When Strategy Lives in PowerPoint, Nothing Aligns
June 24, 2026Most organizations have a strategic plan. Most also have the experience of watching that plan fragment as it moves downstream. Priorities...
Two Questions Kim Barnas Wanted Every Leader to Ask
June 22, 2026The continuous improvement community lost Kim Barnas earlier this year. She passed away on January 3, 2026, after several years of...
When Your Metric Is Hiding Your Improvement
June 2, 2026A patient arrives in the emergency department with stroke symptoms. The clock starts. Somewhere between that arrival and the moment the...
When Local Improvement Wasn't Enough: How St. Clair Hospital Scaled a Lean Culture
May 29, 2026CASE STUDY
How St. Clair Hospital scaled a Lean culture across 2,400 employees with a two-person improvement team
At a glance
- 328-bed...
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