{"id":194,"date":"2016-03-20T13:55:07","date_gmt":"2016-03-20T13:55:07","guid":{"rendered":"http:\/\/leadingachildrenshospital.com\/?p=194"},"modified":"2016-08-04T12:09:05","modified_gmt":"2016-08-04T12:09:05","slug":"what-managers-do","status":"publish","type":"post","link":"https:\/\/leadingachildrenshospital.com\/?p=194","title":{"rendered":"What Managers Do"},"content":{"rendered":"<p>Outcomes aren&#8217;t &#8220;managed&#8221;, processes and behaviors are. \u00a0Outcomes are consequences, which we analyze for the purpose of informing system design and driving behavior. \u00a0Thus, if management is to drive processes and behaviors, its stand to reason that knowledge about how they&#8217;re performing would be critical. Yet, we often don&#8217;t collect these data, and if we do, we struggle to understand what they&#8217;re telling us.<\/p>\n<p>Furthermore,\u00a0managers would be masters\u00a0at systems design and improvement, and skilled at influencing behavior. Yet, managers are best at creating schedules, tracking budgets, coordinating resources, and analyzing outcomes. \u00a0And we&#8217;re great at getting\u00a0performance evaluations done by the deadline (notice I didn&#8217;t say how great we are at performance evaluations).<\/p>\n<p>So, do we have this all wrong? What are the barriers to getting it right? \u00a0Lack of time? If so, why do we lack time? \u00a0&#8211; \u00a0We all know the answer to that one:\u00a0we spend so much time on the other stuff.<\/p>\n<p>Senior managers often ask: \u201cWhat are your results?\u201d and \u201cWhat are you doing to improve them?\u201d \u00a0Therefore, that&#8217;s where we focus. \u00a0Instead they might want to ask: \u201cWhat are your critical processes and vital behaviors?\u201d and \u201cWhat are you doing to improve them, and how are you doing with that?\u201d<\/p>\n<p>I\u2019ve talked about care experience survey results before, which are sampled outcomes, lag by about a month, and are reported monthly, which further adds to the lagging. \u00a0In other words, they\u2019re outcomes &#8211; and it&#8217;s behaviors and processes on which we ought to focus day-to-day.<\/p>\n<p>To manage these two things, we first identify, define, measure and analyze them. \u00a0Then can we manage and improve them. And in doing this\u00a0we perform cause analysis, solve problems (breakdown barriers) and execute change. \u00a0 &#8211; And the big one:\u00a0influence behavior.<\/p>\n<p>I\u2019ve found that getting people to see things differently, and think about things differently as well as creatively, is often an important step. Human biases are multiple and strong. In my opinion changing paradigms is critical for changing behavior. \u00a0When one is creative they are essentially building new paradigms.<\/p>\n<p>Deming was correct when he made the psychology of people a pillar of quality improvement, along with systems thinking, knowledge processing (learning), and variation analysis. \u00a0Good managers know the psychology of people and use it to influence behaviors.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Outcomes aren&#8217;t &#8220;managed&#8221;, processes and behaviors are. \u00a0Outcomes are consequences, which we analyze for the purpose of informing system design and driving behavior. \u00a0Thus, if management is to drive processes and behaviors, its stand to reason that knowledge about how they&#8217;re performing would be critical. Yet, we often don&#8217;t collect these data, and if we [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[5],"tags":[],"_links":{"self":[{"href":"https:\/\/leadingachildrenshospital.com\/index.php?rest_route=\/wp\/v2\/posts\/194"}],"collection":[{"href":"https:\/\/leadingachildrenshospital.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/leadingachildrenshospital.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/leadingachildrenshospital.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/leadingachildrenshospital.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=194"}],"version-history":[{"count":3,"href":"https:\/\/leadingachildrenshospital.com\/index.php?rest_route=\/wp\/v2\/posts\/194\/revisions"}],"predecessor-version":[{"id":198,"href":"https:\/\/leadingachildrenshospital.com\/index.php?rest_route=\/wp\/v2\/posts\/194\/revisions\/198"}],"wp:attachment":[{"href":"https:\/\/leadingachildrenshospital.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=194"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/leadingachildrenshospital.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=194"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/leadingachildrenshospital.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=194"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}