Case Studies

Who said what?

"True quality is unlikely to be deduced from presence of something one can count; true quality is the absence of the unwanted (non value, waste and, in particular, system failure." Stefan Mieczkowski, Director of Operations Archipelago Health.
"Stop the restructurings. The only thing they generate is redundancy payments." Testimony from the suppressed report by Institute for Healthcare Improvements (IHI), Massachusetts.
"To be an effective consultant one must behave authentically" - Peter Block, Author Immaculate Consulting.
"We will not shy away from what is difficult to do or to say." - Stefan Mieczkowski, Director of Operations Archipelago Health.
"Most targets and standards appear to be defined in professional, organisational and political terms, not in terms of patient"s experience of care." Testimony from the suppressed report by the Institute for Healthcare Improvements (IHI), Massachusetts.
"Subsidiarity – ensuring that decisions are taken at the right level of the system, which means as close to the patient as possible." - David Nicholson, Chief Executive NHS, the operating framework for the NHS in England 2010/11.
"Clinical ownership and leadership – we must all continue to mobilise and empower clinicians across the system. Clinicians must be on board when decisions are taken." - David Nicholson, Chief Executive NHS, the operating framework for the NHS in England 2010/11.
"System alignment – achieving complex cultural changes, such as making quality our organising principle, which requires all the different parts of the system to pull in the same direction and to work with partners." - David Nicholson, Chief Executive NHS, the operating framework for the NHS in England 2010/11.
"Co-production – all parts of the system need to continue to work together on shaping and implementing change." - David Nicholson, Chief Executive NHS, the operating framework for the NHS in England 2010/11.
"We field intelligent and adaptive people who will not shy away from what is difficult to do or to say; we take responsibility for outcomes binding our fortunes with yours; we act ethically and approach people filled with the desire to work with them so that they might fulfill their own potential." - Stefan Mieczkowski, Director of Operations Archipelago Healthcare.
"We have an action orientation and will not waste your time and money reporting, analysing and debating problems, and then leave you to do the rest, when what you really need and want is action." - Stefan Mieczkowski, Director of Operations Archipelago Health.
"The risk of consequences to managers is much greater for not meeting expectations from above than for not meeting expectations of patients and families." Testimony from the suppressed report by Institute for Healthcare Improvements (IHI), Massachusetts.
"Go to the people. Live amongst them. Start with what they have. Build on what they know. And when the deed is done, the mission accomplished, of the best leaders the people will say \'we have done it ourselves." Lao Tsu.

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