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Wednesday, September 08, 2010
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Where Do We Go From Here?
REAL Improvement - Different Actions for Different Results By Paul Williams on 3/12/2009
In North America, we find ourselves on the precipice of a new political climate, one that promises to level the playing field between corporate greed and the “average Joe”. Where this applies to the healthcare services market, what’s the correct approach to improve the level and quality of service without introducing the inefficiencies and, frankly, ineptness of government's attempt to fix anything?
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Insanity - A Reasonable Definition
REAL Improvement - Different Actions for Different Results By Paul Williams on 8/27/2008
We’ve all heard a definition of insanity as being the exercise of doing the same things over and over the same way and expecting different results. Another angle that happens also to be the current Quote of the Week on our website is Einstein’s take … "The significant problems we have cannot be solved at the same level of thinking with which we created them." After approximately 24 months of presenting TOC as a new solution to healthcare operations, we have observed insanity - as defined above - on multiple occasions.
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How to Engage Physicians ...
Is my Logic good enough? By Julie Wright on 8/20/2008 9:10 PM
We are often asked how physicians react to TOC implementations; how we get them to collaborate in the projects that emanate from the systemic CRT we produce at the outset of our engagements.
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Local VS. Systemic - QUEING THEORY
Is my Logic good enough? Successes - How are they engineered? By Julie Wright on 3/18/2008 9:53 AM
Needs answers? Join the queue. I don’t know about you, but I love a good puzzle. I get bored and discard them once I have figured out how to do them. Sudoku amused me for a few weeks until I understood the mechanics. It then became a chore that was not particularly satisfying.
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Dyslexic Organizations?
Is my Logic good enough? By Julie Wright on 12/20/2007 5:23 PM
Recently, a business journalist speculated that business management sometimes suffers from a form of dyslexia that prevents their organizations from recognizing the signs of failure. In the piece, he relates the stories of a number of institutions that had trouble connecting the dots between causes and bad effects.
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Can the pen be mightier than the calculator?
Is my Logic good enough? Successes - How are they engineered? By Julie Wright on 9/23/2007 4:11 PM
How about this for a thought? What if words could be used as accurately as numbers to describe problems? What if solutions could be described in words - not targets or percentages?
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Socialized Medicine ..... A good thing?
REAL Improvement - Different Actions for Different Results By Paul Williams on 7/13/2007
Healthcare seems to be the only mature world-wide industry where value is not determined by results, at least to the point of that measurement being the norm. Dr. Eli Goldratt, the founder of the Theory of Constraints, has said in the past …. “Show me how I’m measured and I’ll show you how I behave.” That one truism is never more true than what is being experienced everyday in healthcare facilities/systems all over the world.
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Medics as Managers?
Is my Logic good enough? By Julie Wright on 7/9/2007 4:49 PM
Some years ago I had the privilege of working with a wonderful, very well respected surgeon with whom I shared many of my research findings. In the course of my day jobs, it often fell to me to have to interrupt his Sunday morning, pre-lunch sherry with a phone call to determine which of his patients (that were due for admission later that day for surgery on Monday) I could cancel, due to a lack of beds in the facility. This to me was a soul destroying task at any time made doubly horrible by having to disturb this great man’s relaxation time.
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Widgets, Walking Sticks or Weddings?
Is my Logic good enough? By Julie Wright on 5/27/2007 1:33 PM
Much debate is whirling around the issue of how best to bring the management of healthcare into the 21st century. But what is really astounding, is the lack of basic understanding of the nature of healthcare operations.
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Evangelism
REAL Improvement - Different Actions for Different Results By Paul Williams on 5/4/2007
Ever have an idea that you felt compelled to share with the world? I’m a pilot and sometimes although I’m in a machine that is fully capable of lifting me from terra firma into the “heights unknown”, weather binds me to the surface. My frustration sometimes gets the best of me although it is always better to be on the ground wishing you were “up there” instead of being in the air wishing you were on the ground. The comparison to frustrations I am experiencing now is that we are firmly convinced that our solution will fix what's broken in healthcare operations. The "weather" or main challenge so far is breaking through the perception that ToC's application to healthcare is just another improvement-of-the-month.
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