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For the Good of the Community
In health care settings, clinical integration is a fairly new concept that means coordinating patient care across conditions, providers, settings, and time to achieve care that is safe, timely, effective, efficient, equitable, and patient-focused.  According to Becker’s Hospital Review, “clinical…
The Invisible <em>Andon</em> Cord
In August 2009, a 911 emergency call made from an out-of-control vehicle, speeding at more than 100 miles per hour, reported, “We’re in a Lexus... and we’re going north on 125 and our accelerator is stuck... there’s no brakes... we’re approaching the intersection... hold on... hold on and pray…
The Process Approach to ISO 9001
Management systems are sometimes misunderstood as nothing more than a heavy administrative burden providing limited business benefit. In fact, many organizations with management systems in place haven’t effectively defined the processes they actually employ at all. Perhaps it’s because they think…
TRIZ and Patterns of Evolution
Sean was looking forward to the MEC meeting. He'd seen a potential application for TRIZ in a medical setting and wanted to discuss this with the group. His mother had been suffering from digestive problems and had needed an endoscopy that she dreaded. He was worried that, apart from the initial…
The Data-Free Graph
Why bother to plot your data? A simple shortcut is available that will allow you to do your analysis without the data getting in the way. How do you accomplish this breakthrough? Read on. This marvelous advance in analysis is known as the “data-free graph.” As usual we begin with a collection of…
ISSISSIPPI Offers Free Big Data Tool
(ISSISSIPPI: Columbus, OH) -- The International Six Sigma Institute and Secret Society for Imperious Professionals of Process Improvement (ISSISSIPPI) has announced a free online big data analytical tool. As CEOs everywhere have become enamored with all things big data, ISSISSIPPI recognized the…
Launching a Successful Startup, Part 3
This is the third and final post in a series on launching a successful startup. In his book, Disciplined Entrepreneurship: 24 Steps to a Successful Startup, Bill Aulet, managing director of the Martin Trust Center for MIT Entrepreneurship, stresses the importance of searching for the holy grail of…
The Best First Aid in the Baldrige Toolbox
The student demographic profile of Jenks Public Schools has significantly changed since the Oklahoma district became a Baldrige Award winner in 2005. The pace and variety of population shifts that Jenks has experienced may resemble those in your own school system’s environment. What evidently hasn…
From Silk Road to Value Chain
All companies depend on their suppliers. When handled well, the supply chain is a source of strength and even regarded as a value chain. Conversely, a poorly managed supply chain will manifest its weakest link quite easily. All too often, the fallout requires much more than cleanup on aisle three…
How to Drive Decisions Without Saying a Word
All too often, leaders seek to build support for an idea by talking—a lot. They go on and on about why the decision is a good one, detailing its benefits, the reasons others should support it, and the path forward. There’s passion and excitement behind the talk, and the leader lets it show through…
Build Lean Into Your QMS When Converting to ISO 9001:2015
Editor’s note: This article discusses topics covered at greater length in episodes 19–23 of a new streaming video training series, Creating and Sustaining Lean Improvements—Integrating Principles, Culture, and Tools by the author and 360 Performance Circle, a sister company to Quality Digest.…
Five Ways to Make Your Control Charts More Effective
Have you ever wished your control charts were better? More effective and user-friendly? Easier to understand and act on? I’ll share some simple ways to make statistical process control (SPC) monitoring more effective in Minitab. I worked for several years in a large manufacturing plant in which…
Unsnarling Data Analysis in the Real World
Ben Recht is looking for problems. He develops mathematical strategies to help researchers, from urban planners to online retailers, cut through blizzards of data to find what they're after. He resists the "needle in the haystack" metaphor because, he says, the researchers, engineers, and…
Tribal Knowledge: Quality Management Data for Historical Analysis
Ever since people began handing down information from person to person and parent to child, there has been something called tribal knowledge. Most people can point to a specific skill they have or knowledge they possess that was transferred to them by an elder. This elder may have been a relative…
Do You Like Friendly or Fast Customer Service?
Here’s a little quiz: Imagine you’re going to your local grocery store to buy some milk. How would you like the store employees to interact with you? • Choice A: They’re friendly, warm, and build personal rapport with me. I know we’ve got a relationship. • Choice B: They keep our interactions as…
Fear and Loathing With Onboard Diagnostics
For better or worse, we’ve resigned ourselves to the idea that to live in the modern world, we have to give up total privacy. But even as we wring our hands about the loss of privacy—meanwhile searching Google for stories on the latest security breach—how often do we stop to think about the…
Medical Device Industry Endures Tough 2013
It’s March 2014, but you could forgive medical device company leaders if they’re still smarting a bit from a generally tough 2013. Several new studies indicate a low level of mergers and financing occurred last year, which could slow product innovation down the line. Also there was a drop in 2013…
Ten Quality System Design Attributes
There are many instances when a pharmaceutical quality management system (QMS) must be improved in part or as a whole. In some cases improvements are made in response to regulatory inspection observations. In other cases they are made when new company standards are deployed to remain current with…
Monumental Data, Monumental Access Challenges
Nonprofit organization CyArk works with its vast network of partners to aggregate and archive 3D data of our collective human history, to transform these data into useful conservation and management tools, and create education and research materials. At the same time, CyArk leverages new…
Viridis Reinvents Online Education and Job Placement for the Middle-Skilled
(Marketwired via COMTEX: New York City)—Viridis Learning, an online platform that merges human capital technology with education technology for training and placing the middle-skill workforce, has launched its new online experience. Leveraging exclusive education content from sources such as…
Car Dealers: Government-Mandated <em>Muda</em>
Car dealers’ successful efforts to ban the sale of Tesla Motors cars in several states reinforces the growing belief that the Internet has turned dealers into nonvalue-adding parasites. This is something I said more than 20 years ago in The Way of Strategy (iUniverse reprint, 2000), and cited the…
Consider Temperature Effects When Specifying LVDT Position Sensors
For more than 50 years, the linear variable differential transformer (LVDT) position sensor has been a reliable tool for linear position feedback for laboratory, industrial, military, and aerospace applications. These sensors can provide linear displacement measurements ranging from microinches…
Lines
As any conference-goer can attest, the shortest distance between two points is not a straight line when that line is the lunch line. At lean conferences like the ones I’ve attended, it’s especially incongruous to hear stories all morning about customer service and flow, and then later stand in a…
Two Companies Team Up to Create First 3D-Printed Metal Bike
Bicycle design company Empire Cycles, and Renishaw, the United Kingdom’s only manufacturer of metal-based additive manufacturing machines, have collaborated to create a 3D-printed titanium bike frame. It’s based on the Empire MX-6 mountain bike design but is stronger and about 33-percent lighter…
Day-by-the-Hour Approach to Manufacturing Flow
Lean-practicing companies often employ day-by-the-hour (DBTH) charts within production cells and for other processes. The DBTH method uses a visual board to display what work must be completed each hour of the workday. The board is located in the work area and where specific process steps are…

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