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Habitual Excellence, Presented by Value Capture
Habitual Excellence, Presented by Value Capture episodes
- Dr. Fred Pinto on Lean Leadership, Improving Cancer Care in Brazil
Oncologist, CEO of Grupo IOV
Show notes: https://www.valuecapturellc.com/HE51
In today's episode, we're joined by Carlos Frederico (“Fred”) Pinto, MD, MA. He's an oncologist and he's the CEO of Groupo, IOV, an oncology group of caregivers in Brazil. I've seen him speak at conferences in the U.S. and Brazil, and he always has something insightful to share — including today!
In the episode, Fred discusses the following:
- His whitepaper that we mention
- Tell us about Grupo IOV and your role?
- How did you first get introduced to Lean?
- First small experiments? “Big impact”
- Don’t wait for the CEO? Are they supportive, neutral or negative?
- Your role in creating the culture?
- The role of the “chief architect” for Lean?
- Tiered huddles participation – what gets escalated?
- Key behaviors? “Be patient,” make sure you’ve established a clear vision
- Improving cancer treatment?
- How much improvement comes from projects or daily management?
- What does Lean Culture mean to you? Respect for people?
- The importance of error proofing
- COVID challenges?
40 min - Leadership for Safety, Problem Solving, and Continuous Improvement at Duke HomeCare and Hospice
Welcome to Episode #50 of Habitual Excellence, presented by Value Capture.
Show notes: https://www.valuecapturellc.com/he50
In today's episode, we're joined by two guests, two leaders from Duke HomeCare and Hospice, part of Duke Health. They are Cooper Linton, Associate Vice President, and Benita Pope, Director of Hospice Services. We also have a special guest host, Mike Radtke, a Senior Advisor with Value Capture. Mike has worked with Cooper and Benita and has supported them in their continued development of the Duke Quality System, incorporating Lean management and improvement methods.
You can download a fantastic whitepaper that talks more about the work that Cooper and Benita have led at DHCH.
In the episode, Mike, Benita, and Cooper discuss the following:
- Describe how your approach to addressing safety has changed over the last 2 years?
- You started your focus on zero harm in the inpatient hospice unit. What were some of your key insights from that early experience?
- As you spread to the home environment, how did you adapt your practices to make it work in that unique care setting?
- What have you changed with how you lead as you've been on this journey?
- How have staff responded to these changes? How do you really know it works for them?
- How does this leadership system help develop others on a daily basis, so you don't have to solve all the problems yourselves?
- What value have you experienced in having a coach supporting your change efforts?
- What challenges have presented themselves in focusing on zero harm in the home environment and how are you addressing those challenges?
40 min - Ken Segel on the Shingo Principle of "Create Value for the Customer"
CEO of Value Capture
Show notes: https://www.valuecapturellc.com/he49
Welcome to Episode #49 of Habitual Excellence, presented by Value Capture.
Today's episode is another video essay from Ken Segel, the CEO of Value Capture. In his last video, Ken talked about the importance of the “Shingo Principles,” starting with “Create Constancy of Purpose.” This time, Ken talks about the principle of “Create Customer Value.”
“Ultimately, value must be defined through the lens of what a customer wants and is willing to pay for. Organizations that fail to deliver both effectively and efficiently on this most fundamental outcome cannot be sustained long term.”Value Capture is very honored to be a Licensed Affiliate of the Shingo Institute. As the only affiliate focused on healthcare, Value Capture has bolstered its proven, principles-based framework to help healthcare leaders guide their organizations toward operational excellence.
15 min - Samuel Ashby, Legacy Health, on Fostering a Resilient Culture in Healthcare
Director of performance excellence at Legacy Health
Show notes and links: https://www.valuecapturellc.com/he48
Our guest today is Samuel Ashby, director of performance excellence at Legacy Health, an organization that Value Capture is pleased to work with and support.
Samuel is a certified Toyota Production System leader with twenty five years of Lean, Six Sigma, and Change Management experience with various Fortune 500 companies. He is a proven thought leader that has delivered significant Speed, Cost, Quality and People Development improvements to the business. He has worked for Legacy Health for over five years now.
In today's episode, host Mark Graban asks him about these questions and topics:
- You recently gave a talk on “Fostering a Resilient Culture” at the recent Lean Healthcare Transformation Summit from Catalysis, how do you define resiliency?
- How did you maintain resiliency as a child?
- Resiliency in the face of systemic racism?
- The role of empathy and openness as being an effective ally?
- What does it mean to be an anti-racist organization? Goals and measures?
- Resiliency during the pandemic for you and your colleagues?
- How do Lean principles and methods help, such as A3 thinking and respect for people?
- Goal: safest place to receive and deliver care?
- ZERO harm for physical, psychological, and professional safety
- Tell us about partnering with Value Capture on the Legacy Operating System
- Early experiences at Toyota?? Reflections and advice for others?
- Transferrable concepts, but not absolute
- The Rules in Use article by Steve Spear
37 min - Timothy Pehrson, President and CEO of INTEGRIS Health on Leading the Improvement Charge
President and Chief Executive Officer of INTEGRIS Health
Show notes: https://www.valuecapturellc.com/HE47
Welcome to Episode #47 of Habitual Excellence, presented by Value Capture.
Our guest is Timothy Pehrson the President and Chief Executive Officer of INTEGRIS Health, based in Oklahoma. He has been in that role, and at INTEGRIS, since 2018. He came to INTEGRIS from Intermountain Healthcare in Utah, where he had most recently served in a dual role as regional vice president/CEO for the North Region and vice president of continuous improvement for Intermountain Healthcare.
In today's episode, host Mark Graban asks him about these questions and topics:
- Tell us a bit about your professional background… and how did you first get introduced to continuous improvement? What role did the manufacturer Autoliv play?
- Why was the safety-first culture and focus that you saw there transferrable?
- Why he couldn’t see safety winning/losing in real time why how they started to lower OSHA recordables
- Daily tiered escalation huddles – what things need to get escalated to the CEO? – injuries and serious safety events
- Focusing on safety, quality, experience, affordability, engaged caregivers, access
- How do you find the balance between escalation and empowerment??
- How is Daily Improvement as part of their operating model? How do you measure success? Participation and impact?
- What is the Integris Health Way?
- Why can’t you delegate this to the VP of CI
- What did you learn from your dual roles at Intermountain Healthcare, as a regional CEO and a system-wide CI leader?
- Supporting this vs leading the charge
40 min - Ken Segel on the Shingo Principle of "Create Constancy of Purpose"
Show notes and links: http://valuecapturellc.com/he46
Welcome to Episode #46 of Habitual Excellence, presented by Value Capture.
Today's episode is a video essay from Ken Segel, the CEO of Value Capture. Ken talks about the importance of the "Shingo Principles," starting with creating "constancy of purpose." What is a principle? Why are they timeless and universal? Ken talks about that and more in the audio and video versions of this episode.
"Create Constancy of Purpose is defined as an unwavering understanding of why the organization exists, where it is going, and how it will get there."Value Capture is very honored to be a Licensed Affiliate of the Shingo Institute. As the only affiliate focused on healthcare, Value Capture has bolstered its proven, principles-based framework to help healthcare leaders guide their organizations toward operational excellence.
Here is Ken's HBR article that he mentioned in the episode: Health Care Workers Protect Us. It’s Time to Protect Them.
16 min - Revisiting an Interview of Paul O'Neill, Sr. From 2011
Show notes: https://www.valuecapturellc.com/HE45
Free eBook: "A Playbook for Habitual Excellence": http://valuecapturellc.com/playbook
Welcome to Episode #45 of Habitual Excellence, presented by Value Capture.
Today’s episode is a bit different than our usual interviews and conversations. Today, we are republishing an interview that Mark Graban did in 2011 with the late Paul O’Neill Sr., the former non-executive chair for our firm. he was, of course, so much more than that, (CEO of Alcoa, United States Treasury Secretary, and more), as you’ll hear in this interview that originally appeared as Episode 124 of his Lean Blog Interviews podcast.
In summary, Mr. O'Neill talked about:
- Leadership mindsets required for dramatic workplace safety and patient safety improvement, including a near 100% reduction in hospital-acquired infections at Pittsburgh's Allegheny General Hospital
- Why the United States has accomplished “practically nothing” nationally since the famed 1999 Institute of Medicine report “To Err Is Human”
- Why society's most lacking skill is “leadership”
- Alternative ways of compensating patients who are harmed by the healthcare system while ensuring real improvements are made by learning from each problem
- Why leaders in Washington D.C., at the time, should have shifted from “financial engineering” to visiting ThedaCare to learn about “the real way” we should improve health care.
You can also find a full transcript below on this page.
Please check out our free eBooks about the work and wisdom of Mr. O'Neill.
30 min - Roxanna Gapstur, as CEO, Leading the Creation of a Lean Management System
President and CEO of WellSpan Health
Show notes and links: https://www.valuecapturellc.com/he44
Welcome to Episode #44 of Habitual Excellence, presented by Value Capture.
Our guest is Roxanna Gapstur, PhD, RN, the President and Chief Executive Officer of WellSpan Health, in Pennsylvania. She has been in that role since January 2019.
Dr. Gapstur has extensive experience in strategic planning, business development and operational leadership in both ambulatory and hospital settings. She has served in multiple executive roles including chief operating officer, chief nursing officer and as a senior executive accountable for population health.
Dr. Gapstur obtained her bachelor’s degree from the College of St. Catherine in St. Paul, Minn., and her master’s degree and doctorate from the University of Minnesota.
In today's episode, host Mark Graban asks her about these questions and topics:
- You’re leading the creation and adoption of a comprehensive lean management system — what does that mean and what do you aim to achieve?
“Find a better way”4Cs: Concern, Cause, Countermeasure, and CheckAiming for cultural transformationFocusing on safety – patient/employee – zero harm- As part of that management system, what is Real Time Problem Solving and what are your keystone goals?
- How will you follow through on the promise of having 20,000 problem solvers?
An example of using the “help chain”- How do you engage with your leaders and teams?
Tiered huddlesWhat’s an example of something you’ve learned through those “Working as One” calls?- Tell us about the importance of you, as CEO, getting alignment, focusing on culture, and leading the transformation…
35 min - You’re leading the creation and adoption of a comprehensive lean management system — what does that mean and what do you aim to achieve?
- Habitual Excellence Starts with Safety: Before, During, and After a Crisis [Webinar Recording]
View the video recording
Please listen to Ken Segel, Value Capture CEO, and Michael Bundy, Chief Executive Officer of Prisma Health Baptist Hospital and Prisma Health Baptist Parkridge Hospital, as they explore how leading with the goal of perfect safety for all propelled Prisma Health Baptist Parkridge Hospital to achieve status as a Leapfrog Top General Hospital in just two years. Also joining the discussion is Missy Danforth, Vice President of Health Care Ratings for The Leapfrog Group. She will provide an overview of the Leapfrog Hospital Survey and the Leapfrog Hospital Safety Grade.
Long an advocate of Paul O'Neill's standard of perfect safety, Bundy incorporated the following premises as the foundation for leading his hospitals toward habitual excellence, aligned with Prisma Health's impressive journey to transform the healthcare experience for our patients and their families:
- Safety, for your teams as well as your patients, is the best leading indicator for your business; and,
- Safety has to be a PRECONDITION to all other work, not a “priority” to trade-off for other priorities, including, and perhaps especially, in crisis.
While the external recognition of being named a Top General Hospital is important and serves to validate the work so far, the Prisma Health vision for Bundy's hospitals and others is to go far deeper and broader – they will become a national model of excellence in patient care, workforce performance and engagement, and community service.
In this 60-minute webinar, you will learn:
- How and why perfect safety/zero harm for all is a powerful aligning force to energize leaders and staff toward habitual excellence;
- How the changes in daily work, structures, and mindset lead to a culture of learning, continual aspiration, and innovation; and,
- How the focus and work toward perfect safety pre-COVID helped guide thinking and problem solving during COVID, and guide learning for post-COVID
This webinar took place on May 27, 2021. Mark Graban, Value Capture Senior Advisor, served as the host and Ken Segel served as the moderator. Missy Danforth briefly discussed the Leapfrog Hospital Survey, which focuses on quality and patient safety measures that are of utmost importance to purchasers and patients, and the Leapfrog Hospital Safety Grade, which is a composite made up of 27 publicly reported measures of patient safety, and answer related questions.
1 hr 1 min - Mike Bundy Webinar Preview: Habitual Excellence Starts with Safety — Before, During, and After a Crisis
CEO of Prisma Health Baptist Hospital and Prisma Health Baptist Parkridge Hospital
Mike Bundy gives a preview of the webinar he'll be part of on May 27th. Register here (or view the recording after 5/27).
About the webinar:
Please join Ken Segel, Value Capture CEO, and Michael Bundy, Chief Executive Officer of Prisma Health Baptist Hospital and Prisma Health Baptist Parkridge Hospital, as they explore how leading with the goal of perfect safety for all propelled Prisma Health Baptist Parkridge Hospital to achieve status as a Leapfrog Top General Hospital in just two years. Also joining the discussion is Missy Danforth, Vice President of Health Care Ratings for The Leapfrog Group. She will provide an overview of the Leapfrog Hospital Survey and the Leapfrog Hospital Safety Grade.
Long an advocate of Paul O'Neill's standard of perfect safety, Bundy incorporated the following premises as the foundation for leading his hospitals toward habitual excellence, aligned with Prisma Health's impressive journey to transform the healthcare experience for our patients and their families:
- Safety, for your teams as well as your patients, is the best leading indicator for your business; and,
- Safety has to be a PRECONDITION to all other work, not a “priority” to trade-off for other priorities, including, and perhaps especially, in crisis.
While the external recognition of being named a Top General Hospital is important and serves to validate the work so far, the Prisma Health vision for Bundy's hospitals and others is to go far deeper and broader – they will become a national model of excellence in patient care, workforce performance and engagement, and community service.
In this 60-minute webinar, you will learn:
- How and why perfect safety/zero harm for all is a powerful aligning force to energize leaders and staff toward habitual excellence;
- How the changes in daily work, structures, and mindset lead to a culture of learning, continual aspiration, and innovation; and,
- How the focus and work toward perfect safety pre-COVID helped guide thinking and problem solving during COVID, and guide learning for post-COVID
Value Capture is honored to partner with The Leapfrog Group to share the insights and experiences of Mike Bundy representing Prisma Health in this vital work toward sustainable excellence.
9 min
About Habitual Excellence, Presented by Value Capture
From the publisher's feed
Do you want to create a healthcare organization that strives for zero harm through principles-based leadership, Lean practices, and real-time, root-cause problem solving? We share conversations with…
Value Capture advisors, clients, and thought leaders, exploring how to create “habitual excellence” (a phrase coined by Value Capture’s founder Paul O’Neill) by engaging everybody in creating a culture of safety - and learning. Lead your teams to the theoretical limits of perfect for staff safety, patient safety and performance, using methods from Toyota, Alcoa, Catalysis, and the Shingo Institute.
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