<?xml version="1.0" encoding="UTF-8"?><rss version="2.0"
	xmlns:content="http://purl.org/rss/1.0/modules/content/"
	xmlns:dc="http://purl.org/dc/elements/1.1/"
	xmlns:atom="http://www.w3.org/2005/Atom"
	>
<channel>
	<title>Comments on: Presentation &#8220;Application of the Toyota Management System across the GHC System&#8221; Now available</title>
	<atom:link href="http://www.dailykaizen.org/archives/535/feed" rel="self" type="application/rss+xml" />
	<link>http://www.dailykaizen.org/archives/535</link>
	<description>A blog about improvement in health care</description>
	<pubDate>Wed, 03 Dec 2008 21:30:39 +0000</pubDate>
	<generator>http://wordpress.org/?v=2.6.5</generator>
		<item>
		<title>By: Ted Eytan</title>
		<link>http://www.dailykaizen.org/archives/535#comment-6565</link>
		<dc:creator>Ted Eytan</dc:creator>
		<pubDate>Thu, 05 Jun 2008 21:37:25 +0000</pubDate>
		<guid isPermaLink="false">http://www.dailykaizen.org/archives/535#comment-6565</guid>
		<description>Dear Group Health colleague,

If it's not clear to you how the post-it notes are being used to help members stay healthy, please, ask the question - "How is this connected to what we do to help our members?"

I think that's a great question for anything you see, anytime, and our members would applaud you for asking it in everything you do. 

At some level, posting your comment here is asking that question, and I applaud you for doing it. Try it in your workplace next. Post what happens. Call Lee, myself, or James if the answer isn't clear to you. 

I can tell you that the ability to ask that question by itself has been transformational for me, and just about 100% of the time, people will stop, focus, and work through the answer with me.

If any of our other readers have advice for our colleague, please post as well, this is the right conversation. Everyone cares about doing the right thing for the most important people and they deserve to know how what they do is helpful,

Ted</description>
		<content:encoded><![CDATA[<p>Dear Group Health colleague,</p>
<p>If it&#8217;s not clear to you how the post-it notes are being used to help members stay healthy, please, ask the question - &#8220;How is this connected to what we do to help our members?&#8221;</p>
<p>I think that&#8217;s a great question for anything you see, anytime, and our members would applaud you for asking it in everything you do. </p>
<p>At some level, posting your comment here is asking that question, and I applaud you for doing it. Try it in your workplace next. Post what happens. Call Lee, myself, or James if the answer isn&#8217;t clear to you. </p>
<p>I can tell you that the ability to ask that question by itself has been transformational for me, and just about 100% of the time, people will stop, focus, and work through the answer with me.</p>
<p>If any of our other readers have advice for our colleague, please post as well, this is the right conversation. Everyone cares about doing the right thing for the most important people and they deserve to know how what they do is helpful,</p>
<p>Ted</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: James Hereford</title>
		<link>http://www.dailykaizen.org/archives/535#comment-6562</link>
		<dc:creator>James Hereford</dc:creator>
		<pubDate>Thu, 05 Jun 2008 19:11:36 +0000</pubDate>
		<guid isPermaLink="false">http://www.dailykaizen.org/archives/535#comment-6562</guid>
		<description>I think it is a good thing to view changes skeptically. The proper attitude of the scientific mind is to not believe until there is evidence to believe. If this is only about Post-It notes on a wall,then your skepticism is well founded.  However, if it helps us understand the work, how much there is, what the status of the work is, then it is beneficial. If it also helps us make in making decisions about what work to do and not do, then it will be an important change.

Our historical management system has been to achieve results through heroic actions by staff and managers.  A process whose first step is "recruit a hero" is clearly not optimal nor sustainable. Our aim is to have a rational and fact based conversation at GHC regarding what our customers need from us and what our capacity is to deliver those changes, and to then pull the right work into the system in the right order. In this way, people can have a sustainable way of producing great results.

James Hereford
Executive Vice-President
Strategic Services &#38; Quality
Group Health Cooperative</description>
		<content:encoded><![CDATA[<p>I think it is a good thing to view changes skeptically. The proper attitude of the scientific mind is to not believe until there is evidence to believe. If this is only about Post-It notes on a wall,then your skepticism is well founded.  However, if it helps us understand the work, how much there is, what the status of the work is, then it is beneficial. If it also helps us make in making decisions about what work to do and not do, then it will be an important change.</p>
<p>Our historical management system has been to achieve results through heroic actions by staff and managers.  A process whose first step is &#8220;recruit a hero&#8221; is clearly not optimal nor sustainable. Our aim is to have a rational and fact based conversation at GHC regarding what our customers need from us and what our capacity is to deliver those changes, and to then pull the right work into the system in the right order. In this way, people can have a sustainable way of producing great results.</p>
<p>James Hereford<br />
Executive Vice-President<br />
Strategic Services &amp; Quality<br />
Group Health Cooperative</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: GHC Worker</title>
		<link>http://www.dailykaizen.org/archives/535#comment-6561</link>
		<dc:creator>GHC Worker</dc:creator>
		<pubDate>Thu, 05 Jun 2008 18:27:24 +0000</pubDate>
		<guid isPermaLink="false">http://www.dailykaizen.org/archives/535#comment-6561</guid>
		<description>Do they know how the staff at GHC really feel about this?  No.  The staff laugh at management who are playing with pieces of paper rather than actually doing anything to earn their wages.  The walls covered with Post-It notes are ignored.  If you need to use a fancy word before you talk to your staff then you're so out of touch you could be living on a different planet.</description>
		<content:encoded><![CDATA[<p>Do they know how the staff at GHC really feel about this?  No.  The staff laugh at management who are playing with pieces of paper rather than actually doing anything to earn their wages.  The walls covered with Post-It notes are ignored.  If you need to use a fancy word before you talk to your staff then you&#8217;re so out of touch you could be living on a different planet.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Lee Fried</title>
		<link>http://www.dailykaizen.org/archives/535#comment-6128</link>
		<dc:creator>Lee Fried</dc:creator>
		<pubDate>Fri, 29 Feb 2008 03:22:49 +0000</pubDate>
		<guid isPermaLink="false">http://www.dailykaizen.org/archives/535#comment-6128</guid>
		<description>Hi Chuck,

There is no doubt that there is a lot of room for improvement.  Our first step was to standardize, make visual and measure.  Within this process we did end up batching a lot of meetings, but we now have visibility of where the problems are and can start asking the purpose question.  While this batching may seem like a waste it is nothing compared to the chaos we had before these standards were put in place.  Hopefully we will be able to continue to improve and reduce the reason for meeting in the first place!

Thanks for asking,

Lee</description>
		<content:encoded><![CDATA[<p>Hi Chuck,</p>
<p>There is no doubt that there is a lot of room for improvement.  Our first step was to standardize, make visual and measure.  Within this process we did end up batching a lot of meetings, but we now have visibility of where the problems are and can start asking the purpose question.  While this batching may seem like a waste it is nothing compared to the chaos we had before these standards were put in place.  Hopefully we will be able to continue to improve and reduce the reason for meeting in the first place!</p>
<p>Thanks for asking,</p>
<p>Lee</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Chuck</title>
		<link>http://www.dailykaizen.org/archives/535#comment-6124</link>
		<dc:creator>Chuck</dc:creator>
		<pubDate>Thu, 28 Feb 2008 19:38:42 +0000</pubDate>
		<guid isPermaLink="false">http://www.dailykaizen.org/archives/535#comment-6124</guid>
		<description>Thanks for taking the time to offer material like this.  I do have a question/comment on the appointment calendar.  It is difficult to read, but based on the color coding, while it seems more organized, it seems that it has turned into a batch process.</description>
		<content:encoded><![CDATA[<p>Thanks for taking the time to offer material like this.  I do have a question/comment on the appointment calendar.  It is difficult to read, but based on the color coding, while it seems more organized, it seems that it has turned into a batch process.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Rich</title>
		<link>http://www.dailykaizen.org/archives/535#comment-6116</link>
		<dc:creator>Rich</dc:creator>
		<pubDate>Wed, 27 Feb 2008 18:48:48 +0000</pubDate>
		<guid isPermaLink="false">http://www.dailykaizen.org/archives/535#comment-6116</guid>
		<description>Your welcome at my Gemba anytime ;-)

Thanks for the PDF.

Richard</description>
		<content:encoded><![CDATA[<p>Your welcome at my Gemba anytime <img src='http://www.dailykaizen.org/wp-includes/images/smilies/icon_wink.gif' alt=';-)' class='wp-smiley' /> </p>
<p>Thanks for the PDF.</p>
<p>Richard</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Ted Eytan</title>
		<link>http://www.dailykaizen.org/archives/535#comment-6115</link>
		<dc:creator>Ted Eytan</dc:creator>
		<pubDate>Wed, 27 Feb 2008 17:21:02 +0000</pubDate>
		<guid isPermaLink="false">http://www.dailykaizen.org/archives/535#comment-6115</guid>
		<description>Unfortunately, we were unable to rescue the audio portion of the Webcast, so the PDF is now available instead.

Sorry about the mishap. I suppose this means we'll have to come to each of your Gembas and give the presentation there, in person :).</description>
		<content:encoded><![CDATA[<p>Unfortunately, we were unable to rescue the audio portion of the Webcast, so the PDF is now available instead.</p>
<p>Sorry about the mishap. I suppose this means we&#8217;ll have to come to each of your Gembas and give the presentation there, in person :).</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Ted Eytan</title>
		<link>http://www.dailykaizen.org/archives/535#comment-6112</link>
		<dc:creator>Ted Eytan</dc:creator>
		<pubDate>Wed, 27 Feb 2008 14:18:53 +0000</pubDate>
		<guid isPermaLink="false">http://www.dailykaizen.org/archives/535#comment-6112</guid>
		<description>Hi Richard,

It doesn't sound so good for me either. Let me dispatch a note off to our friends at ACHP and see if this can be fixed.

Thanks for the comment,

Ted</description>
		<content:encoded><![CDATA[<p>Hi Richard,</p>
<p>It doesn&#8217;t sound so good for me either. Let me dispatch a note off to our friends at ACHP and see if this can be fixed.</p>
<p>Thanks for the comment,</p>
<p>Ted</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Rich</title>
		<link>http://www.dailykaizen.org/archives/535#comment-6111</link>
		<dc:creator>Rich</dc:creator>
		<pubDate>Wed, 27 Feb 2008 13:58:26 +0000</pubDate>
		<guid isPermaLink="false">http://www.dailykaizen.org/archives/535#comment-6111</guid>
		<description>Hi!

I'm quite excited that you provided this presentation for open viewing - thanks!

Not sure if I'm doing something wrong, but the audio is giving me troubles.  I hear voices, but it is wildly distorted...Is this a me-only problem?

thank you again

Richard</description>
		<content:encoded><![CDATA[<p>Hi!</p>
<p>I&#8217;m quite excited that you provided this presentation for open viewing - thanks!</p>
<p>Not sure if I&#8217;m doing something wrong, but the audio is giving me troubles.  I hear voices, but it is wildly distorted&#8230;Is this a me-only problem?</p>
<p>thank you again</p>
<p>Richard</p>
]]></content:encoded>
	</item>
</channel>
</rss>
