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4 Disciplines of Execution

JMH Phase II of the Leadership Development Series

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Understanding the Disciplines��3.5 hour classroom segments�9 week cadence���

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Discipline 1 – Careful Focus on a Clear Lag

  1. Narrow focus with 1-2 Wildly Important Goals (WIG)
  2. Battles chosen must win the war
  3. Senior leader can veto – but not dictate
  4. Finish line format “from x to y by when”
  5. Team discovery “what” to focus on
  6. Rank by impact
  7. Test top ideas
  8. Define the WIG
    1. Begin with verb
    2. X to y by when
    3. Simple
    4. Focused on “what” not “how”

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Discipline 2 – Acting on the High Leverage Lead Measures

  1. Leveraged actions achieves the goal
  2. Lead measures
    1. Predictive & Influenceable
    2. Small outcome (daily or weekly results)
    3. Leveraged behavior (tracks specific behaviors the team must perform)
  3. Isolate & consistently track leavers
  4. Pay the price to track
  5. Ideal lead measure
    • action that moves the lag
    • Action the team can take without significant dependence on another team
  6. Daily tracking creates highest level of accountability

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Discipline 3 – Regular Scorekeeping and Monitoring

  1. Engagement comes when team keeps score
  2. Visual scoreboard (shows winning and losing)
  3. Data is the “light” shown on the game
  4. Scoreboard
    1. Visible
    2. Accessible
    3. Continually updated
    4. Lead & Lag measures
    5. Pareto
    6. Clarity (what and why)
    7. 5 sec @ 5 feet
    8. Trust but verify (Leader owns)
    9. Peer accountability (team owns)

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Discipline 4 – Cadence of Accountability

  1. Where execution really happens
  2. Daily huddle, WIG focused
  3. Account, Review, Plan (Report, Review, Commit)
  4. Commitments represent specific deliverables that will move lead measures
    1. “1 or 2 things, most important, I can do this week to impact the lead”
  5. Accountability for meeting commitments
    • Leader models consistency & follow through
  6. Commitments
    • Specific
    • Aligned
    • Timely
  7. Demonstrate respect, reinforce accountability, encourage performance
  8. 6 Steps to successful WIG sessions (p. 187 – 188 in book)

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Commitment Tickets

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Commitment Card

Date Created

 

Who

 

What

 

When

❒ by end of next workday

❒ by end of next week

❒

Date Completed

 

    • Specific
      • Who will do what
    • Aligned
      • Provides the biggest impact to leading measure
    • Timely
      • Ensures accountability to peers

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Installing the Disciplines��Scoreboard Implementation�Week 6 – 9 of the 9 week cadence

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4DX Scoreboard Content and Layout

Lead Measure

Lag

Measure

Pareto

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Scoreboard

Standard Work

Visual that demonstrates huddles taking place (ie calendar)

Department Scoreboard

Wildly Important Goals

DAILY UPDATE

NEW COMMITMENTS

SCOREBOARD AUDIT

COMMITMENTS

WIG 1:

“x to y by when”

WIG 2:

“x to y by when”

IN PROGRESS

COMPLETED

4DX LEADER ROUNDING COMMITMENTS

DATE

LEADER

SCOREBOARD COMMITMENT

OWNER

DUE/MET

STATE OF THE UNIT

Celebrations

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Scoreboard Examples��Lab �OR�PACU�ENDO�Short Stay�Oncology�2000�Cath Lab�Transport �ASC�Operational Excellence

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Cohort 1�Transport, Cath Lab, Short Stay, Lab,

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Cohort 2�OR, Endo, PACU, Oncology, 2000

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Cohort 2 continued�ASC, Operational Excellence

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