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Taiichi Ohno, the father of LEAN, taught about the removal of waste, standard work, and continuous flow

Authors Note (Raimund Laqua): Follow me on LinkedIn or Subscribe to Lean Compliance (free) to stay

. - The Lean Compliance Engineer Uncertainty Creates the Opportunity for Risk I've sat through countless Here's what I've learned after three decades in risk & compliance: we're fighting the wrong battle.

When I founded Lean Compliance in 2017 I was encouraged to write blog posts to help draw attention to Some of these interactions have led to meaningful engagements becoming clients of Lean Compliance. It takes time to master a topic, learn a skill, write blog posts or even achieve compliance effectiveness

The Hoshin Kanri method is a popular LEAN approach used to align strategy with outcomes.

When it comes to compliance a lack of clarity and alignment often leads to program failure. Ultimately, misalignment leads to obligations not being met, promises not kept, and an increase in overall Sometimes having an outsider lead the discussion can help diffuse tensions, help identify important insights Lean Compliance offers a "Plan for Success" kaizen (change for the better) engagement to help you and

The following chart combines these two insights: What Does This All Mean? However, when these conditions do not exist the organization will need to learn new behaviours as they An approach designed to do this is, "Lean Startup." Lean Startup takes advantage of this and provides organizations the opportunity to learn new behaviours Lean Startup aligns change management with implementation to produce intermediate / instrumental transformations

And what did ChatGPT think about Lean Compliance? I couldn't agree more with those principles.

Like other sectors, health care also requires innovation. Current models are based on a reactive and transactional approach to how health care is delivered. As patients, we wait for symptoms to present themselves before making any improvements to our health. In a similar way, health care providers often wait for regulatory changes before making adjustments to the systems that deliver the needed care. What is common to both is all the waiting. Time for Change   I attended a presentation a few years back on the topic of Health Systems Innovation  at McMaster University (Hamilton, Ontario), where the discussion focused on the future of health care, what it might look like, and how it can change from a reactive model to one that is proactive, participatory and where risk is shared. The speakers where: Dr. Des Gorman (Faculty of Medical and Health Sciences, University of Auckland), and Mrs. Danielle Freschette (Executive Director, Health Systems Innovation and External Relations, Royal college of Physicians and Surgeons of Canada) Here is my brief summary of the presentations and ensuing discussions. What I found most interesting is that many of the issues presented are also found in other sectors. Health care is not the only industry that suffers from being too reactive. We have the wrong model Reactive Transactional Funding the wrong things Regulation that constrains innovation Health care is moving towards Participatory health care Self-management Focus on outcomes Co-development Mutualised risk Process agnostic Insights Within 5-7 years whatever new system you put in place becomes corrupt. People figure out how to game it. We need to design systems that are intended to be gamed but where everyone wins. People want to pay for outcomes not activity (i.e. transactions). Yet, there is little motivation to do anything other than continue to transact. Evidence based medicine was introduced to reduce variation and improve outcomes but is no longer innovating. We should have a strong skepticism around data and its use. Data only tells "half" the story. Health care is not ready for industry 4.0. We are not teaching people how to adapt. In many cases providers do not have the capacity to change. In Canada (specifically Ontario) there are too many pilot programs. Not enough have reached the point of viability and able to scale. Innovation is currently driven by technicians and technology. Technology should not be the driving factor; patient outcomes should be instead. For health care to be proactive it needs to be based on outcomes and competency We need greater participation from all areas of health care if we are to come up with better approaches. There is no lack of desire to do this but a lack of effective ways to engage everyone. We need to create the conditions that encourage innovation not stifle it. My thoughts Health care systems are based on a model that is not sustainable and it has been this way for some time. There are many factors that contribute to this and there is a multitude of options for how to improve. However, what is not clear, is how these innovations are funded, introduced, and scale to achieve the intended benefits. Some of these can be done incrementally. but others may require changes to current systems to enable these innovations. What is clear, is that more engagement is necessary from all who provide health care and those that benefit from it. Perhaps, this is where innovation is most needed. A participatory approach based on mutualised risk that focuses on patient outcomes might just be the kind of innovation we need to become more proactive with our health care. This approach may also be helpful in other industries that are highly regulated, where risks need to be managed, and that suffer from being too reactive. Amendment In the years since I wrote this the Healthcare system in Ontario has started to transition towards a teams-based approach to improve overall coordination and improve support for proactive health care strategies. Having recently undergone surgery to remove a gall bladder I have now experienced first hand the level of care which was excellent. After the surgery I was sent home as part of a virtual nurse program. During this program which lasted two weeks, I took my vitals each day which where uploaded using a tablet and then interacted with nurses and physicians through video sessions. Throughout this entire process I was treated with respect, dignity and with great care. More work is still needed to address systemic issues across the healthcare systems along with new realities of sustainability and burn-out. However, several of the shortcomings I wrote about have now been addressed at least within the primary care system which I am very grateful.

The wrong choice creates cascading risks that compound as AI systems learn and adapt in unpredictable Without systematic design for acceptable learning parameters, AI systems can adapt in ways that conflict Adaptation Management demands new processes for managing beneficial learning while preventing harmful computer engineer with over 30 years of expertise in high-risk and regulated industries, specializing in lean He is the founder of Lean Compliance and co-founder of ProfessionalEngineers.AI , organizations dedicated

That’s why we created Lean TCM (Total Compliance Management) to help organizations raise their compliance

This approach is based on Lean Startup model by Eric Ries which we have adapted to the compliance domain This provides the maximum amount of learning with the minimum amount of cost creating less waste while