I tried something last year with a reflection on 2013. I am giving it a go again this year.
Here’s what I learned about Hansei. It is my understanding that “Han” means to change, turn over, or turn upside down. “See” means to look back, review, and examine oneself. I understand that there are 3 elements:
1. The individual must recognize that there is a problem – a gap between expectations and achievement – and be open to negative feedback.
2. The individual must voluntarily take personal responsibility and feel deep regret.
3. The individual must commit to a specific course of action to improve.
The theme for this year’s reflection is “tending a network”. This is a term I learned in 2014 from Brint Milward, a professor at the University of Arizona who studies networks. His research is around networks that are organized around both good things (like our Healthcare Value Network and Clinical Business Intelligence Network), and bad things (like terrorist networks). I like the term “tending” a network because it reminds me of “tending a garden”. As in gardening, there is always work to be done, but at the same time there must be a willingness of “letting go”. It is the balancing of opposites. You don’t manage a network like you operate and improve a machine. Anytime there are people involve, you need to allow for free will and creativity. You need to count on it.
As I reflect on 2014, with the idea of “hansei” and “tending a network” in mind, here’s my “top 10″ list.
10. Similar to last year, I’m preparing a paper to present at the 21st Annual International Deming Research Seminar, March 23-24 in Washington DC. I blogged about this year’s topic previously. I’m learning a lot about current state in some healthcare organizations. Writing is a good way to learn, and to try to get clear on thoughts and questions. But it takes time, and when I’m writing, it means I can’t do something else. Something’s gotta give. It starts with a paper, and may become a book. An idea I am working on with friend and colleague, Mark Graban.
9. My “number 8″ item last year was the idea of Regional Group Meetings for Healthcare Value Network Members. Last year it was just an idea. People benefit greatly from face-to-face interaction, but not everyone has time or dollars to travel to our traditional 1.5 day gemba visits. Those who are interested can come and go in the same day. We have tested it a few times, and it seems to be getting some traction. We had one meeting in Scottsdale, AZ, another in Cleveland, OH, one in Allentown, PA and most recently, one in Boston, MA. I blogged about this idea here. This seems to be a useful addition to our offerings. The reflection on this point is that all of our Network members are busy people. Everyone has a “day job”. Planning and convening these meetings won’t work if we do this FOR people. We need to do this WITH people.
8. My “number 7″ item last year was the progress we have been making on education about and application of our HVN Assessment Model. This continues, and is gaining more traction and utility. When we got into this work in 2009, we saw this as a model for “assessment”. Now I think we are seeing it as a model for transformation. Not THE model, but A model. All models are wrong (in some world), but some models are useful. I think we are finding this model to be very useful. Here’s one of my blogs on this topic. Here’s another. The reflection here is continued learning about the model and making it accessible and useful for others. We need to keep the “pracademic” view (term I learned from friend and colleague, Jake Raymer).
7. We helped our member organizations host 12 gemba visits in 2014, and we provided access to 7 non-healthcare visits. We tested the idea of a virtual gemba visit where we provided access through videos to see the great work going on at one of our member organizations in Ohio. Work is in process to provide similar virtual visits from videos taken in 2014. We learned that this takes a lot of work once the videos have been shot, and we need to build the expertise (and allocate the time) to editing if we continue in the future.
6. We offered 35 webinars to HVN members in 2014. The topics have been wide-ranging, and we have learned that it is a good way to share the great work our our Network members. We’ve learned a lot about what works, and doesn’t with the webinar platform, and we’ll be testing some changes in 2015.
5. We have 2,349 people who are signed up on the private HVN Collaboration website. Last year that number was 1,964. We made some adjustments to this tool, and more will be required in 2015. We’ve gotten more comfortable with the Ning platform. I have found the book “Ning For Dummies” to be quite useful.
4. Last year I described how I was trying to feature some of the great work that is going on every day “in the trenches” on this blog. There were many mentions in 2014: New England area members, an example of a leader, the ACT Fair in Scottsdale, AZ, Oregon Tour, Survival Is Not Compulsory, Learning About Principle-Based Lean Transformation, Southern Illinois, Vancouver, BC, Dancing With the (Lean) Stars, Board Of Directors Huddle,Kitchener, ONT, Best Conference Ever (Till Next Year), T-Minus 20 Days, Small Improvement/Huge Impact, Constancy Of Purpose, Tucson, AZ, It’s About the Patient … Period, Saskatchewan, What Needs To Transform?, One Example of the HVN Assessment Process.
3. Our Network Team works with other value streams at the ThedaCare Center For Healthcare Value, and this work helped out Network member organizations, but has also helped to bring about transformation in healthcare. Some key achievements and learnings from these areas include: Connecting lean thinking and Clinical Business Intelligence, and It’s the System (the book by Kim Barnas). We’ve also seen the introduction of a tool into our CEO Site Visits that takes what we’ve learned from our HVN Assessment work and helps people see beyond (beneath?) the surface tools, and helps them understand systems and principles.
2. My “number 2″ item last year was a desire to continue to help Michael Grogan and the people at CCBRT with their effort to get some “boots on the ground” help for their work in Tanzania. Our CEO, John Toussaint, MD was able to travel to Tanzania and see first-hand the great work that they have done.
1. Some days it feels like great progress is being made, other days it feels like two steps back. People are working hard, and many people deserve a hug for their efforts and their courage.
What is your hansei for 2014?