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September 2016 //

Canadian Government Executive /

19

Deliverology

able capacity on it. The same team pur-

suing three priorities, on the other hand,

only actually spends twenty percent of

its capacity on each of them. The more

projects attempted at the same time, the

more effort wasted in switching between

projects, administering multiple projects,

and the slower projects proceed. Further,

the busier and more overwhelmed people

become, the less they accomplish.

Solution:

Saying “No,

not yet”

In Lean Strategy Deployment, the orga-

nization uses a number of approaches

to identify the “must-do, can’t fail” goals

and secondary lists of “should do”, “could

do” and ultimately “don’t do” initiatives.

Putting these into a table, called an “X-

Matrix” and assessing the true capacity

required to execute everything, quickly

makes visible the fact that there is not

nearly enough capacity to get it all done.

Viewed in light of the available capacity, it

is much easier to say “No, not yet” to other

less-valuable initiatives, avoiding the con-

sequences of trying to do it all and then

falling short.

Challenge 3:

The Carrot and

the Stick

Deliverology’s implicit mindset is that

frequently measuring and publicizing

performance provides rewards when re-

sults improve, and punishments when

they don’t. Using measurement and vis-

ibility for rewards/punishment instead

of for experimentation-driven learning

and improvement can lead to negative

outcomes like cheating and un-sustained

performance instead of true improve-

ment.

Here is a case study: To overcome the

horror stories of patients being stored on

stretchers while they waited 12 hours or

more to be examined in the emergency

room, the UK’s National Health Service

implemented a Deliverology target of a

maximum four-hour emergency room

wait. Fear of not meeting the target led

to the equivalent of 31 ambulances being

staffed 24/7/365 while patients waited

inside them until the ER was able to con-

firm that the patient could be processed

in four hours, and only then admitted.

This reportedly incurred an additional

cost of about CDN $ 20 million per year,

not to mention the unmeasured costs to

the health of the patients who were be-

ing held in ambulances. Creating a safe

environment to experiment and innovate

without fear of repercussion for failing

gets better, sustained results.

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The more projects attempted at the same

time, the more effort wasted in switching

between projects, administering multiple

projects, and the slower projects proceed.