http://www.dailykaizen.org/archives/501 A blog about improvement in health care Wed, 03 Dec 2008 21:12:02 +0000 http://wordpress.org/?v=2.6.5 http://www.dailykaizen.org/archives/501#comment-5774 Ed McKlousky Thu, 31 Jan 2008 19:53:03 +0000 http://www.dailykaizen.org/archives/501#comment-5774 After reading your post, and thinking of my own healthcare organization it is unfortunate that secrecy and confidentiality is so ingrained into the system. We seem to have gone too far. I think this is one of the big obstacles for lean management in healthcare. How do you have daily accountability when all of the metrics are hidden in the manager’s office? How do you improve quality when half of the staff doesn’t know the quality metrics, and those that do can’t drill down to their own individual performance? I doubt my system will have much success with lean without transparency. After reading your post, and thinking of my own healthcare organization it is unfortunate that secrecy and confidentiality is so ingrained into the system. We seem to have gone too far. I think this is one of the big obstacles for lean management in healthcare. How do you have daily accountability when all of the metrics are hidden in the manager’s office? How do you improve quality when half of the staff doesn’t know the quality metrics, and those that do can’t drill down to their own individual performance? I doubt my system will have much success with lean without transparency.

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