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Praxis Solutions

~ Accelerate the Journey

Praxis Solutions

Category Archives: Balanced Scorecard

A structured approach to performance management and measurement. Creates a clear visual summary of strategy, process improvement, funding requirements, and links all with mission and vision.

The Baldridge Journey – Lessons from…

12 Friday Jan 2018

Posted by Dan Edds in Balanced Scorecard, Baldrige, Developing Leadership Systems, Praxis Solutions

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Baldrige

Thrilled CustomersFifty-five pages, single spaced 10 point font, 2 column format and 165 graphics. This is a Baldridge application for a small rural hospital west of Olympia Washington. In adopting the Baldridge excellence framework they have gone on record saying, “we want to become the best”. Facilitating the discovery, identifying their systems and processes and then writing the document was a privilege. Exhausting for sure. Five and a half months of workshops, 4-5 complete rewrites, hours of edits, checks and double checks. Still bound to be a few errors. Frustrating but the lessons are massive.

Baldridge is brilliant. I have been in the Baldrige world for six or seven years. With each touch of the Baldrige system I am more aware of its brilliance. Nothing is more comprehensive, demanding, or relentless in pursuing excellence than the Baldridge framework.
Excellence is not a mystery. Baldridge takes the mystery out of the pursuit. With the final edit their next step in the journey is crystal clear. Every health care organization is swimming in data. They are paddling as fast as they can a river of numbers. A myriad of regulatory, oversight, government and private organizations require, gather, and assemble mountains of data for public consumption. Much of it is buried in data warehouses where the statistical relevance is debated by some who want to resist change and others that want to prove preconceived notions about health care. But the numbers are there. This organization’s next hurdle is lining up their data with their vision. When they do this, look out.
Baldridge promotes systems thinking. Having worked with this hospital for a year in developing a formal leadership system, it is clearer than ever that health care is a web of interconnecting systems that must be integrated if the cost of health care is ever going to be contained. This hospital is the primary health care provider in a county of high unemployment, high rates of drug & alcohol abuse, and high poverty. Three years ago the county was ranked #33 out of 39 counties for population health. Today they are at #28. Sounds like a minor advance but they have moved the dial on a clock that is hard to move. By recognizing that medical health cannot be separated from behavioral and social health and by partnering with social service organizations and even competitors this little hospital is making an impact. They have begun to integrate social, behavioral and medical health care delivery. They have recognized that treating the cause of illness is immeasurably cheaper than treating the symptoms of illness. The result is that their patients are healthier, at a lower cost and enjoy greater access.
Baldrige provided the framework for excellence. They provided the vision.

Three Leaders, One Leadership System

27 Wednesday Sep 2017

Posted by Dan Edds in Balanced Scorecard, Baldrige, Leadership Systems, Mapping Strategy, Praxis Solutions

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Baldrige, Leadership Systems, Mapping Strategy

Close up of men's rowing team

Leadership Systems: All Leaders Pulling Together

Three leaders. All well recognized for their expertise. All brilliant and hold post graduate degrees. All operate non-profits. Two are CEO’s of similar organizations with a similar mission and comparable size. One is growing rapidly. The other is growing but slowly. One has that unique ability to gather followers. Volunteers and funding flow easily but he struggles with long term strategy. He is concerned that growth and well-meaning activity is masking real and long-term transformation. The other is a brilliant strategist but struggles communicating new concepts and making them simple. Hence, funding and the necessary volunteers don’t come so easily. My observation is that both struggle putting the necessary systems in place to be as successful as they would like. Especially a leadership system. To them, leadership is an individual person.

The third leader is the CEO of a different type of non-profit. He operates in a world of dynamic change, high competition, high regulation and everything he says and does is open to public review. He understands that leadership is not about one person exerting power and control. He is building a formal leadership system. It is a work of art. His senior leadership team is operating – like a team. They are mission driven and their leadership system is designed to execute on that mission. Yes, he hires leaders for their technical expertise and experience but he also hires them to the requirements of the leadership system.
For long term organizational excellence, transformation and innovation my bet is on leader number three. His personal leadership is not about attracting followers but about executing organizational mission. He understands that this will take all leaders pulling on their individual oars in concert with the others. My prediction is that soon, they will be recognized nationally for their excellence.

Mapping Strategy and Operational Alignment

18 Wednesday Jan 2017

Posted by Dan Edds in Balanced Scorecard, Baldrige, Leadership Systems, Mapping Strategy, Praxis Solutions

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DanEdds, Mapping Strategy

Close up of a men's quadruple skulls rowing team, seconds after the start of their race

At Praxis Solutions we strongly believe in the value of a strategy map. The chief reason is that it is – visual. Most of us are visual learners. We feel, think, respond to and remember pictures and stories. “Pictures are worth thousand words”. This means one well-crafted picture can tell the story behind three pages of text. Time and again we see the power of a visual representation of strategy.
However, there is another important value in a strategy map – operational alignment. A strategy map visually tells the story of a leadership system and how the system is aligned with mission. In addition, a strategy map shows the connection between budgets and the execution of vision. Processes become aligned around meeting customer requirements instead of asking customers to bend to the requirements of the process. Leadership knows what they are supposed to produce rather than the default command and control.

Aligning Leadership

We recently finished building a strategy map for a rural healthcare organization. An additional phase included the development of a formal leadership system. This too is coming together well. But what we have found that is just stunning is this – the leadership model is perfectly aligned with process outcomes. For example, the strategy map identifies two process outcomes:
1. Safe & coordinated care; and
2. Efficient systems.
Without consulting or directing the outcome of the leadership model we are seeing that two primary results of their leadership system are – safe & coordinated care and efficient system. In other words, there is a recognized cause and effect relationship between what leaders do and the twin goals of safe & coordinated care and efficient systems. As one of the senior executives stated: “I have always been promoted because I was good at being a nurse, but when they put the title of “leader” on me, I was not at all sure what I was supposed do. Now I know”.
This is a powerful statement because most leadership training is focused on the individual leader acquiring organizational power and influence. In this model the role of the leader is to direct subordinates to do her bidding. This understanding of leadership is flipped on its head. The role of the leader is now to create the environment where staff treat patient safety and the coordination of their care as the highest priority. Mindlessly doing what the boss says no longer works. There are clear and unambiguous goals to reach. Furthermore, these objectives are highly measurable so if the targets are not being met, who is responsible – leadership. They cannot play the blame game.

To download a complimentary white paper on mapping strategy:

strategy-mapping

Mapping Strategy and Capturing Hearts

15 Thursday Dec 2016

Posted by Dan Edds in Balanced Scorecard, Baldrige, Lean training

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DanEdds

lovemyjobI have seen it happen often enough that I should not be surprised but I always am. Do a lean kaizen event or a strategy mapping workshop and front line staff become intensely engaged in the process and the outcome. Yesterday we were working with a regional hospital district and developing a leadership model that will guide leadership development, on-boarding, training, and performance expectations. In the process, the COO mentioned that she had just seen 4 front line staff, standing in the hallway where the strategy map we had created several weeks ago, is displayed. We enlisted the help of their graphic designer in its development and I must say, it is visually – stunning. The staff were studying and discussing it, along with the performance data that goes with it. Just how awesome is this?
We feel that when anyone goes to work in the morning, there is a deep seated desire to know that our work is important, that it counts, that it matters, and that we long to work for an organization that exhibits excellence. We also feel that front line staff want to know where they fit in the larger execution of mission and vision. This is where strategy maps, lean kaizen events and incorporating Baldrige Quality Criteria into organizational performance can provide enormous value. They empower! They communicate to the rank and file where they fit in the broader misison of their employer. What a shame so many never help their staff connect the dots. It’s a simple thing really, but what happens when we understand our place in fulfilling the sacred missions of our public, nonprofit, and healthcare organizations? The COO of this very fine healthcare organization may have said it best. “When our people come to work, they give us their hands and their brains. But if we treat them with respect they will give us their hearts as well”. The great thing is, when staff give their hearts as well, there is no additional cost.

Recent Posts

  • Key Elements of the Leadership System – Managing Vs. Developing
  • The Leadership System: Power of Purpose
  • Leadership System: The Chief Purpose of Leadership
  • The Leadership System: Perfectly Designed to Get Intended Results
  • The Leadership System – Routines & Processes

Blog Categories

  • Developing Leadership Systems
  • Failure of Leadership Development
  • Leadership System Rules
  • Leadership Systems
  • Mapping Strategy
  • Praxis Solutions
    • Balanced Scorecard
    • Baldrige
    • Lean training
  • Systemic Leadership

The Value of Check Lists

Commercial airplanes take off and land thousands of time each day. Their pilots do so routinely. Yet each time a pilot takes off or lands she does so with a check list. The result is safer air travel for millions of travelers. Surgeons are also finding that check lists saves lives. A check list assures the routine gets done correctly. An Office of Financial Aid began using a check list. The result has been fewer errors, faster processing time, happier students, and happier staff evaluators.

Small Change = Big Impact

One of our clients, an Office of Financial Aid, made a small change to their process of processing financial aid applications. They learned in a lean training that small batches often results in faster throughput. So instead of staff grabbing an arm full of aid application files, they took only ten. They would not go back to get another ten until the ten they were working on were finished. The impact was dramatic. No lost files, no running around asking co-workers if they were working on "John's" file, dramatic drop in errors and rework, higher productivity, higher worker satisfaction, and faster awards of financial aid. Simple change, but major impact.

Lean for Teams

Our Lean for Teams workshop was launched in June of 2014 with a college Advising Office. This engaging and interactive training was a customized specifically the the college. It formed the framework for a four day lean kaizen event the followed immediately.

Does Lean Work in Government?

Washington State Governor Jay Inslee is making lean a central part of his reform initiative. From his website: Empower state employees to find efficiencies through greater use of Lean Management. Lean management is an approach that asks those who know best - our front-line employees - to identify strategies to help them serve the people of Washington more quickly and easily. These efficiencies will help us prevent additional cuts to essential services and programs.

Value of a Strategy Map

A strategy map visually communicates the cause and effect relationships that must be in place to successfully execute strategy.

A Board Member States:

If this is where the agency is going and how we are going about it, I am fully committed – and able to talk about it to my peers and potential donors.

Client Testimony

Praxis was very thorough and well organized in their methods for gathering information from a variety of people and sources in our organization to obtain a full and complete picture of our environment.  Their experience in the industry and prior consulting work was very valuable and the final recommendations were thoughtful, meaningful and are valuable to us as we work to improve the efficiency of our organization.

Clay Gehring, Chief Information Officer, Spokane Public Schools

Improving an Office of Financial Aid

Dan facilitated a week long Process Improvement training for our Financial Aid Department.  As a result, our staff have maintained and engaged in a strong focus on process improvement.  Summer is an extremely high processing period as we approach fall quarter at our college.  At this time, because of process improvements, staff are well ahead in awarding aid for students and have surpassed all previous years.

Anne White, Dean of Enrollment Services & Financial Aid

Connecting With Clients

Dan’s ability to connect and communicate with each person on the team is his greatest strength. There were twenty team members from the grants administration and business services groups, a very diverse group, I don't think anyone else could have made the engagement work.

Mason General Hospital – Client Experience

We are now organizing our “nuts and bolts” team with associated workgroups focused on the Baldrige Quality Criteria. Our customer group has already begun our approach to use of social media, now in early deployment
I would highly recommend this offering to anyone seeking Baldrige or even considering a journey to excellence.

Eileen Branscome
Chief Operations Officer, Mason General Hospital

Value of Using a Strategy Map

We are now starting to regularly use the strategy map even at Board Meetings to frame discussions.

Sebastian Koellner, Hopelink - Performance Improvement Manager

ANNOUNCING – BALDRIGE RAPID ACCESS INTENSIVE

Developed in collaboration with the North West's Baldrige alliance member, the Rapid Access Intensive is a high impact intensive designed to accelerate the Baldrige journey. Why wait a year to get the benefit of a Baldrige report when you can accelerate this journey to a few weeks.

Experience With Community Action Partnerships

At Hopelink, we wanted to develop a strategy map and balanced score card, but were not sure how to go about it. Dan and Martin brought a wealth of expertise to the process. I personally appreciated their willingness to be a sounding board for ideas and their enthusiasm for developing structures and visual tools to summarize information.

Sebastian Koellner, Performance Improvement Manager

Experience With Community Action Partnerships

Hopelink is indebted to Martin and Dan for leading us through a process to transform our strategic plan into a strategy map. This new tool makes our strategic plan easily accessible and clear to a variety of external and internal audiences with a deceptively simple visual presentation. After months of work dedicated to developing this map, it has quickly become a much-used and useful performance excellence tool that our leadership refers to on a daily basis.

Marilyn Mason-Plunkett, Hopelink President & CEO

Client Experience

I had the opportunity to observe a series of facilitated exercises conducted by Performance Excellence Northwest. Their unique leadership approach assisted our staff in developing the framework and refining our Baldrige values as we started drafting our first Baldrige application. Their Baldrige Rapid Access approach not only accelerated our application process but improved the quality of that application. I can personally recommend this organization.

Scott Hilburn, President Board of Commissioners, Mason General Hospital.

Winston Churchill


Thrilled Customers

Achieving Excellence

Excellence is born of commitment, intentional learning, hard work, and a burning desire to serve the customer.

We make a living by what we get, we make a life by what we give.

Contact Information

Praxis Solutions for Nonprofits
Bellevue, WA 98006
Info@PraxisSolutionsNP.com
(425) 269-8854

Jack Welch on Learning

"An organization's ability to learn, and translate that learning into action rapidly, is the ultimate competitive advantage."

Baldrige in Public Education

Baldrige Performance Excellence Criteria has a proven track record of driving comprehensive organizational improvement in public education.

Watch this interview, JoAnn Sternke, superintendent of the Pewaukee School District (PSD), as she reflects on PSD’s receiving the prestigious 2013 Malcolm Baldrige National Quality Award—the United States’ highest honor for quality and performance excellence.

[youtube https://www.youtube.com/watch?v=-JnraF4DGgY?rel=0&w=560&h=315]

Baldrige in Healthcare

In the demanding and dynamic nature of Healthcare, Baldrige Performance Excellence has provided a disciplined and structural framework for guiding comprehensive performance. In short, lives are being saved, workers at all levels recognize their role in mission, people want to work for organizations that demonstrate excellence.

Watch David Fox, President of Good Sammaratian Hospital, 2010 Malcolm Baldrige National Quality Award in the health care category.

[youtube https://www.youtube.com/watch?v=Khdal2dKW1k?rel=0&w=560&h=315]