Quoteworthy
Embrace positivity in your emails by highlighting what is going well. For things that need to change, frame them as opportunities that you are uniquely situated to address.
Isaac Holyoak

Most Recent
The Case Against Pie Charts

Why do we like pie charts so much? Because it’s food? Is it the fun colors? Are we soothed by the paradox of an unending cycle implied by something so perfectly complete? Elton John’s lyrics are true, no? “All are agreed as they join the stampede...” pie charts are overused.

Perpetual High Alert Is Not a Safety Plan

When a mistake happens, we promise we will never let it happen again. The problem is that a personal vow doesn’t change the way the system operates. Value engineers Steve Johnson, Cindy Spangler and Will McNett look at common personal incident—backing into the lamppost in your own front yard—as a lens for eliminating risk.

A Look Back at the Project Charter

In this week’s dojo Steve takes a look back at the Project Charter with a dramatic retelling of actual history.

How Utah Shares and Spreads Improvement Using the Value Summary

The Value Summary is the currency of value improvement work at University of Utah Health. It creates a common improvement language through a one-page summary document. It visually guides the improver through our standardized improvement methodology while teaching improvement science principles in real time. The online Value Summary portal creates a forum to share and spread ideas and a path to earn maintenance of certification credit.

Box and Whisker Plots (Part 2)

Part 1 was on how to build a box and whisker plot. In Part 2 we're defining whisker length and visualizing variation within and between the variable groups. This time we're giving you answers to the questions no one has asked.

Box and Whisker Plots (Part 1)

What is a box and whisker plot? Why do I need a box and whisker plot? How do I construct a box and whisker plot (sometimes shortened to “box plot”) in Excel 2013 or lower? It's a day in the deep weeds, dojo folks. Steve heard your questions and has dedicated the next two dojos to giving you all the answers.

Why We Cover Health Care Payment Reform

Why dedicate space to the hot poker that is health law and policy on this website? Context. We are an improvement community. We believe providing context is an act of respect. Talking about "the why" of complex healthcare topics (payment reform included) allows our frontline clinicians and staff to be empowered and informed.

Why Don’t We Teach the Eighth Waste?

The 8th waste is underutilization of employee talent. In this week's post of Steve's Dojo (or continuing Lean Six Sigma education), Steve revisits Taiichi Ohno’s "7 wastes" and answers why he doesn't teach the "8th waste" at University of Utah.

How Maintenance Management Systems Make Us a Safer Organization

Just under 40,000 pieces of physical equipment keep our hospital system humming—everything from hospital beds to air chillers. Casey Chandler manages the team that takes care of all 40,000 items. Here, he details the tools that keep us safe.

The Healthcare Value-Added Test

What if you could redesign healthcare from the ground up? If you were to start with the healthcare value-added test applied to each decision, what would healthcare delivery look, sound, and feel like? Would you be able to shake off the preconceived notions of what it takes to run a healthcare system? Would hospitals be recognizable? In this week's post of Steve's Dojo (or continuing Lean Six Sigma education), we revisit the healthcare value-added test.

Lean Guard Rails: Using the EMR as a forcing function

The sepsis case study focused on the leadership challenges faced by hospitalists Kencee Graves and Devin Horton. This post is about the project’s technical achievement using a process improvement principle. Our system taught Epic, Utah’s electronic medical record (EMR) how to provide urgent, life-saving information to clinicians.

Safe Systems, Safe Patients

Medical errors are a leading cause of death in the United States. What can we do to ensure our patients aren’t harmed while in our care? Former Chief Medical Quality Officer Bob Pendleton reflects on a simple concept to begin the conversation.