ZSFG KPO Coaching Request Form for A3 Thinking and DMS
The purpose of this form is to facilitate individual requests from individuals or teams for coaching in connection with A3 Thinking or the Daily Management System.
We will attempt to provide specific coaching through our existing Learning Lab schedule, but will schedule 1:1 meetings when possible,
Note: This form is NOT intended for enrollment in our formal Training Workshops.
Name of your Supervisor or Improvement Sponsor
Maternal Child Adolescent Health
What topic or activity best matches your interest or needs for coaching? (Choose at least one best area for focus - Max: 3)
A3: A3 Thinking Overview and A3 Review
A3: Current Conditions and Swimlane Mapping/Process Mapping
A3: Analysis Tools - Fishbone/5 Whys/Stratification/Pareto Analysis
A3: Countermeasures and PDSA
A3: A3-Status Reports or Countermeasure Summaries
DMS: Status Sheets
DMS: PDSA/Standard Work/Process Observation
DMS: Area Improvement Center and Measurement Tools
Principle Based Leadership: Leader Standard Work or PDP A3
Scheduling: Are you available for coaching during an existing Learning Lab time slot? (Preferred)
Wednesday Learning Lab, 11-12:30
Thursday A3-SR Learning Lab, 10:30-12 (1st Thu/month only)
Friday Learning Lab, 1-2:30
I need alternative times (see below)
Scheduling: What alternative times are you generally available for coaching? (Optional)
Other Comments on Needs/Scheduling
Name of person submitting this request (If different than above)
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