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What Happens After You Outgrow Your Suggestion Box, Spreadsheet, or Homebrew System

April 8, 2026

You already know something is broken. The spreadsheet that tracked 40 improvements just fine is now a 12-tab monster maintained by a...

Kicking Off A New Approach to a Culture of Improvement

April 12, 2017

Last month, I had a great opportunity to work onsite with one of our customers, Mary Greeley Medical Center, in Ames, Iowa. They’ve been...

Reflections from a KaiNexus Workout

February 19, 2024

Solving Problems with Mary Greeley Medical Center

Nothing makes going to work so pleasant as when you’re working with warm, welcoming,...

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