getting started with continuous improvement: lessons and reflections

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Mark Graban VP of Customer Success [email protected] Getting Started with Continuous Improvement: Lessons and Reections Dr. Gregory Jacobson Chief Product Ocer [email protected]

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Learn more and watch a recording via http://www.kainexus.com/webinar It's "back to school" time, so we thought it would be a good time to look back at our own "freshman year" in the improvement world. Hear stories as we recall our experiences in our first years with Lean, Kaizen, and continuous improvement - including mistakes we made, who we annoyed, and what our impact was

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Page 1: Getting Started with Continuous Improvement: Lessons and Reflections

Mark Graban VP of Customer Success

[email protected]

Getting Started with Continuous Improvement: Lessons and Reflections

Dr. Gregory Jacobson Chief Product Officer [email protected]

Page 2: Getting Started with Continuous Improvement: Lessons and Reflections

Webinar Logistics •  Presenta(on  (40  minutes)  •  Q&A  (15  minutes)  – Use  the  GoToWebinar    Mee(ng  Panel  to    submit  a  ques(on  at  any  (me  

•  Recording  link  will  be    sent  via  email  

Page 3: Getting Started with Continuous Improvement: Lessons and Reflections
Page 4: Getting Started with Continuous Improvement: Lessons and Reflections

Getting Started is Hard •  We’re  con(nually  improving  our  approach  •  We’re  likely  not  good  at  improvement  ini(ally  – Lack  of  knowledge  (a  liLle  bit  is  dangerous)  – Lack  of  experience  – Reliance  on  “what  ____  says”  instead  of  thinking  

Page 5: Getting Started with Continuous Improvement: Lessons and Reflections

Be Kind to Those Who Are New

•  We  shouldn’t  be  too  hard  on  those  who  are  just  star(ng  – Mistakes  will  be  made    – Good  mistakes  vs.  bad  mistakes  

•  Should  try  to  coach,  not  cri(cize…  –  If  they  are  con(nuing  to  learn  &  improve  

Page 6: Getting Started with Continuous Improvement: Lessons and Reflections
Page 7: Getting Started with Continuous Improvement: Lessons and Reflections

Professional Progressions Practicing Law Practicing Medicine

Certification as an End?

Implementing Lean? Implementing Six Sigma?

Page 8: Getting Started with Continuous Improvement: Lessons and Reflections

Professional Progressions Practicing Law Practicing Medicine

Certification as a Beginning

Practicing Lean Practicing Six Sigma

Page 9: Getting Started with Continuous Improvement: Lessons and Reflections

Over Time…

Learn to Do

Learn to Teach

Learn to Teach How to Teach

Page 10: Getting Started with Continuous Improvement: Lessons and Reflections

Greg’s First Year at Vanderbilt

Page 11: Getting Started with Continuous Improvement: Lessons and Reflections

Lessons Learned •  Permission  and  encouraged  to  implement  Kaizen  at  the  top  leader  posi(on  

•  I  went  to  the  front  staff  •  Completely  le[  out  everyone  in  between  •  Change  Management  Issue  

Page 12: Getting Started with Continuous Improvement: Lessons and Reflections

Positive Lessons •  Front  line  staff  can  be  easily  trained  •  Guide  them  specifically  •  Don’t  get  lost  in  the  tools  •  Baby  Steps  •  Develop  Habits  

Page 13: Getting Started with Continuous Improvement: Lessons and Reflections

Mark’s First Year at GM

Page 14: Getting Started with Continuous Improvement: Lessons and Reflections

Lessons Learned •  Too  “me  driven”  instead  of  team  driven  •  We  were  generally  implemen(ng  tools  •  Didn’t  track  ideas  visually  •  Spent  too  much  (me  playing  with  simula(ons  –  Find  the  “right”  answer  or  use  PDSA?  

•  Didn’t  build  great  rela(onships  with  front-­‐line  supervisors  (“old  school”)  

•  Be  careful  about  gecng  emo(onal  

Page 15: Getting Started with Continuous Improvement: Lessons and Reflections

Positive Lessons •  Build  rela(onships  with  employees  &  union  leaders  •  You  can  go  against  the  grain  of  “the  culture”  –  Engaging  front-­‐line  staff  

•  Learned  quality  &  cost  have  to  go  together  •  Spend  lots  of  (me  in  the  gemba  –  “I  know  what  the  answers  probably  are,  but  they  don’t  know  that  I  know”  

Page 16: Getting Started with Continuous Improvement: Lessons and Reflections

First Year in Healthcare

Page 17: Getting Started with Continuous Improvement: Lessons and Reflections

Lessons Learned •  It’s  OK  to  be  honest  about  what  you  don’t  know  •  Partner  up  with  a  clinician  •  Relied  too  much  on  manufacturing  history  and  factory  examples  at  first  

•  Struggle  to  find  balance  of  do  vs.  teach  – “Go  slow  to  learn”  vs.  “go  fast  to  get  it  done”  

Page 18: Getting Started with Continuous Improvement: Lessons and Reflections

Michael Lombard

@MikeLombard        

http://www.kainexus.com/toyota-kata-with-kainexus

Page 19: Getting Started with Continuous Improvement: Lessons and Reflections

Michael’s First Year of C.I.

Page 20: Getting Started with Continuous Improvement: Lessons and Reflections

Michael’s First Year in Healthcare

Page 21: Getting Started with Continuous Improvement: Lessons and Reflections

Next Webinar

Hosted by: Allan Wilson, CEO Mark Graban, VP of Customer Success

Register at www.KaiNexus.com/webinar

Page 22: Getting Started with Continuous Improvement: Lessons and Reflections

Other Resources

www.KaiNexus.com/webinar

Next Webinar: September 25

blog.KaiNexus.com

Page 23: Getting Started with Continuous Improvement: Lessons and Reflections

Other Resources

www.kainexus.com/ebooks

Page 24: Getting Started with Continuous Improvement: Lessons and Reflections

Q&A Session •  Web:  

–  www.KaiNexus.com  –  Blog.KaiNexus.com    

•  Webinars:  –  www.KaiNexus.com/webinar  

•  Social  media:  –  www.twiLer.com/KaiNexus  –  www.linkedin.com/company/KaiNexus  –  www.facebook.com/KaiNexus  

•  Email:  –  [email protected]  –  [email protected]    

Mark Graban

VP of Customer Success

[email protected]

Dr. Gregory Jacobson

Chief Product Officer

[email protected]