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Sometimes You Have to Rip the Cover Off the Book
The Un-Comfort Zone With Robert Wilson
On a summer weekend in 1977, my friend Tony and I made plans to go water-skiing. When he picked me up there were two people in the car that I did not know. He introduced his new girlfriend, Sue, and her brother, Bubba. Bubba was the quintessential redneck. Within minutes of getting on the boat…
Seven Ways to Foster Positive Change in Health Care
Jane Martinsons
With or without health care reform, health care quality professionals know that change is already a new reality for U.S. health care, transforming the industry, their own organizations, and their professional roles on what seems a daily basis. “With all the changes that we’re facing in health…
The Reward is in the Eye of the Beholder
The Un-Comfort Zone With Robert Wilson
In the early 1970s I was a young teenager who was completely caught up in the Zeitgeist. I admired the long-haired rebels and radicals who were engaged in protesting the establishment and developing the counter-culture. I didn’t really know what any of that meant, but to me it was all about…
Continuous Training Should be a Personal and Organizational Goal
H. James Harrington
The world is changing so fast today that it is almost impossible to keep up with the latest trends in your own profession. If you are not spending at least two hours per day updating yourself in your chosen profession, you probably are behind the current state of the art. It has been estimated that…
God’s “Mistakes”
Mike Micklewright
Can you imagine producing products with a tremendous amount of variation? I’m sure many of you know this all too well. I mean, here you’re trying to produce the same products, trying to ensure consistency, and many of the products you produce have different shades of color, many function…
Medical Center Reduces Wait Time and Improves Customer Satisfaction
Georgia Institute of Technology
To improve customer satisfaction, enhance the quality of services and reduce costs, Peach Regional Medical Center has worked with the Georgia Institute of Technology to adopt process improvement techniques traditionally used by the manufacturing industry. Already, Peach Regional Medical Center’s…
Be Outstanding!
John G. Miller
Outstanding means being superior, striking, exceptional, clearly noticeable—essentially, to stand out. People are attracted to outstanding organizations. They want to buy from them, sell to them, invest in them, volunteer at them, and work for them. And as we close out the first decade of the 21st…
Graphical Principles for Rapid Quality Improvement
WILLIAM SCHERKENBACH
I’ve spent most of the past two years living in China where I have learned much on how enterprise is managed over there. Many people have said that this century belongs to Asia. That may be, but they have a lot to learn and change before that happens. They cannot depend on cheap rote labor to…
Shewhart, Deming, and Data
Malcolm Chisholm
I have just finished rereading Walter A. Shewhart's 1939 book Statistical Method from the Viewpoint of Quality Control (Dover Publications, 1986). Mine is the 1986 edition, which has a foreword by W. Edwards Deming. Shewhart, a Bell Labs man, pioneered quality control and was a major inspiration…
Henry Ford West Bloomfield: More Than a Hospital, An Environment
Bill Kalmar
Several years ago, I penned a column entitled, “Nurse, I’m Ready for My Cappuccino!”  The article was an interview with Gerard van Grinsven,  the new CEO and president of the Henry Ford West Bloomfield Hospital, which was to be located in a Detroit suburb. At the time of my interview, Van Grinsven…
It’s All Your Fault!
Mike Richman
Here at Quality Digest, we get a lot of mail: Some of it’s critical, some of it’s praiseworthy, some of it’s cantankerous, and some of it’s challenging. All of it is insightful. And then, every once in awhile, something comes along that simply... well... The following was sent to us from a…
3-D Scanning Enables Life-Enhancing Product for Partial Finger Amputees
GKS Global Services
Didrick Medical Inc. is a small privately owned company located in Naples, Florida, that designs and fabricates active-function artificial finger prostheses, called the X-Finger, for partial finger amputees. The owner refined the design for more than six years before he took it to the marketplace…
Athens Hospital Improves Processes by Implementing Lean in Laboratory
Georgia Institute of Technology
(Georgia Tech Enterprise Innovation Institute: Atlanta) -- Debbie Guzman, laboratory director at Athens Regional Medical Center, says that implementing lean principles in a health care setting is especially challenging. Traditionally used in manufacturing, lean refers to an operational strategy…
Quality of Work Life: It’s More Than Wages and Benefits
When I started Productivity Inc. Press in 1979, quality of work life (QWL) was a very popular symbol for American unionism. Unions wanted workers to have a quality of work life, however, I don’t believe they understood what quality of work life really meant. The unions wanted workers to have a…
Quality of U.S. Health Care Stuck in Neutral
National Committee for Quality Assurance
(NCQA: Washington) -- “The State of Health Care Quality 2009,” an annual report, now in its 13th year, provided by the National Committee for Quality Assurance (NCQA), finds that the quality of U.S. health care was virtually stagnant in 2008, a disturbing slowdown after a decade of improvements.…
What’s in Your Backpack?
Michelle LaBrosse
A couple of years ago, I was featured on CNN pouring out the contents of my backpack. The story was about how I ran my business, virtually, from wherever I was with the trusty items carried on my back. As you might imagine, there were all the usual suspects: my laptop, iPhone, digital camera,…
Best Practice in Service Quality Measurement
Jim Jubelirer
Story update 10/23/2009: The link to the prerecorded webinar mentioned at the end of the article has been corrected.   The U.S. economy runs on service. From front-line service in transactional industries such as retail, banking, hospitality and food service, to technical support for high-tech…
Quality Management Systems Are Not for Renegades
Steve Arbogast
A quality management system is a framework of processes and procedures that are used to ensure that an organization can fulfill all tasks required to achieve its goals, strategies, and objectives. The majority of businesses around the world have some sort of well-defined quality management…
Computerized Physician Order Entry Helps Hospitals Improve Care
Ten years after the Institute of Medicine released its influential report "To Err Is Human" (www.iom.edu/en/Reports/1999/To-Err-is-Human-Building-A-Safer-Health-System.aspx), hospital care still has many safety problems, and the quality of care remains lower than it should be in many institutions…
Lean Six Sigma in a Health Care Environment
In 2005, according to a BBC News report at the time, operating rooms all over the United Kingdom were thrown into chaos and operations canceled due to broken, missing, or dirty surgical instruments. The Royal College of Surgeons called for a national audit of decontamination units, following a…
Behind the Health Care Improvement Map
Andrea Kabcenell
What if hospital leaders had an easier, more streamlined way to chart an improvement path for their organizations? Imagine a list of key processes that could—if implemented reliably—lower mortality,  reduce harm, lessen delays, create a better patient experience, and lower costs. This possibility…
Good night and sweet dreams!
GKS Global Services
In this case study of reverse engineering and rapid prototyping we will look at a company that developed an initial prototype of an anti-snoring device based on many years of research in the field of dentistry. The company’s main dental advisor is a pioneering dentist in the research and…
Oh No! Not Another Column About Surveys
Bill Kalmar
Regular readers of my column know that I abhor surveys that don’t provide some type of incentive or discount on a future purchase for completing the survey. I realize that I may have discussed this subject ad nauseam, but have you noticed that every store, restaurant, gas station, doctor’s office…
New Protocols Will Test Effects of RFID Systems on Medical Devices
Georgia Institute of Technology
Radio frequency identification (RFID) systems are widely used for applications that include inventory management, package tracking, toll collection, passport identification, and airport luggage security. More recently, these systems have found their way into medical environments to track patients…
Using Quality Improvement Tools as Part of a Pandemic Flu Plan
A n emergency response organization differs substantially from our usual public health organization for day-to-day business. However, as the spring 2009 H1N1 (also referred to as swine flu) outbreak highlighted, usual public health processes are fundamental for effectively responding to a…

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