Improving value in health care means tackling long-standing problems. These problems have seemingly simple solutions, but just won’t stay fixed. Fixing the old problems of health care requires new problem solving skills. Nurse manager Jamie D’Ausilio used University of Utah Health’s value improvement methodology to confront one of the most common management challenges—unnecessary overtime. Using concepts from lean and six sigma, D’Ausilio identified waste, prioritized root causes, and engaged her team to design interventions to create new workflow design.

Pareto analyses separate the vital few from the trivial many. It’s a narrowing tool used by data-driven lean six sigma facilitators to bring focus to a value improvement effort. Steve walks us through an example in today’s Dojo.

We all love the “great save” stories. But heroism in the context of health care improvement isn’t always so exciting. When you’re pursuing more reliable, more patient-centered, and more affordable health care, providers have to rely on a different kind of gratification.

Department of family and preventive medicine physician Kyle Bradford Jones explains why our health care system feels so piecemeal (it’s designed that way) and suggests that better teamwork might be the only practical antidote.

This little list is to help lean six sigma (LSS) practitioners communicate more effectively. Communicating is 50-80% of the work in LSS and the concepts are often counterintuitive, so Steve's developed this list to make your life easier—avoid these.

Want to be part of a thriving culture? Feedback is key. Director of ENT and dental clinics Kirk Hughs asked over 500 University of Utah Health leaders to share what makes feedback effective. Their top two? Timely and sincere feedback.

Facilitation is the art of guiding a team through a problem-solving process. It requires a set of skills that can be learned. In this week’s dojo Steve takes on the first of many facilitation topics. This is where we leave the linear process space and enter the equally important but circuitous people space.

Employees in high-trust organizations are happier, more collaborative and stay at their jobs longer. But what builds long-term, sustaining trust? Director of strategic initiatives Chrissy Daniels highlights findings from an article in Harvard Business Review. The answer: Eight behaviors.

If in previous dojo posts, you still haven’t found what you’re looking for, today’s post will satisfy your desire. In it we describe the mysterious ways of Drs. Chris Hull’s and Mark Eliason’s clinic practice. Unless you’re a patient, you can’t witness their clinic, but this post is even better than the real thing.

Project management isn’t hard—IF you know how to do it. Project management expert Kripa Kuncheria provides a wealth of resources to guide you step-by-step from project concept through completion, loaded with examples and templates you can use right now.

According to Melissa Horn, changing a culture takes three years. She would know. Melissa has had the unusual leadership challenge of being “the fixer” for four different clinics at University of Utah Health as director of outpatient women’s clinics. Accelerate learned how Melissa creates authentic teams (hint: it’s hard work and there are no shortcuts).

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.