I was visiting my mother who was in the hospital recently. While hospitals exist to heal, I know they can be very dangerous places. An incident during this stay did not ease my fears. And it didn’t even involve my mother.
I had stepped outside of her room and was standing in the hallway passing time. There happened to be a bulletin board in the hallway—it is hard to believe that in this day of email, texting and tweeting, bulletin boards are still used as a means of communicating, but they are.
There was a very nice looking poster on this bulletin board that caught my attention. It was a call for nominations for employees and doctors who reflect the highest ideals of the institution. The award was named after the founder of the institution. Done well, these kinds of recognition can remind employees of the ideals on which the organization was founded, but done poorly they can be a disaster.
I read the traits of the people that they were looking to recognize. Then, as I continued to read, I was struck by a frightening reminder about quality and safety in hospitals. No, the poster wasn’t dangerous. It wasn’t even what it said—it was the date on the poster. This was a poster for the 2009 award! The deadline for submission of nominations was February 2010, two years earlier.
Now that may not seem so frightening to you, but to me it raises the question, “If their management and operating systems are so bad that they can’t keep a posters on a bulletin board up to date, how timely are they performing clinical procedures, and how accurately are they administering meds?”
I am not sure who said it first, but the adage that came to my mind was, “The cleanliness of the dropdown trays on an airplane tells you a lot about how well they do engine maintenance.” Or, perhaps another way of saying it is, “It is the details, stupid.”
Great execution and great quality do not come by accident in organizations. Now I know some of us are obsessive compulsive and detailed oriented. But that is not what quality that produces great hospitals and great airlines is about. It is about an intentional design of quality into every single aspect of how the organization functions. It is about an attitude and culture that is focused on meeting customer needs and continual improvement in meeting those needs. But it is about a lot more than attitude. It is about measurement and feedback and systems that enable improvement every single day.
The details really are not the point. The drop down trays are not the point. The bulletin board is not the point. They are simply indicators of how well we are doing on the real point!







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Mike Costa - 2012-02-22 13:47:29
Very nice observation. I have seen the same many times. It aslo made me wonder if anyone was worth recognizing during the past two years.