For decades, the manufacturing industry has employed the Toyota Production System the most powerful production method in the world to reduce waste, improve quality, reduce defects and increase worker productivity. In 2001, Virginia Mason Medical Center, an integrated healthcare delivery system in Seattle, Washington set out to achieve its compe

This book is based on several years study of the nine Baldrige Award winners from health care. It describes how these organizations approached their “Baldrige journey” and what other health care leaders should do to reap similar benefits. To fully understand the journey for these nine organizations and their return on investment, the authors studied each of their 50-page award applications, presentations at national and regional meetings, and other publications by or about them. Additionally and most importantly, CEOs and other senior leaders were interviewed at length. The questions asked of these leaders followed three basic themes: How did you successfully use the Baldrige framework to drive improvement? What would you recommend other organizations do to gain the value you have from a Baldrige journey? What can we learn from you that would help other organizations manage their improvement journeys to maximize the value they gain? “Health reform is making it clear: healthcare organizations improving to great clinical, financial, and experience outcomes will win and thrive for the communities they serve. Yet research teaches us that most change fails. Journey to Excellence, through ‘brutal truth,’ inspirational storytelling, courageous journeys, disciplined research, and sustained results, shows us the way, the very hard way, as well as the awesome possibility.” Jim Conway, SVP, Institute for Healthcare Improvement “W. Edwards Deming spoke of consistent, business-driving quality as arising from ‘a system of production.’ At best, health care delivery in most places today is bubbling chaos. The Malcolm Baldrige Quality Award supplies the only practical, comprehensive outline for health care as a system of production in existence today. It’s about time that health care leaders had a comprehensive guide. Taught by experts, this volume is drawn from careful analysis of those who have succeeded. You hold the future in your hands – at least, for those who will not only survive, but thrive in the coming turmoil of health care reform.” Brent James, MD, Intermountain Health Care “Journey to Excellence is an insightful synthesis of the powerful Baldrige framework and the real life journeys of the healthcare award winners. Their stories will deepen understanding both for those new to and experienced with the Baldrige Criteria. This book is a major contribution to achieving healthcare excellence!” Louise Liang, MD, Former Chair, Institute for Healthcare Improvement “Most healthcare organizations are currently in a purely reactive mode – just struggling to get through the day and the fiscal year, collecting the data that they are required to report, and responding to crises. In Journey to Excellence, Goonan and her co-authors show healthcare leaders how to take control of the agenda. The Baldrige Criteria define the journey that can help organizations approach greatness, and the authors’ LASER set of behaviors describes what they need to ‘pack’ for the trip.” Tom Lee, MD, Network President, Partners Healthcare System “Journey to Excellence provides a concrete framework for leaders seeking to improve their organizational performance. Health care organizations are likely to face increasing pressure to improve quality and reduce cost in the coming years. Goonan, Muzikowski, and Stoltz offer a strategic roadmap for a successful transformational change. This book contains real life stories of leaders who used Baldrige to successfully transform their organizations into high performance enterprises.” Vinod K. Sahney, Chief Strategy Officer, Blue Cross Blue Shield of Massachusetts

Every healthcare organization can learn from Seattle Children‘s continuous improvement process, but this book is not an operator‘s manual. Instead, it is a challenge to everyone concerned with healthcare to reexamine deeply held assumptions. While it is commonly believed that improved quality, access, and safety, and an improved bottom line are mut

An insider's look at corporate culture at one of Fortune’s Top 100 Best Companies to Work for in America A business can purchase, imitate, or replicate most of its elements, but when a business places its competitive advantage with its people, it can become the market leader. The Baptist Health Care Journey to Excellence illustrates how Baptist Health Care went from a customer satisfaction rating of less than 20 percent to being consistently ranked in the 99 percent range. Written by the man who made it happen, this book sets benchmarks and best practices for organizations to measure themselves against by creating a service-centered culture that cares first and foremost about customer satisfaction. "This crystal-clear book offers to any who will listen invaluable, detailed guidance on how and why to move toward a true culture of excellence in hospital care. It isn't easy, but, as their results show, it's a journey well worth taking." —Donald M. Berwick, MD, president and CEO, Institute for Healthcare Improvement The Baptist Health Care Journey to Excellence presents tested principles and best practices to help improve your corporate culture and customer satisfaction, which will lead to loyalty, stability, sustained productivity, and profitability in your own organization. Order your copy today!

This book helps pastors and church leaders understand the role their personal transformation as Jesus's disciples plays in effective congregational leadership. It shifts the focus of leadership from techniques and charisma to spiritual transformation and developing emotional maturity so leaders can effectively lead congregations to embrace change. End-of-chapter discussion questions are included. The first edition sold more than 20,000 copies and has been regularly used as a textbook over the past fifteen years. The second edition has been revised throughout and includes a greater emphasis on Bowen Family Systems Theory.

2011 AJN Book of the Year Winner in Leadership and Management! The ultimate goal for Doctor of Nursing Practice (DNP) leaders is to develop skills that will support their ability to lead effectively through complex challenges-such as working within the constraints of tight budgets, initiating health care policy change to eliminate health disparities, and improving health care outcomes at all levels of care. This text is an invaluable instructional guide for nursing graduate students who are developing the skills needed to fulfill this new and emerging role of clinical leadership. With this book, nurses can develop leadership skills that will ultimately transform health care practice by incorporating innovative professional models of care. It provides critical information and practical tools to enhance leadership, drawing from the works of experts in business and health care leadership. This book is an important resource for DNP students, nurse practitioners, and current clinical leaders dealing with the challenges of health care for the next generation. Key topics: Cultivating the characteristics of a transformational leader: charisma, innovation, inspiration, intellect, and more Developing the role of the DNP within complex organizational systems Incorporating new care delivery, practice, and management models through leadership Navigating power, politics, and policy: building the team, understanding economics and finance, and more

Accelerating Health Care Transformation with Lean and Innovation: The Virginia Mason Experience describes how Virginia Mason Medical Center (VMMC) has systematically integrated innovative structures, methods, and cultural practices into its implementation of Lean. Describing how an organization can create a strategy and build a culture of innovation and learning, it supplies concrete examples that show how Lean and innovation can work hand-in-hand to improve and transform value streams. It also explains how to use the voices of patients and their families to drive improvement and innovation.

Master the essential skill set of the truly effective leader The Leadership Journey charts a course through four critical areas of being a great leader. Written by Korn Ferry CEO Gary Burnison, this book brings world-renown people and talent development expertise to bear in a discussion about 'good' versus 'great' leadership. Successful leadership at any level is about getting results, but how do the best of the best manage to consistently deliver bigger and better things? This book shares the 'secret sauce' of successful leadership, and provides an actionable framework for discovering—and developing—your own leadership skills and potential. Anyone can have the right hands-on skills, but true leadership finesse lies in the much tougher realm of developing self-awareness to lead yourself first ('Look in the Mirror'); navigating by a fixed point of personal and organizational purpose ('Embody Purpose'); journeying with others who want to follow you ('Don't Walk Alone'); and plotting a course that's beyond the line of sight of what everyone sees ('Navigate Beyond the Horizon'). By distilling the broad and complex topic of leadership into highly accessible points and discussions, The Leadership Journey is perfect traveling companion for everyone along the leadership path. Effective leaders help people do more—and become more—than even they ever thought possible. This book gives you a practical framework for becoming the kind leader your team needs to succeed. Master the key elements of great leadership Understand why hard skills aren't enough Learn how to motivate and lead others Achieve more by helping others inspire and empower themselves Grounded in practical and proven real-world experience, this invaluable guide packs a powerful punch. When it comes to great leadership, reaching your destination requires a precise, well-planned journey that covers all critical ground. The Leadership Journey gives you a clear roadmap with expert direction and world-class advice.

For women executives and managers, a timely thought provoking look at how gender affects health care leaders and leadership today. Offers rich, poignant, inspiring, and at times disturbing stories of leadership at its clearest and best.

Part case study, part manifesto, this groundbreaking new book by a doctor and a healthcare executive uses real-life anecdotes and the logic of lean thinking to make a convincing argument that a revolutionary new kind of healthcare -- lean healthcare -- is urgently needed and eminently doable. In On the Mend: Revolutionizing Healthcare to Save Lives and Transform the Industry John Toussaint, MD, former CEO of ThedaCare, and Roger A. Gerard, PhD, its chief learning officer, candidly describe the triumphs and stumbles of a seven-year journey to lean healthcare, an effort that continues today and that has slashed medical errors, improved patient outcomes, raised staff morale, and saved $27 million dollars in costs without layoffs. Find out: * How lean techniques of value-stream-mapping and rapid improvement events cut the average "door-to-balloon" time for heart attack patients at two hospitals from 90 minutes to 37. * What ThedaCare leaders did to replace medicine's "shame and blame" culture with a lean culture based on continuous improvement and respect for people. * How the lean principle of "building in quality at the source" broke down divisions among medical specialties allowing teams to develop patient care plans faster. * Why traditional modern management is the single biggest impediment to lean healthcare. * How the plan-do-study-act cycle coupled with rapid improvement events cut the wait time at a robotic radiosurgery unit from 26 days to six. * How the lean concept of "one piece flow" saved time in treating ischemic stroke patients, increasing the number of patients receiving a CT scan within 25 minutes from 51% to 89%. * How senior leaders at other healthcare organizations can begin their own lean transformations using a nine-step action plan based on what ThedaCare did -- and what it would do differently. Toussaint and Gerard prove that lean healthcare does not mean less care. On the Mend shows that when care is truly re-de