Author Archives: joyfurnival

About joyfurnival

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

Reflections on improvement overburden

Quite recently I have gone back ‘into improvement practice’ after doing my PhD and policy jobs for the last 5 years. So back into the cut and thrust of ‘doing’ improvement work rather than thinking and writing about it. Back … Continue reading

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Matching Michigan: what can we learn from Zingermans and Mercy Health?

Last week my colleague Ann and I, were lucky enough to visit the University of Michigan in Ann Arbor to learn more from Drew Lochler and colleagues about the much lauded ‘Toyota Kata’, first described in the book of the … Continue reading

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Kanban: can we follow the learning from Pied Piper in ‘Silicon Valley’?

Youu may have seen the rather clever and funny HBO sitcom ‘Silicon Valley‘ exploring the lives of five white young male software engineers build a startup called ‘Pied Piper’. In the show, the team at ‘Pied Piper are developing their … Continue reading

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Surfing the waves

What a week! Seriously, I’m sitting in the garden reflecting not only on the unusually good weather, but the most amazing week of learning and connecting about improvement research and practice. This time last week, I arrived in Montreal for … Continue reading

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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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