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INSIGHTS TO PERFORMANCE EXCELLENCE 2013-2014 Understanding the Integrated Management System and the Baldrige Criteria Mark L. Blazey H1440 Blazey COVER 13-14.indd 1 1/9/13 11:26 AM Insights to Performance Excellence 2013–2014 Also available from ASQ Quality Press: 2013–2014 Education Criteria for Performance Excellence Baldrige Performance Excellence Program at NIST 2013–2014 Health Care Criteria for Performance Excellence Baldrige Performance Excellence Program at NIST 2013–2014 Criteria for Performance Excellence (Business/Nonprofit) Baldrige Performance Excellence Program at NIST There Is Another Way!: Launch a Baldrige-Based Quality Classroom, Second Edition Margaret A. Byrnes with Jeanne C. Baxter ASQ Education School Self-Assessment Guide to Performance Excellence: Aligning Your School and School District with the Malcolm Baldrige Education Criteria for Performance Excellence Peter G. LaBonte, ASQ Running All the Red Lights: A Journey of System-Wide Educational Reform Terry Holliday and Brenda Clark The Making of a World-Class Organization E. David Spong and Debbie J. Collard Journey to Excellence: How Baldrige Health Care Leaders Succeed Kathleen J. Goonan, MD, Joseph A. Muzikowski, and Patricia K. Stoltz Charting Your Course: Lessons Learned During the Journey Toward Performance Excellence Robert Ewy; John G. Conyers Transformation to Performance Excellence: Baldrige Education Leaders Speak Out Sandra Cokeley, Margaret A. Byrnes, Geri Markley, and Suzanne Keely, editors On Becoming Exceptional: SSM Health Care's Journey to Baldrige and Beyond Sister Mary Jean Ryan, FSM The Executive Guide to Understanding and Implementing the Baldrige Criteria: Improve Revenue and Create Organizational Excellence Denis Leonard and Mac McGuire Root Cause Analysis: Simplified Tools and Techniques, Second Edition Bjørn Andersen and Tom Fagerhaug Nancy R. Tague To request a complimentary catalog of ASQ Quality Press publications, call 800-248-1946, or visit our Web site at http://www.asq.org/quality-press. Insights to Performance Excellence 2013–2014 Understanding the Integrated Management System and the Baldrige Criteria Mark L. Blazey ASQ Quality Press Milwaukee, Wisconsin American Society for Quality, Quality Press, Milwaukee 53203 © 2013 by ASQ All rights reserved. Published 2013 Printed in the United States of America 17 16 15 14 13 5 4 3 2 1 ISBN-13: 978-0-87389-851-5 No part of this book may be reproduced in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the publisher. Publisher: William A. Tony Acquisitions Editor: Matt Meinholz Project Editor: Paul O’Mara Production Administrator: Randall Benson ASQ Mission: The American Society for Quality advances individual, organizational, and community excellence worldwide through learning, quality improvement, and knowledge exchange. Attention bookstores, wholesalers, schools, and corporations: ASQ Quality Press books, video, audio, and software are available at quantity discounts with bulk purchases for business, educational, or instructional use. For information, please contact ASQ Quality Press at 800-248-1946, or write to ASQ Quality Press, P.O. Box 3005, Milwaukee, WI 53201-3005. To place orders or to request a free copy of the ASQ Quality Press Publications Catalog, including ASQ membership information, call 800-248-1946. Visit our Web site at http://www.asq.org or http://www.asq.org/quality-press. Printed on acid-free paper This book is dedicated to the memory of my father, Everett, who taught me the value of continuous improvement, and to my family members, who provide support for the continuous search for excellence: my mother, Ann L. Blazey, who at 85 continues to strive to improve in everything she does; my brothers Scott, Brian, and Brent; my children Elizabeth and her husband Josh, and Mark and his wife Meghan; and most of all, my lifelong partner and loving wife Karen. Contents Foreword . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiv Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xv Insights to Performance Excellence: Understanding the Integrated Management System . 1 Preface: Organizational Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77 P.1 Organizational Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78 P.2 Organizational Situation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 Category 1—Leadership . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83 1.1 Senior Leadership . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84 1.2 Governance and Societal Responsibilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95 Category 2—Strategic Planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105 2.1 Strategy Development . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107 2.2 Strategy Implementation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119 Category 3—Customer Focus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129 3.1 Voice of the Customer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130 3.2 Customer Engagement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141 Category 4—Measurement, Analysis, and Knowledge Management . . . . . . . . . . . . . . . . . . . 153 4.1 Measurement, Analysis, and Improvement of Organizational Performance . . . . . . . . . . . . . . . . . . . . . . . 154 4.2 Knowledge Management, Information, and Information Technology . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167 Category 5—Workforce Focus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175 5.1 Workforce Environment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 176 5.2 Workforce Engagement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185 Category 6—Operations Focus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203 6.1 Work Processes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 205 6.2 Operational Effectiveness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 216 Category 7—Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225 7.1 Product and Process Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 227 7.2 Customer-Focused Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 234 7.3 Workforce-Focused Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 239 7.4 Leadership and Governance Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 244 7.5 Financial and Market Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 250 vii viii Contents Tips on Preparing a Baldrige Award Application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 255 Scoring System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 269 Clarifying the Baldrige Scoring Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 281 Self-Assessments of Organizations and Management Systems . . . . . . . . . . . . . . . . . . . . . . . . 293 The Site Visit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 307 Clarifying Confusing Terms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 335 Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 341 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 355 About the Author . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 356 Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 357 CD-ROM Contents Insights to Performance Excellence 2013–2014contains a companion CD-ROM, located on the inside back cover, with the following contents: 2013–2014 CD-ROM Contents (PDF) 2013 Baldrige Process Calendar (PDF) 2013 Baldrige Award Applications 2013 Baldrige Award Application Form (Word) 2013 Baldrige Eligibility Certification Form (Word) 2013 Baldrige Application Content and Format (PDF) 2013–2014 Business/Nonprofit 2013–2014 Baldrige Business Application Development Templates(Word) 2013–2014 Baldrige Business Enhanced Scoring Calibration Guide (PDF) 2013–2014 Education 2013–2014 Baldrige Education Application Development Templates(Word) 2013–2014 Baldrige Education Scoring Calibration Guide (PDF) 2013–2014 Health Care 2013–2014 Baldrige Health Care Application Development Templates(Word) 2013–2014 Baldrige Health Care Scoring Calibration Guide (PDF) Additional Materials from the Baldrige Performance Excellence Web Site Are We Making Progress as Leaders?(PDF) Are We Making Progress? (PDF) Your Guide to Performance Excellence (PDF) Read Me.txt Some files on this CD-ROM require Microsoft Word or a program that can open Word files. Please note that a Word file opened with Word for Macintosh may appear slightly different than a Word file opened with Word for Windows. PDF files may be opened using Adobe Reader 8.0 or higher or Adobe Acrobat 8.0 or higher. Adobe Reader may be downloaded free of charge from the Adobe Web site at http://www.adobe.com. All original materials on this CD-ROM ©2013 by ASQ Quality Press and Quantum Performance Group. All rights reserved. To place orders or to request a free copy of the ASQ Quality Press Publications Catalog, including ASQ membership information, call 800-248-1946. Visit our Web site at http://www.asq.org or http://www.asq.org/quality-press. ix

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