Massachusetts Takes On Health Costs

    Massachusetts is once again going to squeeze the healthcare balloon, only to be “surprised, surprised I tell you” when compressing on one bulge produces a bulge somewhere else.
    Every trip to the supermarket is one in which you’ll consider compromises and tradeoffs.  Buy better products–fresh squeezed orange juice rather than concentrate–and you’ll either pay more or [...]

    [continue reading...]

    About Steve

    Steven J. Spear, five-time winner of the Shingo Prize for research excellence and recipient of the McKinsey Award, is a senior lecturer at MIT and former assistant professor at Harvard. A senior fellow at the Institute for Healthcare Improvement, he is the author of numerous articles appearing in academic and trade publications, including the Harvard Business Review, Annals of Internal Medicine, Academic Medicine, The Boston Globe, and The New York Times. An active public speaker, he has addressed audiences as diverse as the Association for Manufacturing Excellence, the Shingo Prize Annual Conference, and the Institute of Medicine.

Business Strategy
Innovation
Organizational Learning

ASQ Honors The High Velocity Edge with Philip Crosby Medal

ASQ Rewards Achievements in Quality Recipients honored for advancing the quality profession The High Velocity Edge to ...

What’s best for fostering CI and innovation?

The common challenge to all organizations is taking what is poorly understood--the needs of a market, the design of products ...

Triggers and Objectives for Process Change–Shortfalls, failures, and imperfection

Summary: There are at least four conditions that trigger improvement: what we did didn't work as planned, we disappointed a ...

Auto Industry

Cutting Gas Consumption: A better way than CAFE standards?

In “Obama’s Chance to Reduce Auto Emissions and Our Thirst for Oil,” Daniel Becker and James Gerstenzang, cheer the benefits of raising CAFE requirements, the miles per gallon automakers have to average across the fleet of cars they sell.
It seems, there is a simpler and more effective way to meet the objective of reducing oil [...]

High Velocity Organizations

The Trouble with On Line Education…mis fire by NY Times op ed

Mark Edmundson (”The Trouble with On Line Education,” NY Times, Friday July 20, 2012) starts with a misdirect: “How can online education ever be education of the very best sort?” and proceeds to answer his rhetorical question both by romanticizing the interactive dynamic of face to face class instruction, establishing as the norm for classroom [...]

Health Care

Massachusetts Takes On Health Costs

Massachusetts is once again going to squeeze the healthcare balloon, only to be “surprised, surprised I tell you” when compressing on one bulge produces a bulge somewhere else.
Every trip to the supermarket is one in which you’ll consider compromises and tradeoffs.  Buy better products–fresh squeezed orange juice rather than concentrate–and you’ll either pay more or [...]