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 A problem becomes known when a person observes a
discrepancy between the way things are and the way things
ought to be. Problems can be identified through:
 Comparative/benchmarking studies
 Performance reporting - assessment of current
performance against goals and objectives
 SWOT Analysis – assessment of strengths, weaknesses,
opportunities, and threats
 Complaints
 Surveys
 Etc.
2 of 58
 Sometimes the thing we think is a problem is not the
real problem, so to get at the real problem, probing is
necessary
 Root Cause Analysis is an effective method of probing
– it helps identify what, how, and why something
happened
 Definition of root cause:
 Specific underlying cause
 Those that can reasonably be identified
 Those that management has control to fix
3 of 58
4 of 58
Five Why's refers to the practice of asking, five times,
why the problem exists in order to get to the root
cause of the problem
Why? Why? Why? Why? Why?
Employee
turnover
rate has
been
increasing
Employees are
leaving for other
jobs
Employees are not
satisfied
Employees feel
that they are
underpaid
Other employers
are paying higher
salaries
Demand for such
employees has
increased in the
market
5 of 58
The value of the Fishbone Diagram is that it provides a method
for categorizing the many potential causes of problems or issues
in an orderly way and in identifying root causes
Cause
Detail
Cause
Detail
Cause
Detail
Cause
Detail
Fishbone Diagram (a.k.a. Cause and Effect Diagram) is an
analysis tool that provides a systematic way of looking at effects
and the causes that create or contribute to those effects.
Result (Problem)
 Force Field Analysis – Visually show forces that impact your
problem or issue
 Scatter Diagrams – Graphs the relationship of two variables
– quantifies the correlation, showing how one variable
influences another
 Process Mapping – Maps the “as is” flow of activities that
make up a process – look for excessive handoffs,
redundancies, and other root causes of inefficiencies
 Benchmarking – Compares existing performance to
another internal or external source, identifies issues not
otherwise revealed through other techniques
6 of 58
7 of 58
 Who is causing the problem?
 Who says this is a problem?
 Who are impacted by this
problem?
 Etc.
Who What Where
When Why How
• What will happen if this problem
is not solved?
• What are the symptoms?
• What are the impacts?
• Etc.
• Where does this problem occur?
• Where does this problem have
an impact?
• Etc.
• When does this problem occur?
• When did this problem first start
occurring?
• Etc.
• Why is this problem occurring?
• Why?
• Why?
• Etc.
• How should the process or
system work?
• How are people currently
handling the problem?
• Etc.

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Identify Problems and Root Causes

  • 1.
  • 2.  A problem becomes known when a person observes a discrepancy between the way things are and the way things ought to be. Problems can be identified through:  Comparative/benchmarking studies  Performance reporting - assessment of current performance against goals and objectives  SWOT Analysis – assessment of strengths, weaknesses, opportunities, and threats  Complaints  Surveys  Etc. 2 of 58
  • 3.  Sometimes the thing we think is a problem is not the real problem, so to get at the real problem, probing is necessary  Root Cause Analysis is an effective method of probing – it helps identify what, how, and why something happened  Definition of root cause:  Specific underlying cause  Those that can reasonably be identified  Those that management has control to fix 3 of 58
  • 4. 4 of 58 Five Why's refers to the practice of asking, five times, why the problem exists in order to get to the root cause of the problem Why? Why? Why? Why? Why? Employee turnover rate has been increasing Employees are leaving for other jobs Employees are not satisfied Employees feel that they are underpaid Other employers are paying higher salaries Demand for such employees has increased in the market
  • 5. 5 of 58 The value of the Fishbone Diagram is that it provides a method for categorizing the many potential causes of problems or issues in an orderly way and in identifying root causes Cause Detail Cause Detail Cause Detail Cause Detail Fishbone Diagram (a.k.a. Cause and Effect Diagram) is an analysis tool that provides a systematic way of looking at effects and the causes that create or contribute to those effects. Result (Problem)
  • 6.  Force Field Analysis – Visually show forces that impact your problem or issue  Scatter Diagrams – Graphs the relationship of two variables – quantifies the correlation, showing how one variable influences another  Process Mapping – Maps the “as is” flow of activities that make up a process – look for excessive handoffs, redundancies, and other root causes of inefficiencies  Benchmarking – Compares existing performance to another internal or external source, identifies issues not otherwise revealed through other techniques 6 of 58
  • 7. 7 of 58  Who is causing the problem?  Who says this is a problem?  Who are impacted by this problem?  Etc. Who What Where When Why How • What will happen if this problem is not solved? • What are the symptoms? • What are the impacts? • Etc. • Where does this problem occur? • Where does this problem have an impact? • Etc. • When does this problem occur? • When did this problem first start occurring? • Etc. • Why is this problem occurring? • Why? • Why? • Etc. • How should the process or system work? • How are people currently handling the problem? • Etc.