Content By Davis Balestracci

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By: Davis Balestracci


When improvement initiatives don’t yield the results promised, it’s very tempting to have the knee-jerk reaction of blaming the workers for their poor attitudes and lack of work ethic. But what if one took a counterintuitive approach: looking within one’s business systems for the true causes for low motivation—and for their remedies?

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By: Davis Balestracci

How true are the following statements as you perceive things in your work environment?

1 = Not true at all
2 = True to a small extent
3 = True to some extent
4 = Mostly true
5 = Completely true

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By: Davis Balestracci


“What if I were to tell you that one of the most important keys to your organization’s success can be found in a very unlikely place—a place many of you may consider to be complicated, inaccessible, and perhaps even downright boring? What if I were to tell you that this key to success is already one of the most ubiquitous and impactful forces in your organization? It’s there, waiting for you to tap into it. This key to success is measurement.”

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By: Davis Balestracci

I received the following note from a physician who is very interested in improvement: “I am not sure I understand what a process behavior chart and a moving range chart do to the discussion, and what do the colored lines represent? aka ‘Still confused.’”

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By: Davis Balestracci


As a consultant, it’s easy to lose touch with reality and become a platitude-spouting machine. I always like hearing from my readers because it keeps me grounded—and I try my best to reply to them all. My heart lies with the hard-working front-line folks doing the real work.

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By: Davis Balestracci

What exactly is “culture?” As Jim Clemmer puts it, “Culture is ‘the way we do things around here’… especially when the boss isn’t looking.”

As I asked in my January 2013 column: Do cultures’ (unwritten) expectations unwittingly create the leaders they have? Are various guises of “traditional management” still the norm?

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By: Davis Balestracci

At the end of my December 2012 column, “Evolving Beyond Platitudes to Holistic Improvement,” I described three different management styles.

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By: Davis Balestracci

The 24th Institute for Healthcare Improvement (IHI) Annual Forum took place on Dec. 9–12, 2012. It is probably the leading health care improvement event in the world. I have presented there for 20 consecutive years and watched it evolve from barely 1,000 attendees to well over 5,000. What’s changed during these past 24 years?

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By: Davis Balestracci

Previously I discussed three common cause strategies (links below) that help to expose all existing, underlying special causes of variation. They also provide necessary insight into how the current process came to be and allow construction of a baseline for assessing the effects of an intervention.

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By: Davis Balestracci

Remember the early days of TQM? When I present to healthcare audiences, all I have to do is mention “lab turnaround time” to get a collective groan and smile. That was always one of the initial forays into what was called total quality management (TQM) or continuous quality improvement (CQI).

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