The Sobering Reality of Beginners Mind

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The Sobering Reality of Beginners Mind

It only has to average 100%
Davis Balestracci

Published: 06/28/2012 I am in the midst of teaching an online MBA course in statistical thinking. This is actually my second go-round, and I've heavily revised my inherited materials, which were well-meaning but had some obvious gaps.
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I insisted on using Brian Joiners Fourth Generation Management (McGraw-Hill) as the key text, and I still use Donald Wheelers excellent classic, Understanding Variation (SPC Press, 1993), and W. Edwards Demings own The New Economics (MIT Press, 2000 reprint), probably his most readable, which were the two main texts as originally taught. A key element of the course is weekly online dialogue amongst the students via two challenging discussion questions. The very first week, I base one dialogue question on Thomas Nolans and Lloyd Provosts seminal paper, Understanding Variation (Quality Progress, May 1990). If youve never read it, and education is part of your job, read it. It is an eye-openerfor students and myselfto realize that despite the fact that this paper was written more than 20 years ago, these basic concepts so crucial to 21st-century management arent even close to being mainstream.

http://www.qualitydigest.com/print/21090

9/25/2012

The Sobering Reality of Beginners Mind

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Its been quite the challenge for me to remember beginners mind. Here's an example. One aspect of the course that needed major revision was how to teach the Individuals control chartaka an I-Chart, or Wheelers Process Behavior Chart. Its been four weeks now, and Ive explained the I-Chart in many, many different ways using many scenarios and contexts. Aside from the math anxiety, which is considerable, even my best, most intuitive students still struggle with basic interpretation issues. Try as I might, it is very difficult to get them beyond the one point beyond three standard deviations test and the tendency to treat each generated special cause test as, well, a special cause needing unique explanation. I want to make it clear that I am not blaming the students. It makes me think of the thousands of tools seminars being taught, which always seems to end with the dreaded half-day of control charts (usually all seven of them).

The percent-computer-information-system uptime monthly meeting

Here is the scenario I give them for the week-three dialogue (based on a true story). I use it to teach the math of constructing a control chart, then, and more important, have them discuss what the chart means and what action they should take: A medical centers Harvard MBA COO insisted on nothing less than 100-percent computer uptime. No excuses. Here are the last 19 months of performance:

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In fact, he had rewarded folks for the good work they attained in June 1998 by saying, Send out for pizza, and send me the bill! But, alas, you know what happens when you reward peopleas evidenced by the ensuing four months of an alleged disturbing trend. So, no more Mr. Nice Guy. He now presides over a monthly meeting to discuss, in detail, the reasons for downtime that month. Its obviously working because the month after the alleged trend, they got 100-percent uptime again. No pizza this time. And once again, it reinforces that getting tough with accountability is true leadership. So now you have yet another dreaded monthly account for results meeting on your schedule, to which you can almost write the script for the litany of excuses. Usually it starts off with a display similar to the top two graphs of the following figure:

Then there are the conversations like, Yes, we went from 99.7 percent to 98.6 percent, but theres a good reason. You have to understand, we didnt expect (fill in the blank) to happen. But heres my plan for making it better next month.

http://www.qualitydigest.com/print/21090

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So, I present the class with a run chart of the data (bottom graph, above) and ask: 1. Is that period of June 1998October 1998 a statistical trend? No. It is only four successive decreases, and five are needed (with < 20 data points) to be called a trend. 2. Do you see a cluster of eight consecutive points either all above the median or all below the median? One would hope that improvement was occurring during this time. If so, one might see eight recent points above the median, or eight points early in the data below the median. In this case, no. 3. Based on 1 and 2, so far, is the process behavior common or special cause? What strategy have they been using during the last 19 months? So far, the behavior is common cause, and the monthly meeting to discuss, specifically, that months downtime is a special cause strategy. As Dr. Phil would say, Hows that workin for ya? There is no evidence of improvementbut do you think some complexity might have been added? 4. Obtain the I-Chart for these data. Based on the information so far, how should they proceed? Thats a whole other article.

The concept of specification for service industries

There is a major point that is lost on many MBA students. Despite the excellence of Wheelers book, it is still somewhat manufacturing-based. His concept of voice of the process vs. voice of the customer (using manufacturing conformance-to-specification examples) is difficult for the students to grasp and, based on my observation of the weekly dialogues, almost totally lost on them. The concept does indeed apply, but in the following context for management and service industries. In week threes lecture notes, I make this point: IMPORTANT: A lot of this weeks reading is about specifications and based in a manufacturing mindset. This is going to be very difficult for most of you. I started my career in manufacturing, but Ive also made the transition to service (health care). For a service-industry management process, the best analogy I can make is in looking at someones complianceusing the term very looselyto a work process: Did they get a desired result or not? If they did, they met specification, and if they didnt, their performance didnt meet specification. So, the deeper question is, Is the fact that a processin terms of overall organizational performancedoesnt go right 100-percent of the time a common or special cause? That is, did it meet specification all the time? And how is each noncompliance treatedas a common or special cause? Id like to offer a graph for my health care readers to ponder. The health insurance industry is also getting tough (and might even be full of Harvard MBAs). Many have started a policy that, if certain things happen during a hospital stay that they feel shouldnt have occurred (these are known as never events), the hospital will not get reimbursement for the additional expenses incurred to treat it. So, here is a graph, by quarter, of never events for a fictitious hospital:

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Its obvious that theyre capable of getting zero events, so why cant they just try a little harder and do it all the time? Still not hitting home with some of you? All right: Can you think back to the No Child Left Behind Act? What could be simpler? Are you as outraged as the breast-beating politicans who say, This shouldnt happen in America! So, let me ask the government and education bureaucrats about their tough emphasis on accountability for this: Hows it workin for ya? (Readers: Have you heard just about all the excuses?) Ever heard the expression, Your current processes are perfectly designed to get the results theyre already getting... even if they shouldnt? Let me leave you with a very amusing true story. I had a friend whose manager insisted on 100-percent performancenot in a spirit of improvement. When my friend gave a reasonable explanation for why that wasnt realistically possible, the manager said, No, no, no, thats OK. It only has to average 100 percent. We still let people get six-figure salaries by being tough in reacting to the fact that one number is larger (or smaller) than another. And that outrages me. As I try to make clear to my students, they are swimming in everyday opportunity.

About The Author

Davis Balestracci
Davis Balestracci is a member of the American Society for Quality and past chair of its statistics division. These thoughts are taken from chapter nine of his book, Data Sanity (Medical Group Management Association, 2009), with a foreword by Dr. Donald Berwick. It offers a new way of thinking via a common organizational language based in process and understanding variation. Balestracci would love to wake up your conferences with his dynamic style and entertaining insights into the places where process, statistics, organizational culture, and quality meet. Visit his website for more information.

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2012 Quality Digest Magazine. All Rights Reserved. Source URL (retrieved on 09/24/2012): http://www.qualitydigest.com/inside/quality-insidercolumn/sobering-reality-beginner-s-mind.html Links: [1] /ad/redirect/21114 [2] http://www.amazon.com/Fourth-Generation-Management-Business-Consciousness/dp/0070327157 [3] http://www.amazon.com/Understanding-Variation-The-Managing-Chaos/dp/0945320353 [4] http://www.amazon.com/New-Economics-Industry-Government-Education/dp/0262541165 [5] http://apiweb.org/UnderstandingVariation.pdf

http://www.qualitydigest.com/print/21090

9/25/2012