Engaging Your Team in Continuous Improvement by Mark Graban @markgraban KaiNexus The Lean Startup Conference 2013 http://leanstartup.co/

1. Engaging Your Team in
Continuous Improvement
@MarkGraban
• President, Constancy, Inc.
• Chief Improvement Officer, KaiNexus
• Faculty, Lean Enterprise Institute & ThedaCare Center for Healthcare Value

3. MRI Appointment Waiting Time
(Weeks)
14
12
10
8
6
+26%
4
2
0
February 2008
February 2009
November 2013

4. I looked at all this three years ago. I collected data.
I was branded a ‘troublemaker.’

5. I was told to just do my job and to quit wasting
my time on that analysis stuff.

6. I was ‘creating a negative work environment.’
It said that in my performance review.

7. MRI Appointment Waiting Time
(Weeks)
14
12
10
8
6
+26%
4
2
0
February 2008
February 2009
November 2013

8. MRI Utilization Rate
100%
80%
60%
40%
20%
0%
February 2008
September 2008

12. Plan
Do
Act
Check
Source: Ries (2012)

14. Takes too much time to put
together confirmation sheets for MD
offices, using stamps & handwriting
Get custom letters printed
to eliminate use of the rubber stamps
3/2/08
Aleida
Faster response, forms
will look more professional
Other schedulers
Referring MD offices

16. `

17. Before

18. After

21. Kaizens Per Year
4500
4000
3500
3000
2500
2000
1500
1000
500
0
2007
2008
2009
2010
2011
2012

23. MRI Appointment Waiting Time
(Weeks)
14
12
10
8
6
+26%
4
2
0
February 2008
February 2009
November 2013

24. MRIs per Year
14000
12000
10000
8000
6000
+26%
4000
2000
0
2008
2013

25. Contact Info
• President, Constancy, Inc.
– www.constancy.us
• Chief Improvement Officer, KaiNexus
– www.KaiNexus.com
• Founder, LeanBlog.org
– mark@leanblog.org
• Twitter @MarkGraban