I'm taking a break from our regular stream of improvement methodology and software blog posts to celebrate the success of one of our oldest and best customers - Mary Greeley Medical Center!

A 220-bed acute care facility in Ames, Iowa, Mary Greeley is one of only six healthcare organizations to receive the 2019 Malcolm Baldrige National Quality Award.

Their CEO, Brian Dieter, is quoted in this press release saying:

“Everyone at Mary Greeley played an important part in this achievement,” said Dieter. “Every employee contributes to the experience patients and families have when they walk through our doors, whether they are at the bedside caring for patients or supporting those who do.”

This year, Mary Greeley also earned Magnet® recognition for nursing excellence. They are one of just twelve hospitals in the nation to have achieved both of these recognitions.

The press release goes on to describe factors contributing to their Baldrige success:

It seems like every year goes by faster than the last. I keep making plans to work on my summer tan, and suddenly, it's November. The holidays will be upon us before we know it and then – boom! We're in a brand-new decade.

Before things get too crazy, this is an excellent time to think about how you can set your team up for outstanding results in 2020. It won't surprise you to hear us say it, but making just some small adjustments in your leadership approach can have an enormous impact. Here are four improvement ideas to consider in the new year.

Take Strategic Planning to the Next Level

Most organizations go through some sort of strategic planning exercise for each new year, but few can execute the strategy successfully. That's because the strategy is planned but not fully deployed. It doesn't become part of daily conversations or activities. Perhaps the revenue targets are well understood and receive frequent attention, but what about everything else.

Small #kaizen at a #Lean #SixSigma conference — tape markings on stage to show speakers where to stay for the purposes of lighting and video. This was added during the first break.

This small improvement didn’t require a belt, root cause analysis, or a project champion. pic.twitter.com/X1wPr3qsnM

— Mark Graban (@MarkGraban) October 10, 2019

When I first saw this tweet from our resident Lean and Six Sigma expert and author, Mark Graban, I thought that he made an excellent point. Sometimes we get caught up in all of the sophisticated improvement tools at our disposal like value stream maps, Kaizen events, A3s, heck, even continuous improvement software that we fail to make or adequately recognize small improvements that don’t require tools.

But when I reread it, I was struck by the line, “This small improvement didn’t require a belt, root cause analysis, or a project champion.” Nope. Recognizing that the speakers were not in the ideal location and finding a way to solve that problem didn’t require any fancy techniques at all.

But what did it require? There are some prerequisites that are necessary to make even a simple improvement like this one possible.

Operational excellence happens when an organization consistently and reliably outperforms the competition through constant improvement and a dedication to customer value. When two companies have the same strategy, the operationally excellent company will have higher revenues, lower cost, and less risk. This type of execution is only possible with a combination of outstanding leadership and a culture that supports problem-solving and transparency.

As regular readers of this blog know, many of the ideas and practices that guide the modern continuous improvement movement have their origins in Japanese philosophy and culture. Today’s leaders talk about kaizen (improvement), hoshin kanri (direction setting), and kanban (visual management) regularly. Recently, while scrolling through my Instagram feed of all things, I was struck by another Japanese concept that deserves some thought in the business context as well – the art of Kintsugi.

Kintsugi which translates to “golden journey” and is also known as Kintsukurio (golden repair) is the art of repairing broken pottery by joining the broken pieces with lacquer mixed with powdered gold, silver, or platinum. No attempt is made to hide the repair; in fact, the technique highlights it. The repair becomes part of the history of the object. The object is not beautiful despite the fact that it was broken, it is more beautiful because it was broken.

It is relatively common for people to use the terms “employee engagement,” and “employee satisfaction,” interchangeably, although we have never been comfortable with that framing, especially when it comes to software. Tools like employee NPS and employee pulse surveys do an excellent job of measuring employee satisfaction, but they don’t have features likely to increase employee engagement. Understanding the difference can help organizations that want to attract, retain, and develop talent find the tools that can help them do so.

“Culture isn’t just on aspect of the game – it is the game. In the end, an organization is nothing more than the collective capacity of its people to create value.” Lou Gerstner Jr. – IBM.

These days it is a little bit embarrassing to admit that I eat fast food from time to time, but there you have it. I like French fries, and I cannot lie. And as everyone knows, McDonald's French fries are objectively the best. One of the founding principles of McDonald’s was that the food would taste the same no matter which location you visit. I’d say they have generally achieved this aim even though most locations are franchises run by hundreds of different owners across the country.

But while the food is relatively consistent, the quality of customer service is not. The employees from one McDonalds to another are paid about the same. The employees come from the same labor market. The functional job requirements are the same. So why do some locations operate efficiently with friendly and engaged employees, while others have workers who are indifferent?

We’re not going to lie. Implementing any kind of software solution in an organization is not easy. First, you must make sure you select a solution that will actually help address whatever challenge is at hand. Then you have to get it implemented and work out the kinks (there are always kinks). You have to get users trained, and then you face the biggest hurdle of them all – getting people to use the system. Sometimes it all goes smoothly, but challenges are not uncommon.

If you’ve implemented Lean software, you’ve probably faced a few. This post will help you access whether your Lean technology has taken root and give you some ideas for boosting adoption if that’s what’s needed.

When we sit down with a prospective client, we find it is very important to understand the challenges the organization is facing and their long-term goals before we start talking about our solution. One of the themes that come up, again and again, is employee engagement, or lack thereof. What we often find is that leaders and managers implement all sorts of employee engagement activities, but they rarely have a well-crafted, cohesive plan for maximizing the human potential of their workforce. Our clients who have done it successfully have found five key elements that are essential to an effective approach.

A while back, we wrote about some continuous quality improvement techniques that we love because they are easy but powerful. One of the most important realizations that people have, when they start to build an organization focused on excellence and constant improvement, is that the path is not complicated. It’s really all about getting the little things right and providing people with a structured way to think about incremental operational change. The original post contained some of our favorite tools. This one has a few more.