.com'/&gt;&lt;/div&gt;&lt;div class="feedflare"&gt;
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&lt;/div&gt;&lt;img src="http://feeds.feedburner.com/~r/productivitypress/FYpa/~4/Q0a4TF1rrUw" height="1" width="1"/&gt;</content><link rel="replies" type="application/atom+xml" href="http://leaninsider.productivitypress.com/feeds/3932639940120161946/comments/default" title="Post Comments" /><link rel="replies" type="text/html" href="https://www.blogger.com/comment.g?blogID=5865768815327716731&amp;postID=3932639940120161946" title="0 Comments" /><link rel="edit" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/3932639940120161946?v=2" /><link rel="self" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/3932639940120161946?v=2" /><link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/productivitypress/FYpa/~3/Q0a4TF1rrUw/book-talk-innovative-lean-development.html" title="Book Talk: Innovative Lean Development" /><author><name>Ralph Bernstein</name><uri>http://www.blogger.com/profile/14365242705096263649</uri><email>ralph.bernstein@taylorandfrancis.com</email><gd:extendedProperty name="OpenSocialUserId" value="15078579451573668095" /></author><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">0</thr:total><feedburner:origLink>http://leaninsider.productivitypress.com/2009/07/book-talk-innovative-lean-development.html</feedburner:origLink></entry><entry gd:etag="W/&quot;DkIHRXs7cCp7ImA9WxJUEUk.&quot;"><id>tag:blogger.com,1999:blog-5865768815327716731.post-3549984298247457757</id><published>2009-07-09T08:59:00.000-04:00</published><updated>2009-07-09T09:02:14.508-04:00</updated><app:edited xmlns:app="http://www.w3.org/2007/app">2009-07-09T09:02:14.508-04:00</app:edited><title>The Key to Mining Safety is… a Whiteboard</title><content type="html">&lt;meta equiv="Content-Type" content="text/html; charset=utf-8"&gt;&lt;meta name="ProgId" content="Word.Document"&gt;&lt;meta name="Generator" content="Microsoft Word 11"&gt;&lt;meta name="Originator" content="Microsoft Word 11"&gt;&lt;link rel="File-List" href="file:///C:%5CDOCUME%7E1%5CBERNST%7E1%5CLOCALS%7E1%5CTemp%5Cmsohtml1%5C03%5Cclip_filelist.xml"&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="State"&gt;&lt;/o:smarttagtype&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="place" downloadurl="http://www.5iantlavalamp.com/"&gt;&lt;/o:smarttagtype&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:worddocument&gt;   &lt;w:view&gt;Normal&lt;/w:View&gt;   &lt;w:zoom&gt;0&lt;/w:Zoom&gt;   &lt;w:punctuationkerning/&gt;   &lt;w:validateagainstschemas/&gt;   &lt;w:saveifxmlinvalid&gt;false&lt;/w:SaveIfXMLInvalid&gt;   &lt;w:ignoremixedcontent&gt;false&lt;/w:IgnoreMixedContent&gt;   &lt;w:alwaysshowplaceholdertext&gt;false&lt;/w:AlwaysShowPlaceholderText&gt;   &lt;w:compatibility&gt;    &lt;w:breakwrappedtables/&gt;    &lt;w:snaptogridincell/&gt;    &lt;w:wraptextwithpunct/&gt;    &lt;w:useasianbreakrules/&gt;    &lt;w:dontgrowautofit/&gt;   &lt;/w:Compatibility&gt;   &lt;w:browserlevel&gt;MicrosoftInternetExplorer4&lt;/w:BrowserLevel&gt;  &lt;/w:WordDocument&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:latentstyles deflockedstate="false" latentstylecount="156"&gt;  &lt;/w:LatentStyles&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;!--[if !mso]&gt;&lt;object classid="clsid:38481807-CA0E-42D2-BF39-B33AF135CC4D" id="ieooui"&gt;&lt;/object&gt; &lt;style&gt; st1\:*{behavior:url(#ieooui) } &lt;/style&gt; &lt;![endif]--&gt;&lt;style&gt; &lt;!--  /* Style Definitions */  p.MsoNormal, li.MsoNormal, div.MsoNormal 	{mso-style-parent:""; 	margin:0in; 	margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:12.0pt; 	font-family:Arial; 	mso-fareast-font-family:"Times New Roman"; 	mso-bidi-font-family:"Times New Roman";} @page Section1 	{size:8.5in 11.0in; 	margin:1.0in 1.25in 1.0in 1.25in; 	mso-header-margin:.5in; 	mso-footer-margin:.5in; 	mso-paper-source:0;} div.Section1 	{page:Section1;} --&gt; &lt;/style&gt;&lt;!--[if gte mso 10]&gt; &lt;style&gt;  /* Style Definitions */  table.MsoNormalTable 	{mso-style-name:"Table Normal"; 	mso-tstyle-rowband-size:0; 	mso-tstyle-colband-size:0; 	mso-style-noshow:yes; 	mso-style-parent:""; 	mso-padding-alt:0in 5.4pt 0in 5.4pt; 	mso-para-margin:0in; 	mso-para-margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:10.0pt; 	font-family:"Times New Roman"; 	mso-ansi-language:#0400; 	mso-fareast-language:#0400; 	mso-bidi-language:#0400;} &lt;/style&gt; &lt;![endif]--&gt;  &lt;p class="MsoNormal"&gt;We lean advocates love simple visual controls. And I recently saw a television program that included a marvelous example of such controls.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;I was watching an episode of &lt;a href="http://dsc.discovery.com/fansites/build-it-bigger/build-it-bigger.html"&gt;“Build It Bigger” on the Discovery Channel&lt;/a&gt;. The episode focused on efforts to dig a water tunnel in &lt;st1:state st="on"&gt;&lt;st1:place st="on"&gt;California&lt;/st1:place&gt;&lt;/st1:state&gt; to bring water to the southern part of the state. &lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;The tunnel, which extends for many miles, is under construction far below the surface of the ground. It uses highly sophisticated machinery to chew through the dirt and rock, then install pre-fabricated concrete sections into five-foot-wide rings that form the wall of the tunnel. The miners install four to six rings per day.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;But what caught my eye was what happens before the workers go underground. &lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;A large whiteboard stands near the tunnel entrance. The names of all workers – and any visitors – are listed on the whiteboard. Two hooks are next to each name, one in a column labeled “In”, the other column labeled “Out.” A plain metal tag hangs from each “Out” hook.&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;Just before heading into the tunnel, each miner moves the tag by his name over to the “In” hook. The result: The whiteboard clearly displays which workers are in the tunnel at any given time – valuable information in case of a problem or accident.&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;I can’t think of any other system – a computer display or anything else – that would work better than this simple whiteboard.&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;Can you?&lt;/p&gt;  &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5865768815327716731-3549984298247457757?l=leaninsider.productivitypress.com'/&gt;&lt;/div&gt;&lt;div class="feedflare"&gt;
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&lt;/div&gt;&lt;img src="http://feeds.feedburner.com/~r/productivitypress/FYpa/~4/frCxaDNUtTc" height="1" width="1"/&gt;</content><link rel="replies" type="application/atom+xml" href="http://leaninsider.productivitypress.com/feeds/3549984298247457757/comments/default" title="Post Comments" /><link rel="replies" type="text/html" href="https://www.blogger.com/comment.g?blogID=5865768815327716731&amp;postID=3549984298247457757" title="1 Comments" /><link rel="edit" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/3549984298247457757?v=2" /><link rel="self" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/3549984298247457757?v=2" /><link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/productivitypress/FYpa/~3/frCxaDNUtTc/key-to-mining-safety-is-whiteboard.html" title="The Key to Mining Safety is… a Whiteboard" /><author><name>Ralph Bernstein</name><uri>http://www.blogger.com/profile/14365242705096263649</uri><email>ralph.bernstein@taylorandfrancis.com</email><gd:extendedProperty name="OpenSocialUserId" value="15078579451573668095" /></author><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">1</thr:total><feedburner:origLink>http://leaninsider.productivitypress.com/2009/07/key-to-mining-safety-is-whiteboard.html</feedburner:origLink></entry><entry gd:etag="W/&quot;DUQER3o9cSp7ImA9WxJUEEg.&quot;"><id>tag:blogger.com,1999:blog-5865768815327716731.post-5602558155140803647</id><published>2009-07-08T08:43:00.001-04:00</published><updated>2009-07-08T08:48:26.469-04:00</updated><app:edited xmlns:app="http://www.w3.org/2007/app">2009-07-08T08:48:26.469-04:00</app:edited><title>Financial Incentives May Help Reduce Hospital Readmissions</title><content type="html">&lt;meta equiv="Content-Type" content="text/html; charset=utf-8"&gt;&lt;meta name="ProgId" content="Word.Document"&gt;&lt;meta name="Generator" content="Microsoft Word 11"&gt;&lt;meta name="Originator" content="Microsoft Word 11"&gt;&lt;link rel="File-List" href="file:///C:%5CDOCUME%7E1%5CBERNST%7E1%5CLOCALS%7E1%5CTemp%5Cmsohtml1%5C03%5Cclip_filelist.xml"&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="place" downloadurl="http://www.5iantlavalamp.com/"&gt;&lt;/o:smarttagtype&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="City" downloadurl="http://www.5iamas-microsoft-com:office:smarttags"&gt;&lt;/o:smarttagtype&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:worddocument&gt;   &lt;w:view&gt;Normal&lt;/w:View&gt;   &lt;w:zoom&gt;0&lt;/w:Zoom&gt;   &lt;w:punctuationkerning/&gt;   &lt;w:validateagainstschemas/&gt;   &lt;w:saveifxmlinvalid&gt;false&lt;/w:SaveIfXMLInvalid&gt;   &lt;w:ignoremixedcontent&gt;false&lt;/w:IgnoreMixedContent&gt;   &lt;w:alwaysshowplaceholdertext&gt;false&lt;/w:AlwaysShowPlaceholderText&gt;   &lt;w:compatibility&gt;    &lt;w:breakwrappedtables/&gt;    &lt;w:snaptogridincell/&gt;    &lt;w:wraptextwithpunct/&gt;    &lt;w:useasianbreakrules/&gt;    &lt;w:dontgrowautofit/&gt;   &lt;/w:Compatibility&gt;   &lt;w:browserlevel&gt;MicrosoftInternetExplorer4&lt;/w:BrowserLevel&gt;  &lt;/w:WordDocument&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:latentstyles deflockedstate="false" latentstylecount="156"&gt;  &lt;/w:LatentStyles&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;!--[if !mso]&gt;&lt;object classid="clsid:38481807-CA0E-42D2-BF39-B33AF135CC4D" id="ieooui"&gt;&lt;/object&gt; &lt;style&gt; st1\:*{behavior:url(#ieooui) } &lt;/style&gt; &lt;![endif]--&gt;&lt;style&gt; &lt;!--  /* Style Definitions */  p.MsoNormal, li.MsoNormal, div.MsoNormal 	{mso-style-parent:""; 	margin:0in; 	margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:12.0pt; 	font-family:Arial; 	mso-fareast-font-family:"Times New Roman"; 	mso-bidi-font-family:"Times New Roman";} @page Section1 	{size:8.5in 11.0in; 	margin:1.0in 1.25in 1.0in 1.25in; 	mso-header-margin:.5in; 	mso-footer-margin:.5in; 	mso-paper-source:0;} div.Section1 	{page:Section1;} --&gt; &lt;/style&gt;&lt;!--[if gte mso 10]&gt; &lt;style&gt;  /* Style Definitions */  table.MsoNormalTable 	{mso-style-name:"Table Normal"; 	mso-tstyle-rowband-size:0; 	mso-tstyle-colband-size:0; 	mso-style-noshow:yes; 	mso-style-parent:""; 	mso-padding-alt:0in 5.4pt 0in 5.4pt; 	mso-para-margin:0in; 	mso-para-margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:10.0pt; 	font-family:"Times New Roman"; 	mso-ansi-language:#0400; 	mso-fareast-language:#0400; 	mso-bidi-language:#0400;} &lt;/style&gt; &lt;![endif]--&gt;  &lt;p class="MsoNormal"&gt;I &lt;a href="http://leaninsider.productivitypress.com/2009/04/waste-of-hospital-readmissions-can-be.html"&gt;wrote a few months ago&lt;/a&gt; about how many patients are readmitted to hospitals for costly visits that could be avoided. That posting described the results of a recent study that included suggestions to reduce readmissions, including better patient education and better scheduling of follow-up appointments.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;A &lt;a href="http://www.washingtonpost.com/wp-dyn/content/article/2009/06/29/AR2009062903134.html"&gt;recent article in &lt;/a&gt;&lt;i style=""&gt;&lt;a href="http://www.washingtonpost.com/wp-dyn/content/article/2009/06/29/AR2009062903134.html"&gt;The Washington Post&lt;/a&gt; &lt;/i&gt;covers much of the same ground, but also talks about using financial incentives to address the problem.&lt;/p&gt;&lt;p class="MsoNormal"&gt;
&lt;br /&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;i style=""&gt;&lt;span style=""&gt; &lt;/span&gt;Right now, hospitals -- such as Inova Mount &lt;st1:city st="on"&gt;&lt;st1:place st="on"&gt;Vernon&lt;/st1:place&gt;&lt;/st1:city&gt; -- that do a better job of preventing readmissions sometimes end up losing money because the health-care system doesn't pay for the extra work they do. Some health reform proposals would change the way hospitals are paid, so that stopping readmissions becomes good business. &lt;o:p&gt;&lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;&lt;i style=""&gt;One idea is to bundle the payments to hospitals, doctors and perhaps nursing homes or rehabilitation centers, to cover both the hospitalization and those first critical weeks after discharge. &lt;o:p&gt;&lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;&lt;i style=""&gt;Another proposal is to have Medicare penalize hospitals with high readmission rates for eight common chronic diseases. Members of both parties have been looking at ways of paying primary care doctors more to help patients manage their chronic diseases and avoid trips to the hospital every few weeks or&lt;/i&gt; months.
&lt;br /&gt;&lt;/p&gt;&lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;
&lt;br /&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;The key to reducing readmissions is to improve hospital processes. Financial incentives do not do that directly. But they can serve as a driver – a burning platform – to get hospitals to focus on what needs to be done. &lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;Do you agree?&lt;/p&gt;  &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5865768815327716731-5602558155140803647?l=leaninsider.productivitypress.com'/&gt;&lt;/div&gt;&lt;div class="feedflare"&gt;
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&lt;/div&gt;&lt;img src="http://feeds.feedburner.com/~r/productivitypress/FYpa/~4/Ok6LxngHGng" height="1" width="1"/&gt;</content><link rel="replies" type="application/atom+xml" href="http://leaninsider.productivitypress.com/feeds/5602558155140803647/comments/default" title="Post Comments" /><link rel="replies" type="text/html" href="https://www.blogger.com/comment.g?blogID=5865768815327716731&amp;postID=5602558155140803647" title="2 Comments" /><link rel="edit" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/5602558155140803647?v=2" /><link rel="self" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/5602558155140803647?v=2" /><link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/productivitypress/FYpa/~3/Ok6LxngHGng/financial-incentives-may-help-reduce.html" title="Financial Incentives May Help Reduce Hospital Readmissions" /><author><name>Ralph Bernstein</name><uri>http://www.blogger.com/profile/14365242705096263649</uri><email>ralph.bernstein@taylorandfrancis.com</email><gd:extendedProperty name="OpenSocialUserId" value="15078579451573668095" /></author><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">2</thr:total><feedburner:origLink>http://leaninsider.productivitypress.com/2009/07/financial-incentives-may-help-reduce.html</feedburner:origLink></entry><entry gd:etag="W/&quot;D0ABQnw5fCp7ImA9WxJVGEU.&quot;"><id>tag:blogger.com,1999:blog-5865768815327716731.post-4420205052705851072</id><published>2009-07-06T09:05:00.000-04:00</published><updated>2009-07-06T09:09:13.224-04:00</updated><app:edited xmlns:app="http://www.w3.org/2007/app">2009-07-06T09:09:13.224-04:00</app:edited><title>What Anecdotes Tell Us About Culture at a General Motors Plant</title><content type="html">&lt;meta equiv="Content-Type" content="text/html; charset=utf-8"&gt;&lt;meta name="ProgId" content="Word.Document"&gt;&lt;meta name="Generator" content="Microsoft Word 11"&gt;&lt;meta name="Originator" content="Microsoft Word 11"&gt;&lt;link rel="File-List" href="file:///C:%5CDOCUME%7E1%5CBERNST%7E1%5CLOCALS%7E1%5CTemp%5Cmsohtml1%5C03%5Cclip_filelist.xml"&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="place" downloadurl="http://www.5iantlavalamp.com/"&gt;&lt;/o:smarttagtype&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="City"&gt;&lt;/o:smarttagtype&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="State"&gt;&lt;/o:smarttagtype&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:worddocument&gt;   &lt;w:view&gt;Normal&lt;/w:View&gt;   &lt;w:zoom&gt;0&lt;/w:Zoom&gt;   &lt;w:punctuationkerning/&gt;   &lt;w:validateagainstschemas/&gt;   &lt;w:saveifxmlinvalid&gt;false&lt;/w:SaveIfXMLInvalid&gt;   &lt;w:ignoremixedcontent&gt;false&lt;/w:IgnoreMixedContent&gt;   &lt;w:alwaysshowplaceholdertext&gt;false&lt;/w:AlwaysShowPlaceholderText&gt;   &lt;w:compatibility&gt;    &lt;w:breakwrappedtables/&gt;    &lt;w:snaptogridincell/&gt;    &lt;w:wraptextwithpunct/&gt;    &lt;w:useasianbreakrules/&gt;    &lt;w:dontgrowautofit/&gt;   &lt;/w:Compatibility&gt;   &lt;w:browserlevel&gt;MicrosoftInternetExplorer4&lt;/w:BrowserLevel&gt;  &lt;/w:WordDocument&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:latentstyles deflockedstate="false" latentstylecount="156"&gt;  &lt;/w:LatentStyles&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;!--[if !mso]&gt;&lt;object classid="clsid:38481807-CA0E-42D2-BF39-B33AF135CC4D" id="ieooui"&gt;&lt;/object&gt; &lt;style&gt; st1\:*{behavior:url(#ieooui) } &lt;/style&gt; &lt;![endif]--&gt;&lt;style&gt; &lt;!--  /* Style Definitions */  p.MsoNormal, li.MsoNormal, div.MsoNormal 	{mso-style-parent:""; 	margin:0in; 	margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:12.0pt; 	font-family:Arial; 	mso-fareast-font-family:"Times New Roman"; 	mso-bidi-font-family:"Times New Roman";} @page Section1 	{size:8.5in 11.0in; 	margin:1.0in 1.25in 1.0in 1.25in; 	mso-header-margin:.5in; 	mso-footer-margin:.5in; 	mso-paper-source:0;} div.Section1 	{page:Section1;} --&gt; &lt;/style&gt;&lt;!--[if gte mso 10]&gt; &lt;style&gt;  /* Style Definitions */  table.MsoNormalTable 	{mso-style-name:"Table Normal"; 	mso-tstyle-rowband-size:0; 	mso-tstyle-colband-size:0; 	mso-style-noshow:yes; 	mso-style-parent:""; 	mso-padding-alt:0in 5.4pt 0in 5.4pt; 	mso-para-margin:0in; 	mso-para-margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:10.0pt; 	font-family:"Times New Roman"; 	mso-ansi-language:#0400; 	mso-fareast-language:#0400; 	mso-bidi-language:#0400;} &lt;/style&gt; &lt;![endif]--&gt;  &lt;p class="MsoNormal"&gt;Sometimes the most intriguing insights about lean come not from general statements, but from anecdotes. A &lt;a href="http://www.nytimes.com/2009/06/28/magazine/28detroit-t.html?_r=2"&gt;recent article in &lt;i style=""&gt;The New York Times &lt;/i&gt;Sunday magazine&lt;/a&gt; falls into that category.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;The article profiles the devastating effect the collapse of GM is having on middle-class blacks in &lt;st1:state st="on"&gt;&lt;st1:place st="on"&gt;Michigan&lt;/st1:place&gt;&lt;/st1:state&gt;, for whom the automaker has been a major source of employment.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;Mark Graban wrote about the article in the &lt;a href="http://www.leanblog.org/2009/07/bad-news-not-flowing-either-direction.html"&gt;Lean Blog&lt;/a&gt;, highlighting a few passages he thought had lean relevance. I agree with his comments, and I’d like to mention some additional sections.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;The article, written by Jonathan Mahler, focuses on Marvin Powell, who started working at a GM plant in &lt;st1:city st="on"&gt;&lt;st1:place st="on"&gt;Pontiac&lt;/st1:place&gt;&lt;/st1:city&gt; 13 years ago when he was 26 (and is now losing his job).&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;I am fascinated by the description of the plant at the time Powell started.&lt;/p&gt;&lt;p class="MsoNormal"&gt;
&lt;br /&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;i style=""&gt;It was stressful at first. The line moved faster than he anticipated, and as a new hire who could be let go without cause during his first 90 days, he didn’t want to be the one to slow it down.&lt;/i&gt;&lt;/p&gt;&lt;p class="MsoNormal"&gt;
&lt;br /&gt;&lt;i style=""&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt; &lt;/span&gt;&lt;span style=""&gt;           &lt;/span&gt;Contrast that with a well-run lean plant (&lt;st1:city st="on"&gt;&lt;st1:place st="on"&gt;Toyota&lt;/st1:place&gt;&lt;/st1:city&gt;), where a worker is more likely to get into trouble for NOT stopping the line if there is a problem.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;But even more fascinating is this description of what I will call the plant’s extra-curricular activities:&lt;/p&gt;&lt;p class="MsoNormal"&gt;
&lt;br /&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;i style=""&gt;Adjusting to the culture of the factory was a challenge, too. A practicing Christian, Powell was taken aback by what he saw taking place around him. The plant was a world of temptations unto itself, with drugs, alcohol, numbers runners, bookies and even “parking-lot girls” who would come to the plant during lunch breaks to service male workers. “Anything you can find outside the plant, you can find inside the plant,” Powell says. “You either get caught up in it, or stay apart from it.”&lt;/i&gt;&lt;/p&gt;&lt;p class="MsoNormal"&gt;
&lt;br /&gt;&lt;i style=""&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;Even in a well-run plant, I’m sure, auto employees work hard. And everyone likes to blow off some steam. But this description goes beyond that.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;Now I’ve never worked in an auto plant. I don’t know whether this kind of situation was unique to that one plant (which I doubt) or whether similar situations exist in &lt;st1:city st="on"&gt;&lt;st1:place st="on"&gt;Toyota&lt;/st1:place&gt;&lt;/st1:city&gt; plants (which I also doubt).&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;The Big Three rarely showed their workers the kind of respect for people that is a fundamental lean principle. They tended to treat workers as drones, expecting them to get the job done, with management not seeking (and even discouraging) ideas or feedback from workers. In such an environment, workers can feel unappreciated and discouraged, which can increase desire for, shall we say, diversions.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;Of course, that’s largely speculation on my part. Do any of you have experience with this kind of working environment? What do you believe were the causes?&lt;/p&gt;  &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5865768815327716731-4420205052705851072?l=leaninsider.productivitypress.com'/&gt;&lt;/div&gt;&lt;div class="feedflare"&gt;
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&lt;/div&gt;&lt;img src="http://feeds.feedburner.com/~r/productivitypress/FYpa/~4/4Yj5p38tFHM" height="1" width="1"/&gt;</content><link rel="replies" type="application/atom+xml" href="http://leaninsider.productivitypress.com/feeds/4420205052705851072/comments/default" title="Post Comments" /><link rel="replies" type="text/html" href="https://www.blogger.com/comment.g?blogID=5865768815327716731&amp;postID=4420205052705851072" title="1 Comments" /><link rel="edit" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/4420205052705851072?v=2" /><link rel="self" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/4420205052705851072?v=2" /><link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/productivitypress/FYpa/~3/4Yj5p38tFHM/what-anecdotes-tell-us-about-culture-at.html" title="What Anecdotes Tell Us About Culture at a General Motors Plant" /><author><name>Ralph Bernstein</name><uri>http://www.blogger.com/profile/14365242705096263649</uri><email>ralph.bernstein@taylorandfrancis.com</email><gd:extendedProperty name="OpenSocialUserId" value="15078579451573668095" /></author><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">1</thr:total><feedburner:origLink>http://leaninsider.productivitypress.com/2009/07/what-anecdotes-tell-us-about-culture-at.html</feedburner:origLink></entry><entry gd:etag="W/&quot;A0IBRXgzeip7ImA9WxJVFU4.&quot;"><id>tag:blogger.com,1999:blog-5865768815327716731.post-2658783550733296190</id><published>2009-07-02T08:57:00.000-04:00</published><updated>2009-07-02T08:59:14.682-04:00</updated><app:edited xmlns:app="http://www.w3.org/2007/app">2009-07-02T08:59:14.682-04:00</app:edited><title>Book Talk: Freedom from Command and Control</title><content type="html">&lt;meta equiv="Content-Type" content="text/html; 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							 								 									&lt;img src="http://www.productivitypress.com/images/book-img/9781563273278.jpg" border="0" /&gt;&lt;p class="MsoNormal"&gt;I’m posting Book Talk a day early this week, because of the holiday tomorrow. And in the spirit of Independence Day, I thought it might be appropriate to write about &lt;i style=""&gt;&lt;span style=""&gt;&lt;a href="http://www.productivitypress.com/shopping_cart/products/product_detail.asp?sku=PP7327&amp;amp;isbn=9781563273278&amp;amp;parent_id=&amp;amp;pc"&gt;Freedom from Command and Control: Rethinking Management for Lean Service&lt;/a&gt; &lt;/span&gt;&lt;/i&gt;&lt;span style=""&gt;by John Seddon, a book originally published in 2005.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;&lt;span style=""&gt;            &lt;/span&gt;Why? Because the word “freedom” is in the title. Because this book talks about the importance of not being dictatorial, and having employees engaged and involved – maybe not to the point of being a democracy, but certainly in a collaborative way. Even the cover of the book is red, white and blue. &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;&lt;span style=""&gt;            &lt;/span&gt;But seriously… Seddon &lt;/span&gt;&lt;span style=""&gt;demonstrates that decision-making based on purpose-related measures (such as putting customers first and improving services) can help managers reconnect with operations, see waste, and exploit opportunities for improvement.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;&lt;span style=""&gt;            &lt;/span&gt;This book is focused on service industries. Seddon argues that service is fundamentally different from manufacturing, and shows how &lt;st1:city st="on"&gt;&lt;st1:place st="on"&gt;Toyota&lt;/st1:place&gt;&lt;/st1:city&gt; production principles must be transformed for application in service organizations.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;&lt;span style=""&gt;            &lt;/span&gt;For those of you who work in service, this book can be a valuable addition to your library.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;&lt;span style=""&gt;            &lt;/span&gt;Happy 4&lt;sup&gt;th&lt;/sup&gt; of July!&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;&lt;i style=""&gt;Do you have a question or comment about a book(s) that you would like addressed in Book Talk? Email me directly at &lt;a href="mailto:Ralph.bernstein@taylorandfrancis.com"&gt;Ralph.bernstein@taylorandfrancis.com&lt;/a&gt;.&lt;/i&gt;&lt;/p&gt;  &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5865768815327716731-2658783550733296190?l=leaninsider.productivitypress.com'/&gt;&lt;/div&gt;&lt;div class="feedflare"&gt;
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&lt;/div&gt;&lt;img src="http://feeds.feedburner.com/~r/productivitypress/FYpa/~4/jPhWW3hpXao" height="1" width="1"/&gt;</content><link rel="replies" type="application/atom+xml" href="http://leaninsider.productivitypress.com/feeds/2658783550733296190/comments/default" title="Post Comments" /><link rel="replies" type="text/html" href="https://www.blogger.com/comment.g?blogID=5865768815327716731&amp;postID=2658783550733296190" title="0 Comments" /><link rel="edit" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/2658783550733296190?v=2" /><link rel="self" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/2658783550733296190?v=2" /><link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/productivitypress/FYpa/~3/jPhWW3hpXao/book-talk-freedom-from-command-and.html" title="Book Talk: Freedom from Command and Control" /><author><name>Ralph Bernstein</name><uri>http://www.blogger.com/profile/14365242705096263649</uri><email>ralph.bernstein@taylorandfrancis.com</email><gd:extendedProperty name="OpenSocialUserId" value="15078579451573668095" /></author><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">0</thr:total><feedburner:origLink>http://leaninsider.productivitypress.com/2009/07/book-talk-freedom-from-command-and.html</feedburner:origLink></entry><entry gd:etag="W/&quot;C08FQXg4eip7ImA9WxJVFEg.&quot;"><id>tag:blogger.com,1999:blog-5865768815327716731.post-7722141510955330099</id><published>2009-07-01T08:34:00.000-04:00</published><updated>2009-07-01T08:36:50.632-04:00</updated><app:edited xmlns:app="http://www.w3.org/2007/app">2009-07-01T08:36:50.632-04:00</app:edited><title>Report: Medical Schools Should Teach Doctors About Lean</title><content type="html">&lt;meta equiv="Content-Type" content="text/html; 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&lt;![endif]--&gt;  &lt;p class="MsoNormal"&gt;I’ve taken some liberties with the headline on this posting. The report to which I refer is a &lt;a href="http://www.medpac.gov/documents/Jun09_EntireReport.pdf"&gt;new document from the Medicare Payment Advisory Commission (MedPAC)&lt;/a&gt;, which advises Congress on Medicare. And the report did not actually say lean should be on the curriculum of medical schools.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;What it did say is that medical schools need to change their curriculums. And part of that change involves focusing on what sound to me like lean principles.&lt;/p&gt;&lt;p class="MsoNormal"&gt;
&lt;br /&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;i style=""&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;i style=""&gt;&lt;span style="color:black;"&gt;Reforms in payment policies need to be accompanied by reforms in medical education. This pairing is important to ensure that students and residents learn the skills they need to provide care and leadership in new delivery models under restructured payment and incentives.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;i style=""&gt;&lt;span style="color:black;"&gt;These skills include quality measurement and practice improvement, care coordination, multidisciplinary teamwork, cost awareness, and interpersonal skills. Research on internal medicine residency programs found several gaps in formal instruction on many of these skills.&lt;/span&gt;&lt;/i&gt;&lt;/p&gt;&lt;p class="MsoNormal"&gt;
&lt;br /&gt;&lt;i style=""&gt;&lt;span style="color:black;"&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;i style=""&gt;&lt;span style="color:black;"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;Coordination, teamwork and measurement of cost are all central to a lean strategy, just as interpersonal skills are part of the fundamental lean principle of respect for people.&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;And let’s not forget about the central goal of lean, process improvement.&lt;/p&gt;&lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;
&lt;br /&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;i style=""&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;i style=""&gt;&lt;span style="color:black;"&gt;A Commission-sponsored study, conducted by RAND researchers, found that, although most internal medicine residency programs provide at least some instruction and experience in topics associated with quality and efficiency improvements, their curricula fall short of recommendations from the &lt;st1:place st="on"&gt;&lt;st1:placetype st="on"&gt;Institute&lt;/st1:placetype&gt; of &lt;st1:placename st="on"&gt;Medicine&lt;/st1:placename&gt;&lt;/st1:place&gt; (IOM) and other experts…&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;i style=""&gt;&lt;span style="color:black;"&gt;The IOM states that physicians must be able to assess the quality of care they provide and implement changes in their practice for improvement…&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;i style=""&gt;&lt;span style="color:black;"&gt;The RAND researchers found that, while many residency programs provide some exposure to quality assurance and system change, only a small share require residents to complete their own systematic data collection, analysis, and resulting system change. Fewer than half the programs (11 of 26 programs) have lectures or computer-based training on quality assurance, but more (18 programs) require that residents work on quality assessment at the hospital. Fewer than a third (seven programs) have established curricula in which residents collect and analyze data on their own patients. The same share of programs introduces residents to chronic disease registries and provides lectures or computer-based training on implementing system change. Fewer still (four programs) have residents work directly on projects to implement system changes.&lt;/span&gt;&lt;/i&gt;&lt;/p&gt;&lt;p class="MsoNormal"&gt;
&lt;br /&gt;&lt;i style=""&gt;&lt;span style="color:black;"&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;i style=""&gt;&lt;span style="color:black;"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;The section on medical education is actually only one part of the wide-ranging, 299-page MedPAC report, which is entitled “Improving Incentives in the Medicare Program.” For those interested in healthcare reform, it makes for interesting reading.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;And I’m glad to see that lean principles are part of it, even if the word lean is not mentioned.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5865768815327716731-7722141510955330099?l=leaninsider.productivitypress.com'/&gt;&lt;/div&gt;&lt;div class="feedflare"&gt;
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&lt;/div&gt;&lt;img src="http://feeds.feedburner.com/~r/productivitypress/FYpa/~4/WivfJV45tD0" height="1" width="1"/&gt;</content><link rel="replies" type="application/atom+xml" href="http://leaninsider.productivitypress.com/feeds/7722141510955330099/comments/default" title="Post Comments" /><link rel="replies" type="text/html" href="https://www.blogger.com/comment.g?blogID=5865768815327716731&amp;postID=7722141510955330099" title="0 Comments" /><link rel="edit" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/7722141510955330099?v=2" /><link rel="self" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/7722141510955330099?v=2" /><link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/productivitypress/FYpa/~3/WivfJV45tD0/report-medical-schools-should-teach.html" title="Report: Medical Schools Should Teach Doctors About Lean" /><author><name>Ralph Bernstein</name><uri>http://www.blogger.com/profile/14365242705096263649</uri><email>ralph.bernstein@taylorandfrancis.com</email><gd:extendedProperty name="OpenSocialUserId" value="15078579451573668095" /></author><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">0</thr:total><feedburner:origLink>http://leaninsider.productivitypress.com/2009/07/report-medical-schools-should-teach.html</feedburner:origLink></entry><entry gd:etag="W/&quot;CEEHR30_eCp7ImA9WxJVEkU.&quot;"><id>tag:blogger.com,1999:blog-5865768815327716731.post-7638260284155498628</id><published>2009-06-29T09:35:00.000-04:00</published><updated>2009-06-29T09:37:16.340-04:00</updated><app:edited xmlns:app="http://www.w3.org/2007/app">2009-06-29T09:37:16.340-04:00</app:edited><title>Why There Are Shortages of Skilled Labor in a Recession</title><content type="html">&lt;meta equiv="Content-Type" content="text/html; charset=utf-8"&gt;&lt;meta name="ProgId" content="Word.Document"&gt;&lt;meta name="Generator" content="Microsoft Word 11"&gt;&lt;meta name="Originator" content="Microsoft Word 11"&gt;&lt;link rel="File-List" href="file:///C:%5CDOCUME%7E1%5CBERNST%7E1%5CLOCALS%7E1%5CTemp%5Cmsohtml1%5C03%5Cclip_filelist.xml"&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="PlaceType"&gt;&lt;/o:smarttagtype&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="PlaceName"&gt;&lt;/o:smarttagtype&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="country-region"&gt;&lt;/o:smarttagtype&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="place" downloadurl="http://www.5iantlavalamp.com/"&gt;&lt;/o:smarttagtype&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:worddocument&gt;   &lt;w:view&gt;Normal&lt;/w:View&gt;   &lt;w:zoom&gt;0&lt;/w:Zoom&gt;   &lt;w:punctuationkerning/&gt;   &lt;w:validateagainstschemas/&gt;   &lt;w:saveifxmlinvalid&gt;false&lt;/w:SaveIfXMLInvalid&gt;   &lt;w:ignoremixedcontent&gt;false&lt;/w:IgnoreMixedContent&gt;   &lt;w:alwaysshowplaceholdertext&gt;false&lt;/w:AlwaysShowPlaceholderText&gt;   &lt;w:compatibility&gt;    &lt;w:breakwrappedtables/&gt;    &lt;w:snaptogridincell/&gt;    &lt;w:wraptextwithpunct/&gt;    &lt;w:useasianbreakrules/&gt;    &lt;w:dontgrowautofit/&gt;   &lt;/w:Compatibility&gt;   &lt;w:browserlevel&gt;MicrosoftInternetExplorer4&lt;/w:BrowserLevel&gt;  &lt;/w:WordDocument&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:latentstyles deflockedstate="false" latentstylecount="156"&gt;  &lt;/w:LatentStyles&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;!--[if !mso]&gt;&lt;object classid="clsid:38481807-CA0E-42D2-BF39-B33AF135CC4D" id="ieooui"&gt;&lt;/object&gt; &lt;style&gt; st1\:*{behavior:url(#ieooui) } &lt;/style&gt; &lt;![endif]--&gt;&lt;style&gt; &lt;!--  /* Style Definitions */  p.MsoNormal, li.MsoNormal, div.MsoNormal 	{mso-style-parent:""; 	margin:0in; 	margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:12.0pt; 	font-family:Arial; 	mso-fareast-font-family:"Times New Roman"; 	mso-bidi-font-family:"Times New Roman";} @page Section1 	{size:8.5in 11.0in; 	margin:1.0in 1.25in 1.0in 1.25in; 	mso-header-margin:.5in; 	mso-footer-margin:.5in; 	mso-paper-source:0;} div.Section1 	{page:Section1;} --&gt; &lt;/style&gt;&lt;!--[if gte mso 10]&gt; &lt;style&gt;  /* Style Definitions */  table.MsoNormalTable 	{mso-style-name:"Table Normal"; 	mso-tstyle-rowband-size:0; 	mso-tstyle-colband-size:0; 	mso-style-noshow:yes; 	mso-style-parent:""; 	mso-padding-alt:0in 5.4pt 0in 5.4pt; 	mso-para-margin:0in; 	mso-para-margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:10.0pt; 	font-family:"Times New Roman"; 	mso-ansi-language:#0400; 	mso-fareast-language:#0400; 	mso-bidi-language:#0400;} &lt;/style&gt; &lt;![endif]--&gt;  &lt;p class="MsoNormal"&gt;While huge numbers of people have lost jobs in this recession, employers are having a hard time finding qualified people for certain types of skilled labor. And while this may be a bit of a stretch, I believe one factor contributing to the situation is the failure of many companies to understand lean principles.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;A &lt;a href="http://www.nytimes.com/2009/06/24/business/24jobs.html?_r=3&amp;amp;scp=1&amp;amp;sq=employment&amp;amp;st=cse"&gt;recent article in &lt;/a&gt;&lt;i style=""&gt;&lt;a href="http://www.nytimes.com/2009/06/24/business/24jobs.html?_r=3&amp;amp;scp=1&amp;amp;sq=employment&amp;amp;st=cse"&gt;The New York Times&lt;/a&gt; &lt;/i&gt;describes the problem.&lt;/p&gt;&lt;p class="MsoNormal"&gt;
&lt;br /&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;&lt;i style=""&gt;Unnoticed in the government’s standard employment data, employers are begging for qualified applicants for certain occupations, even in hard times. Most of the jobs involve skills that take years to attain. &lt;o:p&gt;&lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;&lt;i style=""&gt;Welder is one, employers report. Critical care nurse is another. Electrical lineman is yet another, particularly those skilled in stringing high-voltage wires across the landscape. Special education teachers are in demand. So are geotechnical engineers, trained in geology as well as engineering, a combination sought for oil field work. Respiratory therapists, who help the ill breathe, are not easily found, at least not by the Permanente Medical Group, which employs more than 30,000 health professionals. And with infrastructure spending now on the rise, civil engineers are in demand to supervise the work.
&lt;br /&gt;&lt;/i&gt;&lt;/p&gt;&lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;
&lt;br /&gt;&lt;i style=""&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;Why are these types of professionals in short supply?&lt;/p&gt;&lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;
&lt;br /&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;&lt;i style=""&gt;For these hard-to-fill jobs, there seems to be a common denominator. Employers are looking for people who have acquired an exacting skill, first through education — often just high school vocational training — and then by honing it on the job. That trajectory, requiring years, is no longer so easy in &lt;st1:country-region st="on"&gt;America&lt;/st1:country-region&gt;, said Richard Sennett, a &lt;st1:place st="on"&gt;&lt;st1:placename st="on"&gt;New York&lt;/st1:placename&gt; &lt;st1:placetype st="on"&gt;University&lt;/st1:placetype&gt;&lt;/st1:place&gt; sociologist.&lt;o:p&gt;&lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;&lt;i style=""&gt;The pressure to earn a bachelor’s degree draws young people away from occupational training, particularly occupations that do not require college, Mr. Sennett said, and he cited two other factors. Outsourcing interrupts employment before a skill is fully developed, and layoffs undermine dedication to a single occupation. “People are told they can’t get back to work unless they retrain for a new skill,” he said.
&lt;br /&gt;&lt;/i&gt;&lt;/p&gt;&lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;
&lt;br /&gt;&lt;i style=""&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;Two of those factors – outsourcing and layoffs – are the techniques employed by many companies when times get tough. &lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;But not lean companies. Lean employers understand that outsourcing can create problems of logistics and quality, and that its cost benefits can often be matched by improving processes and keeping work in-house. And lean employers view employees as assets, providing them with additional training and responsibility for improvement when business is slow (rather than laying them off) so the company will be better able to compete when conditions improve.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;Maybe if more companies understood and embraced a lean strategy, these shortages of workers wouldn’t be as severe.&lt;/p&gt;  &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5865768815327716731-7638260284155498628?l=leaninsider.productivitypress.com'/&gt;&lt;/div&gt;&lt;div class="feedflare"&gt;
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&lt;/div&gt;&lt;img src="http://feeds.feedburner.com/~r/productivitypress/FYpa/~4/cHLNol_WrDw" height="1" width="1"/&gt;</content><link rel="replies" type="application/atom+xml" href="http://leaninsider.productivitypress.com/feeds/7638260284155498628/comments/default" title="Post Comments" /><link rel="replies" type="text/html" href="https://www.blogger.com/comment.g?blogID=5865768815327716731&amp;postID=7638260284155498628" title="0 Comments" /><link rel="edit" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/7638260284155498628?v=2" /><link rel="self" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/7638260284155498628?v=2" /><link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/productivitypress/FYpa/~3/cHLNol_WrDw/why-there-are-shortages-of-skilled.html" title="Why There Are Shortages of Skilled Labor in a Recession" /><author><name>Ralph Bernstein</name><uri>http://www.blogger.com/profile/14365242705096263649</uri><email>ralph.bernstein@taylorandfrancis.com</email><gd:extendedProperty name="OpenSocialUserId" value="15078579451573668095" /></author><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">0</thr:total><feedburner:origLink>http://leaninsider.productivitypress.com/2009/06/why-there-are-shortages-of-skilled.html</feedburner:origLink></entry><entry gd:etag="W/&quot;CkQFQHc9cCp7ImA9WxJVEE8.&quot;"><id>tag:blogger.com,1999:blog-5865768815327716731.post-7666091852808957775</id><published>2009-06-26T08:43:00.000-04:00</published><updated>2009-06-26T08:45:11.968-04:00</updated><app:edited xmlns:app="http://www.w3.org/2007/app">2009-06-26T08:45:11.968-04:00</app:edited><title>Book Talk: Modeling and Benchmarking Supply Chain Leadership</title><content type="html">&lt;meta equiv="Content-Type" content="text/html; charset=utf-8"&gt;&lt;meta name="ProgId" content="Word.Document"&gt;&lt;meta name="Generator" content="Microsoft Word 11"&gt;&lt;meta name="Originator" content="Microsoft Word 11"&gt;&lt;link rel="File-List" href="file:///C:%5CDOCUME%7E1%5CBERNST%7E1%5CLOCALS%7E1%5CTemp%5Cmsohtml1%5C03%5Cclip_filelist.xml"&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:worddocument&gt;   &lt;w:view&gt;Normal&lt;/w:View&gt;   &lt;w:zoom&gt;0&lt;/w:Zoom&gt;   &lt;w:punctuationkerning/&gt;   &lt;w:validateagainstschemas/&gt;   &lt;w:saveifxmlinvalid&gt;false&lt;/w:SaveIfXMLInvalid&gt;   &lt;w:ignoremixedcontent&gt;false&lt;/w:IgnoreMixedContent&gt;   &lt;w:alwaysshowplaceholdertext&gt;false&lt;/w:AlwaysShowPlaceholderText&gt;   &lt;w:compatibility&gt;    &lt;w:breakwrappedtables/&gt;    &lt;w:snaptogridincell/&gt;    &lt;w:wraptextwithpunct/&gt;    &lt;w:useasianbreakrules/&gt;    &lt;w:dontgrowautofit/&gt;   &lt;/w:Compatibility&gt;   &lt;w:browserlevel&gt;MicrosoftInternetExplorer4&lt;/w:BrowserLevel&gt;  &lt;/w:WordDocument&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:latentstyles deflockedstate="false" latentstylecount="156"&gt;  &lt;/w:LatentStyles&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;style&gt; &lt;!--  /* Style Definitions */  p.MsoNormal, li.MsoNormal, div.MsoNormal 	{mso-style-parent:""; 	margin:0in; 	margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:12.0pt; 	font-family:Arial; 	mso-fareast-font-family:"Times New Roman"; 	mso-bidi-font-family:"Times New Roman";} a:link, span.MsoHyperlink 	{color:blue; 	text-decoration:underline; 	text-underline:single;} a:visited, span.MsoHyperlinkFollowed 	{color:purple; 	text-decoration:underline; 	text-underline:single;} @page Section1 	{size:8.5in 11.0in; 	margin:1.0in 1.25in 1.0in 1.25in; 	mso-header-margin:.5in; 	mso-footer-margin:.5in; 	mso-paper-source:0;} div.Section1 	{page:Section1;} --&gt; &lt;/style&gt;&lt;!--[if gte mso 10]&gt; &lt;style&gt;  /* Style Definitions */  table.MsoNormalTable 	{mso-style-name:"Table Normal"; 	mso-tstyle-rowband-size:0; 	mso-tstyle-colband-size:0; 	mso-style-noshow:yes; 	mso-style-parent:""; 	mso-padding-alt:0in 5.4pt 0in 5.4pt; 	mso-para-margin:0in; 	mso-para-margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:10.0pt; 	font-family:"Times New Roman"; 	mso-ansi-language:#0400; 	mso-fareast-language:#0400; 	mso-bidi-language:#0400;} &lt;/style&gt; &lt;![endif]--&gt;  &lt;p class="MsoNormal"&gt; 							&lt;/p&gt;&lt;form method="post" action="shopping_cart/cart/add_item_to_basket.asp?pid=1396&amp;amp;pc=/shopping_cart/products/product_detail.asp!sku%3DAU397X%26isbn%3D9781420083972%26parent%5Fid%3D%26pc" id="form1" name="form1"&gt;&lt;/form&gt; 							 								 									&lt;img src="http://www.productivitypress.com/images/book-img/9781420083972.jpg" border="0" /&gt;  &lt;p class="MsoNormal"&gt;With global operations, our military forces face daunting supply chain challenges. One result is that some of their people become experienced supply chain leaders.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;Joseph Walden is one of those leaders, and he has written &lt;i style=""&gt;&lt;span style=""&gt;&lt;a href="http://www.productivitypress.com/shopping_cart/products/product_detail.asp?sku=AU397X&amp;amp;isbn=9781420083972&amp;amp;parent_id=&amp;amp;pc"&gt;Modeling and Benchmarking Supply Chain Leadership: Setting the Conditions for Excellence&lt;/a&gt;. &lt;/span&gt;&lt;/i&gt;&lt;span style=""&gt;This new book &lt;/span&gt;&lt;span style=""&gt;provides a roadmap for supply chain managers to become supply chain leaders. &lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;&lt;span style=""&gt;            &lt;/span&gt;The book details those qualities that can serve as benchmarks for measuring leadership success. It also provides a historical look at leadership in supply chain management, with original interviews of leaders in industry and government across three continents.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;&lt;span style=""&gt;            &lt;/span&gt;Over 29 years, Walden &lt;/span&gt;served in a variety of military supply chain positions that included designing and establishing a multi-million square foot distribution center in Kuwait to support Operation Iraqi Freedom and serving as the director of the US Army’s senior leadership school.&lt;span style=""&gt;  &lt;/span&gt;Since retiring from the Army, he has led the Supply Chain Leadership Institute, served as a consultant to FORTUNE 500 companies and provided leadership programs for colleges and professional organizations.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;His expertise makes this a valuable book for any supply chain professional.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;&lt;i style=""&gt;Do you have a question or comment about a book(s) that you would like addressed in Book Talk? Email me directly at &lt;a href="mailto:Ralph.bernstein@taylorandfrancis.com"&gt;Ralph.bernstein@taylorandfrancis.com&lt;/a&gt;.&lt;/i&gt;&lt;/p&gt;  &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5865768815327716731-7666091852808957775?l=leaninsider.productivitypress.com'/&gt;&lt;/div&gt;&lt;div class="feedflare"&gt;
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&lt;/div&gt;&lt;img src="http://feeds.feedburner.com/~r/productivitypress/FYpa/~4/0me4cVmxHAw" height="1" width="1"/&gt;</content><link rel="replies" type="application/atom+xml" href="http://leaninsider.productivitypress.com/feeds/7666091852808957775/comments/default" title="Post Comments" /><link rel="replies" type="text/html" href="https://www.blogger.com/comment.g?blogID=5865768815327716731&amp;postID=7666091852808957775" title="0 Comments" /><link rel="edit" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/7666091852808957775?v=2" /><link rel="self" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/7666091852808957775?v=2" /><link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/productivitypress/FYpa/~3/0me4cVmxHAw/book-talk-modeling-and-benchmarking.html" title="Book Talk: Modeling and Benchmarking Supply Chain Leadership" /><author><name>Ralph Bernstein</name><uri>http://www.blogger.com/profile/14365242705096263649</uri><email>ralph.bernstein@taylorandfrancis.com</email><gd:extendedProperty name="OpenSocialUserId" value="15078579451573668095" /></author><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">0</thr:total><feedburner:origLink>http://leaninsider.productivitypress.com/2009/06/book-talk-modeling-and-benchmarking.html</feedburner:origLink></entry><entry gd:etag="W/&quot;DkcERXk6cSp7ImA9WxJWGU4.&quot;"><id>tag:blogger.com,1999:blog-5865768815327716731.post-534159685236447874</id><published>2009-06-25T08:45:00.000-04:00</published><updated>2009-06-25T08:46:44.719-04:00</updated><app:edited xmlns:app="http://www.w3.org/2007/app">2009-06-25T08:46:44.719-04:00</app:edited><title>Hospitals Use ‘Mystery Shoppers’ to Monitor Handwashing</title><content type="html">&lt;meta equiv="Content-Type" content="text/html; 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st1\:*{behavior:url(#ieooui) } &lt;/style&gt; &lt;![endif]--&gt;&lt;style&gt; &lt;!--  /* Style Definitions */  p.MsoNormal, li.MsoNormal, div.MsoNormal 	{mso-style-parent:""; 	margin:0in; 	margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:12.0pt; 	font-family:Arial; 	mso-fareast-font-family:"Times New Roman"; 	mso-bidi-font-family:"Times New Roman";} @page Section1 	{size:8.5in 11.0in; 	margin:1.0in 1.25in 1.0in 1.25in; 	mso-header-margin:.5in; 	mso-footer-margin:.5in; 	mso-paper-source:0;} div.Section1 	{page:Section1;} --&gt; &lt;/style&gt;&lt;!--[if gte mso 10]&gt; &lt;style&gt;  /* Style Definitions */  table.MsoNormalTable 	{mso-style-name:"Table Normal"; 	mso-tstyle-rowband-size:0; 	mso-tstyle-colband-size:0; 	mso-style-noshow:yes; 	mso-style-parent:""; 	mso-padding-alt:0in 5.4pt 0in 5.4pt; 	mso-para-margin:0in; 	mso-para-margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:10.0pt; 	font-family:"Times New Roman"; 	mso-ansi-language:#0400; 	mso-fareast-language:#0400; 	mso-bidi-language:#0400;} &lt;/style&gt; &lt;![endif]--&gt;  &lt;p class="MsoNormal"&gt;So-called “mystery shoppers” are a growing trend in hospitals, according to an &lt;a href="http://www.healthleadersmedia.com/content/234467/topic/WS_HLM2_QUA/Mystery-Shoppers-Add-Emphasis-to-Infection-Control.html"&gt;article from HealthLeaders Media&lt;/a&gt;, and I have mixed feelings about it.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;A mystery shopper is a person, usually a hospital staff member, who secretly observes the behavior of other employees – primarily to see whether they are regularly washing their hands. &lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;No one disputes the importance of clean hands in a hospital in reducing the spread of germs, and pretty much everyone agrees that more needs to be done to get employees to wash their hands more often.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;But is this the way to go about it? My concern is that this approach may end up focusing more on what individual employees are doing, rather than on flaws that may exist in hospital processes.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;The article tries to put things in a positive light, describing a program at &lt;st1:placename st="on"&gt;Inova&lt;/st1:placename&gt; &lt;st1:placename st="on"&gt;Loudoun&lt;/st1:placename&gt; &lt;st1:placetype st="on"&gt;Hospital&lt;/st1:placetype&gt; in &lt;st1:place st="on"&gt;&lt;st1:city st="on"&gt;Leesburg&lt;/st1:city&gt;, &lt;st1:state st="on"&gt;VA.&lt;/st1:state&gt;&lt;/st1:place&gt;&lt;/p&gt;&lt;p class="MsoNormal"&gt;&lt;st1:place st="on"&gt;&lt;st1:state st="on"&gt;
&lt;br /&gt;&lt;/st1:state&gt;&lt;/st1:place&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;i style=""&gt;The hospital uses these hand hygiene figures to spot trends and see where problem areas exist. For example, if a particular unit has a high incidence of noncompliance, Gayle Lovato, MS, RN, an infection preventionist, looks for opportunities to perform staff education or to improve systems issues, such as making alcohol-based hand sanitizer more readily available.&lt;/i&gt;&lt;/p&gt;&lt;p class="MsoNormal"&gt;
&lt;br /&gt;&lt;i style=""&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;But sometimes, hospital employees are not thrilled by the idea.&lt;/p&gt;&lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;
&lt;br /&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;i style=""&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;i style=""&gt;There are a number of barriers to overcome before starting a mystery shopper program, says Brian Hudson, MT (ASCP), CIC, an infection preventionist at Cleveland Regional Medical Center in Shelby, NC.&lt;o:p&gt;&lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;st1:place st="on"&gt;&lt;st1:city st="on"&gt;&lt;i style=""&gt;Cleveland&lt;/i&gt;&lt;/st1:city&gt;&lt;/st1:place&gt;&lt;i style=""&gt; Regional also users secret shoppers to monitor handwashing. His biggest challenge has been recruiting people to take the job. "Nobody wants to be thought of as a rat," he says. "It's viewed as tattling."&lt;/i&gt;&lt;/p&gt;&lt;p class="MsoNormal"&gt;
&lt;br /&gt;&lt;i style=""&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;What are you views? Is this a good or a bad approach? Share your thoughts below.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5865768815327716731-534159685236447874?l=leaninsider.productivitypress.com'/&gt;&lt;/div&gt;&lt;div class="feedflare"&gt;
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&lt;/div&gt;&lt;img src="http://feeds.feedburner.com/~r/productivitypress/FYpa/~4/MwshxpQz1zY" height="1" width="1"/&gt;</content><link rel="replies" type="application/atom+xml" href="http://leaninsider.productivitypress.com/feeds/534159685236447874/comments/default" title="Post Comments" /><link rel="replies" type="text/html" href="https://www.blogger.com/comment.g?blogID=5865768815327716731&amp;postID=534159685236447874" title="0 Comments" /><link rel="edit" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/534159685236447874?v=2" /><link rel="self" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/534159685236447874?v=2" /><link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/productivitypress/FYpa/~3/MwshxpQz1zY/hospitals-use-mystery-shoppers-to.html" title="Hospitals Use ‘Mystery Shoppers’ to Monitor Handwashing" /><author><name>Ralph Bernstein</name><uri>http://www.blogger.com/profile/14365242705096263649</uri><email>ralph.bernstein@taylorandfrancis.com</email><gd:extendedProperty name="OpenSocialUserId" value="15078579451573668095" /></author><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">0</thr:total><feedburner:origLink>http://leaninsider.productivitypress.com/2009/06/hospitals-use-mystery-shoppers-to.html</feedburner:origLink></entry><entry gd:etag="W/&quot;AkUNR3czfip7ImA9WxJWGEk.&quot;"><id>tag:blogger.com,1999:blog-5865768815327716731.post-8427673453869500902</id><published>2009-06-24T08:56:00.000-04:00</published><updated>2009-06-24T08:58:16.986-04:00</updated><app:edited xmlns:app="http://www.w3.org/2007/app">2009-06-24T08:58:16.986-04:00</app:edited><title>Scottish University is Learning About Lean</title><content type="html">&lt;meta equiv="Content-Type" content="text/html; 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	panose-1:5 0 0 0 0 0 0 0 0 0; 	mso-font-charset:2; 	mso-generic-font-family:auto; 	mso-font-pitch:variable; 	mso-font-signature:0 268435456 0 0 -2147483648 0;}  /* Style Definitions */  p.MsoNormal, li.MsoNormal, div.MsoNormal 	{mso-style-parent:""; 	margin:0in; 	margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:12.0pt; 	font-family:Arial; 	mso-fareast-font-family:"Times New Roman"; 	mso-bidi-font-family:"Times New Roman";} @page Section1 	{size:8.5in 11.0in; 	margin:1.0in 1.25in 1.0in 1.25in; 	mso-header-margin:.5in; 	mso-footer-margin:.5in; 	mso-paper-source:0;} div.Section1 	{page:Section1;}  /* List Definitions */  @list l0 	{mso-list-id:2124687605; 	mso-list-type:hybrid; 	mso-list-template-ids:-480073540 67698689 67698691 67698693 67698689 67698691 67698693 67698689 67698691 67698693;} @list l0:level1 	{mso-level-number-format:bullet; 	mso-level-text:; 	mso-level-tab-stop:.5in; 	mso-level-number-position:left; 	text-indent:-.25in; 	font-family:Symbol;} ol 	{margin-bottom:0in;} ul 	{margin-bottom:0in;} --&gt; &lt;/style&gt;&lt;!--[if gte mso 10]&gt; &lt;style&gt;  /* Style Definitions */  table.MsoNormalTable 	{mso-style-name:"Table Normal"; 	mso-tstyle-rowband-size:0; 	mso-tstyle-colband-size:0; 	mso-style-noshow:yes; 	mso-style-parent:""; 	mso-padding-alt:0in 5.4pt 0in 5.4pt; 	mso-para-margin:0in; 	mso-para-margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:10.0pt; 	font-family:"Times New Roman"; 	mso-ansi-language:#0400; 	mso-fareast-language:#0400; 	mso-bidi-language:#0400;} &lt;/style&gt; &lt;![endif]--&gt;  &lt;p class="MsoNormal"&gt;You don’t hear much about lean in education. Only a few early adopters are starting to embrace lean to improve the operations of their institutions.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;One I came across recently is the &lt;a href="http://www.st-andrews.ac.uk/lean/"&gt;&lt;st1:placetype st="on"&gt;University&lt;/st1:placetype&gt; of &lt;st1:placename st="on"&gt;St. Andrews&lt;/st1:placename&gt;&lt;/a&gt;, located in &lt;st1:country-region st="on"&gt;&lt;st1:place st="on"&gt;Scotland&lt;/st1:place&gt;&lt;/st1:country-region&gt;. Three people there are part of a team involved in lean initiatives.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;Their projects range from redesigning how undergraduates travel through the recruitment/admissions process to standardizing absence reporting procedures across all schools.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;Among their achievements so far:&lt;/p&gt;  &lt;ul style="margin-top: 0in;" type="disc"&gt;&lt;li class="MsoNormal" style=""&gt;In the      library, cataloguing and processing of books lead time reduced from &lt;strong&gt;&lt;span style="font-weight: normal;font-family:Arial;" &gt;50 days to 2 days&lt;/span&gt;&lt;/strong&gt;&lt;/li&gt;&lt;li class="MsoNormal" style=""&gt;In reception      and registry, production of Student Status Letters lead time reduced from &lt;strong&gt;&lt;span style="font-weight: normal;font-family:Arial;" &gt;7-10 days to 2 minutes&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/strong&gt;&lt;/li&gt;&lt;li class="MsoNormal" style=""&gt;&lt;strong&gt;&lt;span style="font-weight: normal;font-family:Arial;" &gt;Also in registry, l&lt;/span&gt;&lt;/strong&gt;arge      reduction in staff time needed to process student self-certifications      while increasing availability of reporting&lt;/li&gt;&lt;/ul&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;It is a pleasure to hear about successful efforts in an industry where lean is in such a nascent stage. I’m sure we will be hearing about more such examples in the future.&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.25in;"&gt;&lt;span style=""&gt;      &lt;/span&gt;By the way, we have a book in this area scheduled for publication next year: &lt;i style=""&gt;&lt;a href="http://www.productivitypress.com/shopping_cart/products/product_detail.asp?sku=K10754&amp;amp;isbn=9781439814659&amp;amp;parent_id=&amp;amp;pc"&gt;Lean Higher Education&lt;/a&gt; &lt;/i&gt;by William Balzer of &lt;st1:place st="on"&gt;&lt;st1:placename st="on"&gt;Bowling Green&lt;/st1:placename&gt; &lt;st1:placetype st="on"&gt;State&lt;/st1:placetype&gt; &lt;st1:placetype st="on"&gt;University&lt;/st1:placetype&gt;&lt;/st1:place&gt;.&lt;/p&gt;  &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5865768815327716731-8427673453869500902?l=leaninsider.productivitypress.com'/&gt;&lt;/div&gt;&lt;div class="feedflare"&gt;
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&lt;/div&gt;&lt;img src="http://feeds.feedburner.com/~r/productivitypress/FYpa/~4/WROPeTXL4F4" height="1" width="1"/&gt;</content><link rel="replies" type="application/atom+xml" href="http://leaninsider.productivitypress.com/feeds/8427673453869500902/comments/default" title="Post Comments" /><link rel="replies" type="text/html" href="https://www.blogger.com/comment.g?blogID=5865768815327716731&amp;postID=8427673453869500902" title="1 Comments" /><link rel="edit" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/8427673453869500902?v=2" /><link rel="self" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/8427673453869500902?v=2" /><link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/productivitypress/FYpa/~3/WROPeTXL4F4/scottish-university-is-learning-about.html" title="Scottish University is Learning About Lean" /><author><name>Ralph Bernstein</name><uri>http://www.blogger.com/profile/14365242705096263649</uri><email>ralph.bernstein@taylorandfrancis.com</email><gd:extendedProperty name="OpenSocialUserId" value="15078579451573668095" /></author><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">1</thr:total><feedburner:origLink>http://leaninsider.productivitypress.com/2009/06/scottish-university-is-learning-about.html</feedburner:origLink></entry><entry gd:etag="W/&quot;D04HQn07cCp7ImA9WxJWFko.&quot;"><id>tag:blogger.com,1999:blog-5865768815327716731.post-5944740930224009381</id><published>2009-06-22T09:04:00.000-04:00</published><updated>2009-06-22T09:05:33.308-04:00</updated><app:edited xmlns:app="http://www.w3.org/2007/app">2009-06-22T09:05:33.308-04:00</app:edited><title>Can Standard Work Reduce Childbirth Injuries?</title><content type="html">&lt;meta equiv="Content-Type" content="text/html; charset=utf-8"&gt;&lt;meta name="ProgId" content="Word.Document"&gt;&lt;meta name="Generator" content="Microsoft Word 11"&gt;&lt;meta name="Originator" content="Microsoft Word 11"&gt;&lt;link rel="File-List" href="file:///C:%5CDOCUME%7E1%5CBERNST%7E1%5CLOCALS%7E1%5CTemp%5Cmsohtml1%5C03%5Cclip_filelist.xml"&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="place" downloadurl="http://www.5iantlavalamp.com/"&gt;&lt;/o:smarttagtype&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="country-region"&gt;&lt;/o:smarttagtype&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:worddocument&gt;   &lt;w:view&gt;Normal&lt;/w:View&gt;   &lt;w:zoom&gt;0&lt;/w:Zoom&gt;   &lt;w:punctuationkerning/&gt;   &lt;w:validateagainstschemas/&gt;   &lt;w:saveifxmlinvalid&gt;false&lt;/w:SaveIfXMLInvalid&gt;   &lt;w:ignoremixedcontent&gt;false&lt;/w:IgnoreMixedContent&gt;   &lt;w:alwaysshowplaceholdertext&gt;false&lt;/w:AlwaysShowPlaceholderText&gt;   &lt;w:compatibility&gt;    &lt;w:breakwrappedtables/&gt;    &lt;w:snaptogridincell/&gt;    &lt;w:wraptextwithpunct/&gt;    &lt;w:useasianbreakrules/&gt;    &lt;w:dontgrowautofit/&gt;   &lt;/w:Compatibility&gt;   &lt;w:browserlevel&gt;MicrosoftInternetExplorer4&lt;/w:BrowserLevel&gt;  &lt;/w:WordDocument&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:latentstyles deflockedstate="false" latentstylecount="156"&gt;  &lt;/w:LatentStyles&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;!--[if !mso]&gt;&lt;object classid="clsid:38481807-CA0E-42D2-BF39-B33AF135CC4D" id="ieooui"&gt;&lt;/object&gt; &lt;style&gt; st1\:*{behavior:url(#ieooui) } &lt;/style&gt; &lt;![endif]--&gt;&lt;style&gt; &lt;!--  /* Style Definitions */  p.MsoNormal, li.MsoNormal, div.MsoNormal 	{mso-style-parent:""; 	margin:0in; 	margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:12.0pt; 	font-family:Arial; 	mso-fareast-font-family:"Times New Roman"; 	mso-bidi-font-family:"Times New Roman";} p.Default, li.Default, div.Default 	{mso-style-name:Default; 	mso-style-parent:""; 	margin:0in; 	margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	mso-layout-grid-align:none; 	text-autospace:none; 	font-size:12.0pt; 	font-family:Arial; 	mso-fareast-font-family:"Times New Roman"; 	color:black;} @page Section1 	{size:8.5in 11.0in; 	margin:1.0in 1.25in 1.0in 1.25in; 	mso-header-margin:.5in; 	mso-footer-margin:.5in; 	mso-paper-source:0;} div.Section1 	{page:Section1;} --&gt; &lt;/style&gt;&lt;!--[if gte mso 10]&gt; &lt;style&gt;  /* Style Definitions */  table.MsoNormalTable 	{mso-style-name:"Table Normal"; 	mso-tstyle-rowband-size:0; 	mso-tstyle-colband-size:0; 	mso-style-noshow:yes; 	mso-style-parent:""; 	mso-padding-alt:0in 5.4pt 0in 5.4pt; 	mso-para-margin:0in; 	mso-para-margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:10.0pt; 	font-family:"Times New Roman"; 	mso-ansi-language:#0400; 	mso-fareast-language:#0400; 	mso-bidi-language:#0400;} &lt;/style&gt; &lt;![endif]--&gt;  &lt;p class="MsoNormal"&gt;Lean can be used to address many types of problems in hospitals. One of the more heartbreaking areas is highlighted in a &lt;a href="http://www.hcup-us.ahrq.gov/reports/statbriefs/sb74.pdf"&gt;new report from the Agency for Healthcare Research and Quality&lt;/a&gt;. Its title: “&lt;span style="color:black;"&gt;Potentially Avoidable Injuries to Mothers and Newborns During Childbirth.”&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style="color:black;"&gt;&lt;span style=""&gt;            &lt;/span&gt;The report, which is based on data from 2006, actually contains good news: The rates of these types of injuries in the &lt;st1:country-region st="on"&gt;&lt;st1:place st="on"&gt;U.S.&lt;/st1:place&gt;&lt;/st1:country-region&gt; actually fell significantly from 2000 to 2006. But the numbers are still disturbing, even if the rate isn’t that high. Out of 4.3 million births in 2006, there were nearly 157,700 injuries that may have been avoidable.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style="color:black;"&gt;&lt;span style=""&gt;            &lt;/span&gt;The injuries to newborns during birth include broken collarbones, infections and head injuries. The injuries to mothers include tears in tissue during delivery.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style="color:black;"&gt;&lt;span style=""&gt;            &lt;/span&gt;The report classifies births as vaginal, with and without instruments, and caesarian. It found a variety of correlations between injury rates and certain categories of mothers and infants.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="Default"&gt;&lt;span style=""&gt;&lt;span style=""&gt;            &lt;/span&gt;For example, n&lt;/span&gt;ewborns covered by Medicaid had higher injury rates than newborns covered by private insurance. And rates of obstetrical trauma for mothers were highest among women living in the wealthiest communities, and women with private insurance had higher obstetrical trauma rates than those with Medicaid. &lt;/p&gt;  &lt;p class="Default"&gt;&lt;span style=""&gt;            &lt;/span&gt;The report does not discuss &lt;i style=""&gt;why&lt;/i&gt; the rates vary. It may have something to do with the training and skill of doctors. But from a lean standpoint, it almost certainly has something to do with standard work. &lt;/p&gt;  &lt;p class="Default"&gt;&lt;span style=""&gt;            &lt;/span&gt;I see this as a very difficult area to tackle, as each obstetrician works pretty much independently, which means the doctor, rather than the hospital, is in charge of the process of delivery. &lt;/p&gt;  &lt;p class="Default"&gt;&lt;span style=""&gt;            &lt;/span&gt;However, the fact that injury rates have been declining offers hope that improvements are possible.&lt;/p&gt;  &lt;p class="Default"&gt;&lt;span style=""&gt;            &lt;/span&gt;Your thoughts?&lt;/p&gt;  &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5865768815327716731-5944740930224009381?l=leaninsider.productivitypress.com'/&gt;&lt;/div&gt;&lt;div class="feedflare"&gt;
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&lt;/div&gt;&lt;img src="http://feeds.feedburner.com/~r/productivitypress/FYpa/~4/3G-tBUzmLck" height="1" width="1"/&gt;</content><link rel="replies" type="application/atom+xml" href="http://leaninsider.productivitypress.com/feeds/5944740930224009381/comments/default" title="Post Comments" /><link rel="replies" type="text/html" href="https://www.blogger.com/comment.g?blogID=5865768815327716731&amp;postID=5944740930224009381" title="2 Comments" /><link rel="edit" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/5944740930224009381?v=2" /><link rel="self" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/5944740930224009381?v=2" /><link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/productivitypress/FYpa/~3/3G-tBUzmLck/can-standard-work-reduce-childbirth.html" title="Can Standard Work Reduce Childbirth Injuries?" /><author><name>Ralph Bernstein</name><uri>http://www.blogger.com/profile/14365242705096263649</uri><email>ralph.bernstein@taylorandfrancis.com</email><gd:extendedProperty name="OpenSocialUserId" value="15078579451573668095" /></author><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">2</thr:total><feedburner:origLink>http://leaninsider.productivitypress.com/2009/06/can-standard-work-reduce-childbirth.html</feedburner:origLink></entry><entry gd:etag="W/&quot;D0MGQHg4eyp7ImA9WxJWFEw.&quot;"><id>tag:blogger.com,1999:blog-5865768815327716731.post-177894046076595215</id><published>2009-06-19T08:39:00.000-04:00</published><updated>2009-06-19T08:43:41.633-04:00</updated><app:edited xmlns:app="http://www.w3.org/2007/app">2009-06-19T08:43:41.633-04:00</app:edited><title>Book Talk: Green Intentions</title><content type="html">&lt;meta equiv="Content-Type" content="text/html; charset=utf-8"&gt;&lt;meta name="ProgId" content="Word.Document"&gt;&lt;meta name="Generator" content="Microsoft Word 11"&gt;&lt;meta name="Originator" content="Microsoft Word 11"&gt;&lt;link rel="File-List" href="file:///C:%5CDOCUME%7E1%5CBERNST%7E1%5CLOCALS%7E1%5CTemp%5Cmsohtml1%5C03%5Cclip_filelist.xml"&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="PersonName"&gt;&lt;/o:smarttagtype&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:worddocument&gt;   &lt;w:view&gt;Normal&lt;/w:View&gt;   &lt;w:zoom&gt;0&lt;/w:Zoom&gt;   &lt;w:punctuationkerning/&gt;   &lt;w:validateagainstschemas/&gt;   &lt;w:saveifxmlinvalid&gt;false&lt;/w:SaveIfXMLInvalid&gt;   &lt;w:ignoremixedcontent&gt;false&lt;/w:IgnoreMixedContent&gt;   &lt;w:alwaysshowplaceholdertext&gt;false&lt;/w:AlwaysShowPlaceholderText&gt;   &lt;w:compatibility&gt;    &lt;w:breakwrappedtables/&gt;    &lt;w:snaptogridincell/&gt;    &lt;w:wraptextwithpunct/&gt;    &lt;w:useasianbreakrules/&gt;    &lt;w:dontgrowautofit/&gt; 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	margin:1.0in 1.25in 1.0in 1.25in; 	mso-header-margin:.5in; 	mso-footer-margin:.5in; 	mso-paper-source:0;} div.Section1 	{page:Section1;} --&gt; &lt;/style&gt;&lt;!--[if gte mso 10]&gt; &lt;style&gt;  /* Style Definitions */  table.MsoNormalTable 	{mso-style-name:"Table Normal"; 	mso-tstyle-rowband-size:0; 	mso-tstyle-colband-size:0; 	mso-style-noshow:yes; 	mso-style-parent:""; 	mso-padding-alt:0in 5.4pt 0in 5.4pt; 	mso-para-margin:0in; 	mso-para-margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:10.0pt; 	font-family:"Times New Roman"; 	mso-ansi-language:#0400; 	mso-fareast-language:#0400; 	mso-bidi-language:#0400;} &lt;/style&gt; &lt;![endif]--&gt;  &lt;p class="MsoNormal"&gt;&lt;a href="http://www.productivitypress.com/shopping_cart/products/product_detail.asp?sku=PP9617&amp;amp;isbn=9781420089615&amp;amp;parent_id=&amp;amp;pc"&gt; 							&lt;/a&gt;&lt;/p&gt;&lt;form method="post" action="shopping_cart/cart/add_item_to_basket.asp?pid=1385&amp;amp;pc=/shopping_cart/products/product_detail.asp!sku%3DPP9617%26isbn%3D9781420089615%26parent%5Fid%3D%26pc" id="form1" name="form1"&gt;&lt;/form&gt; 							 								 									&lt;img src="http://www.productivitypress.com/images/book-img/9781420089615.jpg" border="0" /&gt;&lt;p class="MsoNormal"&gt;&lt;i style=""&gt;&lt;a href="http://www.productivitypress.com/shopping_cart/products/product_detail.asp?sku=PP9617&amp;amp;isbn=9781420089615&amp;amp;parent_id=&amp;amp;pc"&gt;Green Intentions&lt;/a&gt;, &lt;/i&gt;by &lt;st1:personname st="on"&gt;Brett Wills&lt;/st1:personname&gt;, is one of our first books focusing on the relationship between lean and green – which, as I and others have said, is almost certain to be a fast-growing area.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;Wills, a senior consultant with High Performance Solutions and director of the&lt;a href="http://greenenterprise.ca/"&gt; Green Enterprise Movement&lt;/a&gt;, has solid experience in manufacturing, lean, and environmental issues.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;He divides his book into two parts. The first explains what he calls the green value stream process and defines the seven green wastes. The second provides &lt;span style=""&gt;a step-by-step process for minimizing and eliminating each of those wastes.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;&lt;span style=""&gt;            &lt;/span&gt;The book also includes several resources: a green dictionary, web links and an environmental primer.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;&lt;span style=""&gt;            &lt;/span&gt;We are developing a line of books on lean and green issues. We currently offer &lt;i style=""&gt;&lt;span style=""&gt;&lt;a href="http://www.productivitypress.com/shopping_cart/products/product_detail.asp?sku=PP7389&amp;amp;isbn=9781563273896&amp;amp;parent_id=&amp;amp;pc"&gt;Green Manufacturing: Case Studies in Lean and Sustainability&lt;/a&gt;, &lt;/span&gt;&lt;/i&gt;&lt;span style=""&gt;a collection of articles previously published in the Association for Manufacturing Excellence’s &lt;i style=""&gt;Target &lt;/i&gt;magazine. And later this year we will publish &lt;/span&gt;&lt;/span&gt;&lt;a href="http://www.productivitypress.com/shopping_cart/products/product_detail.asp?sku=K10325&amp;amp;isbn=9781439806548&amp;amp;parent_id=&amp;amp;pc="&gt;&lt;i style=""&gt;Compression: Meeting the Challenges of Sustainability Through Vigorous Learning Enterprises&lt;/i&gt;&lt;/a&gt; by Robert “Doc” Hall of AME.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;&lt;i style=""&gt;Do you have a question or comment about a book(s) that you would like addressed in Book Talk? Email me directly at &lt;a href="mailto:Ralph.bernstein@taylorandfrancis.com"&gt;Ralph.bernstein@taylorandfrancis.com&lt;/a&gt;.&lt;/i&gt;&lt;/p&gt;  &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5865768815327716731-177894046076595215?l=leaninsider.productivitypress.com'/&gt;&lt;/div&gt;&lt;div class="feedflare"&gt;
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&lt;/div&gt;&lt;img src="http://feeds.feedburner.com/~r/productivitypress/FYpa/~4/3iKlr_1oIC0" height="1" width="1"/&gt;</content><link rel="replies" type="application/atom+xml" href="http://leaninsider.productivitypress.com/feeds/177894046076595215/comments/default" title="Post Comments" /><link rel="replies" type="text/html" href="https://www.blogger.com/comment.g?blogID=5865768815327716731&amp;postID=177894046076595215" title="0 Comments" /><link rel="edit" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/177894046076595215?v=2" /><link rel="self" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/177894046076595215?v=2" /><link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/productivitypress/FYpa/~3/3iKlr_1oIC0/book-talk-green-intentions.html" title="Book Talk: Green Intentions" /><author><name>Ralph Bernstein</name><uri>http://www.blogger.com/profile/14365242705096263649</uri><email>ralph.bernstein@taylorandfrancis.com</email><gd:extendedProperty name="OpenSocialUserId" value="15078579451573668095" /></author><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">0</thr:total><feedburner:origLink>http://leaninsider.productivitypress.com/2009/06/book-talk-green-intentions.html</feedburner:origLink></entry><entry gd:etag="W/&quot;C0UGQHg_fip7ImA9WxJWE04.&quot;"><id>tag:blogger.com,1999:blog-5865768815327716731.post-849092906207519424</id><published>2009-06-18T09:19:00.000-04:00</published><updated>2009-06-18T09:20:21.646-04:00</updated><app:edited xmlns:app="http://www.w3.org/2007/app">2009-06-18T09:20:21.646-04:00</app:edited><title>Automakers Work With Outsiders to Reduce Repair Costs</title><content type="html">&lt;meta equiv="Content-Type" content="text/html; charset=utf-8"&gt;&lt;meta name="ProgId" content="Word.Document"&gt;&lt;meta name="Generator" content="Microsoft Word 11"&gt;&lt;meta name="Originator" content="Microsoft Word 11"&gt;&lt;link rel="File-List" href="file:///C:%5CDOCUME%7E1%5CBERNST%7E1%5CLOCALS%7E1%5CTemp%5Cmsohtml1%5C03%5Cclip_filelist.xml"&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="place"&gt;&lt;/o:smarttagtype&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="City"&gt;&lt;/o:smarttagtype&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="State"&gt;&lt;/o:smarttagtype&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="PlaceName"&gt;&lt;/o:smarttagtype&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="PlaceType"&gt;&lt;/o:smarttagtype&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:worddocument&gt;   &lt;w:view&gt;Normal&lt;/w:View&gt;   &lt;w:zoom&gt;0&lt;/w:Zoom&gt; 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	margin:0in; 	margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:12.0pt; 	font-family:Arial; 	mso-fareast-font-family:"Times New Roman"; 	mso-bidi-font-family:"Times New Roman";} a:link, span.MsoHyperlink 	{color:blue; 	text-decoration:underline; 	text-underline:single;} a:visited, span.MsoHyperlinkFollowed 	{color:purple; 	text-decoration:underline; 	text-underline:single;} @page Section1 	{size:8.5in 11.0in; 	margin:1.0in 1.25in 1.0in 1.25in; 	mso-header-margin:.5in; 	mso-footer-margin:.5in; 	mso-paper-source:0;} div.Section1 	{page:Section1;} --&gt; &lt;/style&gt;&lt;!--[if gte mso 10]&gt; &lt;style&gt;  /* Style Definitions */  table.MsoNormalTable 	{mso-style-name:"Table Normal"; 	mso-tstyle-rowband-size:0; 	mso-tstyle-colband-size:0; 	mso-style-noshow:yes; 	mso-style-parent:""; 	mso-padding-alt:0in 5.4pt 0in 5.4pt; 	mso-para-margin:0in; 	mso-para-margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:10.0pt; 	font-family:"Times New Roman"; 	mso-ansi-language:#0400; 	mso-fareast-language:#0400; 	mso-bidi-language:#0400;} &lt;/style&gt; &lt;![endif]--&gt;  &lt;p class="MsoNormal"&gt;Anyone even slightly familiar with lean knows the importance of eliminating silos and having departments work together. One area where this is valuable is product design. Engineers and product designers should work with production people when creating new products so they appreciate how their designs may make products easier or harder to manufacturer. &lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;A &lt;a href="http://www.cnn.com/2009/LIVING/wayoflife/04/30/aa.end.of.car.totaling/index.html"&gt;recent article on CNN.com&lt;/a&gt; talked about an interesting variation on this approach: auto designers working not just with other departments in their own company, but also working with insurance companies so they design cars that are less expensive to repair.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;Insurance companies are concerned that too many cars damaged in accidents have to be “totaled” because they are too costly to repair, even if only one part of the car is damaged.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;Most major car companies are taking this collaborative approach, at least to some extent. The article talks about Ford’s new $650,000 Paint and &lt;st1:placename st="on"&gt;Body&lt;/st1:placename&gt; &lt;st1:placename st="on"&gt;Technology&lt;/st1:placename&gt; &lt;st1:placetype st="on"&gt;Center&lt;/st1:placetype&gt; in &lt;st1:place st="on"&gt;&lt;st1:city st="on"&gt;Inkster&lt;/st1:city&gt;, &lt;st1:state st="on"&gt;Michigan&lt;/st1:state&gt;&lt;/st1:place&gt;, which was opened partly as the result of design work on the 2009 F-150 pick-up truck.&lt;/p&gt;&lt;p class="MsoNormal"&gt;
&lt;br /&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;i style=""&gt;During the vehicle's early development period, these engineers realized that new materials -- including ultra-high-strength steel and boron -- helped make the new truck safer, but also could make it more expensive to repair after a collision. &lt;a href="http://autos.aol.com/redir.adp?_e_t=ap&amp;amp;_a_v=2.0&amp;amp;_a_i=100000165x1143017662x1079075285&amp;amp;_url=http://autos.aol.com/article/cpo/auto-repair-stories/20090303160209990001" target="new"&gt;&lt;/a&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;i style=""&gt;"The extensive use of advanced technologies and materials in the 2009 F-150 required us to develop new, specific procedures and repair recommendations," said Gerry Bonanni, Ford's collision repair senior engineer.&lt;o:p&gt;&lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;i style=""&gt;So, Ford engineers designed and developed new front and rear-frame-section kits -- which means one single section of the frame can now be repaired / replaced after a crash, instead of having to replace the entire frame. &lt;o:p&gt;&lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;i style=""&gt;"Partial-frame repairs cost at least $2,000 less than full-frame replacements," says Bonanni -- and will prevent some vehicles from being "totaled," which would&lt;/i&gt; &lt;i style=""&gt;have previously been the case under repair laws in some states.&lt;/i&gt;&lt;/p&gt;&lt;p class="MsoNormal"&gt;
&lt;br /&gt;&lt;i style=""&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;Has your company ever been involved in this kind of collaborative approach with outsiders? Share your experience by posting a comment.&lt;/p&gt;  &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5865768815327716731-849092906207519424?l=leaninsider.productivitypress.com'/&gt;&lt;/div&gt;&lt;div class="feedflare"&gt;
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&lt;/div&gt;&lt;img src="http://feeds.feedburner.com/~r/productivitypress/FYpa/~4/h36U5sDZ-_4" height="1" width="1"/&gt;</content><link rel="replies" type="application/atom+xml" href="http://leaninsider.productivitypress.com/feeds/849092906207519424/comments/default" title="Post Comments" /><link rel="replies" type="text/html" href="https://www.blogger.com/comment.g?blogID=5865768815327716731&amp;postID=849092906207519424" title="0 Comments" /><link rel="edit" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/849092906207519424?v=2" /><link rel="self" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/849092906207519424?v=2" /><link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/productivitypress/FYpa/~3/h36U5sDZ-_4/automakers-work-with-outsiders-to.html" title="Automakers Work With Outsiders to Reduce Repair Costs" /><author><name>Ralph Bernstein</name><uri>http://www.blogger.com/profile/14365242705096263649</uri><email>ralph.bernstein@taylorandfrancis.com</email><gd:extendedProperty name="OpenSocialUserId" value="15078579451573668095" /></author><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">0</thr:total><feedburner:origLink>http://leaninsider.productivitypress.com/2009/06/automakers-work-with-outsiders-to.html</feedburner:origLink></entry><entry gd:etag="W/&quot;CUEERXg5eSp7ImA9WxJWEkk.&quot;"><id>tag:blogger.com,1999:blog-5865768815327716731.post-7282599628606359431</id><published>2009-06-17T08:57:00.000-04:00</published><updated>2009-06-17T09:00:04.621-04:00</updated><app:edited xmlns:app="http://www.w3.org/2007/app">2009-06-17T09:00:04.621-04:00</app:edited><title>Paging the Doctor: Sorry, Wrong Number</title><content type="html">&lt;meta equiv="Content-Type" content="text/html; charset=utf-8"&gt;&lt;meta name="ProgId" content="Word.Document"&gt;&lt;meta name="Generator" content="Microsoft Word 11"&gt;&lt;meta name="Originator" content="Microsoft Word 11"&gt;&lt;link rel="File-List" href="file:///C:%5CDOCUME%7E1%5CBERNST%7E1%5CLOCALS%7E1%5CTemp%5Cmsohtml1%5C03%5Cclip_filelist.xml"&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:worddocument&gt;   &lt;w:view&gt;Normal&lt;/w:View&gt;   &lt;w:zoom&gt;0&lt;/w:Zoom&gt;   &lt;w:punctuationkerning/&gt;   &lt;w:validateagainstschemas/&gt;   &lt;w:saveifxmlinvalid&gt;false&lt;/w:SaveIfXMLInvalid&gt;   &lt;w:ignoremixedcontent&gt;false&lt;/w:IgnoreMixedContent&gt;   &lt;w:alwaysshowplaceholdertext&gt;false&lt;/w:AlwaysShowPlaceholderText&gt;   &lt;w:compatibility&gt;    &lt;w:breakwrappedtables/&gt;    &lt;w:snaptogridincell/&gt;    &lt;w:wraptextwithpunct/&gt;    &lt;w:useasianbreakrules/&gt;    &lt;w:dontgrowautofit/&gt;   &lt;/w:Compatibility&gt;   &lt;w:browserlevel&gt;MicrosoftInternetExplorer4&lt;/w:BrowserLevel&gt;  &lt;/w:WordDocument&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:latentstyles deflockedstate="false" latentstylecount="156"&gt;  &lt;/w:LatentStyles&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;style&gt; &lt;!--  /* Style Definitions */  p.MsoNormal, li.MsoNormal, div.MsoNormal 	{mso-style-parent:""; 	margin:0in; 	margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:12.0pt; 	font-family:Arial; 	mso-fareast-font-family:"Times New Roman"; 	mso-bidi-font-family:"Times New Roman";} @page Section1 	{size:8.5in 11.0in; 	margin:1.0in 1.25in 1.0in 1.25in; 	mso-header-margin:.5in; 	mso-footer-margin:.5in; 	mso-paper-source:0;} div.Section1 	{page:Section1;} --&gt; &lt;/style&gt;&lt;!--[if gte mso 10]&gt; &lt;style&gt;  /* Style Definitions */  table.MsoNormalTable 	{mso-style-name:"Table Normal"; 	mso-tstyle-rowband-size:0; 	mso-tstyle-colband-size:0; 	mso-style-noshow:yes; 	mso-style-parent:""; 	mso-padding-alt:0in 5.4pt 0in 5.4pt; 	mso-para-margin:0in; 	mso-para-margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:10.0pt; 	font-family:"Times New Roman"; 	mso-ansi-language:#0400; 	mso-fareast-language:#0400; 	mso-bidi-language:#0400;} &lt;/style&gt; &lt;![endif]--&gt;  &lt;p class="MsoNormal"&gt;Miscommunication is a form of waste, since it can drag out a process or lead to improper outcomes.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;And in hospitals, apparently it is a significant form of waste, according to the &lt;a href="http://blogs.wsj.com/health/2009/06/08/hospital-misques-sending-pages-to-dr-wrong/"&gt;Health Blog of &lt;/a&gt;&lt;i style=""&gt;&lt;a href="http://blogs.wsj.com/health/2009/06/08/hospital-misques-sending-pages-to-dr-wrong/"&gt;The Wall Street Journal&lt;/a&gt;, &lt;/i&gt;which reported on a study in the &lt;i style=""&gt;Archives of Internal Medicine.&lt;/i&gt;&lt;/p&gt;&lt;p class="MsoNormal"&gt;
&lt;br /&gt;&lt;i style=""&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;i style=""&gt;A review at two Canadian teaching hospitals reveals that in a two-month period, 14% of all pages were sent to the wrong physician—meaning to a resident who was scheduled to be off-duty or out of the hospital—and 47% of those were urgent messages. Extrapolating, that’s about 2,000 misdirected pages per year per hospital that require an immediate response, but don’t get one, the study found.&lt;/i&gt;&lt;/p&gt;&lt;p class="MsoNormal"&gt;
&lt;br /&gt;&lt;i style=""&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;In one example cited in the study, an incorrect pager number was posted on a whiteboard.&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;The study did not look at how patients were ultimately affected by the delays caused by the paging mistakes. I hope someone does investigate that part of it.&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;From a lean standpoint, how can this problem be addressed? While I don’t usually push technology as a solution, that may help. There may be some kind of IT system that sends pages at the push of a button, with the numbers already programmed in.&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;But this probably is not just about incorrect numbers. There may also have been misinformation about which doctor was on duty. &lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;Is it a question of standard work? Probably. Of eliminating handoffs? Perhaps. What are your suggestions?&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;&lt;span style=""&gt; &lt;/span&gt;&lt;/p&gt;  &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5865768815327716731-7282599628606359431?l=leaninsider.productivitypress.com'/&gt;&lt;/div&gt;&lt;div class="feedflare"&gt;
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&lt;/div&gt;&lt;img src="http://feeds.feedburner.com/~r/productivitypress/FYpa/~4/YbHfZ-ySUhI" height="1" width="1"/&gt;</content><link rel="replies" type="application/atom+xml" href="http://leaninsider.productivitypress.com/feeds/7282599628606359431/comments/default" title="Post Comments" /><link rel="replies" type="text/html" href="https://www.blogger.com/comment.g?blogID=5865768815327716731&amp;postID=7282599628606359431" title="3 Comments" /><link rel="edit" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/7282599628606359431?v=2" /><link rel="self" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/7282599628606359431?v=2" /><link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/productivitypress/FYpa/~3/YbHfZ-ySUhI/paging-doctor-sorry-wrong-number.html" title="Paging the Doctor: Sorry, Wrong Number" /><author><name>Ralph Bernstein</name><uri>http://www.blogger.com/profile/14365242705096263649</uri><email>ralph.bernstein@taylorandfrancis.com</email><gd:extendedProperty name="OpenSocialUserId" value="15078579451573668095" /></author><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">3</thr:total><feedburner:origLink>http://leaninsider.productivitypress.com/2009/06/paging-doctor-sorry-wrong-number.html</feedburner:origLink></entry><entry gd:etag="W/&quot;C0cMR3g4eip7ImA9WxJWEEo.&quot;"><id>tag:blogger.com,1999:blog-5865768815327716731.post-7918398682978327249</id><published>2009-06-15T09:00:00.000-04:00</published><updated>2009-06-15T09:04:46.632-04:00</updated><app:edited xmlns:app="http://www.w3.org/2007/app">2009-06-15T09:04:46.632-04:00</app:edited><title>Hospitals Are Cutting Efforts to Prevent Infections</title><content type="html">&lt;meta equiv="Content-Type" content="text/html; charset=utf-8"&gt;&lt;meta name="ProgId" content="Word.Document"&gt;&lt;meta name="Generator" content="Microsoft Word 11"&gt;&lt;meta name="Originator" content="Microsoft Word 11"&gt;&lt;link rel="File-List" href="file:///C:%5CDOCUME%7E1%5CBERNST%7E1%5CLOCALS%7E1%5CTemp%5Cmsohtml1%5C04%5Cclip_filelist.xml"&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:worddocument&gt;   &lt;w:view&gt;Normal&lt;/w:View&gt;   &lt;w:zoom&gt;0&lt;/w:Zoom&gt;   &lt;w:punctuationkerning/&gt;   &lt;w:validateagainstschemas/&gt;   &lt;w:saveifxmlinvalid&gt;false&lt;/w:SaveIfXMLInvalid&gt;   &lt;w:ignoremixedcontent&gt;false&lt;/w:IgnoreMixedContent&gt;   &lt;w:alwaysshowplaceholdertext&gt;false&lt;/w:AlwaysShowPlaceholderText&gt;   &lt;w:compatibility&gt;    &lt;w:breakwrappedtables/&gt;    &lt;w:snaptogridincell/&gt;    &lt;w:wraptextwithpunct/&gt;    &lt;w:useasianbreakrules/&gt;    &lt;w:dontgrowautofit/&gt;   &lt;/w:Compatibility&gt;   &lt;w:browserlevel&gt;MicrosoftInternetExplorer4&lt;/w:BrowserLevel&gt;  &lt;/w:WordDocument&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:latentstyles deflockedstate="false" latentstylecount="156"&gt;  &lt;/w:LatentStyles&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;style&gt; &lt;!--  /* Style Definitions */  p.MsoNormal, li.MsoNormal, div.MsoNormal 	{mso-style-parent:""; 	margin:0in; 	margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:12.0pt; 	font-family:Arial; 	mso-fareast-font-family:"Times New Roman"; 	mso-bidi-font-family:"Times New Roman";} @page Section1 	{size:8.5in 11.0in; 	margin:1.0in 1.25in 1.0in 1.25in; 	mso-header-margin:.5in; 	mso-footer-margin:.5in; 	mso-paper-source:0;} div.Section1 	{page:Section1;} --&gt; &lt;/style&gt;&lt;!--[if gte mso 10]&gt; &lt;style&gt;  /* Style Definitions */  table.MsoNormalTable 	{mso-style-name:"Table Normal"; 	mso-tstyle-rowband-size:0; 	mso-tstyle-colband-size:0; 	mso-style-noshow:yes; 	mso-style-parent:""; 	mso-padding-alt:0in 5.4pt 0in 5.4pt; 	mso-para-margin:0in; 	mso-para-margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:10.0pt; 	font-family:"Times New Roman"; 	mso-ansi-language:#0400; 	mso-fareast-language:#0400; 	mso-bidi-language:#0400;} &lt;/style&gt; &lt;![endif]--&gt;  &lt;p class="MsoNormal"&gt;Some disturbing news about hospitals: Just as interest in lean is growing, and there is increasing public pressure for improved quality, hospitals are cutting the resources devoted to infection prevention.&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;span style=""&gt;            &lt;/span&gt;The &lt;span style=""&gt;Association for Professionals in Infection Control and&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;Epidemiology surveyed more than 2,000 of its members in March as to the effects of the recession, and the results are not encouraging. Some of the findings:&lt;/span&gt;&lt;/p&gt;&lt;p class="MsoNormal"&gt;
&lt;br /&gt;&lt;span style=""&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;i style=""&gt;&lt;span style=""&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/span&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;i style=""&gt;&lt;span style=""&gt;Cuts are affecting the essence of infection prevention – a quarter of respondents&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;i style=""&gt;&lt;span style=""&gt;have reduced surveillance activities to detect, track and manage healthcare associated infections (HAIs).&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;i style=""&gt;&lt;span style=""&gt;Cuts have impaired infection prevention programs – a third of the respondents say cuts in staffing and resources reduce their capacity to focus on infection prevention.&lt;/span&gt;&lt;/i&gt;&lt;/p&gt;&lt;p class="MsoNormal" style=""&gt;
&lt;br /&gt;&lt;i style=""&gt;&lt;span style=""&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;i style=""&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style=""&gt;&lt;span style=""&gt;Three quarters of survey respondents work at acute care hospitals; Six in 10 also&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;supervise infection prevention for outpatient clinics.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;&lt;span style=""&gt;            &lt;/span&gt;If hospitals did the right kind of economic analysis, they would recognize that cutting infection prevention efforts will likely increase infection rates, which will cost them more money.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;&lt;span style=""&gt;            &lt;/span&gt;If this is an area of interest for you, I urge you to read the &lt;a href="http://www.apic.org/AM/Template.cfm?Section=Featured_News_and_Events&amp;amp;CONTENTID=13563&amp;amp;TEMPLATE=/CM/ContentDisplay.cfm"&gt;entire survey report&lt;/a&gt;. It is a political document, as the association is pushing its own goals. But it also a chilling document, and I hope it can serve as a call to action.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5865768815327716731-7918398682978327249?l=leaninsider.productivitypress.com'/&gt;&lt;/div&gt;&lt;div class="feedflare"&gt;
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&lt;/div&gt;&lt;img src="http://feeds.feedburner.com/~r/productivitypress/FYpa/~4/dpATV5nAKso" height="1" width="1"/&gt;</content><link rel="replies" type="application/atom+xml" href="http://leaninsider.productivitypress.com/feeds/7918398682978327249/comments/default" title="Post Comments" /><link rel="replies" type="text/html" href="https://www.blogger.com/comment.g?blogID=5865768815327716731&amp;postID=7918398682978327249" title="1 Comments" /><link rel="edit" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/7918398682978327249?v=2" /><link rel="self" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/7918398682978327249?v=2" /><link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/productivitypress/FYpa/~3/dpATV5nAKso/hospitals-are-cutting-efforts-to.html" title="Hospitals Are Cutting Efforts to Prevent Infections" /><author><name>Ralph Bernstein</name><uri>http://www.blogger.com/profile/14365242705096263649</uri><email>ralph.bernstein@taylorandfrancis.com</email><gd:extendedProperty name="OpenSocialUserId" value="15078579451573668095" /></author><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">1</thr:total><feedburner:origLink>http://leaninsider.productivitypress.com/2009/06/hospitals-are-cutting-efforts-to.html</feedburner:origLink></entry><entry gd:etag="W/&quot;C04GRH46eip7ImA9WxJXGEw.&quot;"><id>tag:blogger.com,1999:blog-5865768815327716731.post-5743536160361791259</id><published>2009-06-12T09:02:00.000-04:00</published><updated>2009-06-12T09:05:25.012-04:00</updated><app:edited xmlns:app="http://www.w3.org/2007/app">2009-06-12T09:05:25.012-04:00</app:edited><title>Book Talk: A Tale of Two (Software) Systems</title><content type="html">&lt;meta equiv="Content-Type" content="text/html; charset=utf-8"&gt;&lt;meta name="ProgId" content="Word.Document"&gt;&lt;meta name="Generator" content="Microsoft Word 11"&gt;&lt;meta name="Originator" content="Microsoft Word 11"&gt;&lt;link rel="File-List" href="file:///C:%5CDOCUME%7E1%5CBERNST%7E1%5CLOCALS%7E1%5CTemp%5Cmsohtml1%5C03%5Cclip_filelist.xml"&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="City" downloadurl="http://www.5iamas-microsoft-com:office:smarttags"&gt;&lt;/o:smarttagtype&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="place" downloadurl="http://www.5iantlavalamp.com/"&gt;&lt;/o:smarttagtype&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:worddocument&gt;   &lt;w:view&gt;Normal&lt;/w:View&gt;   &lt;w:zoom&gt;0&lt;/w:Zoom&gt;   &lt;w:punctuationkerning/&gt;   &lt;w:validateagainstschemas/&gt;   &lt;w:saveifxmlinvalid&gt;false&lt;/w:SaveIfXMLInvalid&gt;   &lt;w:ignoremixedcontent&gt;false&lt;/w:IgnoreMixedContent&gt;   &lt;w:alwaysshowplaceholdertext&gt;false&lt;/w:AlwaysShowPlaceholderText&gt;   &lt;w:compatibility&gt;    &lt;w:breakwrappedtables/&gt;    &lt;w:snaptogridincell/&gt;    &lt;w:wraptextwithpunct/&gt;    &lt;w:useasianbreakrules/&gt;    &lt;w:dontgrowautofit/&gt;   &lt;/w:Compatibility&gt;   &lt;w:browserlevel&gt;MicrosoftInternetExplorer4&lt;/w:BrowserLevel&gt;  &lt;/w:WordDocument&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:latentstyles deflockedstate="false" latentstylecount="156"&gt;  &lt;/w:LatentStyles&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;!--[if !mso]&gt;&lt;object classid="clsid:38481807-CA0E-42D2-BF39-B33AF135CC4D" id="ieooui"&gt;&lt;/object&gt; &lt;style&gt; st1\:*{behavior:url(#ieooui) } &lt;/style&gt; &lt;![endif]--&gt;&lt;style&gt; &lt;!--  /* Style Definitions */  p.MsoNormal, li.MsoNormal, div.MsoNormal 	{mso-style-parent:""; 	margin:0in; 	margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:12.0pt; 	font-family:Arial; 	mso-fareast-font-family:"Times New Roman"; 	mso-bidi-font-family:"Times New Roman";} a:link, span.MsoHyperlink 	{color:blue; 	text-decoration:underline; 	text-underline:single;} a:visited, span.MsoHyperlinkFollowed 	{color:purple; 	text-decoration:underline; 	text-underline:single;} @page Section1 	{size:8.5in 11.0in; 	margin:1.0in 1.25in 1.0in 1.25in; 	mso-header-margin:.5in; 	mso-footer-margin:.5in; 	mso-paper-source:0;} div.Section1 	{page:Section1;} --&gt; &lt;/style&gt;&lt;!--[if gte mso 10]&gt; &lt;style&gt;  /* Style Definitions */  table.MsoNormalTable 	{mso-style-name:"Table Normal"; 	mso-tstyle-rowband-size:0; 	mso-tstyle-colband-size:0; 	mso-style-noshow:yes; 	mso-style-parent:""; 	mso-padding-alt:0in 5.4pt 0in 5.4pt; 	mso-para-margin:0in; 	mso-para-margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:10.0pt; 	font-family:"Times New Roman"; 	mso-ansi-language:#0400; 	mso-fareast-language:#0400; 	mso-bidi-language:#0400;} &lt;/style&gt; &lt;![endif]--&gt;  &lt;p class="MsoNormal"&gt;&lt;img src="http://www.productivitypress.com/images/book-img/9781439803899.jpg" border="0" /&gt;&lt;/p&gt;&lt;p class="MsoNormal"&gt;Software development projects often run behind schedule and over budget. They are ripe for application of lean principles, and a new book coming out this month focuses on that issue.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;&lt;i style=""&gt;&lt;a href="http://www.productivitypress.com/shopping_cart/products/product_detail.asp?sku=K10217&amp;amp;isbn=9781439803899&amp;amp;parent_id=&amp;amp;pc"&gt;A Tale of Two Systems: Lean and Agile Software Development for Business Leaders&lt;/a&gt; &lt;/i&gt;by Michael Levine uses a pair of fictional development projects to explain what makes one project fail and another succeed. Traditional practices involve a process-centric “waterfall” approach, while lean and agile principles approach things differently. &lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;Levine has a 26-year career in technology, and currently leads the operations and technology groups at Wells Fargo Home Mortgage. His hands-on experience makes him the perfect person to have written this valuable book.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;There are currently only a handful of books that apply lean principles to software development and implementation issues. Others you may also find interesting include &lt;i style=""&gt;&lt;span style=""&gt;&lt;a href="http://www.productivitypress.com/shopping_cart/products/product_detail.asp?sku=PP7305&amp;amp;isbn=9781563273056&amp;amp;parent_id=&amp;amp;pc"&gt;Lean Software Strategies: Proven Techniques for Managers and Developers&lt;/a&gt; &lt;/span&gt;&lt;/i&gt;&lt;span style=""&gt;by Peter Middleton and James Sutton, and &lt;i style=""&gt;&lt;a href="http://www.productivitypress.com/shopping_cart/products/product_detail.asp?sku=AU0532&amp;amp;isbn=9780849305320&amp;amp;parent_id=&amp;amp;pc"&gt;Lean Performance ERP Project Management: Implementing the Virtual Lean &lt;st1:city st="on"&gt;&lt;st1:place st="on"&gt;Enterprise&lt;/st1:place&gt;&lt;/st1:city&gt;, Second Edition&lt;/a&gt; &lt;/i&gt;by Brian J. Carroll.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;&lt;i style=""&gt;Do you have a question or comment about a book(s) that you would like addressed in Book Talk? Email me directly at &lt;a href="mailto:Ralph.bernstein@taylorandfrancis.com"&gt;Ralph.bernstein@taylorandfrancis.com&lt;/a&gt;.&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5865768815327716731-5743536160361791259?l=leaninsider.productivitypress.com'/&gt;&lt;/div&gt;&lt;div class="feedflare"&gt;
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&lt;/div&gt;&lt;img src="http://feeds.feedburner.com/~r/productivitypress/FYpa/~4/hh-hHQ8bs5A" height="1" width="1"/&gt;</content><link rel="replies" type="application/atom+xml" href="http://leaninsider.productivitypress.com/feeds/5743536160361791259/comments/default" title="Post Comments" /><link rel="replies" type="text/html" href="https://www.blogger.com/comment.g?blogID=5865768815327716731&amp;postID=5743536160361791259" title="0 Comments" /><link rel="edit" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/5743536160361791259?v=2" /><link rel="self" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/5743536160361791259?v=2" /><link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/productivitypress/FYpa/~3/hh-hHQ8bs5A/book-talk-tale-of-two-software-systems.html" title="Book Talk: A Tale of Two (Software) Systems" /><author><name>Ralph Bernstein</name><uri>http://www.blogger.com/profile/14365242705096263649</uri><email>ralph.bernstein@taylorandfrancis.com</email><gd:extendedProperty name="OpenSocialUserId" value="15078579451573668095" /></author><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">0</thr:total><feedburner:origLink>http://leaninsider.productivitypress.com/2009/06/book-talk-tale-of-two-software-systems.html</feedburner:origLink></entry><entry gd:etag="W/&quot;DE4NSHs-eCp7ImA9WxJXF0w.&quot;"><id>tag:blogger.com,1999:blog-5865768815327716731.post-8191285049699728211</id><published>2009-06-11T06:41:00.000-04:00</published><updated>2009-06-11T06:43:19.550-04:00</updated><app:edited xmlns:app="http://www.w3.org/2007/app">2009-06-11T06:43:19.550-04:00</app:edited><title>Productivity Press is Now on Facebook</title><content type="html">&lt;meta equiv="Content-Type" content="text/html; charset=utf-8"&gt;&lt;meta name="ProgId" content="Word.Document"&gt;&lt;meta name="Generator" content="Microsoft Word 11"&gt;&lt;meta name="Originator" content="Microsoft Word 11"&gt;&lt;link rel="File-List" href="file:///C:%5CDOCUME%7E1%5CBERNST%7E1%5CLOCALS%7E1%5CTemp%5Cmsohtml1%5C03%5Cclip_filelist.xml"&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:worddocument&gt;   &lt;w:view&gt;Normal&lt;/w:View&gt;   &lt;w:zoom&gt;0&lt;/w:Zoom&gt;   &lt;w:punctuationkerning/&gt;   &lt;w:validateagainstschemas/&gt;   &lt;w:saveifxmlinvalid&gt;false&lt;/w:SaveIfXMLInvalid&gt;   &lt;w:ignoremixedcontent&gt;false&lt;/w:IgnoreMixedContent&gt;   &lt;w:alwaysshowplaceholdertext&gt;false&lt;/w:AlwaysShowPlaceholderText&gt;   &lt;w:compatibility&gt;    &lt;w:breakwrappedtables/&gt;    &lt;w:snaptogridincell/&gt;    &lt;w:wraptextwithpunct/&gt;    &lt;w:useasianbreakrules/&gt;    &lt;w:dontgrowautofit/&gt;   &lt;/w:Compatibility&gt;   &lt;w:browserlevel&gt;MicrosoftInternetExplorer4&lt;/w:BrowserLevel&gt;  &lt;/w:WordDocument&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:latentstyles deflockedstate="false" latentstylecount="156"&gt;  &lt;/w:LatentStyles&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;style&gt; &lt;!--  /* Style Definitions */  p.MsoNormal, li.MsoNormal, div.MsoNormal 	{mso-style-parent:""; 	margin:0in; 	margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:12.0pt; 	font-family:Arial; 	mso-fareast-font-family:"Times New Roman"; 	mso-bidi-font-family:"Times New Roman";} @page Section1 	{size:8.5in 11.0in; 	margin:1.0in 1.25in 1.0in 1.25in; 	mso-header-margin:.5in; 	mso-footer-margin:.5in; 	mso-paper-source:0;} div.Section1 	{page:Section1;} --&gt; &lt;/style&gt;&lt;!--[if gte mso 10]&gt; &lt;style&gt;  /* Style Definitions */  table.MsoNormalTable 	{mso-style-name:"Table Normal"; 	mso-tstyle-rowband-size:0; 	mso-tstyle-colband-size:0; 	mso-style-noshow:yes; 	mso-style-parent:""; 	mso-padding-alt:0in 5.4pt 0in 5.4pt; 	mso-para-margin:0in; 	mso-para-margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:10.0pt; 	font-family:"Times New Roman"; 	mso-ansi-language:#0400; 	mso-fareast-language:#0400; 	mso-bidi-language:#0400;} &lt;/style&gt; &lt;![endif]--&gt;  &lt;p class="MsoNormal"&gt;We’ve created a &lt;a href="http://www.facebook.com/pages/New-York-NY/Productivity-Press/85873354458?created"&gt;Facebook page for Productivity Press&lt;/a&gt;. Like the blog, it is and will always be a work in progress. Right now it includes feeds from this blog, and I’m starting to post announcements of new books on it. &lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;I’m sure there will be additional types of material as we move forward. If you have any suggestions, feel free to make them.&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;I hope you’ll check out our page, and perhaps become one of our “fans” on Facebook.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;By the way, I am interested in learning more about how those of you in the lean community use social media. Are you a part of Facebook, LinkedIn or other social networking sites? What do you use them for? Do you find they have value for you?&lt;span style=""&gt;  &lt;/span&gt;Share your experiences below.&lt;/p&gt;  &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5865768815327716731-8191285049699728211?l=leaninsider.productivitypress.com'/&gt;&lt;/div&gt;&lt;div class="feedflare"&gt;
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&lt;/div&gt;&lt;img src="http://feeds.feedburner.com/~r/productivitypress/FYpa/~4/fS5bfWbWNhM" height="1" width="1"/&gt;</content><link rel="replies" type="application/atom+xml" href="http://leaninsider.productivitypress.com/feeds/8191285049699728211/comments/default" title="Post Comments" /><link rel="replies" type="text/html" href="https://www.blogger.com/comment.g?blogID=5865768815327716731&amp;postID=8191285049699728211" title="0 Comments" /><link rel="edit" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/8191285049699728211?v=2" /><link rel="self" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/8191285049699728211?v=2" /><link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/productivitypress/FYpa/~3/fS5bfWbWNhM/productivity-press-is-now-on-facebook.html" title="Productivity Press is Now on Facebook" /><author><name>Ralph Bernstein</name><uri>http://www.blogger.com/profile/14365242705096263649</uri><email>ralph.bernstein@taylorandfrancis.com</email><gd:extendedProperty name="OpenSocialUserId" value="15078579451573668095" /></author><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">0</thr:total><feedburner:origLink>http://leaninsider.productivitypress.com/2009/06/productivity-press-is-now-on-facebook.html</feedburner:origLink></entry><entry gd:etag="W/&quot;DUUFRHszcCp7ImA9WxJXFkg.&quot;"><id>tag:blogger.com,1999:blog-5865768815327716731.post-2840492947434816148</id><published>2009-06-10T14:05:00.000-04:00</published><updated>2009-06-10T14:06:55.588-04:00</updated><app:edited xmlns:app="http://www.w3.org/2007/app">2009-06-10T14:06:55.588-04:00</app:edited><title>How Good is Your Hospital? The Answer is Available</title><content type="html">&lt;meta equiv="Content-Type" content="text/html; charset=utf-8"&gt;&lt;meta name="ProgId" content="Word.Document"&gt;&lt;meta name="Generator" content="Microsoft Word 11"&gt;&lt;meta name="Originator" content="Microsoft Word 11"&gt;&lt;link rel="File-List" href="file:///C:%5CDOCUME%7E1%5CBERNST%7E1%5CLOCALS%7E1%5CTemp%5Cmsohtml1%5C03%5Cclip_filelist.xml"&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="place"&gt;&lt;/o:smarttagtype&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="City"&gt;&lt;/o:smarttagtype&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:worddocument&gt;   &lt;w:view&gt;Normal&lt;/w:View&gt;   &lt;w:zoom&gt;0&lt;/w:Zoom&gt;   &lt;w:punctuationkerning/&gt;   &lt;w:validateagainstschemas/&gt;   &lt;w:saveifxmlinvalid&gt;false&lt;/w:SaveIfXMLInvalid&gt;   &lt;w:ignoremixedcontent&gt;false&lt;/w:IgnoreMixedContent&gt;   &lt;w:alwaysshowplaceholdertext&gt;false&lt;/w:AlwaysShowPlaceholderText&gt;   &lt;w:compatibility&gt;    &lt;w:breakwrappedtables/&gt;    &lt;w:snaptogridincell/&gt;    &lt;w:wraptextwithpunct/&gt;    &lt;w:useasianbreakrules/&gt;    &lt;w:dontgrowautofit/&gt;   &lt;/w:Compatibility&gt;   &lt;w:browserlevel&gt;MicrosoftInternetExplorer4&lt;/w:BrowserLevel&gt;  &lt;/w:WordDocument&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:latentstyles deflockedstate="false" latentstylecount="156"&gt;  &lt;/w:LatentStyles&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;!--[if !mso]&gt;&lt;object classid="clsid:38481807-CA0E-42D2-BF39-B33AF135CC4D" id="ieooui"&gt;&lt;/object&gt; &lt;style&gt; st1\:*{behavior:url(#ieooui) } &lt;/style&gt; &lt;![endif]--&gt;&lt;style&gt; &lt;!--  /* Style Definitions */  p.MsoNormal, li.MsoNormal, div.MsoNormal 	{mso-style-parent:""; 	margin:0in; 	margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:12.0pt; 	font-family:Arial; 	mso-fareast-font-family:"Times New Roman"; 	mso-bidi-font-family:"Times New Roman";} @page Section1 	{size:8.5in 11.0in; 	margin:1.0in 1.25in 1.0in 1.25in; 	mso-header-margin:.5in; 	mso-footer-margin:.5in; 	mso-paper-source:0;} div.Section1 	{page:Section1;} --&gt; &lt;/style&gt;&lt;!--[if gte mso 10]&gt; &lt;style&gt;  /* Style Definitions */  table.MsoNormalTable 	{mso-style-name:"Table Normal"; 	mso-tstyle-rowband-size:0; 	mso-tstyle-colband-size:0; 	mso-style-noshow:yes; 	mso-style-parent:""; 	mso-padding-alt:0in 5.4pt 0in 5.4pt; 	mso-para-margin:0in; 	mso-para-margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:10.0pt; 	font-family:"Times New Roman"; 	mso-ansi-language:#0400; 	mso-fareast-language:#0400; 	mso-bidi-language:#0400;} &lt;/style&gt; &lt;![endif]--&gt;  &lt;p class="MsoNormal"&gt;With lean initiatives, you are constantly striving to achieve perfection. But at the same time, you may want to benchmark your company’s performance against others in your industry to see how you are doing, and as a first step in figuring out why other companies are doing better than yours.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;Certainly a customer may be interested in knowing who the best suppliers are.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;In healthcare, interest in benchmarking has created a market opportunity being seized by a young company called &lt;a href="http://www.healthgrades.com/"&gt;Health Grades&lt;/a&gt;.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;There are numerous companies whose websites offer ratings of doctors and hospitals, but those are often based on the opinions of other doctors or patients. &lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;As profiled in an &lt;a href="http://www.forbes.com/forbes/2009/0525/044-health-grades-medicine-rating-your-doctor.html"&gt;article in &lt;/a&gt;&lt;i style=""&gt;&lt;a href="http://www.forbes.com/forbes/2009/0525/044-health-grades-medicine-rating-your-doctor.html"&gt;Forbes&lt;/a&gt;, &lt;/i&gt;Health Grades is taking a more objective approach.&lt;/p&gt;&lt;p class="MsoNormal"&gt;
&lt;br /&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;i style=""&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;&lt;i style=""&gt;At least 31 states now release health outcome data for hospitals on the Internet; much of it is focused on surgical procedures such as coronary bypass. Medicare has its own hospital comparison site, which counts how often hospitals follow certain safety procedures.&lt;o:p&gt;&lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;&lt;i style=""&gt;Much of this data is scattered across the Web and of variable quality. Health Grades is among the first to make rating hospitals into a business, gathering data for every hospital and putting it all together in one easy-to-use site. It makes money by selling detailed reports (the basic ones are free), licensing its name to hospitals that do well and offering consulting services to ones that do poorly…&lt;o:p&gt;&lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;&lt;i style=""&gt;Today Health Grades' methodology is an industry standard, and top hospitals pay for its advice. Three years ago David Pate, who runs the parent hospital of the renowned Texas Heart Institute, was alarmed to see that the &lt;st1:city st="on"&gt;&lt;st1:place st="on"&gt;Houston&lt;/st1:place&gt;&lt;/st1:city&gt; hospital had a 2% death rate for bypass surgery--slightly above the expected number. Pate hired Health Grades, which found three processes lacking. Patients on blood thinners were not being properly monitored; some were getting overdoses of contrast dye during ct scans; too many patients on ventilators were catching pneumonia. The bypass mortality is down to 1.8%. The hospital still doesn't earn Health Grades' highest rating for bypass surgery.&lt;/i&gt;&lt;/p&gt;&lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;
&lt;br /&gt;&lt;i style=""&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;I see this as a positive development, as it can help to raise awareness of what can be achieved. The danger is that some hospitals will see the highest current levels of performance as the best that can be achieved, and not embrace a true lean mind-set of continuous improvement.&lt;/p&gt;  &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5865768815327716731-2840492947434816148?l=leaninsider.productivitypress.com'/&gt;&lt;/div&gt;&lt;div class="feedflare"&gt;
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&lt;/div&gt;&lt;img src="http://feeds.feedburner.com/~r/productivitypress/FYpa/~4/4f3969JlcMM" height="1" width="1"/&gt;</content><link rel="replies" type="application/atom+xml" href="http://leaninsider.productivitypress.com/feeds/2840492947434816148/comments/default" title="Post Comments" /><link rel="replies" type="text/html" href="https://www.blogger.com/comment.g?blogID=5865768815327716731&amp;postID=2840492947434816148" title="1 Comments" /><link rel="edit" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/2840492947434816148?v=2" /><link rel="self" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/2840492947434816148?v=2" /><link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/productivitypress/FYpa/~3/4f3969JlcMM/how-good-is-your-hospital-answer-is.html" title="How Good is Your Hospital? The Answer is Available" /><author><name>Ralph Bernstein</name><uri>http://www.blogger.com/profile/14365242705096263649</uri><email>ralph.bernstein@taylorandfrancis.com</email><gd:extendedProperty name="OpenSocialUserId" value="15078579451573668095" /></author><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">1</thr:total><feedburner:origLink>http://leaninsider.productivitypress.com/2009/06/how-good-is-your-hospital-answer-is.html</feedburner:origLink></entry><entry gd:etag="W/&quot;Ck8GRXg5cSp7ImA9WxJXFEo.&quot;"><id>tag:blogger.com,1999:blog-5865768815327716731.post-2711047865411766505</id><published>2009-06-08T10:16:00.000-04:00</published><updated>2009-06-08T10:20:24.629-04:00</updated><app:edited xmlns:app="http://www.w3.org/2007/app">2009-06-08T10:20:24.629-04:00</app:edited><title>Confrontational Corporate Culture Killed the Carmakers</title><content type="html">&lt;meta equiv="Content-Type" content="text/html; charset=utf-8"&gt;&lt;meta name="ProgId" content="Word.Document"&gt;&lt;meta name="Generator" content="Microsoft Word 11"&gt;&lt;meta name="Originator" content="Microsoft Word 11"&gt;&lt;link rel="File-List" href="file:///C:%5CDOCUME%7E1%5CBERNST%7E1%5CLOCALS%7E1%5CTemp%5Cmsohtml1%5C03%5Cclip_filelist.xml"&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="place" downloadurl="http://www.5iantlavalamp.com/"&gt;&lt;/o:smarttagtype&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="country-region"&gt;&lt;/o:smarttagtype&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="City" downloadurl="http://www.5iamas-microsoft-com:office:smarttags"&gt;&lt;/o:smarttagtype&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="State"&gt;&lt;/o:smarttagtype&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt; 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st1\:*{behavior:url(#ieooui) } &lt;/style&gt; &lt;![endif]--&gt;&lt;style&gt; &lt;!--  /* Style Definitions */  p.MsoNormal, li.MsoNormal, div.MsoNormal 	{mso-style-parent:""; 	margin:0in; 	margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:12.0pt; 	font-family:Arial; 	mso-fareast-font-family:"Times New Roman"; 	mso-bidi-font-family:"Times New Roman";} @page Section1 	{size:8.5in 11.0in; 	margin:1.0in 1.25in 1.0in 1.25in; 	mso-header-margin:.5in; 	mso-footer-margin:.5in; 	mso-paper-source:0;} div.Section1 	{page:Section1;} --&gt; &lt;/style&gt;&lt;!--[if gte mso 10]&gt; &lt;style&gt;  /* Style Definitions */  table.MsoNormalTable 	{mso-style-name:"Table Normal"; 	mso-tstyle-rowband-size:0; 	mso-tstyle-colband-size:0; 	mso-style-noshow:yes; 	mso-style-parent:""; 	mso-padding-alt:0in 5.4pt 0in 5.4pt; 	mso-para-margin:0in; 	mso-para-margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:10.0pt; 	font-family:"Times New Roman"; 	mso-ansi-language:#0400; 	mso-fareast-language:#0400; 	mso-bidi-language:#0400;} &lt;/style&gt; &lt;![endif]--&gt;  &lt;p class="MsoNormal"&gt;I’ve long been a fan of Jerry Flint, the automotive columnist for &lt;i style=""&gt;Forbes. &lt;/i&gt;In his &lt;a href="http://www.forbes.com/2009/05/27/auto-manufacturing-detroit-business-unions.html"&gt;latest writing&lt;/a&gt;, &lt;st1:city st="on"&gt;Flint&lt;/st1:city&gt; offers a well-thought-out analysis of what brought the &lt;st1:country-region st="on"&gt;&lt;st1:place st="on"&gt;U.S.&lt;/st1:place&gt;&lt;/st1:country-region&gt; auto industry to its knees.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;He spreads the blame around, and has plenty of harsh words for governments, both here and abroad, in regard to how they supported or failed to support their automakers.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;But the heart of his column focuses on what we lean advocates have been saying all along: &lt;st1:city st="on"&gt;&lt;st1:place st="on"&gt;Detroit&lt;/st1:place&gt;&lt;/st1:city&gt; failed to provide value for its customers.&lt;/p&gt;&lt;p class="MsoNormal"&gt;
&lt;br /&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;i style=""&gt;Car plants become profitable when running full and with overtime. To do that, the car companies must build vehicles the customers want. &lt;st1:city st="on"&gt;&lt;st1:place st="on"&gt;Detroit&lt;/st1:place&gt;&lt;/st1:city&gt;'s managers not only didn't care about the factories, they didn't care about the products or understand American car buyers.&lt;/i&gt;&lt;/p&gt;&lt;p class="MsoNormal"&gt;
&lt;br /&gt;&lt;i style=""&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;And why didn’t they build the right products? &lt;st1:place st="on"&gt;&lt;st1:city st="on"&gt;Flint&lt;/st1:city&gt;&lt;/st1:place&gt; blames the adversary relationship between unions and management – which is another way of saying the corporate culture was light years away from lean.&lt;/p&gt;&lt;p class="MsoNormal"&gt;
&lt;br /&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;i style=""&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;&lt;i style=""&gt;The Big Three workers are older, tired and often from urban environments. Doing less was always the goal, and they bragged about it, too, which is why auto workers may not be particularly popular, even in their own towns. Foreign manufacturers, with American plant managers, won over their factory workers with a new culture: uniforms for everyone, democracy in the parking lot and no executive dining rooms.&lt;o:p&gt;&lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;&lt;i style=""&gt;The foreign culture was about more than parking spaces. Its real focus was on eliminating class warfare from the factory floor. The Japanese and the Germans, too, put particular emphasis on teamwork and quality. &lt;st1:place st="on"&gt;&lt;st1:city st="on"&gt;Detroit&lt;/st1:city&gt;&lt;/st1:place&gt; talked a lot about quality but did not always deliver on its promises…&lt;o:p&gt;&lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;&lt;i style=""&gt;Listen to Robert Dewar, who worked at Ford's &lt;st1:place st="on"&gt;&lt;st1:city st="on"&gt;Sharonville&lt;/st1:city&gt;,  &lt;st1:state st="on"&gt;Ohio&lt;/st1:state&gt;&lt;/st1:place&gt;, transmission plant in the late 1970s: "Final quality fluctuated with the amount of power granted to the Quality Control Department. When sales were strong and growing, QC was treated like an annoyance that was getting in the way of making the numbers. If a QC supervisor tried to be a hero, and made a stand, production simply went to engineering and got an 'engineering deviation,' which allowed the use of defective parts in the interests of production. So much for control of quality…"&lt;o:p&gt;&lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;&lt;i style=""&gt;Times have changed. The worker-management battles in &lt;st1:city st="on"&gt;&lt;st1:place st="on"&gt;Detroit&lt;/st1:place&gt;&lt;/st1:city&gt;'s factories may have ended. The union and companies may embrace each other, and the quality may be as good as the foreign competition. Unfortunately, &lt;st1:place st="on"&gt;&lt;st1:city st="on"&gt;Detroit&lt;/st1:city&gt;&lt;/st1:place&gt; may have already damaged its reputation beyond repair.&lt;/i&gt;&lt;/p&gt;&lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;
&lt;br /&gt;&lt;i style=""&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;David Brooks, columnist for &lt;i style=""&gt;The New York Times, &lt;/i&gt;has also &lt;a href="http://www.nytimes.com/2009/06/02/opinion/02brooks.html?_r=3&amp;amp;ref=opinion"&gt;hit the nail on the head&lt;/a&gt;:&lt;/p&gt;&lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;
&lt;br /&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;i style=""&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;&lt;i style=""&gt;G.M.’s core problem is its corporate and workplace culture — the unquantifiable but essential attitudes, mind-sets and relationship patterns that are passed down, year after year.&lt;o:p&gt;&lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;&lt;i style=""&gt;Over the last five decades, this company has progressively lost touch with car buyers, especially the educated car buyers who flock to European and Japanese brands. Over five decades, this company has tolerated labor practices that seem insane to outsiders. Over these decades, it has tolerated bureaucratic structures that repel top talent. It has evaded the relentless quality focus that has helped companies like &lt;st1:city st="on"&gt;&lt;st1:place st="on"&gt;Toyota&lt;/st1:place&gt;&lt;/st1:city&gt; prosper.
&lt;br /&gt;&lt;/i&gt;&lt;/p&gt;&lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;
&lt;br /&gt;&lt;i style=""&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;The importance of culture can never be overestimated.&lt;/p&gt;  &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5865768815327716731-2711047865411766505?l=leaninsider.productivitypress.com'/&gt;&lt;/div&gt;&lt;div class="feedflare"&gt;
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&lt;/div&gt;&lt;img src="http://feeds.feedburner.com/~r/productivitypress/FYpa/~4/DBj7utUtjEM" height="1" width="1"/&gt;</content><link rel="replies" type="application/atom+xml" href="http://leaninsider.productivitypress.com/feeds/2711047865411766505/comments/default" title="Post Comments" /><link rel="replies" type="text/html" href="https://www.blogger.com/comment.g?blogID=5865768815327716731&amp;postID=2711047865411766505" title="0 Comments" /><link rel="edit" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/2711047865411766505?v=2" /><link rel="self" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/2711047865411766505?v=2" /><link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/productivitypress/FYpa/~3/DBj7utUtjEM/confrontational-corporate-culture.html" title="Confrontational Corporate Culture Killed the Carmakers" /><author><name>Ralph Bernstein</name><uri>http://www.blogger.com/profile/14365242705096263649</uri><email>ralph.bernstein@taylorandfrancis.com</email><gd:extendedProperty name="OpenSocialUserId" value="15078579451573668095" /></author><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">0</thr:total><feedburner:origLink>http://leaninsider.productivitypress.com/2009/06/confrontational-corporate-culture.html</feedburner:origLink></entry><entry gd:etag="W/&quot;A0UARH09cCp7ImA9WxJXEk0.&quot;"><id>tag:blogger.com,1999:blog-5865768815327716731.post-2503231696193771181</id><published>2009-06-05T09:36:00.000-04:00</published><updated>2009-06-05T09:40:45.368-04:00</updated><app:edited xmlns:app="http://www.w3.org/2007/app">2009-06-05T09:40:45.368-04:00</app:edited><title>Book Talk: Shopfloor Series</title><content type="html">&lt;meta equiv="Content-Type" content="text/html; charset=utf-8"&gt;&lt;meta name="ProgId" content="Word.Document"&gt;&lt;meta name="Generator" content="Microsoft Word 11"&gt;&lt;meta name="Originator" content="Microsoft Word 11"&gt;&lt;link rel="File-List" href="file:///C:%5CDOCUME%7E1%5CBERNST%7E1%5CLOCALS%7E1%5CTemp%5Cmsohtml1%5C03%5Cclip_filelist.xml"&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:worddocument&gt;   &lt;w:view&gt;Normal&lt;/w:View&gt;   &lt;w:zoom&gt;0&lt;/w:Zoom&gt;   &lt;w:punctuationkerning/&gt;   &lt;w:validateagainstschemas/&gt;   &lt;w:saveifxmlinvalid&gt;false&lt;/w:SaveIfXMLInvalid&gt;   &lt;w:ignoremixedcontent&gt;false&lt;/w:IgnoreMixedContent&gt;   &lt;w:alwaysshowplaceholdertext&gt;false&lt;/w:AlwaysShowPlaceholderText&gt;   &lt;w:compatibility&gt;    &lt;w:breakwrappedtables/&gt;    &lt;w:snaptogridincell/&gt;    &lt;w:wraptextwithpunct/&gt;    &lt;w:useasianbreakrules/&gt;    &lt;w:dontgrowautofit/&gt;   &lt;/w:Compatibility&gt;   &lt;w:browserlevel&gt;MicrosoftInternetExplorer4&lt;/w:BrowserLevel&gt;  &lt;/w:WordDocument&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:latentstyles deflockedstate="false" latentstylecount="156"&gt;  &lt;/w:LatentStyles&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;style&gt; &lt;!--  /* Style Definitions */  p.MsoNormal, li.MsoNormal, div.MsoNormal 	{mso-style-parent:""; 	margin:0in; 	margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:12.0pt; 	font-family:Arial; 	mso-fareast-font-family:"Times New Roman"; 	mso-bidi-font-family:"Times New Roman";} a:link, span.MsoHyperlink 	{color:blue; 	text-decoration:underline; 	text-underline:single;} a:visited, span.MsoHyperlinkFollowed 	{color:purple; 	text-decoration:underline; 	text-underline:single;} @page Section1 	{size:8.5in 11.0in; 	margin:1.0in 1.25in 1.0in 1.25in; 	mso-header-margin:.5in; 	mso-footer-margin:.5in; 	mso-paper-source:0;} div.Section1 	{page:Section1;} --&gt; &lt;/style&gt;&lt;!--[if gte mso 10]&gt; &lt;style&gt;  /* Style Definitions */  table.MsoNormalTable 	{mso-style-name:"Table Normal"; 	mso-tstyle-rowband-size:0; 	mso-tstyle-colband-size:0; 	mso-style-noshow:yes; 	mso-style-parent:""; 	mso-padding-alt:0in 5.4pt 0in 5.4pt; 	mso-para-margin:0in; 	mso-para-margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:10.0pt; 	font-family:"Times New Roman"; 	mso-ansi-language:#0400; 	mso-fareast-language:#0400; 	mso-bidi-language:#0400;} &lt;/style&gt; &lt;![endif]--&gt;  &lt;p class="MsoNormal"&gt; 							&lt;/p&gt;&lt;form method="post" action="shopping_cart/cart/add_item_to_basket.asp?pid=1196&amp;amp;pc=/shopping_cart/products/product_detail.asp!sku%3DPP7123%26isbn%3D9781563271236%26parent%5Fid%3D27%26pc%3D" id="form1" name="form1"&gt;&lt;/form&gt; 							 								 									&lt;img src="http://www.productivitypress.com/images/book-img/9781563271236.jpg" border="0" /&gt;&lt;p class="MsoNormal"&gt;We sell a lot of new titles, but also many “backlist” titles. Today I thought I would talk about our &lt;a href="http://www.productivitypress.com/shopping_cart/categories/categories_products.asp?parent_id=27"&gt;Shopfloor series&lt;/a&gt;, which is not new, but has been a solid part of our offerings for many years.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;This Shingo-prize-winning series of paperback books was conceived as a way of teaching lean concepts to workers on the shop floor through clearly written descriptions accompanied by illustrations. Each book focuses on a particular lean concept: 5S, TPM, identifying waste, mistake-proofing, cellular manufacturing, and so on.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;The series has expanded over the years and now includes 16 books, though a few are variations on one topic. For example, we offer &lt;i style=""&gt;&lt;a href="http://www.productivitypress.com/shopping_cart/products/product_detail.asp?sku=PP7080&amp;amp;isbn=9781563270802&amp;amp;parent_id=27&amp;amp;pc="&gt;TPM for Every Operator&lt;/a&gt;, &lt;a href="http://www.productivitypress.com/shopping_cart/products/product_detail.asp?sku=PP7079&amp;amp;isbn=9781563270796&amp;amp;parent_id=27&amp;amp;pc="&gt;TPM Team Guide&lt;/a&gt; &lt;/i&gt;and &lt;i style=""&gt;&lt;a href="http://www.productivitypress.com/shopping_cart/products/product_detail.asp?sku=PP7161&amp;amp;isbn=9781563271618&amp;amp;parent_id=27&amp;amp;pc="&gt;TPM for Supervisors&lt;/a&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;Some of these books are also part of learning packages. For example, we offer the &lt;i style=""&gt;&lt;a href="http://www.productivitypress.com/shopping_cart/products/product_detail.asp?sku=PP7283&amp;amp;isbn=9781563272837&amp;amp;parent_id=&amp;amp;pc="&gt;Kaizen for the Shopfloor Learning Package&lt;/a&gt;, &lt;/i&gt;which includes five copies of the book, a leader’s guide, a laminated job aid, a copy of another book not in the series, and additional materials on a CD.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;If you are looking for solid training materials that have endured over time, the Shopfloor series is a good place to start.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;By the way, we are developing a similar series of books for the healthcare market. One of the first of these is &lt;i style=""&gt;&lt;a href="http://www.productivitypress.com/shopping_cart/products/product_detail.asp?sku=K10196&amp;amp;isbn=9781439803509&amp;amp;parent_id=&amp;amp;pc="&gt;5S for Healthcare&lt;/a&gt;, &lt;/i&gt;scheduled for release later this year.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;&lt;i style=""&gt;Do you have a question or comment about a book(s) that you would like addressed in Book Talk? Email me directly at &lt;a href="mailto:Ralph.bernstein@taylorandfrancis.com"&gt;Ralph.bernstein@taylorandfrancis.com&lt;/a&gt;.&lt;/i&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5865768815327716731-2503231696193771181?l=leaninsider.productivitypress.com'/&gt;&lt;/div&gt;&lt;div class="feedflare"&gt;
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&lt;/div&gt;&lt;img src="http://feeds.feedburner.com/~r/productivitypress/FYpa/~4/df_WgdcfUW8" height="1" width="1"/&gt;</content><link rel="replies" type="application/atom+xml" href="http://leaninsider.productivitypress.com/feeds/2503231696193771181/comments/default" title="Post Comments" /><link rel="replies" type="text/html" href="https://www.blogger.com/comment.g?blogID=5865768815327716731&amp;postID=2503231696193771181" title="0 Comments" /><link rel="edit" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/2503231696193771181?v=2" /><link rel="self" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/2503231696193771181?v=2" /><link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/productivitypress/FYpa/~3/df_WgdcfUW8/book-talk-shopfloor-series.html" title="Book Talk: Shopfloor Series" /><author><name>Ralph Bernstein</name><uri>http://www.blogger.com/profile/14365242705096263649</uri><email>ralph.bernstein@taylorandfrancis.com</email><gd:extendedProperty name="OpenSocialUserId" value="15078579451573668095" /></author><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">0</thr:total><feedburner:origLink>http://leaninsider.productivitypress.com/2009/06/book-talk-shopfloor-series.html</feedburner:origLink></entry><entry gd:etag="W/&quot;C0cHR346eyp7ImA9WxJXEU8.&quot;"><id>tag:blogger.com,1999:blog-5865768815327716731.post-626382493175952622</id><published>2009-06-04T09:09:00.000-04:00</published><updated>2009-06-04T09:10:36.013-04:00</updated><app:edited xmlns:app="http://www.w3.org/2007/app">2009-06-04T09:10:36.013-04:00</app:edited><title>A Lean Church: Achieving Continuous Spiritual Improvement</title><content type="html">&lt;meta equiv="Content-Type" content="text/html; charset=utf-8"&gt;&lt;meta name="ProgId" content="Word.Document"&gt;&lt;meta name="Generator" content="Microsoft Word 11"&gt;&lt;meta name="Originator" content="Microsoft Word 11"&gt;&lt;link rel="File-List" href="file:///C:%5CDOCUME%7E1%5CBERNST%7E1%5CLOCALS%7E1%5CTemp%5Cmsohtml1%5C05%5Cclip_filelist.xml"&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="place" downloadurl="http://www.5iantlavalamp.com/"&gt;&lt;/o:smarttagtype&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="State" downloadurl="http://www.5iamas-microsoft-com:office:smarttags"&gt;&lt;/o:smarttagtype&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:worddocument&gt;   &lt;w:view&gt;Normal&lt;/w:View&gt;   &lt;w:zoom&gt;0&lt;/w:Zoom&gt;   &lt;w:punctuationkerning/&gt;   &lt;w:validateagainstschemas/&gt;   &lt;w:saveifxmlinvalid&gt;false&lt;/w:SaveIfXMLInvalid&gt;   &lt;w:ignoremixedcontent&gt;false&lt;/w:IgnoreMixedContent&gt;   &lt;w:alwaysshowplaceholdertext&gt;false&lt;/w:AlwaysShowPlaceholderText&gt;   &lt;w:compatibility&gt;    &lt;w:breakwrappedtables/&gt;    &lt;w:snaptogridincell/&gt;    &lt;w:wraptextwithpunct/&gt;    &lt;w:useasianbreakrules/&gt;    &lt;w:dontgrowautofit/&gt;   &lt;/w:Compatibility&gt;   &lt;w:browserlevel&gt;MicrosoftInternetExplorer4&lt;/w:BrowserLevel&gt;  &lt;/w:WordDocument&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:latentstyles deflockedstate="false" latentstylecount="156"&gt;  &lt;/w:LatentStyles&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;!--[if !mso]&gt;&lt;object classid="clsid:38481807-CA0E-42D2-BF39-B33AF135CC4D" id="ieooui"&gt;&lt;/object&gt; &lt;style&gt; st1\:*{behavior:url(#ieooui) } &lt;/style&gt; &lt;![endif]--&gt;&lt;style&gt; &lt;!--  /* Style Definitions */  p.MsoNormal, li.MsoNormal, div.MsoNormal 	{mso-style-parent:""; 	margin:0in; 	margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:12.0pt; 	font-family:Arial; 	mso-fareast-font-family:"Times New Roman"; 	mso-bidi-font-family:"Times New Roman";} @page Section1 	{size:8.5in 11.0in; 	margin:1.0in 1.25in 1.0in 1.25in; 	mso-header-margin:.5in; 	mso-footer-margin:.5in; 	mso-paper-source:0;} div.Section1 	{page:Section1;} --&gt; &lt;/style&gt;&lt;!--[if gte mso 10]&gt; &lt;style&gt;  /* Style Definitions */  table.MsoNormalTable 	{mso-style-name:"Table Normal"; 	mso-tstyle-rowband-size:0; 	mso-tstyle-colband-size:0; 	mso-style-noshow:yes; 	mso-style-parent:""; 	mso-padding-alt:0in 5.4pt 0in 5.4pt; 	mso-para-margin:0in; 	mso-para-margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:10.0pt; 	font-family:"Times New Roman"; 	mso-ansi-language:#0400; 	mso-fareast-language:#0400; 	mso-bidi-language:#0400;} &lt;/style&gt; &lt;![endif]--&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;I never imagined that lean principles could be combined with religious principles. But two men in &lt;st1:state st="on"&gt;&lt;st1:place st="on"&gt;Wisconsin&lt;/st1:place&gt;&lt;/st1:state&gt; are doing exactly that, creating the concept of what they call &lt;a href="http://leanministry.org/index2.html"&gt;Lean Ministry&lt;/a&gt;.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;Their goal is to achieve spiritual transformation and continuous spiritual improvement. And yes, they really are applying lean principles to achieve that goal.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;One of the two is Charles Duffert, a retired Naval officer and business executive who currently teaches lean and six sigma methodologies at a junior college. The other is Dr. Tom Nebel, Director of Church Multiplication and Leadership Teams for Converge Worldwide, the new misional name of the Baptist General Conference.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;If the goal of a lean manufacturer is to focus on creating value for customers, Duffert and Nebel suggest that the goal of a lean church is to focus its resources on the transformation of its people. &lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;They describe other attributes of a lean church, and even give examples of the seven types of waste in church operations. Some of these are:&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;&lt;b style=""&gt;Overproduction:&lt;/b&gt; Teaching or preaching to large batches of disciples at the same time under the assumption that they are all in need of the same message and are all at the same place on the timeline of the transformation process.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;&lt;b style=""&gt;Overprocessing:&lt;/b&gt; Separating the congregation into batches by age or gender and placing them in classes with the assumption that God transforms people by age and gender. Also, music, instruments, worship teams, choirs and other productions having more entertainment value than impact on the transformation process.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;I have always supported the idea that lean principles can be applied to just about any organization. Duffert and Nebel are embracing that concept to give churches focus in defining and achieving their mission. While my own religious beliefs may be different from theirs, I wish them well.&lt;/p&gt;  &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5865768815327716731-626382493175952622?l=leaninsider.productivitypress.com'/&gt;&lt;/div&gt;&lt;div class="feedflare"&gt;
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&lt;/div&gt;&lt;img src="http://feeds.feedburner.com/~r/productivitypress/FYpa/~4/kqc1PzqrGZY" height="1" width="1"/&gt;</content><link rel="replies" type="application/atom+xml" href="http://leaninsider.productivitypress.com/feeds/626382493175952622/comments/default" title="Post Comments" /><link rel="replies" type="text/html" href="https://www.blogger.com/comment.g?blogID=5865768815327716731&amp;postID=626382493175952622" title="0 Comments" /><link rel="edit" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/626382493175952622?v=2" /><link rel="self" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/626382493175952622?v=2" /><link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/productivitypress/FYpa/~3/kqc1PzqrGZY/lean-church-achieving-continuous_04.html" title="A Lean Church: Achieving Continuous Spiritual Improvement" /><author><name>Ralph Bernstein</name><uri>http://www.blogger.com/profile/14365242705096263649</uri><email>ralph.bernstein@taylorandfrancis.com</email><gd:extendedProperty name="OpenSocialUserId" value="15078579451573668095" /></author><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">0</thr:total><feedburner:origLink>http://leaninsider.productivitypress.com/2009/06/lean-church-achieving-continuous_04.html</feedburner:origLink></entry><entry gd:etag="W/&quot;DkQDRHkzeip7ImA9WxJXEE4.&quot;"><id>tag:blogger.com,1999:blog-5865768815327716731.post-4863579167115582629</id><published>2009-06-03T09:02:00.000-04:00</published><updated>2009-06-03T09:06:15.782-04:00</updated><app:edited xmlns:app="http://www.w3.org/2007/app">2009-06-03T09:06:15.782-04:00</app:edited><title>Lean Jobs: Think Green</title><content type="html">&lt;meta equiv="Content-Type" content="text/html; charset=utf-8"&gt;&lt;meta name="ProgId" content="Word.Document"&gt;&lt;meta name="Generator" content="Microsoft Word 11"&gt;&lt;meta name="Originator" content="Microsoft Word 11"&gt;&lt;link rel="File-List" href="file:///C:%5CDOCUME%7E1%5CBERNST%7E1%5CLOCALS%7E1%5CTemp%5Cmsohtml1%5C03%5Cclip_filelist.xml"&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="PersonName"&gt;&lt;/o:smarttagtype&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:worddocument&gt;   &lt;w:view&gt;Normal&lt;/w:View&gt;   &lt;w:zoom&gt;0&lt;/w:Zoom&gt;   &lt;w:punctuationkerning/&gt;   &lt;w:validateagainstschemas/&gt;   &lt;w:saveifxmlinvalid&gt;false&lt;/w:SaveIfXMLInvalid&gt;   &lt;w:ignoremixedcontent&gt;false&lt;/w:IgnoreMixedContent&gt;   &lt;w:alwaysshowplaceholdertext&gt;false&lt;/w:AlwaysShowPlaceholderText&gt;   &lt;w:compatibility&gt;    &lt;w:breakwrappedtables/&gt;    &lt;w:snaptogridincell/&gt;    &lt;w:wraptextwithpunct/&gt;    &lt;w:useasianbreakrules/&gt;    &lt;w:dontgrowautofit/&gt;   &lt;/w:Compatibility&gt;   &lt;w:browserlevel&gt;MicrosoftInternetExplorer4&lt;/w:BrowserLevel&gt;  &lt;/w:WordDocument&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:latentstyles deflockedstate="false" latentstylecount="156"&gt;  &lt;/w:LatentStyles&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;!--[if !mso]&gt;&lt;object classid="clsid:38481807-CA0E-42D2-BF39-B33AF135CC4D" id="ieooui"&gt;&lt;/object&gt; &lt;style&gt; st1\:*{behavior:url(#ieooui) } &lt;/style&gt; &lt;![endif]--&gt;&lt;style&gt; &lt;!--  /* Style Definitions */  p.MsoNormal, li.MsoNormal, div.MsoNormal 	{mso-style-parent:""; 	margin:0in; 	margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:12.0pt; 	font-family:Arial; 	mso-fareast-font-family:"Times New Roman"; 	mso-bidi-font-family:"Times New Roman";} @page Section1 	{size:8.5in 11.0in; 	margin:1.0in 1.25in 1.0in 1.25in; 	mso-header-margin:.5in; 	mso-footer-margin:.5in; 	mso-paper-source:0;} div.Section1 	{page:Section1;} --&gt; &lt;/style&gt;&lt;!--[if gte mso 10]&gt; &lt;style&gt;  /* Style Definitions */  table.MsoNormalTable 	{mso-style-name:"Table Normal"; 	mso-tstyle-rowband-size:0; 	mso-tstyle-colband-size:0; 	mso-style-noshow:yes; 	mso-style-parent:""; 	mso-padding-alt:0in 5.4pt 0in 5.4pt; 	mso-para-margin:0in; 	mso-para-margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:10.0pt; 	font-family:"Times New Roman"; 	mso-ansi-language:#0400; 	mso-fareast-language:#0400; 	mso-bidi-language:#0400;} &lt;/style&gt; &lt;![endif]--&gt;  &lt;p class="MsoNormal"&gt;If you have the ability to combine lean approaches with efforts to become greener, you have some real opportunities in today’s job market.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;That is another major takeaway from my conversation with Adam Zak, head of &lt;a href="http://leanthinking.net/"&gt;Adam Zak Executive Search&lt;/a&gt;, which I discussed in my &lt;a href="http://leaninsider.productivitypress.com/2009/06/finding-lean-jobs-today-rifle-not.html"&gt;last posting&lt;/a&gt;.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;When I asked Adam if there were any particular industries that were hiring, he said, “Companies that will stand to potentially benefit from this dramatic move to green, however you want to define that. We’re seeing a lot of funding going on, with venture capital firms. It’s unbelievable how many of these green-type ventures they’re funding.” &lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;And Adam said funding is taking place for all types of green companies. Generally, he said, “In some way, shape or form, they either help companies measure or abate or solve environmental-related issues. The environment has become not just saving the planet, but a business issue. Those companies are definitely hiring tremendously.”&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;Lean can clearly play a key role in green efforts, something I’ve written about before, since both lean and green can help eliminate waste.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;In addition to startups, Adam said there is another type of company where lean and green connect. &lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;“Within established companies, they are starting to connect the dots between lean and green. What we’re seeing here, just at the very beginning, is companies saying it’s not just about lean. In some companies, lean has become its own silo, which is kind of a paradox, because lean is about breaking down silos.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;“They’re trying to connect product design, R&amp;amp;D, and connect with green from the resource management perspective – to figure out how this actually affects our customers, and everything involves supply chain. Do we have the people within our organizations to connect those dots? A lot of times the answer is coming up no. “&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;We are developing books having to do with lean and green. One that will be released this summer is &lt;a href="http://www.productivitypress.com/shopping_cart/products/product_detail.asp?sku=PP9617&amp;amp;isbn=9781420089615&amp;amp;parent_id=&amp;amp;pc"&gt;&lt;i style=""&gt;&lt;span style=""&gt;Green Intentions: Creating a Green Value Stream to Compete and Win&lt;/span&gt;&lt;/i&gt;&lt;/a&gt;&lt;span style=""&gt; by &lt;st1:personname st="on"&gt;Brett Wills&lt;/st1:personname&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;&lt;span style=""&gt;            &lt;/span&gt;Are you finding lean-and-green opportunities in the job market? Share your experiences below. &lt;/span&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;&lt;/p&gt;  &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5865768815327716731-4863579167115582629?l=leaninsider.productivitypress.com'/&gt;&lt;/div&gt;&lt;div class="feedflare"&gt;
&lt;a href="http://feeds.feedburner.com/~ff/productivitypress/FYpa?a=qLCPcDj9FL4:86zVJNAmClE:yIl2AUoC8zA"&gt;&lt;img src="http://feeds.feedburner.com/~ff/productivitypress/FYpa?d=yIl2AUoC8zA" border="0"&gt;&lt;/img&gt;&lt;/a&gt; &lt;a href="http://feeds.feedburner.com/~ff/productivitypress/FYpa?a=qLCPcDj9FL4:86zVJNAmClE:63t7Ie-LG7Y"&gt;&lt;img src="http://feeds.feedburner.com/~ff/productivitypress/FYpa?d=63t7Ie-LG7Y" border="0"&gt;&lt;/img&gt;&lt;/a&gt; &lt;a href="http://feeds.feedburner.com/~ff/productivitypress/FYpa?a=qLCPcDj9FL4:86zVJNAmClE:F7zBnMyn0Lo"&gt;&lt;img src="http://feeds.feedburner.com/~ff/productivitypress/FYpa?i=qLCPcDj9FL4:86zVJNAmClE:F7zBnMyn0Lo" border="0"&gt;&lt;/img&gt;&lt;/a&gt; &lt;a href="http://feeds.feedburner.com/~ff/productivitypress/FYpa?a=qLCPcDj9FL4:86zVJNAmClE:V_sGLiPBpWU"&gt;&lt;img src="http://feeds.feedburner.com/~ff/productivitypress/FYpa?i=qLCPcDj9FL4:86zVJNAmClE:V_sGLiPBpWU" border="0"&gt;&lt;/img&gt;&lt;/a&gt; &lt;a href="http://feeds.feedburner.com/~ff/productivitypress/FYpa?a=qLCPcDj9FL4:86zVJNAmClE:qj6IDK7rITs"&gt;&lt;img src="http://feeds.feedburner.com/~ff/productivitypress/FYpa?d=qj6IDK7rITs" border="0"&gt;&lt;/img&gt;&lt;/a&gt; &lt;a href="http://feeds.feedburner.com/~ff/productivitypress/FYpa?a=qLCPcDj9FL4:86zVJNAmClE:l6gmwiTKsz0"&gt;&lt;img src="http://feeds.feedburner.com/~ff/productivitypress/FYpa?d=l6gmwiTKsz0" border="0"&gt;&lt;/img&gt;&lt;/a&gt; &lt;a href="http://feeds.feedburner.com/~ff/productivitypress/FYpa?a=qLCPcDj9FL4:86zVJNAmClE:gIN9vFwOqvQ"&gt;&lt;img src="http://feeds.feedburner.com/~ff/productivitypress/FYpa?i=qLCPcDj9FL4:86zVJNAmClE:gIN9vFwOqvQ" border="0"&gt;&lt;/img&gt;&lt;/a&gt; &lt;a href="http://feeds.feedburner.com/~ff/productivitypress/FYpa?a=qLCPcDj9FL4:86zVJNAmClE:TzevzKxY174"&gt;&lt;img src="http://feeds.feedburner.com/~ff/productivitypress/FYpa?d=TzevzKxY174" border="0"&gt;&lt;/img&gt;&lt;/a&gt;
&lt;/div&gt;&lt;img src="http://feeds.feedburner.com/~r/productivitypress/FYpa/~4/qLCPcDj9FL4" height="1" width="1"/&gt;</content><link rel="replies" type="application/atom+xml" href="http://leaninsider.productivitypress.com/feeds/4863579167115582629/comments/default" title="Post Comments" /><link rel="replies" type="text/html" href="https://www.blogger.com/comment.g?blogID=5865768815327716731&amp;postID=4863579167115582629" title="1 Comments" /><link rel="edit" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/4863579167115582629?v=2" /><link rel="self" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/4863579167115582629?v=2" /><link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/productivitypress/FYpa/~3/qLCPcDj9FL4/lean-jobs-think-green.html" title="Lean Jobs: Think Green" /><author><name>Ralph Bernstein</name><uri>http://www.blogger.com/profile/14365242705096263649</uri><email>ralph.bernstein@taylorandfrancis.com</email><gd:extendedProperty name="OpenSocialUserId" value="15078579451573668095" /></author><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">1</thr:total><feedburner:origLink>http://leaninsider.productivitypress.com/2009/06/lean-jobs-think-green.html</feedburner:origLink></entry><entry gd:etag="W/&quot;C0IMQHo4eCp7ImA9WxJQGEs.&quot;"><id>tag:blogger.com,1999:blog-5865768815327716731.post-8327996865022908847</id><published>2009-06-01T09:03:00.000-04:00</published><updated>2009-06-01T09:06:21.430-04:00</updated><app:edited xmlns:app="http://www.w3.org/2007/app">2009-06-01T09:06:21.430-04:00</app:edited><title>Finding Lean Jobs Today: ‘A Rifle, Not a Shotgun’</title><content type="html">&lt;meta equiv="Content-Type" content="text/html; charset=utf-8"&gt;&lt;meta name="ProgId" content="Word.Document"&gt;&lt;meta name="Generator" content="Microsoft Word 11"&gt;&lt;meta name="Originator" content="Microsoft Word 11"&gt;&lt;link rel="File-List" href="file:///C:%5CDOCUME%7E1%5CBERNST%7E1%5CLOCALS%7E1%5CTemp%5Cmsohtml1%5C03%5Cclip_filelist.xml"&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:worddocument&gt;   &lt;w:view&gt;Normal&lt;/w:View&gt;   &lt;w:zoom&gt;0&lt;/w:Zoom&gt;   &lt;w:punctuationkerning/&gt;   &lt;w:validateagainstschemas/&gt;   &lt;w:saveifxmlinvalid&gt;false&lt;/w:SaveIfXMLInvalid&gt;   &lt;w:ignoremixedcontent&gt;false&lt;/w:IgnoreMixedContent&gt;   &lt;w:alwaysshowplaceholdertext&gt;false&lt;/w:AlwaysShowPlaceholderText&gt;   &lt;w:compatibility&gt;    &lt;w:breakwrappedtables/&gt;    &lt;w:snaptogridincell/&gt;    &lt;w:wraptextwithpunct/&gt;    &lt;w:useasianbreakrules/&gt;    &lt;w:dontgrowautofit/&gt;   &lt;/w:Compatibility&gt;   &lt;w:browserlevel&gt;MicrosoftInternetExplorer4&lt;/w:BrowserLevel&gt;  &lt;/w:WordDocument&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:latentstyles deflockedstate="false" latentstylecount="156"&gt;  &lt;/w:LatentStyles&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;style&gt; &lt;!--  /* Style Definitions */  p.MsoNormal, li.MsoNormal, div.MsoNormal 	{mso-style-parent:""; 	margin:0in; 	margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:12.0pt; 	font-family:Arial; 	mso-fareast-font-family:"Times New Roman"; 	mso-bidi-font-family:"Times New Roman";} @page Section1 	{size:8.5in 11.0in; 	margin:1.0in 1.25in 1.0in 1.25in; 	mso-header-margin:.5in; 	mso-footer-margin:.5in; 	mso-paper-source:0;} div.Section1 	{page:Section1;} --&gt; &lt;/style&gt;&lt;!--[if gte mso 10]&gt; &lt;style&gt;  /* Style Definitions */  table.MsoNormalTable 	{mso-style-name:"Table Normal"; 	mso-tstyle-rowband-size:0; 	mso-tstyle-colband-size:0; 	mso-style-noshow:yes; 	mso-style-parent:""; 	mso-padding-alt:0in 5.4pt 0in 5.4pt; 	mso-para-margin:0in; 	mso-para-margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:10.0pt; 	font-family:"Times New Roman"; 	mso-ansi-language:#0400; 	mso-fareast-language:#0400; 	mso-bidi-language:#0400;} &lt;/style&gt; &lt;![endif]--&gt;  &lt;p class="MsoNormal"&gt;Companies looking today for executives with lean expertise want high-level people with a broad range of skills who fit what may be a very specific job description. &lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;For job-seekers, that means your search has to be very targeted.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;That is what I learned by speaking with Adam Zak, the head of &lt;a href="http://leanthinking.net/"&gt;Adam Zak Executive Search&lt;/a&gt;, a recruiting firm that specializes in filling lean positions (particularly those at higher levels).&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;I speak with Adam periodically about the state of the lean job market. This time he told me that yes, companies are hiring, but there is no “fluff” anymore in job descriptions. &lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;As an example, he talked about a company that created what he called “one of the tightest descriptions ever written.” It was written that way because of the process that led to its creation.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;“They clearly defined what that business unit’s goals were for the next 12, 18, 36 months, and what could derail them from achieving those goals,” he explained.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;“They really took a very close and critical look at what are the resources they have, what do they not have, so what is the person going to need to accomplish? Then and only then did we set about creating a description.”&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;What this type of approach means to the job candidate, he said, is that “if you don’t hit nine-and-a-half or nine of the 10 requirements the company has laid out, you don’t stand a chance. On the other hand, the person who is well-qualified and willing to take the risk of jumping ship right now, that person, if they’re a strong potential fit and can really deliver performance and competence, has a much better chance of standing out, shining, and truly making a name for themselves.”&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;The biggest demand is for high-level people, such as division managers, he said, adding that companies “are looking for much more specific types of expertise, and jettisoning those people who may have been valuable contributors in the past but, going forward, are probably not the folks to have on board…&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;“Lean is different today. It is no longer just the Toyota Production System stuff…&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;“Companies are asking for people who have lean skills, Six Sigma skills, who understand the theory of constraints, who understand the broad nature of continuous improvement and how it ties into short- and long-term performance, how it ties into operational excellence.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;“Every executive preparing for an interview should think about how can I drive performance better and faster, and how can I help this company move to cash more quickly.”&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;Adam noted that “Tech companies in general are doing much more hiring than the rust belt industries. There is money (venture capital) available both for startups as well as established companies.”&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;With startups, he said, “I actually heard a venture capital guy in Silicon Valley who said that if we begin our company, and we do lean and build it in, build in how we are going to form an organization, then at its roots we are talking about a company that believes in not wasting, not over-hiring and really being close to the customer. Lean is becoming very important for early stage organizations.” &lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;Adam’s advice: ”For companies, use this time to truly understand the resources you have, your strengths both in talent as well as in ideas for innovation, new products, and how to better and more effectively approach customers in new markets. Now is the time to really be investing for the future. There’s an old lean saying, you’ve never been able to downsize your way out of a poor economic situation. You really have to be doing something for growth.”&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;For individuals, he suggests, “Now more than ever you have to use a rifle and not a shotgun in terms of focusing your attention on where you can add value. That’s going to take work… When you find that job, and when you understand how you can make that contribution and communicate that to the people who run the business, you will be the guy they hire.”&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;While job candidates typically post their resumes on LinkedIn and Facebook, Adam notes, “so did 15 million other people. What makes you different? When people connect with me and know how to solve problems, and have some idea of where, they’ve got a leg up on everyone else sending me a resume. “&lt;/p&gt;  &lt;p class="MsoNormal" style="text-indent: 0.5in;"&gt;Adam also said there are real lean opportunities today in connection with the growing green movement. I’ll describe what he said in my next posting.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5865768815327716731-8327996865022908847?l=leaninsider.productivitypress.com'/&gt;&lt;/div&gt;&lt;div class="feedflare"&gt;
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&lt;/div&gt;&lt;img src="http://feeds.feedburner.com/~r/productivitypress/FYpa/~4/wxW97Hw2Zbg" height="1" width="1"/&gt;</content><link rel="replies" type="application/atom+xml" href="http://leaninsider.productivitypress.com/feeds/8327996865022908847/comments/default" title="Post Comments" /><link rel="replies" type="text/html" href="https://www.blogger.com/comment.g?blogID=5865768815327716731&amp;postID=8327996865022908847" title="0 Comments" /><link rel="edit" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/8327996865022908847?v=2" /><link rel="self" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/8327996865022908847?v=2" /><link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/productivitypress/FYpa/~3/wxW97Hw2Zbg/finding-lean-jobs-today-rifle-not.html" title="Finding Lean Jobs Today: ‘A Rifle, Not a Shotgun’" /><author><name>Ralph Bernstein</name><uri>http://www.blogger.com/profile/14365242705096263649</uri><email>ralph.bernstein@taylorandfrancis.com</email><gd:extendedProperty name="OpenSocialUserId" value="15078579451573668095" /></author><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">0</thr:total><feedburner:origLink>http://leaninsider.productivitypress.com/2009/06/finding-lean-jobs-today-rifle-not.html</feedburner:origLink></entry><entry gd:etag="W/&quot;CUQHR3o9fCp7ImA9WxJQFk0.&quot;"><id>tag:blogger.com,1999:blog-5865768815327716731.post-2909064493403595401</id><published>2009-05-29T09:16:00.000-04:00</published><updated>2009-05-29T09:22:16.464-04:00</updated><app:edited xmlns:app="http://www.w3.org/2007/app">2009-05-29T09:22:16.464-04:00</app:edited><title>Book Talk: A Guide to Lean Six Sigma Management Skills</title><content type="html">&lt;meta equiv="Content-Type" content="text/html; charset=utf-8"&gt;&lt;meta name="ProgId" content="Word.Document"&gt;&lt;meta name="Generator" content="Microsoft Word 11"&gt;&lt;meta name="Originator" content="Microsoft Word 11"&gt;&lt;link rel="File-List" href="file:///C:%5CDOCUME%7E1%5CBERNST%7E1%5CLOCALS%7E1%5CTemp%5Cmsohtml1%5C03%5Cclip_filelist.xml"&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="place" downloadurl="http://www.5iantlavalamp.com/"&gt;&lt;/o:smarttagtype&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="PlaceName"&gt;&lt;/o:smarttagtype&gt;&lt;o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="PlaceType"&gt;&lt;/o:smarttagtype&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:worddocument&gt;   &lt;w:view&gt;Normal&lt;/w:View&gt;   &lt;w:zoom&gt;0&lt;/w:Zoom&gt;   &lt;w:punctuationkerning/&gt;   &lt;w:validateagainstschemas/&gt;   &lt;w:saveifxmlinvalid&gt;false&lt;/w:SaveIfXMLInvalid&gt;   &lt;w:ignoremixedcontent&gt;false&lt;/w:IgnoreMixedContent&gt;   &lt;w:alwaysshowplaceholdertext&gt;false&lt;/w:AlwaysShowPlaceholderText&gt;   &lt;w:compatibility&gt;    &lt;w:breakwrappedtables/&gt;    &lt;w:snaptogridincell/&gt;    &lt;w:wraptextwithpunct/&gt;    &lt;w:useasianbreakrules/&gt;    &lt;w:dontgrowautofit/&gt;   &lt;/w:Compatibility&gt;   &lt;w:browserlevel&gt;MicrosoftInternetExplorer4&lt;/w:BrowserLevel&gt;  &lt;/w:WordDocument&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:latentstyles deflockedstate="false" latentstylecount="156"&gt;  &lt;/w:LatentStyles&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;!--[if !mso]&gt;&lt;object classid="clsid:38481807-CA0E-42D2-BF39-B33AF135CC4D" id="ieooui"&gt;&lt;/object&gt; &lt;style&gt; st1\:*{behavior:url(#ieooui) } &lt;/style&gt; &lt;![endif]--&gt;&lt;style&gt; &lt;!--  /* Style Definitions */  p.MsoNormal, li.MsoNormal, div.MsoNormal 	{mso-style-parent:""; 	margin:0in; 	margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:12.0pt; 	font-family:Arial; 	mso-fareast-font-family:"Times New Roman"; 	mso-bidi-font-family:"Times New Roman";} a:link, span.MsoHyperlink 	{color:blue; 	text-decoration:underline; 	text-underline:single;} a:visited, span.MsoHyperlinkFollowed 	{color:purple; 	text-decoration:underline; 	text-underline:single;} @page Section1 	{size:8.5in 11.0in; 	margin:1.0in 1.25in 1.0in 1.25in; 	mso-header-margin:.5in; 	mso-footer-margin:.5in; 	mso-paper-source:0;} div.Section1 	{page:Section1;} --&gt; &lt;/style&gt;&lt;!--[if gte mso 10]&gt; &lt;style&gt;  /* Style Definitions */  table.MsoNormalTable 	{mso-style-name:"Table Normal"; 	mso-tstyle-rowband-size:0; 	mso-tstyle-colband-size:0; 	mso-style-noshow:yes; 	mso-style-parent:""; 	mso-padding-alt:0in 5.4pt 0in 5.4pt; 	mso-para-margin:0in; 	mso-para-margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:10.0pt; 	font-family:"Times New Roman"; 	mso-ansi-language:#0400; 	mso-fareast-language:#0400; 	mso-bidi-language:#0400;} &lt;/style&gt; &lt;![endif]--&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;Leadership is a popular topic for book buyers, with people often wanting to know how leaders can engage workers and develop a lean culture.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;&lt;i style=""&gt;&lt;a href="http://www.productivitypress.com/shopping_cart/products/product_detail.asp?sku=AU416X&amp;amp;isbn=9781420084160&amp;amp;parent_id=&amp;amp;pc"&gt;A Guide to Lean Six Sigma Management Skills&lt;/a&gt; &lt;/i&gt;is one of our new books in this area. It is written by Dr. Howard Gitlow, executive director of the Institute for the Study of Quality, Director of the Master of Science degree in Management Science, and a Professor of Management Science, &lt;st1:placetype st="on"&gt;School&lt;/st1:placetype&gt; of &lt;st1:placename st="on"&gt;Business Administration&lt;/st1:placename&gt;, &lt;st1:place st="on"&gt;&lt;st1:placetype st="on"&gt;University&lt;/st1:placetype&gt; of &lt;st1:placename st="on"&gt;Miami&lt;/st1:placename&gt;&lt;/st1:place&gt;. He is also a Six Sigma Master Black Belt.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;Gitlow focuses on how leaders can help workers understand their role in the big picture, increase enjoyment of their work and achieve peak performance.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;He presents theories, tools and methods from the view of what he describes as the “worker bees” so managers have the best understanding of the leadership required.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;And he discusses how Lean Six Sigma can be used to constantly review internal processes and continuously improve working conditions. This is a useful book for anyone who serves as a lean change agent.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;span style=""&gt;            &lt;/span&gt;&lt;i style=""&gt;Do you have a question or comment about a book(s) that you would like addressed in Book Talk? Email me directly at &lt;a href="mailto:Ralph.bernstein@taylorandfrancis.com"&gt;Ralph.bernstein@taylorandfrancis.com&lt;/a&gt;.&lt;/i&gt;&lt;/p&gt;    &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5865768815327716731-2909064493403595401?l=leaninsider.productivitypress.com'/&gt;&lt;/div&gt;&lt;div class="feedflare"&gt;
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&lt;/div&gt;&lt;img src="http://feeds.feedburner.com/~r/productivitypress/FYpa/~4/9g-uKw05QKI" height="1" width="1"/&gt;</content><link rel="replies" type="application/atom+xml" href="http://leaninsider.productivitypress.com/feeds/2909064493403595401/comments/default" title="Post Comments" /><link rel="replies" type="text/html" href="https://www.blogger.com/comment.g?blogID=5865768815327716731&amp;postID=2909064493403595401" title="0 Comments" /><link rel="edit" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/2909064493403595401?v=2" /><link rel="self" type="application/atom+xml" href="http://www.blogger.com/feeds/5865768815327716731/posts/default/2909064493403595401?v=2" /><link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/productivitypress/FYpa/~3/9g-uKw05QKI/book-talk-guide-to-lean-six-sigma.html" title="Book Talk: A Guide to Lean Six Sigma Management Skills" /><author><name>Ralph Bernstein</name><uri>http://www.blogger.com/profile/14365242705096263649</uri><email>ralph.bernstein@taylorandfrancis.com</email><gd:extendedProperty name="OpenSocialUserId" value="15078579451573668095" /></author><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">0</thr:total><feedburner:origLink>http://leaninsider.productivitypress.com/2009/05/book-talk-guide-to-lean-six-sigma.html</feedburner:origLink></entry><entry gd:etag="W/&quot;D0ICRHs4fSp7ImA9WxJQFUw.&quot;"><id>tag:blogger.com,1999:blog-5865768815327716731.post-5836710288467247256</id><published>2009-05-28T08:56:00.000-04:00</published><updated>2009-05-28T08:59:25.535-04:00</updated><app:edited xmlns:app="http://www.w3.org/2007/app">2009-05-28T08:59:25.535-04:00</app:edited><title>Do You Like Your Books Printed, Recorded or Electronic?</title><content type="html">&lt;meta equiv="Content-Type" content="text/html; charset=utf-8"&gt;&lt;meta name="ProgId" content="Word.Document"&gt;&lt;meta name="Generator" content="Microsoft Word 11"&gt;&lt;meta name="Originator" content="Microsoft Word 11"&gt;&lt;link rel="File-List" href="file:///C:%5CDOCUME%7E1%5CBERNST%7E1%5CLOCALS%7E1%5CTemp%5Cmsohtml1%5C03%5Cclip_filelist.xml"&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:worddocument&gt;   &lt;w:view&gt;Normal&lt;/w:View&gt;   &lt;w:zoom&gt;0&lt;/w:Zoom&gt;   &lt;w:punctuationkerning/&gt;   &lt;w:validateagainstschemas/&gt;   &lt;w:saveifxmlinvalid&gt;false&lt;/w:SaveIfXMLInvalid&gt;   &lt;w:ignoremixedcontent&gt;false&lt;/w:IgnoreMixedContent&gt;   &lt;w:alwaysshowplaceholdertext&gt;false&lt;/w:AlwaysShowPlaceholderText&gt;   &lt;w:compatibility&gt;    &lt;w:breakwrappedtables/&gt;    &lt;w:snaptogridincell/&gt;    &lt;w:wraptextwithpunct/&gt;    &lt;w:useasianbreakrules/&gt;    &lt;w:dontgrowautofit/&gt;   &lt;/w:Compatibility&gt;   &lt;w:browserlevel&gt;MicrosoftInternetExplorer4&lt;/w:BrowserLevel&gt;  &lt;/w:WordDocument&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt;  &lt;w:latentstyles deflockedstate="false" latentstylecount="156"&gt;  &lt;/w:LatentStyles&gt; &lt;/xml&gt;&lt;![endif]--&gt;&lt;style&gt; &lt;!--  /* Style Definitions */  p.MsoNormal, li.MsoNormal, div.MsoNormal 	{mso-style-parent:""; 	margin:0in; 	margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:12.0pt; 	font-family:Arial; 	mso-fareast-font-family:"Times New Roman"; 	mso-bidi-font-family:"Times New Roman";} @page Section1 	{size:8.5in 11.0in; 	margin:1.0in 1.25in 1.0in 1.25in; 	mso-header-margin:.5in; 	mso-footer-margin:.5in; 	mso-paper-source:0;} div.Section1 	{page:Section1;} --&gt; &lt;/style&gt;&lt;!--[if gte mso 10]&gt; &lt;style&gt;  /* Style Definitions */  table.MsoNormalTable 	{mso-style-name:"Table Normal"; 	mso-tstyle-rowband-size:0; 	mso-tstyle-colband-size:0; 	mso-style-noshow:yes; 	mso-style-parent:""; 	mso-padding-alt:0in 5.4pt 0in 5.4pt; 	mso-para-margin:0in; 	mso-para-margin-bottom:.0001pt; 	mso-pagination:widow-orphan; 	font-size:10.0pt; 	font-family:"Times New Roman"; 	mso-ansi-language:#0400; 	mso-fareast-language:#0400; 	mso-bidi-language:#0400;} &lt;/style&gt; &lt;![endif]--&gt;  &lt;p class="MsoNormal"&gt;One of the challenges facing us at Productivity Press is that people increasingly want information available in a variety of formats, through many different channels.&lt;span style=""&gt;  &lt;/span&gt;We are looking at how we can meet that demand for information.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;Our goal is to provide information on business process improvement. We have traditionally done that by selling books – bound paper books. And we’re likely to continue selling such books for a long time.&lt;/p&gt;&lt;p class="MsoNormal"&gt;
&lt;br /&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;But today, people don’t obtain information just by reading paper books. They listen to audio books. They download electronic books to their computers, iPods and Kindles.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;Others like to browse online, visiting websites where they subscribe for periods of time to research the material there.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;People gather information through social media – chat rooms, forums, blogs, networking websites.&lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;I’m looking for feedback. How do you like to obtain information? What kinds of information products, or what methods of delivery, do you want? &lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;Please post your answers as comments on this blog. Your input can help us chart a course for the future that will best meet your needs. &lt;/p&gt;  &lt;p class="MsoNormal"&gt;&lt;o:p&gt; &lt;/o:p&gt;&lt;/p&gt;  &lt;p class="MsoNormal"&gt;Thanks for your help.&lt;/p&gt;  &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5865768815327716731-5836710288467247256?l=leaninsider.productivitypress.com'/&gt;&lt;/div&gt;&lt;div class="feedflare"&gt;
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