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	<title>Comments on: A Foot in Each Boat</title>
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	<description>A blog about improvement in health care</description>
	<pubDate>Wed, 07 Jan 2009 19:24:02 +0000</pubDate>
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		<title>By: Andrea</title>
		<link>http://www.dailykaizen.org/archives/323/comment-page-1#comment-3662</link>
		<dc:creator>Andrea</dc:creator>
		<pubDate>Fri, 08 Jun 2007 14:02:08 +0000</pubDate>
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		<description>I can see that. It seems like in every lean discussion I read/hear people are wondering how to make the new systems work with the old metrics. I just saw it yesterday in my own organization. We got a chance to hear a really very simple and elegant solution to a long standing problem. It's better for staff, it's been better for the customers of the group that implemented it, it's much easier for scheduling and field staff. But there's one group who's incentive structure and method of calculating will need to change to make it work. 

I know how they'll hear this - You're not doing things right AND your paycheck will change. That does not make anyone want to listen to why this is a good idea. :) 

Now, at a certain point, this is easy. Change the policy, change the work. In theory, we can do this. In practice, I worry about everyone understanding what the goal of the change is. Changing the traditional thinking, as well as the traditional metrics. 

It is very exciting though. :) Once again, let me add how much I appreciate what you post here, and how much I learn from it, and enjoy reading it.</description>
		<content:encoded><![CDATA[<p>I can see that. It seems like in every lean discussion I read/hear people are wondering how to make the new systems work with the old metrics. I just saw it yesterday in my own organization. We got a chance to hear a really very simple and elegant solution to a long standing problem. It&#8217;s better for staff, it&#8217;s been better for the customers of the group that implemented it, it&#8217;s much easier for scheduling and field staff. But there&#8217;s one group who&#8217;s incentive structure and method of calculating will need to change to make it work. </p>
<p>I know how they&#8217;ll hear this - You&#8217;re not doing things right AND your paycheck will change. That does not make anyone want to listen to why this is a good idea. <img src='http://www.dailykaizen.org/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' /> </p>
<p>Now, at a certain point, this is easy. Change the policy, change the work. In theory, we can do this. In practice, I worry about everyone understanding what the goal of the change is. Changing the traditional thinking, as well as the traditional metrics. </p>
<p>It is very exciting though. <img src='http://www.dailykaizen.org/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' /> Once again, let me add how much I appreciate what you post here, and how much I learn from it, and enjoy reading it.</p>
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		<title>By: Lee Fried</title>
		<link>http://www.dailykaizen.org/archives/323/comment-page-1#comment-3613</link>
		<dc:creator>Lee Fried</dc:creator>
		<pubDate>Thu, 07 Jun 2007 15:06:58 +0000</pubDate>
		<guid isPermaLink="false">http://www.dailykaizen.org/archives/323#comment-3613</guid>
		<description>Hi Andrea,

Thanks for your comments.  It is exciting that things are moving.  In answer to your question, I would rather speed up the bigger boat then slow down the smaller, but if we have to slow down we will.  Our challenge is deeper then getting the other side to understand.  In the larger organization people are still begin held accountable to traditional practice and thinking which will need to change before we can expect alignment.  The good news is we are off to a good start.

Take care,

Lee</description>
		<content:encoded><![CDATA[<p>Hi Andrea,</p>
<p>Thanks for your comments.  It is exciting that things are moving.  In answer to your question, I would rather speed up the bigger boat then slow down the smaller, but if we have to slow down we will.  Our challenge is deeper then getting the other side to understand.  In the larger organization people are still begin held accountable to traditional practice and thinking which will need to change before we can expect alignment.  The good news is we are off to a good start.</p>
<p>Take care,</p>
<p>Lee</p>
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		<title>By: Andrea</title>
		<link>http://www.dailykaizen.org/archives/323/comment-page-1#comment-3560</link>
		<dc:creator>Andrea</dc:creator>
		<pubDate>Wed, 06 Jun 2007 19:50:02 +0000</pubDate>
		<guid isPermaLink="false">http://www.dailykaizen.org/archives/323#comment-3560</guid>
		<description>I'd think lots of adductor/abductor exercises. Strong thighs will pull those boats back together :)

Ok, so it's a silly answer that has a little actual content - I don't have an answer, but I do have a question. Can you do anything to slow down the drift of those boats?

It sounds like the problem is holding everything together until the conflict resolves, what does the other side want? What would answer the problems of "non-team playing"? Is it someone's warm body in the meeting that is missed or thier input or thier actions? Can you mediate/negotiate an understanding?

I'm curious what other comments will pop up too. 

I think it's so cool that you're running into that problem though. Think about it, it means the first few steps are past. You've launched the boats, they're in the water and moving. :)</description>
		<content:encoded><![CDATA[<p>I&#8217;d think lots of adductor/abductor exercises. Strong thighs will pull those boats back together <img src='http://www.dailykaizen.org/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' /> </p>
<p>Ok, so it&#8217;s a silly answer that has a little actual content - I don&#8217;t have an answer, but I do have a question. Can you do anything to slow down the drift of those boats?</p>
<p>It sounds like the problem is holding everything together until the conflict resolves, what does the other side want? What would answer the problems of &#8220;non-team playing&#8221;? Is it someone&#8217;s warm body in the meeting that is missed or thier input or thier actions? Can you mediate/negotiate an understanding?</p>
<p>I&#8217;m curious what other comments will pop up too. </p>
<p>I think it&#8217;s so cool that you&#8217;re running into that problem though. Think about it, it means the first few steps are past. You&#8217;ve launched the boats, they&#8217;re in the water and moving. <img src='http://www.dailykaizen.org/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' /> </p>
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