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© 2013 The Karen Martin Group, Inc. Building the Foundation for Everyday Excellence The Outstanding Organization The Nordic Forum for Improvements November 5, 2013

The Outstanding Organization: Building the Foundation for Everyday Excellence

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Page 1: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Building the Foundation for Everyday Excellence

The Outstanding Organization

The Nordic Forum for ImprovementsNovember 5, 2013

Page 2: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc. 2

Why?

Page 3: The Outstanding Organization: Building the Foundation for Everyday Excellence

3

The average company performs at levels that are 

a fraction of what it’s capable of.

Page 4: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Success with Improvement

4

2001 – The Economist

None17%

Lasting20%

Temporary63%

Page 5: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

…A Decade Later

2010 – Accenture

0%

10%

20%

30%

40%

50%

60%

70%

80%

Minimal financial impact

Needs re‐evaluation, restart or complete 

makeover

“Mixed” to “disappointing” 

results

33%

58%69%

Page 6: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Up to 98,000 deathsannually due tomedical errors.

Improvement goal:Reduce by 50% in 5Years.

To Err is HumanInstitute of Medicine, 1999

Page 7: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Something Is Terribly Wrong…

2009

2005 2010

2010

2011

“Progress has       been slow.”

Journal of the American Medical Association

“Annual death toll from medical 

errors is closer to 200,000.”

Dead by MistakeHeart Newspapers Special Report

“180,000 Medicare patients die annually from medical errors.”

Office of the              Inspector General

“No significant change in rate of 

preventable errors.”New England Journal          

of Medicine

“33% hospitalized patients are harmed; 7% result in permanent 

injury or death.”Health Affairs

Page 8: The Outstanding Organization: Building the Foundation for Everyday Excellence

8

7 in 10 American workers are “not engaged” or 

“actively disengaged” in their work.

Gallup estimates actively disengaged employees cost the U.S. $450 billion to $550 billion a year in lost productivity.

Page 9: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Employee Engagement – Gallup Findings

18

19

19

18

20

20

15

15

17

17

17

16

18

52

52

53

54

51

50

55

59

54

55

53

54

58

30

29

28

28

29

30

30

26

29

28

30

30

26

2012

2011

2010

2009

2008

2007

2006

2005

2004

2003

2002

2001

2000

9

ACTIVELY DISENGAGED

NOT ENGAGED ENGAGED0% 100%

Page 10: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

http://businessjournal.gallup.com/content/162953/tackle‐employees‐stagnating‐engagement.aspx

Page 11: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc. 11

Page 12: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Typical Organization

Page 13: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Page 14: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Does Your Organization Seek the Silver Bullet?

Page 15: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Continuously Shifting Priorities?

Page 16: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Fire Fighting

Constantly fighting fires?

Page 17: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc. 17

Page 18: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Blaming People?

Page 19: The Outstanding Organization: Building the Foundation for Everyday Excellence

19

The idea that performance is primarily a factor of the    employee is just wrong.

The Outstanding Organization, p. 154

Page 20: The Outstanding Organization: Building the Foundation for Everyday Excellence

20

Work doesn’t have to beas hard as we make it.

Page 21: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc. 21

What are the Mindsets and Behaviors That Produce Excellence?

Photo #4 TBD – Greta Garbo?

Page 22: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Requirements for Excellence in ANY Endeavor

22

Page 23: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

The Outstanding Organization

Outstanding Business Performance

CHOS

Prob

lem Solving

Continuo

us 

Improvem

ent

Resilience

Page 24: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Lean Principles,Practices & Tools 

Outstanding Business

Performance

Page 25: The Outstanding Organization: Building the Foundation for Everyday Excellence
Page 26: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Common Areas Lacking Clarity

• Organization purpose & vision• Customers & products• Business goals & priorities• Company policies• Roles & responsibilities• Work systems & process performance• Problem solving & decision making• Terminology & communication

26

Page 27: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Common Areas Lacking Clarity

• Organization purpose & vision• Customers & products• Business goals & priorities• Company policies• Roles & responsibilities• Work systems & process performance• Problem solving & decision making• Terminology & communication

27

Page 28: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Who are your customers?What do they value? 

28

Page 29: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Value is a verb, not a noun. And it’s often emotional.

29

Page 30: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Common Areas Lacking Clarity

• Organization purpose & vision• Customers & products• Business goals & priorities• Company policies• Roles & responsibilities• Work systems & process performance• Problem solving & decision making• Terminology & communication

30

Page 31: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Customer

Receive customer call

Call Center

PT = 2 mins.%C&A = 60%

Review & Post Invoices

Posting Admin

PT = 3 mins.%C&A = 98%Batch: 1x/day

0.0833 hours

2 minutes

2 hours

5 minutes

1.5 hours

90 minutes

1.25 hours

75 minutes

2 hours

120 minutes

4 hours

5 minutes

10.7 hours

10 minutes

48 hours

25 minutes

4 hours

3 minutes

10.7 hours

10 minutes

2 hours

4 minutes

480 hours Lead Time = 572 hours

Process Time = 349 minutes

Select & Dispatch Tech

Dispatcher & Service

Manager

PT = 5 mins.%C&A = 60%

Make Repair; Call to raise

the NTE

Tech

PT = 120 mins.%C&A = 40%

Complete Call in GP

Dispatcher

PT = 5 mins.%C&A = 80%

Review Service Call

Data

Service Manager

PT = 10 mins.%C&A = 50%Batch: 2x/day

Review Open Ticket Report

Billing Admin

PT = 25 mins.%C&A = 75%

Upload time card

Tech

PT = 0 mins.%C&A = 70%Batch: 1x/day

Close call in Verisae

Account Manager (West)

PT = 1 mins.%C&A = 90%Batch: 1x/day

Process Time Cards

Payroll Admin

PT = 10 mins.%C&A = 90%Batch: 1x/day

Process A/P

A/P Admin

PT = 15 mins.%C&A = 85%Batch: 1x/day

Tech

Assess Problem

PT = 90 mins.%C&A = 90%

Tech

Special Order Part

Tech

Pick up Part at Parts Store

PT = 75 mins.%C&A = 95%

Tech

Get Part from Truck

PT = 0 mins.120 m.

Great Plains

Verisae (Customer)

Review Invoices; Close in

Verisae (Pac)

Account Manager

PT = 10 mins.%C&A = 85%Batch: 3-5x per wk

Enter Invoices into Verisae &

Excel; Mail Invoices

Billing Admin

PT = 4 mins.%C&A = 95%Batch: 1x/week

Excel Spreadsheet (Customer)

40%

Receive

Cash; Post Payment

Collections

75 m. 120 m. 240 m. 640 m. 6 days 240 mins. 640 m. 120 m. 60 days90 m.5 m.

?%

?%

Supplier

%C&A %Complete and AccurateAR Activity RatioFTE Full Time EquivalentLT Lead TimePT Process TimeRFPY Rolled First Pass Yield

Acronym KeyLead Time to invoice = 86.2 hrs

Process Time =5.9 hrs. NOTE: Business hours

Activity Ratio = 6.8%RFPY = 1.1%

Lead time to cash = ? days

Value stream maps provide clarity.

Page 32: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

TruthTruth

TruthTruth

TruthTruth

TruthTruth

Truth32

Page 33: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc. 33

Gaining Clarity via Visual Management

Page 34: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc. 34

How are you performing?

Gray – Highest industry quality scores; Purple – Median industry quality scores; Blue – Client quality scores

Page 35: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Key Lean Metrics:  Quality

• %Complete and Accurate (%C&A)–% time downstream customer can perform task without having to “CAC” the incoming work:• Correct information or material that was supplied

• Add information that should have been supplied• Clarify information that should or could have been clear

35

Page 36: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

How does work get accomplished? And well how are we doing at it?

36

Customer

Process1

Process2

Process3

Process4

Page 37: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Common Areas Lacking Clarity

• Organization purpose & vision• Customers & products• Business goals & priorities• Company policies• Roles & responsibilities• Work systems & process performance• Problem solving & decision making• Terminology & communication

37

Page 38: The Outstanding Organization: Building the Foundation for Everyday Excellence

38

A problem clearly stated is a problem half solved.

— Dorothea Brande (writer/editor)

Page 39: The Outstanding Organization: Building the Foundation for Everyday Excellence

39

“If I had an hour to save the world, Iwould spend 59 minutes definingthe problem and one minute

finding solutions.”

— Albert Einstein

Page 40: The Outstanding Organization: Building the Foundation for Everyday Excellence

A3 Management

40

Plan Do, Study, Adjust

Page 41: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

“Going to the gemba has been life changing for me as a leader.”

‐ Ginny Cattaneo, Sr. VP, FranklinTempleton Investor Services 

Page 42: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Activity #1• Pair up or work in groups of 3.• Discuss where your organization 

lacks clarity, the root cause(s) for it, and potential countermeasures.

• How will you know if you’re successful? (measurable outcomes)

• 5 minutes to work; 10 minutes for report outs and questions. 

Page 43: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Where does your organization lack clarity?Problem Root cause(s) Potential Countermeasure

43

Page 44: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Page 45: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Sporting Goods Manufacturer –Product Launches Per Year

45

0

10

20

30

40

50

60

70

80

Pre‐Focus Post‐Focus

73

24

No additional resources; higher quality products launched

Page 46: The Outstanding Organization: Building the Foundation for Everyday Excellence

* Poll of 700+ Subscribers

70%Organization is attempting “more than”

or “significantly more than” we can reasonably handle.*

46

Page 47: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Booz & Company Findings

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

No writtenpriorities

Conflictingpriorities

Competingdemands

82%

64%

49%

47

Page 48: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Focus Law #1:STOP DOING

Focus Law #2:DO FEWER THINGS 

AT ONCE

Page 49: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Page 50: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

There is no such thing as multitasking.*

* For cognitive tasks.

Page 51: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Task #1:  Focus Reduces ChaosTask #2:  1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 

Round 1 – Alternate between tasks : letter, number, letter, number, etc.

Round  2 – Complete one task before beginning the next.

Sentence:

Numbers:

Sentence:

Numbers:

The Cost of Switch Tasking – Timed Activity

Page 52: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc. 52© 2013 The Karen Martin Group, Inc.

Page 53: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc. 53

To create new ideas is a gift, but to choose wisely is a skill.

— Ryan Morgan

Page 54: The Outstanding Organization: Building the Foundation for Everyday Excellence

A Key to Apple’s Success?

54

“…saying no to 1,000 things to make sure we don’t get on the wrong track or try to do too much. We’re always thinking about new markets we could enter, but it’s only by saying no that you can concentrate on the things that are really important.”

— Steve Jobs

© 2012 Karen Martin & Associates, LLC

Page 55: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

What is Your Improvement Strategy?

55

Page 56: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Classic Strategy Deployment (Hoshin Kanri)X‐Matrix

Page 57: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc. 57

1. Increase sales 5%.3. Achieve 10% profit.

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec IT Mktg Ops HR Bob Fin PE Pario COM Direct 

CDs / AMs

PD Rec

PD Mgmt

BMD SWS

23,500 units  sold by 12/31/2013 through al l  channels  (approx. $700K)

X X X X X X X X X X X X Bob Dana 2 3 3 3 2 3 3 1 1 3 3 1 3

11 Develop & del iver tra ining to top 50 Dealers X X X X X X Bob Rex/Tim  3 3 3

21 Revised course  materia ls  by 6/30/2013 X X X Bob Josh R? 2 3 3 2 2

5Education: 1 school  dis trict spec'd/underperforming COM dis tributor (25) by 12/31 valued at min $35K each

X X X X X X X X X X X X Howard Michael   S 1 3 2 3 3

810 new dea lers  on board (net) ($500K per dealer this  year)

X X X X X X X X X X X X Howard Mike  B 2 3

95 new dis tributors  bringing $200K annual  rev (& 5 terminated)

X X X X X X X X X X X X Howard Howard 1 1 1 2 3

17 10 projects  spec'd  by 12/31; $300K rev by 12/31 X X X X X X X X X X Howard Dana 1 3 3 3

29 20 by year‐end X X X X X X X X X X X X Howard Mark H 2 3 3 3

32 TBD X X X Howard Howard

33 TBD X X X X X X X X X Howard Howard

10Useful  reporting and metrics  are  establ i shed and in place  

X X Jim Randal l 3 1 1 1 1 1 1

30 TBD X X X X X Jim Josh 3

31 TBD X X X X X X Jim Josh 1 1 1 3 1 1 1 1 1 1 1 1 1 1

25 TBD Jim  Shannon  3 3 1 1 1 1 1

26 System 7.0's  in place X X X Jim  Randal l 3 2 1 2 1

15100% accurate  payrol l ; 100% management sati s faction at Apri l  mgmt. meeting

X X X Josh Phyl l is 1 3

20Internet task l i s t i s  s impl i fied and streaml ined for PDs  then plan i s  rol led out to PDs  

X X X X Michael  M Michael  M 2 3 2 3

22Des ign Calculator i s  updated success ful ly and rol led out

X X X Neal l Matt D 3 1 1 3 2 2 3

24 Competi tive  Analys is  complete  and distributed for use X X X Neal l Dana 2 3 3 3 3 3 3

1 Des ign changed to solve  delam i ssue   long‐term X X X X X Susan David R 3 2 3

1230 parts  sourced in U.S.; completed plan for managing China ‐sourced parts

X X X X X X Susan Shannon 3 3 2 2

13Warehouse  la id out; kanban revised; Syspro implemented

X X X Susan Shannon 3

14 Lay out complete; equipment ins ta l led X X X Susan David  R 3 3

X = Planned

2013 Priorities

2013 Goals & Objectives4. Improve morale (metric TBD).2. Achieve 50% gross margin. Created: 01‐14‐13

Revised: Level of Effort/Involvement Required

Priority Goal or Measurable Objective Exec Owner

Plan review dates:

Tactical Owner

● =  Actual

< Company Name >Co

nten

trem

oved

 for con

fiden

tiality 

Modified Strategy Deployment Annual Plan

Page 58: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Strategy Deployment Key Feature: Catchball

58

Executive Team

What?How?Who?When?

Senior Mgmt

What?How?Who?When?

Middle Mgmt

What?How?Who?When?

FrontlinesWhat?How?Who?When?

Page 59: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Cascading Goals is the Means to Organizational Alignment

Organization

Division/Business Unit

Department

Individual

Individual

Department

Individual

Individual

Division/Business Unit

Department

Individual

Individual

Department

Individual

Individual

Division/Business Unit

Department

Individual

Individual

Department

Individual

Individual

Page 60: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Rockwell Automation

60

20

12

3

12

0

5

10

15

20

25

Pre‐Focus Post‐Focus

ProjectsStarted

ProjectsCompleted

Page 61: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc. 61

ClarityConsensusCourageCommitment

Page 62: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Activity #2• Pair up or work in groups of 3.• Discuss where your organization 

lacks focus, the root cause(s) for it, and potential countermeasures.

• How will you know if you’re successful? (measurable outcomes)

• 5 minutes to work; 10 minutes for report outs and questions. 

Page 63: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Where does your organization lack focus?Problem Root cause(s) Potential Countermeasure

63

Page 64: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.© 2013 The Karen Martin Group, Inc.

Page 65: The Outstanding Organization: Building the Foundation for Everyday Excellence

Practice vs. Performance

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Athletes Businesses

TrainPerform

65

Train90%

Train1%

Perform 99%

Perform 10%

Jim Loehr & Tony Schwartz, The Power of Full Engagement

Page 66: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc. 66

Develophypothesis

Conduct experiment

Measure results

RefineStandardize Stabilize

Page 67: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Building mastery takes 10,000 hours of deliberate practice

67

From The Outstanding Organization, p. 115

Page 68: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Value Stream Mapping

Strategy Deployment (Hoshin Kanri) 

or A3

Daily Improvement, Projects, & Rapid Improvement Events

Ways to Practice PDSA

Page 69: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Standard Work Creates Clarity & Builds Discipline

Metrics‐Based Process Mapping, Karen Martin & Mike Osterling, 2012, Productivity Press

0

10

156-1

0Activity PT LT %C&A Activity PT LT %C&A Activity PT LT %C&A Activity PT LT %C&A Activity PT LT %C&A

1 Fax PO to Sales Rep 0 0 45%

2

Review PO; clarify with

customer as needed

20 2 90% Fax PO to warehouse 10 4 90%

5

6

Check inventory levels; notify

Sales Rep re: status

5 4 95% Fax PO to Sales Rep 5 0.33 90%

0 20 10 5 50 2 4 4 0.33

45% 90% 90% 95% 90%0 20 10 5 5

Rolled %C&ACritical Path LT

Total PT

Critical Path PT

5431 2

Mary Townsend

Hours Worked per Day Sally DampierOccurrences per Year Sam Parks

Current State Metrics-Based Process Map

Dave Morgan25-Jun-088 Facilitator

Process Details

Michael Prichard

Order FulfillmentProcess NameSpecific Conditions Domestic orders through sales force

37,500

Date Mapped

Sean Michaels

Sales Rep

Ryan AustinDiane O'SheaMapping Team

LT Units

Function / Department

PT Units

Step # ►

Customer

Finance

Warehouse / Shipping

Seconds

Minutes

Hours

Days

Seconds

Minutes

Hours

Days

Page 70: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

True Continuous Improvement

Page 71: The Outstanding Organization: Building the Foundation for Everyday Excellence

71

Process Owner ≈ Process Doctor

Page 72: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Process Owner Role

• Manager or below• NOT a third party (C.I. staff or external consultants)• Responsible for overall process performance

– Tracks performance against 2‐5 Key Performance Indicators– Leads corrective action when negative trends appear– Leads continuous improvement to progressively raise  the bar

• Granted authority to cross org chart “boundaries”– And widely recognized to possess this authority

72

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Value Stream & Process Oversight

73

Value Stream Value Stream Manager Process Process Owner

Outpatient Imaging Sally V Scheduling & Registration Bill G

Exam & Clinical Reporting Jose C

Reports to physician Maria J

Inpatient surgery Tonianne S Admission Tom M

Clinical stay Kathleen T

Discharge Mike M

Billing Sylvia S

Revenue Cycle Management Bruce T N/A N/A

Value Stream & Process OwnershipABC Medical Center

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Activity #3• Pair up or work in groups of 3.• Discuss where your organization 

lacks discipline, the root cause(s) for it, and potential countermeasures.

• How will you know if you’re successful? (measurable outcomes)

• 5 minutes to work; 10 minutes for report outs and questions. 

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Where does your organization lack discipline?Problem Root cause(s) Potential Countermeasure

75

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“I’ve become a better person, a better husband, a better friend, from working at 

Gore.”— Terry, a W.L. Gore Associate 

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© 2013 The Karen Martin Group, Inc.

Employee Engagement & Business Performance*

7%18%

26%

49%

67%

33%

9.57:1 1.83:1

EngagedNot EngagedActively Disengaged

World Class Average

*Per Gallup 

Ratio of engaged to actively disengaged employees

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© 2013 The Karen Martin Group, Inc.

Lean (Done Right) Fuels EngagementEngagement Accelerates Transformation

79

LeanPractices 

Employee Engagement

© 2013 The Karen Martin Group, Inc.

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© 2013 The Karen Martin Group, Inc.

Engagement Drivers: The Three C’s 

Connection

The Outstanding Organization, pp. 155‐158

To vision, annual goals, immediate supervisor, 

peers, customers

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81

The single most important process for you to nail in your 

organization is                    new hire onboarding.

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© 2013 The Karen Martin Group, Inc.82

You had them at“You’re hired.”

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© 2013 The Karen Martin Group, Inc.

To what degree do new hires receive all of the tools and information they need to function effectively on day one? 

0%

10%

20%

30%

40%

50%

60%

70%

  Always, Sometimes   Rarely, Never

Before initial roundof improvementAfter initial round ofimprovement

14%

44%

63%

23%

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© 2013 The Karen Martin Group, Inc.

Onboarding – Common Missing Pieces

• General information– Company (e.g., purpose, products, customers, values, business goals, etc.)– Org charts– Phone directories

• Job‐specific orientation– Role and responsibilities– Documented procedures (standard work)– Apprenticeship approach: Observe, do with supervision, do– Clear understanding about what constitutes “success.”

• Tools– Physical (e.g. desk, etc.)– Technology (e.g. phones, computers, physical access, access to applications 

needed, logins, etc.)– Identifiers (e.g. signage, business cards, etc.)

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Value Stream Maps: Effective for New Hire Orientation

You are here

© 2013 The Karen Martin Group, Inc.

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© 2013 The Karen Martin Group, Inc.

Engagement Drivers: The Three C’s 

Connection

Control

The Outstanding Organization, pp. 155‐158

Heavy involvement in decisions that 

influence how they do their work.

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Improvement Roles

Who? Accountability Practice / Tool

Senior Leadership What has to happen

Strategy Deployment and Value Stream Mapping

Frontline Workers How it will happen

Daily Continuous Improvement and Rapid Improvement Events

Middle Management

Strategic

Tactical

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© 2013 The Karen Martin Group, Inc.

Leaders determine strategy (what)

Workers determine tactics (how)

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© 2013 The Karen Martin Group, Inc.

Engagement Drivers: The Three C’s 

Connection

ControlCreativity

The Outstanding Organization, pp. 155‐158

Full use of talents, capacities, 

potentialities, & skills

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© 2013 The Karen Martin Group, Inc.

Problem solving and making improvement—done properly—is a high.

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Cross‐Functional Problem Solving & Improvement:Connecting, Using Creativity, Gaining Control

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© 2013 The Karen Martin Group, Inc.

“I went home yesterday and told myfamily that it was one of the best 

working days I’ve ever had. I was able to fully use my capabilities for three days.”

— Fred Valenzano, Professional Engineer

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Engagement Drivers: The Three C’s 

93

Connection

ControlCreativity

The Outstanding Organization, pp. 155‐158

To vision, annual goals, immediate supervisor, 

peers, customers

© 2012 Karen Martin & Associates, LLC

Heavy involvement in decisions that influence 

their work life.

Full use of talents, capacities, 

potentialities, & skills

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© 2013 The Karen Martin Group, Inc.94

—The Outstanding Organization, p. 153

© 2013 The Karen Martin Group, Inc.

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© 2013 The Karen Martin Group, Inc.

Activity #4• Pair up or work in groups of 3.• Discuss where your organization lacks 

engagement, the root cause(s) for it, and potential countermeasures.

• How will you know if you’re successful? (measurable outcomes)

• 5 minutes to discuss; 10 minutes for report outs and questions. 

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Where does your organization lack engagement?Problem Root cause(s) Potential Countermeasure

96

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97

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The Outstanding Organization

Outstanding Business Performance

CHOS

Prob

lem Solving

Continuo

us 

Improvem

ent

Resilience

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© 2013 The Karen Martin Group, Inc.

“You can make a difference no matter where you sit in the organization. 

But only if you start.”

Page 101: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

Karen Martin, President7770 Regents Road #635San Diego, CA 92122

858.677.6799

[email protected]

For Further Questions

Blog & newsletter:  www.ksmartin.com/subscribe

Page 102: The Outstanding Organization: Building the Foundation for Everyday Excellence

© 2013 The Karen Martin Group, Inc.

To Download the Organizational Self Assessment:

www.ksmartin.com/the‐outstanding‐organization

Click “Download a free organizational 

assessment”

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© 2013 The Karen Martin Group, Inc.

Self‐AssessmentSheet 2:  Assessment

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© 2013 The Karen Martin Group, Inc.

The Outstanding OrganizationSelf‐Assessment Sample Questions

Key Behavior Assessment Questions

Clarity C‐1: What % of the workforce can describe your organization’s purpose and the value you provide to your external customers?C‐6: What % of work areas have visual management in place?

Focus F‐2: What % of the workforce say that priorities are stable and don’t shift unnecessarily?F‐6: What % of meetings have stated goals and written agenda that are communicated in advance?

Discipline F‐3: What % of processes have 2‐5 Key Performance indicatorsthat are consistently used to measure success and drive improvement?F‐5: What % of processes have a clearly identified process owner who’s accountable for performance?

Engagement E‐4: What % of the workforce feel they have a degree of control over their work processes and environment?E‐5: What % of new hires receive all of the information, equipment and supplies they need to be successful beginning on day one?

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Self‐AssessmentSheet 3:  Scorecard

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© 2013 The Karen Martin Group, Inc.

Organizational Assessment:Sample Baseline Measurements by Department

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

A B C D E F G H

ClarityFocusDisciplineEngagement

106

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How Do You Rate? (1 = strongest; 4  = weakest)

Clarity Focus Discipline Engagement

Dept A 1 2 4 3Dept B  1 3 4 2Dept C 1 2 3 4Dept D 4 1 2 3Dept E 1 3 4 2Dept F 1 2 3 4Dept G 2 3 4 1Dept H 2 4 3 1Dept I 1 2 3 4

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0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

1st shift 2nd shift 3rd shift Management

ClarityFocusDisciplineEngagement

108

Organizational Assessment:Sample Baseline Measurements by 

Shift & Employee Type

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© 2013 The Karen Martin Group, Inc.

Tack för erat engagemang ochlycka till med erat

förbättringsarbete framöver.

― Karen