In our efforts we strive to answer give major themes of questions about why building a culture of quality is critical.
Why do we need quality? Why is it important? What are the regulatory expectations? What happens if we do nothing?
What results are expected for our patients? Our organization? Our people? What does out destination look and feel like?
How will we get there? What’s our plan and process? What new behaviors do we each need to demonstrate?
What do you need to fulfill your role in quality? What do we need from you?
What do I commit to as a leader? What will I do to make change a reality? How will I support my team?
Five Themes of Change
The great part of this is that the principles of building a quality culture are the same mindsets we want embedded in our culture. By demonstrating them, we build and strengthen the culture, and will reap the dividends.
Be Preventative: What actions can be taken to prevent undesirable/unintended consequences with employees and other stakeholders. We do this by:
Professor Edmondson in this article is discussing cross-industry collaboration, but the central four levers apply in any organization.
Having a vision that strives for a True North of Quality is critical. Make it align to individual needs. Remember that vision grows and adapts as you go, and as others get the opportunity to shape. Vision has six criteria:
Stimulus: Vision needs to include actual benefits for those affected by it. String vision brings people together as community, not as strangers. Stimulus means people see themselves in the vision and understand how they will benefit.
Scale: Vision should be of great breadth and depth with potential for extension at later stages. Vision never leads to or accepts a dead end. It shows multiple potentials for expansion.
Spotlight: Vision assumes responsibility, immediate and extended. The greater the vision, then the greater the responsibility for its impact on people’s lives and the legacy that will be left afterwards. This responsibility needs to bring opportunity for people who are involved. This is part of the vision that will drive the volunteer army.
Scanning: A visionary sees the signs on the way to success. Pay attention to to pain points, spot trends and see where and how value can be added. Gemba walks are critical here.
Simplicity: Vision is elegant thinking about complicated and complex things. A vision is not a vision unless it’s understood. Simplicity lets people believe in vision. If the vision is complicated most people will ignore it. Vision operates and makes execution possible from its simplicity. The simpler the vision in its core meaning, the easier it can be shared with employees, customers and partners and thus, easier to scale inside and outside an organization.
Passion: Vision provokes strong emotions. A strong vision is always accompanied by excitement and passion. Excitement equals passion that gives an emotional power to a vision. A strong vision brings strong excitement that is difficult to contain. Strong excitement and passion are highly contagious. A simple and compelling vision excites more passion than any mere goal.
Psychological safety is the state where employees feel that there is safety in taking risks at work setting. In this safe environment employees will engage in risk-taking actions that are inherent to creative endeavors and if they perceive safety, then they are more comfortable to voice their opinions. This safety makes them more willing to take the chances to own the vision and try to experiment with making that vision a reality which motivates them to develop, promote, and implement new ideas.
This safety will enable knowledge sharing, which can come in many different styles, including combination which creates something new.
Through inclusive, democratic leaders who value the inclusion of employees in a particular work process, employees have the chance to raise their voice for generating, promoting, and implementing useful ideas Through leveraging vision these inclusive leaders exhibit openness attributes that communicates the importance of taking innovative actions and gives employees the guarantee that in case of negative consequences they will not be punished, experiencing greater psychological safety.
Employees experience non-defensive behavior, and feel high levels of self-worth and self-identity, motivating employees not only to generate new ideas, but also to promote and implement new ideas in the organization.
The organization that is structured to accept these ideas will continue to drive iterative cycles of improvement.
It is not enough to present a compelling case for change. Leaders can explain how the specified changes are in the company’s interests and the collective interests of all employees but for individuals to change their behavior, it must be in their individual interests to do so. There are always some costs to employees in any change program, but the behaviors required for change can still be in their individual interests if there are benefits that, on balance, make it rational to get with the program. It’s up to leadership to understand these cost-benefit analyses and tip the scales as needed to make active support of the collective change an individually winning strategy.
This is one the places having a volunteer army is vital. That army will help ensure the individual and well as the collective interests are engaged.
Under-engaging the Extended Leadership Team
It is crucial to get the extended leadership team seriously engaged in cultural transformation. Much of the coalition of change will be drawn from their numbers. What counts as an extended leadership team is different depending on the organization, but as a rule of thumb go to the top and draw a circle down to 3 levels below.
By drawing from the extended leadership team as the guiding coalition, you give them a personal stake in the outcome. Give the extended leadership team members a voice earlier on in the program and they will feel a greater sense of ownership and will contribute more readily. Their involvement should begin as early as the design stage to leverage their knowledge of the workforce and the situation on the ground. Giving them the opportunity for meaningful input will make them feel included in the program and enthusiastic about it, and will also help keep the program free of design flaws.
Allocating “Set-and-Forget” Targets
The hands-off, set-and-forget model for allocating targets has three major shortcomings:
If senior management neglects to inspire ambitions, to monitor progress and make proper course corrections, and to show sufficient engagement, then the initiative leaders will have little reason to go the extra mile. Presented with an annual target, they will likely focus on measures that aim simply to meet it – typically, shortsighted measures such as reducing deviations per batch or CAPA cycle time. After all, such measures are far easier to implement, and far less threatening to the delivery of day-to-day business results, than broad long-term measures such as seeking sustainable savings through increased productivity. Taking the simpler path is the rational choice when you understandably want to minimize disruption. Unfortunately, the short-tern measures don’t change culture fundamentally or sustainably. Sooner or later they are discontinued, and when that happens, the benefits evaporate.
The initiative leaders will likely seek solutions specific to their own silos rather than pursue opportunities that might contribute to collective, cross-department success. Those promising opportunities remain undiscovered since individual departments left to their own devices have no particular incentive to look beyond their silos. They might even have a disincentive to do so, because they may rightly worry that they wouldn’t get their fair share of credit for the results or that it would be a futile mission and damaging to their prospects.
The hands-off model prevents lead-indicator metrics, timely interventions, and course correction. If senior leaders have little visibility into a departmental initiative, they cannot easily realize that things are going off the hands-off model militates against lead-indicator metrics, timely interventions, and course correction. If senior leaders have little visibility into a departmental initiative, they cannot easily realize that things are going off track through the pursuit of unsustainable, short-term measures – until it is too late to do anything about it.