Getting Started with Continuous Improvement: Lessons and Reflections (KaiNexus Webinar)

Mark Graban VP of Customer Success

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Getting Started with Continuous

Improvement: Lessons and Reflections

Dr. Gregory Jacobson Chief Product Officer

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(Skip to slide #20 to watch this webinar)

(Skip to slide #20 to watch this webinar)

Getting Started is Hard

• We’re continually improving our approach

• We’re likely not good at improvement initially

– Lack of knowledge (a little bit is dangerous)

– Lack of experience

– Reliance on “what ____ says” instead of thinking

(Skip to slide #20 to watch this webinar)

Be Kind to Those Who Are New

• We shouldn’t be too hard on those who are just starting

– Mistakes will be made

– Good mistakes vs. bad mistakes

• Should try to coach, not criticize…

– If they are continuing to learn & improve

(Watch this webinar)

Professional Progressions

Practicing Law Practicing Medicine

Certification as an End?

Implementing Lean? Implementing Six Sigma?

(Watch this webinar)

Professional Progressions

Practicing Law Practicing Medicine

Certification as a Beginning

Practicing Lean Practicing Six Sigma

(Watch this webinar)

Over Time…

Learn to Do

Learn to Teach

Learn to Teach How to Teach

(Watch this webinar)

Greg’s First Year at Vanderbilt (Watch this webinar)

Lessons Learned

• Permission and encouraged to implement Kaizen at the top leader position

• I went to the front staff

• Completely left out everyone in between

• Change Management Issue

(Watch this webinar)

Positive Lessons

• Front line staff can be easily trained

• Guide them specifically

• Don’t get lost in the tools

• Baby Steps

• Develop Habits

(Watch this webinar)

Mark’s First Year at GM (Watch this webinar)

Lessons Learned

• Too “me driven” instead of team driven • We were generally implementing tools • Didn’t track ideas visually • Spent too much time playing with simulations

– Find the “right” answer or use PDSA?

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

• Be careful about getting emotional

(Watch this webinar)

Positive Lessons

• Build relationships 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 time in the gemba – “I know what the answers probably are, but they don’t

know that I know”

(Watch this webinar)

First Year in Healthcare (Watch this webinar)

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”

(Watch this webinar)

Michael Lombard

@MikeLombard

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

(Watch this webinar)

Michael’s First Year of C.I. (Watch this webinar)

Michael’s First Year in Healthcare (Watch this webinar)

Getting Started with Continuous Improvement: Lessons and Reflections

To learn about getting started with continuous improvement, watch

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Other Resources

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Mark Graban @MarkGraban

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Dr. Gregory Jacobson Chief Product Officer

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