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Host: Mark Graban
VP of Improvement Services, KaiNexus
mark@kainexus.com
@markgraban
Striving for Ideal Behaviors:
A Lean Management System
Supported By KaiNexus
Presenter: Michael Lombard
Cornerstone Healthcare Group
michael.g.lombard@gmail.com
@mikelombard
Agenda	&	Logis-cs	
•  Presenta(on	(40-45	minutes)	
•  Your	Ques(ons	(10-15	minutes)	
– Use	the	GoToWebinar		
Mee(ng	Panel	to		
submit	a	ques(on	at	
any	(me	
	
	
•  Recording	link	and	slides	will	be	sent	via	
email
About	Michael	Lombard	
Michael	Lombard,	MBA,	PMP,	is	
an	accomplished	leader	in	Lean	
Healthcare,	currently	serving	as	
the	Senior	Director	of	Opera(onal	
Excellence	at	Cornerstone	
Healthcare	Group	in	Dallas,	TX.	
Contact info:
michael.g.lombard@gmail.com
@mikelombard
https://www.linkedin.com/in/michaelglombard
Striving for
Ideal Behaviors
A Lean Management
System Supported
By KaiNexus
April 2016
…a nurse was striving to make
his team huddles more scientific
Be excited
about the Z
Be curious
about the Y
Be rigorous
about the X
Ideal
Behaviors
Business
Principles
Long
Term
Results
Focusing on Ideal Behaviors
www.shingoprize.org/model
Ideal
Behaviors
Align
ImproveEnable
Ideal Behavior Categories
Things
we HAVE
to do
Things
we
CAN do
By Mike Rother
Challenge of Aligning
Challenge of Improving
IUMRING TQ GQNGIUSIQNS
Challenge of Enabling
At Cornerstone, we needed to
learn what behaviors would help
us align, improve, & enable.
Catchball
Gemba
Walking
Coaching
Huddling
Root Cause
Analysis
PDCA
Data
Trending
Andon
Signaling
Idea
Capture
Align Improve Enable
At Cornerstone, we needed a
system of ideal behaviors.
Cornerstone’s System
True	North	Management	System	
Tool	 Tool	 Tool	Tool	 Tool	
Ideal	
Behaviors	
Business	
Principles	
Long	
Term	
Results
Ideal	
Behaviors	
Business	
Principles	
Long	
Term	
Results	
Cornerstone’s Tools
True	North	Management	System	
Tool	 Tool	Tool	 Tool	KaiNexus
Enter KaiNexus
www.kainexus.com
KaiNexus gives Cornerstone a
platform of tools to help us
align, improve, & enable.
KaiNexus: Align via Attributes
Project attributes
forced us to define
our True North
priorities
KaiNexus: Align via Huddle Boards
Standardized & nested huddle boards
create “pull” for Catchball behavior
KaiNexus: Improve via Templates
Project template follows the Improvement Kata
pattern, which promotes ideal behaviors
KaiNexus: Improve via Run Charts
Promotes
establishing
target
conditions and
data trending
KaiNexus: Enable via Teams
Establishes formal
coaching chain
Allows experts or
“2nd Coaches” to
monitor
KaiNexus: Enable via Lists
Corporate leaders have the info they
need, thus freeing up hospital leaders
Catchball
Gemba
Walking
Coaching
Huddling
Root Cause
Analysis
PDCA
Data
Trending
Andon
Signaling
Idea
Capture
Cornerstone continues to Learn
Be excited
about the Z
Be curious
about the Y
Be rigorous
about the X
Scientific thinking is a
keystone behavior
By Mike Rother
PRACTICE MAKES PERFECT
PERMANENT
The	New	KaiNexus.com
Webinars	On	Demand
Next	Webinar	–	May	10	
•  Crea(ng	a	Lean	Founda(on	for	Innova(on		
in	Professional	Service	Firms	
http://www.kainexus.com/webinars
@KarenSkinner	 @DavidFSkinner
Contact	Info																							Q&A	
•  Web:	
–  www.kainexus.com	
–  blog.kainexus.com	
•  Past	Webinars:	
–  www.kainexus.com/webinars	
•  Social	media:	
–  www.twi]er.com/kainexus	
–  www.linkedin.com/company/kainexus	
–  www.facebook.com/kainexus	
Mark Graban
@MarkGraban
mark@KaiNexus.com
Presenter: Michael Lombard
Cornerstone Healthcare Group
michael.g.lombard@gmail.com
@mikelombard

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