Author Archives: joyfurnival

About joyfurnival

Interested in TQM, lean, Quality Improvement, Healthcare, Regulation, Accreditation, Inspection Improvement Science, QI, improvement capability.

Spot the difference: QI and OD

Last summer, I asked Twitter users, what their views were on the difference between Quality improvement (QI) and Organisational development (OD) is and I followed it up in a blog. I promised I would write another blog about it… so … Continue reading

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Why does lean ‘fail’ in some healthcare organisations?

This was the question posed by Dr John Toussaint* on Twitter earlier this week. Big question, and in my view the answers are probably as relevant to organisations outside of healthcare as those in it. It is also an important … Continue reading

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The neoliberal establishment

I first heard the word neoliberalism during an epistemology class as part of the first year of my PhD. I didn’t take much notice, frankly it was another long word that I just hadn’t heard before and in that class, … Continue reading

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OD, QI or both?

Matthew Mezey from the #Qcommunity has been begging me to write something on OD and QI, ever since we chatted about it at the Health Foundation annual reception last year. It has been something I have been thinking about for … Continue reading

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‘Which improvement approach is best?’

Without doubt, this is the question I have been asked most during the last 4 months since returning to paid up employment: ‘Which improvement approach do I think, is the best?’ I find it sometimes a tricky question to answer, … Continue reading

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Finally Phinished

I finally graduate on Monday… two days time.  I have designed, researched, written, rewritten, printed, submitted, defended, corrected and completed my PhD thesis.  Some 340 odd pages and 120k of words (I count the appendices!)  Probably more like 500k words … Continue reading

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What do you mean by improvement capability?

As part of my PhD, I have been investigating how improvement capability is conceptualised in the research literature and by regulatory agencies in healthcare. As a improvement leader, I realise now, that I used to use this term rather imprecisely, … Continue reading

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