getting back to basics - results washington back to basics_final... · october 2015 kelly fisher,...
TRANSCRIPT
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October 2015
Kelly Fisher, Seattle Children’s Hospital Stephanie Daclison, The Everett Clinic October 2015
Getting Back to Basics: Observations and the Scientific Method
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Focus of Today’s Dialogue
• Identify strategies for: – “Planning” before “doing” – Engaging people in observations – Making the scientific method
accessible to all
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• Relentless curiosity • Driven by the need to
understand, explore, and improve
• Freedom to experiment, practice, fail
• “Can do” mentality • Customer focused
Essential Elements of Lean
Individual mindset
Organizational culture
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The Scientific Method as Roadmap
Plan
Do Check
Adjust Baseline data Observation
Strong hypothesis Audit plan
Yes!
Preparation for change (alignment, support, participation)
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The Challenge
Plan
Do Check
Adjust
Shortchange this step …
Why? • Is it the tools? • The mindset? • The way we manage?
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Simple = Accessible
“Perfection is achieved not when there is nothing more to add, but when there is nothing left to take away.”
– Antoine de Saint-Exupery
Are lean tools too complex?
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Conduct Experiments to Get There
Grasp the Current
Condition
Next Target
Condition
Direction or
Challenge
Improvement Kata Framework Source: Kata in the Classroom
Improvement Kata (Routine): The Value of Experimenting
… or are we in a hurry to see “good” results?
Do we embrace failure as a learning opportunity …
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Today’s Topics
Introduce the challenge Stop counterproductive
activities & behaviors Get a consult on your
challenge Q&A and wrap-up
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Individual Reflection, Then Dialogue
1 2
4 All
5 min By yourself
3 min In pairs
3 min Join another pair
5 min Share themes
with whole group
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Stop Counterproductive Activities & Behaviors
In your next process improvement, how can you ensure that you achieve the worst “scientific experiment” imaginable?
– Superficial understanding of the problem – Skip observation – Jump right to solutions
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1. Make a list of everything you can do to achieve the worst “scientific experiment” imaginable.
2. Go through this list item by item and ask yourself, “Is there anything I’m currently doing that in any way, shape, or form resembles this?” Be brutally honest.
3. Decide which ONE activity you will stop doing.
Ensuring the Worst Possible Outcome
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Individual Reflection, Then Dialogue
1 2
4 All
5 min By yourself
3 min In pairs
3 min Join another pair
5 min Share themes
with whole group
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From Creative Destruction to Innovation …
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Get a Consult on Your Challenge
• Think of a time when you felt pressured to implement a “solution” quickly, but your problem analysis was incomplete.
• What happened? What did you say/do? What did other people say/do?
• Get ready to tell the story of what happened.
2 minutes
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Get a Consult from Two Peers 1. One “client” presents challenge,
answers clarifying questions. 2. Client turns his/her back.
Consultants: What could your colleague do that would better serve them or the situation?
3. Client re-joins the conversation. Client: Name 1 or 2 ideas that helped you see the challenge in a new way.
Client
Consultants
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Reflection on Consultation Experience
• What was it like, having two peers discuss your challenge?
• What was it like, problem-solving someone else’s situation?
• Themes, insights, breakthrough ideas
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Wrap Up
We introduced the challenge We identified one counterproductive activity
or behavior we’ll stop doing We consulted with each other
What questions do you have? What are your take-aways?
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Thank You
We’d like to thank our colleagues at Seattle Children’s Hospital and The Everett Clinic. Special thanks to Keith McCandless and Fisher Qua, our Liberating Structures coaches.