{"product_id":"the-improvement-guide-isbn-9780470192412","title":"The Improvement Guide","description":"This new edition of this bestselling guide offers an integrated approach to process improvement that delivers quick and substantial results in quality and productivity in diverse settings. The authors explore their Model for Improvement that worked with international improvement efforts at multinational companies as well as in different industries such as healthcare and public agencies. This edition includes new information that shows how to accelerate improvement by spreading changes across multiple sites. The book presents a practical tool kit of ideas, examples, and applications. \u003cp\u003e \u003c\/p\u003e \u003cp\u003eForeword xi\u003c\/p\u003e \u003cp\u003ePreface xv\u003c\/p\u003e \u003cp\u003eAcknowledgments xviii\u003c\/p\u003e \u003cp\u003eThe Authors xix\u003c\/p\u003e \u003cp\u003eIntroduction: The Improvement Guide, Second Edition 01\u003c\/p\u003e \u003cp\u003e\u003cb\u003ePART ONE: INTRODUCTION TO IMPROVEMENT 13\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter One: Changes That Result in Improvement 15\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003ePrinciples of Improvement 15\u003c\/p\u003e \u003cp\u003eThe Model for Improvement 23\u003c\/p\u003e \u003cp\u003eKey Points from Chapter One 25\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter Two: Skills to Support Improvement 27\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eSupporting Change with Data 28\u003c\/p\u003e \u003cp\u003eDeveloping a Change 35\u003c\/p\u003e \u003cp\u003eTesting a Change 41\u003c\/p\u003e \u003cp\u003eImplementing a Change 43\u003c\/p\u003e \u003cp\u003eSpreading Improvements 44\u003c\/p\u003e \u003cp\u003eThe Human Side of Change 45\u003c\/p\u003e \u003cp\u003eKey Points from Chapter Two 46\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter Three: Improvement Case Studies 49\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eCase Study 1: Improving the Morning Meeting 49\u003c\/p\u003e \u003cp\u003eCase Study 2: Improving Service in a Dental Office 54\u003c\/p\u003e \u003cp\u003eCase Study 3: Improving Methods for Teaching Biology 60\u003c\/p\u003e \u003cp\u003eCase Study 4: Contamination in Shipping Drums 63\u003c\/p\u003e \u003cp\u003eCase Study 5: Reducing Energy Use in School 66\u003c\/p\u003e \u003cp\u003eKey Points from Chapter Three 71\u003c\/p\u003e \u003cp\u003e\u003cb\u003ePART TWO: METHODS FOR IMPROVEMENT 73\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter Four: The Science of Improvement 75\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eProfound Knowledge 76\u003c\/p\u003e \u003cp\u003eMilestones in the Development of Profound Knowledge 85\u003c\/p\u003e \u003cp\u003eKey Points from Chapter Four 88\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter Five: Using the Model for Improvement 89\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eWhat Are We Trying to Accomplish? 89\u003c\/p\u003e \u003cp\u003eHow Will We Know That a Change is an Improvement? 93\u003c\/p\u003e \u003cp\u003eWhat Changes Can We Make That Will Result in Improvement? 96\u003c\/p\u003e \u003cp\u003eThe Plan-Do-Study-Act Cycle 97\u003c\/p\u003e \u003cp\u003eUsing the Cycle to Build Knowledge 100\u003c\/p\u003e \u003cp\u003eKey Points from Chapter Five 106\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter Six: Developing a Change 109\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eSome Typical Problems in Developing Changes 110\u003c\/p\u003e \u003cp\u003eReactive Versus Fundamental Change 111\u003c\/p\u003e \u003cp\u003eTheory for Change 116\u003c\/p\u003e \u003cp\u003eMethods for Developing Fundamental Change 120\u003c\/p\u003e \u003cp\u003eKey Points from Chapter Six 136\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter Seven: Testing a Change 139\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eApplying the Science of Improvement to Testing 140\u003c\/p\u003e \u003cp\u003ePrinciples for Testing a Change 144\u003c\/p\u003e \u003cp\u003eDesigns for Testing a Change 153\u003c\/p\u003e \u003cp\u003eStrategies for Testing 168\u003c\/p\u003e \u003cp\u003eKey Points from Chapter Seven 170\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter Eight: Implementing a Change 173\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eTesting a Change 174\u003c\/p\u003e \u003cp\u003eImplementing a Change 174\u003c\/p\u003e \u003cp\u003eImplementation as a Series of Cycles 175\u003c\/p\u003e \u003cp\u003eImplementing Changes to Achieve and Maintain Improvement 179\u003c\/p\u003e \u003cp\u003eThe Social Aspects of Implementing a Change 186\u003c\/p\u003e \u003cp\u003eKey Points from Chapter Eight 193\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter Nine: Spreading Improvements 195\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eA Framework for Spread 196\u003c\/p\u003e \u003cp\u003ePhase for Organizational Readiness for Spread 197\u003c\/p\u003e \u003cp\u003ePhase for Developing an Initial Spread Plan 205\u003c\/p\u003e \u003cp\u003ePhase for Executing and Refining the Spread Plan 210\u003c\/p\u003e \u003cp\u003eKey Points from Chapter Nine 216\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter Ten: Integrating Methods for the Improvement of Value 217\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eEliminating Quality Problems 218\u003c\/p\u003e \u003cp\u003eReducing Costs While Maintaining or Improving Quality 224\u003c\/p\u003e \u003cp\u003eExpanding the Expectations of Customers to Increase Demand 230\u003c\/p\u003e \u003cp\u003eDeveloping an Environment Conducive to the Improvement of Value 235\u003c\/p\u003e \u003cp\u003eKey Points from Chapter Ten 236\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter Eleven: Improving Large or Complex Systems 237\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eProject Setup and Management 239\u003c\/p\u003e \u003cp\u003eUnderstanding the System and Developing High-Impact Changes 243\u003c\/p\u003e \u003cp\u003eTesting and Learning Systems 250\u003c\/p\u003e \u003cp\u003eKey Points from Chapter Eleven 262\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter Twelve: Case Studies of Improvement Efforts 263\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eCase Study 1: Reducing the Occurrence of No-Fault-Found Components 264\u003c\/p\u003e \u003cp\u003eCase Study 2: Improving the Drill Process 269\u003c\/p\u003e \u003cp\u003eCase Study 3: Reducing Infection and Mortality Rates in a Pediatric Intensive Care Unit 276\u003c\/p\u003e \u003cp\u003eCase Study 4: Improving Safety at a Manufacturing Plant 285\u003c\/p\u003e \u003cp\u003eCase Study 5: Improving the Credentialing Process at CareOregon 291\u003c\/p\u003e \u003cp\u003eCase Study 6: Improving Sales at a Specialty Chemical Company 292\u003c\/p\u003e \u003cp\u003eKey Points from Chapter Twelve 305\u003c\/p\u003e \u003cp\u003e\u003cb\u003ePART THREE: IMPROVING VALUE AS A BUSINESS STRATEGY 307\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter Thirteen: Making the Improvement of Value a Business Strategy 309\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eBuilding the System of Improvement 312\u003c\/p\u003e \u003cp\u003eKey Points from Chapter Thirteen 328\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter Fourteen: Developing Improvement Capability 331\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eDeveloping Improvement Capability in the Workforce 333\u003c\/p\u003e \u003cp\u003eOrganization to Support the Focus on Improvement 340\u003c\/p\u003e \u003cp\u003eDevelopment of Other Capabilities 343\u003c\/p\u003e \u003cp\u003eKey Points from Chapter Fourteen 346\u003c\/p\u003e \u003cp\u003eSample Agendas for Getting Started, Sponsors, and Improvement Advisors 348\u003c\/p\u003e \u003cp\u003eDevelopment of Internal Improvement Advisors: Topical Agenda 352\u003c\/p\u003e \u003cp\u003e\u003cb\u003eAPPENDIXES 355\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003eAppendix A: A Resource Guide to Change Concepts 357\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eHow to Use Change Concepts 358\u003c\/p\u003e \u003cp\u003eThe Change Concepts 363\u003c\/p\u003e \u003cp\u003e\u003cb\u003eAppendix B: Tools and Methods to Support Improvement 409\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eMethods and Tools for Viewing Systems and Processes 410\u003c\/p\u003e \u003cp\u003eMethods and Tools for Gathering Information 417\u003c\/p\u003e \u003cp\u003eMethods and Tools for Organizing Information 423\u003c\/p\u003e \u003cp\u003eMethods and Tools for Understanding Variation 433\u003c\/p\u003e \u003cp\u003eMethods and Tools for Understanding Relationships 440\u003c\/p\u003e \u003cp\u003eMethods and Tools for Project Management 442\u003c\/p\u003e \u003cp\u003eStandard Forms for Improvement Projects 445\u003c\/p\u003e \u003cp\u003e\u003cb\u003eAppendix C: The Model for Improvement and Other Roadmaps 453\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eFundamental Questions for Improvement 454\u003c\/p\u003e \u003cp\u003eAlternative Roadmaps for Improvement Projects 456\u003c\/p\u003e \u003cp\u003eSummary 464\u003c\/p\u003e \u003cp\u003eNotes 465\u003c\/p\u003e \u003cp\u003eIndex 479\u003c\/p\u003e \u003cp\u003e \u003c\/p\u003e  \u003cp\u003e\u003cb\u003eTHE AUTHORS\u003c\/b\u003e  \u003c\/p\u003e\u003cp\u003e\u003cb\u003eGERALD J. LANGLEY\u003c\/b\u003e is a statistician, author, and consultant, and co-founder of Associates in Process Improvement (API), consulting firm that specializes in the improvement of quality and productivity. \u003c\/p\u003e\u003cp\u003e\u003cb\u003eRONALD D. MOEN\u003c\/b\u003e is a statistician, consultant, and teacher to industry, government, and education. He is co-founder of API.\u003cb\u003e\u003c\/b\u003e \u003c\/p\u003e\u003cp\u003e\u003cb\u003eKEVIN M. NOLAN\u003c\/b\u003e is a statistician, author, and consultant at API, where he focuses on developing methods and assisting organizations to accelerate their rate of improvement in quality and productivity. \u003c\/p\u003e\u003cp\u003e\u003cb\u003eDR. THOMAS W. NOLAN\u003c\/b\u003e is a statistician, author, and consultant, and co-founder of API.\u003cb\u003e\u003c\/b\u003e \u003c\/p\u003e\u003cp\u003e\u003cb\u003eCLIFFORD L. NORMAN\u003c\/b\u003e is a consultant with API whose work has emphasized the psychology of change. \u003c\/p\u003e\u003cp\u003e\u003cb\u003eLLOYD P. PROVOST\u003c\/b\u003e is a statistician who advises to organizations as an API associate.   \t \u003c\/p\u003e\u003cp\u003e\u003cb\u003eIN TODAY'S TUMULTUOUS GLOBAL MARKETPLACE\u003c\/b\u003e, making effective changes in how organizations are run has become more important than ever. Performance improvement continues to be a key focus for leaders in business, healthcare, education, and government concerned with long-term success and sustainability. Executives, managers, and workers need practical methods and techniques that produce lasting results. \u003c\/p\u003e\u003cp\u003eThis second edition of the best-selling book, \u003ci\u003eThe\u003c\/i\u003e \u003ci\u003eImprovement Guide\u003c\/i\u003e, offers an integrated approach to learning and improvement, one that is designed to deliver quick and substantial results. Using straightforward stories to illustrate core ideas, the expert authors introduce a flexible model for improving quality and productivity in diverse settings. They draw from research conducted in a variety of areasmanufacturing, healthcare, government, and schoolsto present a practical tool kit of ideas, examples, and applications. \u003c\/p\u003e\u003cp\u003eSince the book was first published more than a decade ago, the authors have expanded the use of their Model for Improvement through work on improvement efforts at multinational companies as well as in different industries such as healthcare and public agencies. This thoroughly revised and updated edition includes new information that shows how to accelerate improvement by spreading changes across multiple sitesfor example, spreading improvements in cardiac care across multiple hospitals; spreading set-up efficiencies across multiple manufacturing sites; or spreading approaches to reducing homelessness across multiple cities. In addition, the book contains an explanation of how other approaches such as Six Sigma and Lean production are related to the Model for Improvement framework. \u003c\/p\u003e\u003cp\u003eDesigned to be highly approachable, the book's Resource Guide to Change Concepts is updated so that even beginners can utilize the tested techniques of some of the world's most experienced practitioners. Like the first, this second edition offers a practical tool kit filled with dynamic ideas, illustrative examples, and useful applications.\t \t  \u003c\/p\u003e\u003cp\u003ePraise for\u003cb\u003e\u003ci\u003eThe Improvement Guide\u003c\/i\u003e\u003c\/b\u003e   \u003c\/p\u003e\u003cp\u003e\"Managers will profit enormously from studying this unique publication, which presents a very practical, readily implementable way to improve the performance of any organization. Utilizing this approach over the last fifteen years, under the guidance of a co-author, has been a major key to the success of our company.\"\u003cbr\u003e \u003cb\u003eDAVID R. HARVEY\u003c\/b\u003e, chairman and former CEO, Sigma-Aldrich Corporation  \u003c\/p\u003e\u003cp\u003e\"The updated edition of \u003ci\u003eThe Improvement Guide\u003c\/i\u003e builds on API's practical approach to improvement, providing even more great examples, and expands into methods for large system change and spreading improvement quickly. This is an outstanding reference book for anyone leading improvement.\" \u003cb\u003eBRUCE BOLES\u003c\/b\u003e, master black belt, Hewlett-Packard  \u003c\/p\u003e\u003cp\u003e\"The Model for Improvement developed by the authors and presented in this book is remarkably simple and profound. The first edition is a classic. The second edition retains the best features of the original and incorporates twelve years of experience of many organizations around the world that have been using its contents. It is a valuable reference for anyone working with improvement. We have been using \u003ci\u003eThe Improvement Guide\u003c\/i\u003e in the Continuous Education Program on Improvement at the University since 2000, with outstanding results.\"\u003cbr\u003e \u003cb\u003eADEMIR J. PETENATE\u003c\/b\u003e, professor of statistics at University of Campinas (Brazil) and director of ANOVAMethods for Improvement  \u003c\/p\u003e\u003cp\u003e\"If you are involved in organizational improvement efforts, this book is an invaluable asset and guide to learning. The detailed explanations of theory, principles, and tools, along with pragmatic real-world examples of successful project execution, allow an improvement team to understand organizational complexity, then break improvement efforts into simpler components, yielding dramatic insights and results.\"\u003cbr\u003e \u003cb\u003eJERRY W. 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