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    GB 0112004

    TOOLS FOR IMPRO

    ORGANISATIONAL

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    Tools for Improving Organis

    Effectiveness

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    COPYRIGHT

    2004 SAI Global

    All rights reserved. No part of this work may be reproduced or copied in any form or by any means, electronic or me

    SAI Global Ltd., GPO Box 5420, Sydney NSW 2001.

    ISBN 0 7337 6243 3

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    SAI Global 2004 Page 1

    Foreword

    This handbook has been designed specifically to support the work of Continuous Improvement teams in organisatiapproaches to bring about improvements in their operations. It is an easy guide to help you in improving the process

    The 9 Step PDSA Improvement Process and the tools contained herein.

    SAI Global provides a range of products and services aimed at assisting organisations to embrace the principle ofthrough continuous learning, and this book is a valuable addition to the publications we offer. Our Driving Orgaupon 5 Key Elements, the 4th of which is named Improve Using the PDSA Improvement Process & Tools.

    The tools contained in this book are all available in the public domain, however our aim has been to package and

    both individual and team application. Each tool is generally laid out over two open pages, with a description, purpos

    NOTE : The PDSA cycle was originally developed by Walter Shewhart in the 1920s and was later made popular by Dr W Edwards De

    adopters of quality philosophy.

    Alternate names of some Tools

    Capability Matrix See Matrix Diagram

    Histogram See Frequency Distribution

    Line Graph See Run Chart

    Shewhart Chart See Control Chart

    Scatter Diagram See Correlation Chart

    X Y Graph See Run Chart and Correlation Chart

    Operational Definition See Clarity/Agreement ToolsPurpose/Vision Tool

    Problem Statement See Clarity/Agreement ToolsPurpose/Vision Tool

    Fishbone Diagram See Cause & Effect Diagram

    Gap Closure See Force Field/Desired State Diagram

    Ishikawa Diagram See Cause & Effect Diagram

    Tally Sheet See Check Sheet

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    Tools for improving organisational effectiveness

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    Contents What Tool

    Page PDSA 9 Step Im

    Plan

    PDSA 9-Step Improvement Process 3

    How To Use This Book 4

    PDSA Steps 5

    Example Storyboard 6

    1.

    Selectthe

    team

    2.

    Defin

    e

    opportu

    nity

    3.

    Stud

    ycurrent

    situatio

    n

    4.

    Analysethe

    causes

    5

    T h e o

    r y f o r

    Affinity Diagram 8

    Brainstorming 10

    Cause & Effect Diagram 12

    Check Sheet 14

    Clarity/Agreement ToolsPurpose/Vision Tool 16

    Clarity/Agreement ToolsDesired State Diagram 17

    Clarity/Agreement ToolsFive Whys 18

    Clarity/Agreement ToolsValues Agreement 19

    Consensus ToolsMultivoting 20

    Consensus ToolsNominal Group Technique (NGT) 21

    Control Chart 22

    Correlation Chart 24Feedback Station 26

    Flowchart 28

    Force Field 32

    Frequency Distribution Chart 34

    Gantt Chart 36

    Interrelationship Digraph 38

    Loss Function 40

    Lotus Diagram 42

    Matrix Diagram 44

    Mapping Tools: Mind Map 47

    Pareto Chart 48

    Plus/Delta 50

    Run Chart 52

    Stakeholder Requirement Analysis 53

    Systems View Diagram 54

    Tree Diagram 56

    Glossary 58

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    SAI Global 2004 Page 3

    PDSA 9-Step Improvement Process

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    How to use this Book

    This book can be used in at least two different ways:

    As a guide to an improvement opportunity using The 9-Step PDSAImprovement Process (overleaf). The template provides a series ofquestions to give structure and substance to the planning,implementation, review and standardisation of any improvementactivity.

    As a reference for improvement tools. The index lists the improvementtools in essentially, alphabetical order.

    Each tool is generally laid out over two pages, and contains a briefdescription, purpose, and explanation of when the tool could be used. Tipsand pitfalls are also shown to guide the new user of each specific tool. Aclear explanation of the method to be followed, plus an example of its use

    is then shown on the second page. When appropriate a variation to thegeneral use of the tool is also explained.

    All improvement projects will also benefit from documenting progress byuse of a Storyboard (refer Example on following pages). This is

    recommended to improve the efficiency of the PDSA team where stafffrom across your organisation are able to share with each other knowledge

    about the improvements that are made, and the methods and tools that havebeen used. Sharing of continuous improvement stories can have a flowon effect throughout your organisation.

    Why 9 Steps to Impr

    The 9-Steps of the PDSA Improof sustainable change. In using t

    We can identify and addproblems we encounter in organisation.

    We build customer requirem

    We use data and inform

    improvement and to demons

    We Capture the Memoryimprovement, and to comm

    others in our system.

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    SAI Global 2004 Page 5

    PDSA Steps

    1. Select the Team

    Purpose: To select the most appropriate members to address the

    opportunity, and establish guidelines by which the team will operate.

    2. Define the Opportunity & Describe Desired Outcome.

    Purpose: To clarify the reason this opportunity is being worked on; why ithas been chosen. To assist those working on the opportunity inunderstanding the nature of the opportunity, and the boundaries of theintended activity.

    3. Study the Current Situation

    Purpose: To enable the team to gain a realistic understanding of how theprocess/operation is currently performing, take account of clientrequirements and to develop measures to track improvements made.

    4. Analyse the Causes

    Purpose: To determine the underlying cause(s) of the opportunity forimprovement and prioritise them.

    5. Develop a Theory for ImprovementPurpose: To think out and plan the most appropriate solution for the cause

    or causes identified, and how best to implement it in a trial (may include apilot).

    6. Implement the Improv

    Purpose: To implement the

    Improvement using measures tothe desired effect.

    7. Study the Results

    Purpose: To determine the successful. Do the results confmore testing required or can the

    8. Standardise the Impro

    Purpose: To make the changedocument and communicate the

    measures that track & reinforce t

    9. Establish a Future Pla

    Purpose: Celebrate the conclusibe identified and addressed in a n

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    Example Storyboard

    This example shows the steps taken, and tools used by a continuous improvement team in addressing a specific prshare with the wider organisation the progress made in bringing about improvement, and to encourage widerimprovement initiatives. It needs to be legible, but doesnt need to be typewritten. The example gives an indication o

    Situation:The administration decides to look at the number of meetings held and ways of improving the running and content mSome complaints have been heard from staff about the number, length and relevance of some meetings.

    PLAN

    Step 1: Select the team Step 2: Define the opportunity and

    Step 3: Study the current situation Step 4: Analyse the causes Step 5: De

    Team Agreement

    Work towards purpose

    Listen to all opinions

    Roles - - -

    Timeline

    Purpose:

    To investigate factors foreffective meetings for allstaff members.

    Affinity

    Relevance Time No. of Meetings

    R

    Survey Staff

    No agenda

    Repeated information Low participation

    Timing

    Limited learnin

    Learning

    Limited

    participation

    Time not

    starting /finishingon time

    Relevance

    no agenda/ minutes

    no meetingformat

    Process

    staff arrivinglate orleaving early

    talking overothers

    People

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    SAI Global 2004 Page 7

    DO STUDY

    Step 6: Implement the improvement Step 7: Study the re

    ACT

    Step 8: Standardise the improvement Step 9: Establish fu

    The data showed significant impr

    Agenda

    Tools used in meetings

    > participation

    Better time length

    The team decided to standardise the improvement by using a Gantt chart and deployment

    flowchart.

    Documentation

    Improved flowchart Gantt Chart

    1 2 3 4

    All staff

    Leaders

    KLA

    The trial was implemented over a number of weeks collecting data overthe time.

    Team agreement developed for meetings

    Flowchart of meeting process

    Notice of agenda for staff preparation

    Use plus/delta & checklist to collect data

    The team celebrated the result

    to investigate the special caus

    Special cause/

    Common cause

    F

    le

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    Affinity Diagram

    Description:

    This tool gathers large amounts of data(ideas, opinions, issues, etc.), and groups

    this data through natural relationship.

    It is mainly a creative rather than a logicalprocess.

    Purpose:

    To sift through a large volume of information efficiently.

    Let truly new patterns of information rise to the surface for closerexamination.

    Group ideas/opinions/information into new patterns.

    Foster discussion & definitions of patterns.

    Encourages participation by all members.

    Used When: (PDSA Steps 2, 3, 4, 5, & 9)

    Facts or thoughts are in chaos. When issues seem too complex tograsp.

    Breakthrough thinking is required. When the only solutions are oldsolutions.

    The team is drowning in a large volume of ideas.

    Broad issues/themes must be identified.

    Giving equal voice to all members of the group.

    Promoting dialogue as part of the process.

    Organizational Use:

    Establishing relationship

    Brainstorming session.

    Identifying processes in an e

    Identifying client requiremen

    Assisting a work group to lo

    Planning new activities.

    Identifying issues, feelingsgroup.

    Allows students the opport

    develop further action.

    Tips & Pitfalls:

    1. An ideamay need to exist inSolution is to create a second

    2. Often one work captures the

    3. Whenever possible the idea

    4. Dont agonise over sortingGroup Labels.

    5. Look within the group first fa label.

    6. If one group is overwhelm

    include subgroups.

    7. It is ok to have stand alone i

    8. The number of groups shoul

    9. Keep the process moving an

    10. Allows everyone to have an

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    SAI Global 2004 Page 9

    Method:

    1. State the issue to be considered.

    2. Individuals silently write each idea on a card or Post-It notes.

    3. Randomly spread out the notes on a wall, large window or cards on atable. (A large preferably round table will allow members to move and

    view the ideas.)

    4. In silence sort the notes/cards into related groups.

    5. When no more movement happens the team should agree on a Group

    label. (From the idea statements what captures the central idea of the

    group. Make it concise.)

    6. Draw lines that connect groups and subgroups.

    Variation:

    Can be used in place of a Cause and Effect Diagram.

    Output of an Affinity Diagram exercise can be used as input

    for a Tree Diagram, Interrelationship Digraph, Matrices andProcess Decision Program Chart.

    Example:

    Issue

    It is ok for an item to be on itsown!

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    Brainstorming

    Description:

    An idea generating technique that uses thesynergy of a group to develop a list of ideas,

    problems, issues, etc.

    Purpose:

    A common method for a team to creatively and efficiently generate a highvolume of ideas in a short time in a process that is free of criticism and

    judgement.

    Used When: (PDSA Steps 2, 3, 4, 5, 8, & 9)

    A team is selecting topics for improvement.

    Imagineering the perfect situation.

    Creating input for a vision to pursue.

    Developing a list of potential causes for the Cause & Effect diagram.

    Developing a list of improvements to eliminate causes of waste &error

    Organizational Use:

    A Continuous Improvement

    Planning Teams.

    A work Group/Team.

    As an Ice Breaker.

    Collecting ideas for specific

    Identifying skills and capabi

    Collecting opinions about cu

    Developing criteria for a lea

    Defining a perfect situation.

    Tips & Pitfalls:

    Elect someone to record the

    No criticism, questioning, di

    Encourage all to contribute!

    Structured format encourainexperienced or shy team m

    Unstructured format may discussion. Facilitator/recorshy team members and mode

    Do not worry if people pass

    The process should not t

    sufficient.

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    SAI Global 2004 Page 11

    Methods:

    Unstructured:

    1. The brainstorming topic is clearly stated and written for everyone to

    see.

    2. Give everyone a minute or two of silence to think about the topic.

    3. Participants put forth their ideas at any time.

    4. As ideas are generated they are written down in clear view of everyone

    (use whiteboard or flipchart).

    5. All ideas are accepted without criticism or question. Not even a groan

    or grimace!

    6. Let people hitchhikebuild upon ideas of others in the group.

    7. Ideas are generated until everyone has run out of ideas.

    8. Review the written list for clarity and to discard any clearly duplicateentries.

    9. Selection or prioritising of input can be addressed by methods such as

    multi-voting or Nominal Group Technique (NGT).

    Structured:

    Similar to the above except step three.

    Each team member, in turn, gives an idea. If one does not have an idea

    as their turn arrives they can pass.

    Ideas are generated in turn until each person passes, indicating that no

    more ideas can be generated.

    Variation:

    Silent Brainstorming:

    Similar to that discussed under

    Members write their ideas on

    When all ideas are written board/window for all to see.

    Members review all ideas aview (remember one idea pe

    (Note: this approach prepare

    Imagineering

    Similar to that discussed under

    At Step 1 the brainst

    What would be the p Steps thereafter are s

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    Tools for improving organisational effectiveness

    SAI Global 2004 Page 12

    Cause & Effect Diagram

    Description:

    A creative tool that allows individuals or a team to list and graphicallydisplay possible causes related to an effect or condition being experienced.

    (Sometimes known as the Fishbone Diagram or the Ishikawa Diagram)

    Purpose:

    Used by teams to focus on causes not symptoms.

    Creates a clear illustration of the collective knowledge and consensusby a team around a problem.

    Assist in the analysis of the causes related to the effect of the problem.

    Used When: (PDSA Steps 2 & 4) There is a need to identify, explore and display the possible causes of

    specific problem or condition.

    Grouping or categorising a large number of ideas related to an issue.

    Organizational Use:

    Understand the reason for lo

    Investigating reasons for del

    Look into the causes of low

    Trying to determine the reasystem.

    Understand reasons for a par

    Tips & Pitfalls:

    Make sure everyone is clear

    Use as few words as possibl

    There is no perfect set or num

    Causes

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    SAI Global 2004 Page 13

    Method:

    1. Clarify the problem statement or effect.

    2. Draw in the major lines for categories

    3. Brainstorm for the possible causes of the effect, and place under

    categories.

    4. Label the categories. Popular category labels include: People,

    Machines, Measurement, Materials, Methods, Environment, Policy,

    Process, Procedures. In any case use labels that are relevant.

    5. Insert the possible causes onto the appropriate line(s). Some causes

    may fit into more than one category. There may also be deeper causes

    (e.g. Poor scheduling caused by inaccurate data).

    6. Interpretation:

    Identify reoccurring issues.

    Collect data to determine the relative frequencies of the different

    causes.

    Take appropriate action.

    Example:

    Variation:

    CEDAC, A very large Cawhere staff can post both ponotes. Causes & solutions

    approach opens up the proevery person in the operation

    Imagineering uses the diagstatement of the desired effethe criteria to achieve that category and then work on

    imagined effect.

    People Mach

    Materials

    Carelessness

    Trough Full

    Too much water

    Training

    Lack of information

    No enough time

    Bu

    Too cold

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    Tools for improving organisational effectiveness

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    Check Sheet

    Description:

    A Check Sheet is a form used in data collection activity.

    Also known as a Tally Sheet or a Data Sheet.

    Purpose:

    1. To facilitate reliable and efficient data collection.

    2. Enables the translating of opinions into facts.

    3. Assists with agreement on the definition of a condition or event.

    4. Provides tangible evidence of the need for improvement.

    5. Collect, collate and display data.

    Used When: (PDSA Steps 2, 3, 6 & 7)

    Where is a need to quantify the frequency or the occurrence of something

    happening. Very useful in clarifying situations where diverse opinionsexist.

    Issue Dept. 1 Dept.

    A III IIIII II

    B II IIII

    C II I

    Organizational Use:

    Errors in a class assignment.

    Production delays or failures

    Vehicle usage of roads.

    Surveys.

    Distribution of work across t

    Categorising (e.g. disagreem Tracking variation in a proce

    Routine recording of perform

    Tips & Pitfalls:

    It must be safe to record & be filtered.

    Always ask: Is this the eas

    possible use existing forms aprocess).

    Where possible, the people and vice versa.

    Check that it is practical to environment. Always do a sm

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    SAI Global 2004 Page 15

    Method:

    1. Questions to ask when designing a check sheet:

    What data should be collected?

    Why should that data be collected?

    Where should the data be collected?

    Who is going to collect the data?

    How is the data to be collected?

    2. Agree on the event being observed. Everyone seeing the same thing.

    3. Decide on a time period to collect the data. This could range from

    hours to weeks.

    4. Design a form that is clear and easy to use, columns clearly labelled

    and enough space for entering data.

    5. Collect the data consistently and honestly. Make sure there is time

    allowed for this data gathering task. (How can it fit into dailyactivities.)

    Example:

    Variations:

    Defect Location

    Shows the concentration of dedefect occurs.

    Task Sheet

    Allows tasks in an activity or completed.

    Customer Complaints by Issue and Department

    Dept 1 Dept 2 Dept 3 Dept 4 Dept 5 Total

    Timeliness of Service IIII IIIII III IIIII II 19

    Errors in Accounts IIIII I II II III IIII 17

    Faulty GoodsII IIII IIII III II

    12

    Delays in Supply IIIII III II IIIII II III 20

    Stand

    Un-filed Docs12/1, 24/2

    Work Area

    P u r c h a s e O r d e r

    P u r c h a s e O rd e r R a is e d

    A p p ro v e d

    O rd e r p la c e d

    C o n f i rm a t i o n R e c e i v e d

    S u p p l ie s R e c e iv e d

    C h e c k e d a g a i n s t o rd e r

    P l a c e d i n I n v e n t o r y

    In v e n t o ry U p d a t e d

    In v o ic e s e n t t o A c c o u n

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    Tools for improving organisational effectiveness

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    Clarity/Agreement Tools

    Purpose/Vision Tool

    Description:

    Is a tool that involves participants in achieving agreement on a purposestatement in a short time without the need for endless discussion.

    Purpose:

    To assist a group in building consensus on a direction or purpose. It canfacilitate the challenging of current ideas without defensive dialogue in anon-threatening manner.

    Used When: (PDSA Steps 2, 3, 5 & 8)

    Method:

    1. Each person has separate she

    2. Each write your statement

    purpose/vision statement tha

    3. Each person is to pass their s

    4. Underline the significant phr

    5. Pass on the paper again to pe

    6. Repeat Steps 4 & 5 until you

    7. Recorder writes the highest

    from all team members state

    8. Brainstorm, using the new p

    all can agree upon.

    Tips & Pitfalls:

    Ensure the participants unde

    Clarify to participants the go

    What might be important toorganization.

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    SAI Global 2004 Page 17

    Clarity/Agreement Tools

    Desired State Diagram

    Description:

    To describe the current state of the organisation or situation and whatforces help or prevent getting to the desired state.

    Purpose:

    To help members to understand a common view of the future state andidentify what steps or change is needed to reach this state.

    Used When: (PDSA Steps 2, 3, 4, 5, 7 & 8)

    Clarifying the present situation within an organisation where the state isunclear.

    Method:1. On a large sheet of flip-chart paper, draw one circle at lower left, one

    at top right, and join them with two parallel lines to form a dumbell

    shape.

    2. In the lower circle, brainstorm words that describe the present

    condition.

    3. In the upper circle, brainstorm words that describe the desired future

    condition.

    4. Above the diagram, brainstorm the positive or reinforcing forces,

    below the diagram the negative or restraining forces (see forcefield

    analysis).

    5. Identify the transition plans that will lead from the present condition to

    the desired future and help eliminate the negative forces. Record these

    in the centre zone connecting the two circles.

    Organisational Use:

    To focus the team's thinking

    To help get alignment of a n Assist in identifying the chan

    Track progress towards desir

    Map an improvement proces

    Example: Faulty Products

    Aging plant equipment

    Low reliability

    Obselete practices

    + POSITIVE FORCES

    Capital Reserves

    Strong Market position

    technical Skills

    PLAN

    S

    Benchm

    arkings

    tudytou

    rfo

    Conduc

    tcustom

    ersurve

    y

    Conduc

    ttechno

    logyrev

    ie

    Current State

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    Clarity/Agreement Tools

    Five Whys

    Description:

    This tool assists each individual to think more deeply about an issue andclarify underlying causes, motivations.

    Purpose:

    To pursue the deeper, systemic causes of a problem and correspondinglydeeper solution.

    Used When: (PDSA Steps 2, 3, 4, 7 & 9)

    Causing people to challenge their current situation or problem.

    Higher order thinking skills are need.

    Cutting through red tape and policy to get to the real issue.

    Needing to get to the root cause of a problem.

    Tips & Pitfalls:

    Maintain the focus on the issue and refrain from using the tool in afrivolous manner.

    If a response focuses on an individual you need to refocus onto theprocess or system. (e.g. What is there in our system that made it easyfor that mistake to occur?)

    Method:

    1. Identify the situation or prob

    2. Ask Why? this particular c

    3. Each time the answer is g

    activity until all concerned

    cause of the problem.

    Example:

    Why is there sawdust on the Because the lawnmower engines

    Why are the lawnmowers lea

    Because the gaskets are failing.

    Why are the gaskets failing?Because the gaskets purchased w

    Why were lesser quality gaskBecause we get a good discount

    Why do we focus more on disBecause the Purchasing Departm

    over the contract price.

    What started out as a simple fixabsorb the oil, was not addreproblem would continue to occumay be a better solution.

    Five Whys helps to gain a dmotivation.

    Why? Why? Why? W

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    SAI Global 2004 Page 19

    Clarity/Agreement Tools

    Values Agreement

    Description:

    This tool helps define agreed values, what each value means and whatbehaviours are shown for each value.

    Purpose:

    To gain deeper understanding of shared values within a group and agreedbehaviours to build a positive working and learning culture.

    Used When: (PDSA Step 1)

    Developing consistent shared behaviours across and organisation.

    Identifying important meanings for the group.

    Challenging disruptive or destructive behaviour.

    Method:

    1. Use Affinity Diagram or Structured Brainstorm to identify the values

    proposed.

    2. Use NGT or Multivote to priortise values to an agreed number (5 - 10)

    (NB. More than 7 are difficult to remember).

    3. Draw up a chart to further discuss what each values means and types

    of behaviour that will show each value.

    4. Use a Purpose/Vision tool to create the definition for each value.

    5. Use Brainstorm of behaviours for each value.

    6. Display for group members for further comment & final agreement.

    7. Review often.

    Organisational Use:

    Excellent method to suppoorganisation.

    Develops consistent behavio

    Used in the classroom to rem

    Assists students in unders

    behaviour.

    Tips and Pitfalls:

    High level of discussion nee

    All values must be agreed.

    Gives a view of whether vvision.

    Example: Values for our LValues

    Respect Conside

    and othe

    Commitment Give 100

    own lea

    Teamwork Work tog

    outcome

    Learning Develop

    skills, un

    know ho

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    Consensus Tools

    Multivoting

    Description:

    Multivoting is a structured series of votes used by a team to reduce a largenumber of items to a manageable few.

    Purpose:

    To reduce a large number of items to a manageable few (between threeand six for further analysis).

    Assists the group in reaching consensus.

    Helps to eliminate an individuals close identification with items.

    Used When: (PDSA Steps 1, 2, 4 & 5)

    Reducing the number of items to focus on, after a brainstorming session orfor prioritising items.

    Method:

    1. Assign each person votes equal to approximately 1/3rd the number of

    items.

    2. Each person can distribute their votes however they see fit.

    3. Remove the items receiving few or no votes from the list as they are

    low priority.

    4. Repeat the voting process with the remaining items until a manageable

    few exist.

    Tips & Pitfalls:

    Never multivote down to one item! (This defeats the purpose ofMultivoting, which is to reduce a list to a manageable size for analysis.)

    Example:

    HR Issues for resolution

    Issues Round 1

    Salary 3

    Hours worked 8

    Overtime 2

    Harassment 6

    Safety 1

    Involvement 14

    Management 4

    Work Practices 9

    Leave 6

    Holidays 3

    NOTE: In the above example tenattention. In Round 1 participants wthe issues most important to them. I

    each, as the number of issues are clo

    Variation:

    Dots:The use of sticky dots in plac

    visible and interactive. The c

    Red =3, Blue = 2, Green =1.

    Participants place their dots aroare added according to colourpeople.

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    Control Chart

    Description:A control chart shows data against time. The upper and lower control

    limits show whether the system is stable.

    [Also known as a Shewhart Chart]

    Purpose:

    To highlight any change in the nature and extent of variation in ameasurement over time.

    Used When: (PDSA Steps 2, 3, 7, 8)

    There is a need to better understand the nature of variation in aprocess, and in particular, whether the capability is stable or unstable.

    Monitoring routine Process Measures.

    Telling operators and management when to intervene to counterabnormal conditions.

    Organisational Use:

    Identifying a possible contributor to a known problem.

    Checking to see if a particular event, or series of events, is likely to becaused by a specific abnormal condition, or is just part of expected

    variation.

    Tips & Pitfalls:

    Take particular care that peControl Lines are the expectexperience of the process independent of the specificaor process output.

    Do NOT recalculate the Con

    additional data. Once establthe same until the process is

    DO re-calculate the Contro[e.g. moved to a differenprocedure, different measure

    The interpretation rules arealarm, sometimes they misswill produce about 3 false al

    Different types of data an

    special formulae to calculatrules are the same.

    Sample No

    MeasurementMeasurement Contro

    x

    xx

    xx x

    x

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    SAI Global 2004 Page 23

    Method: (Individuals & Moving Range Chart)

    1. Collect at least 30 consecutive or regularly sampled measurements

    [readings] from the process when it is known to be running normally

    over time. [less than 30 readings will mean that conclusions drawn

    from the chart will be less reliable.]

    2. Plot the data on a run chart.

    3. Calculate the average:

    [Sum of all measurements] [Number of measurements] = X

    i.e. (X1 + X2 + X3 + +Xn) n

    4. Calculate the difference between each successive measurement:

    i.e. Rm1 = X2 X1, Rm2 = X3 X2, Rm3 = X4 X3

    making all the differences positive, add all the differences and divide

    by one less than the number of measurements to get the average of the

    moving range:

    i.e. (Rm1 + Rm2 + Rm3 + Rmk) (k-1) = mR

    5. Calculate the Upper Control Line = X + 2.66 mR and the Lower

    Control Line = X 2.66 mR for the actual measurements [Note:

    These formulae only apply for a series of individual measurements.

    Different formulae apply for other sorts of data such as OK/Not OK

    or values calculated from small sub-groups of measures sampled from

    the process].

    6. On the run chart, rule in the X and Upper and Lower Control Lines

    for the measurements.

    7. Look for:

    Any points outside of the Control Lines.

    Seven points in a row all above or all below the average

    (equivalent to 1 chance in 128).

    Any obvious non-random pattern or trend on either the individual

    measurement chart, or the moving range chart.

    Any of these are indications of

    process, and hence a change from

    Example:

    Variation:

    Refer toMemory Jogger IIor yo

    different types of Control Charts

    Student Abs

    0

    2

    4

    6

    8

    10

    1 4 7 10

    Day

    Students

    absent

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    Correlation Chart

    Description:

    A Correlation Chart shows therelationship between two variables.

    Correlation Charts are also known asScatter Diagrams or X-Y Charts.

    Purpose:

    To show the nature and strength of apossible relationship, or connection,between two variables.

    Used When: (PDSA Steps 3, 4, 7)

    Confirming or rejecting suggestions or opinions about possible causes

    of a problem.

    Developing predictions about the likely effect of a known or plannedchange in process conditions.

    Developing a means of either physically, or analytically, correcting forthe effect of an uncontrollable condition [such as the weather] on aprocess.

    Organisational use:

    Track correlation of learning

    Track two variables to seek w

    hours of reading at home

    homework completed to

    table practice to accurate

    ability to use number fac

    number of students late t

    Tips & Pitfalls:

    Correlation does not necessby either:

    Experimentation

    Demonstrated understan Consistent accurate pred

    Too little data can lead to f

    minimum).

    Another strongly influencing

    The correlation may be curv

    x

    x

    x

    x x x

    xx

    x

    x

    x

    x

    x x x

    x x

    x

    x

    x

    x

    x

    xx

    x

    xx

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    SAI Global 2004 Page 25

    Method:

    1. Collect matching pairs of measurement readings of the two variables

    of interest from the process. This may be under normal operating

    conditions, or under experimental conditions where other variables are

    kept as constant as possible.2. Look at the range experienced for each variable,

    and label and scale the horizontal and vertical

    axes on a piece of graph paper. It is conventional

    to put the variable that is believed to be

    influencing on the horizontal axis, and the

    variable which is being affected on the vertical

    axis.

    3. Place a descriptive Title on the Chart.

    4. Plot all of the data on the chart. Order is not

    usually significant, so the points [each defined bya pair of readings] can be plotted in any

    sequence. When a data point occurs more than

    once, draw a circle around the point, , to

    indicate repetition of the data point. Circle the

    point for as many times as the value is repeated.

    Check any obvious outliers for plotting or

    measurement errors.

    5. If there is a connection apparent between the two

    variables, sketch in the line of best fit through the

    data.

    Example:

    T e m

    Durability

    x

    x

    x

    x

    x

    x

    x

    x

    x

    T em pe r a t u r

    Variation: If order is believed to be sig

    be changing over timeit

    sequence numbers, rather tha

    Computer applications suc

    specialist statistical progdetermining the line of best an indicator of the stren

    Correlation Coefficient

    Variable 1

    Variable

    2

    Variable 1

    Variable2

    x

    x

    x

    x xx

    xx

    x

    x

    x

    x

    x x x

    x x

    x

    x

    x

    x

    x

    xx

    x

    xx

    Correlation Chart

    Variable 1

    Variable2

    x

    x

    x

    x x x

    xx

    x

    x

    x

    x

    x x x

    x x

    x

    x

    x

    x

    x

    xx

    x

    xx

    Correlation Chart

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    SAI Global 2004 Page 26

    Feedback Station

    Description:

    The Feedback Station provides a means to collect feedback inthe present moment. A highly visible display board which

    encourages feedback from participants in a meeting,conference or workshop.

    Purpose:

    To stimulate feedback and make the process of gathering and acting upon

    it highly visible.

    Used When: (PDSA Steps 1, 6, & 8)

    For large forums or conferences where there is a need to provide for

    anonymous or off-line feedback.

    For training courses and workshops, particularly with larger groups.

    There is a need to capture thoughts or ideas without interrupting the

    primary discussions.

    Capturing ideas for later review.

    Collecting immediate feedback anonymously.

    Organisational Use:

    Large conference.

    High level meeting with tigh Improvement Team meeting

    Shareholder meetings.

    Tips & Pitfalls:

    The facilitator or chairperso

    provide immediate feedbaimprovement and other sugg

    Place the station in neu

    anonymously if they wish.

    Remind participants about

    prior to each break.

    +

    ? I

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    SAI Global 2004 Page 27

    Method:

    1. Using either a pre-printed chart, or one hand-drawn on a large piece of

    flip-chart paper, attach the station to the wall near the exit from the

    main meeting/conference room. In large venues, place one at each exit.

    2. Explain to participants the meaning of the four symbols:

    3. + for positive comments about things that are going well or thatparticipants find particularly helpful.

    4. for improvement suggestions.

    5. ? for questions about the proceedings, registration, administration orrequests for further information.

    6. I for ideas or general comments.7. Provide sticky notes and marker pens at each feedback station.

    8. Regularly encourage participants to contribute to the feedback stations.

    9. Collect the sticky notes just before each session resumes, sort and

    report back to the whole group. Explain what actions have/will be

    taken, particularly in respect of each improvement suggestion.

    Examples:

    Variation:

    The Plus-Delta Tool uses just small group environment to genethe group/project/operation, and

    PLUS-DELTAQuality

    +

    ?

    FEEDBAC

    +

    Kept good minutes

    Structured agendas

    Regular reporting

    Kept Storyboard up-to-date

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    SAI Global 2004 Page 28

    Flowchart

    Description:

    A diagrammatic representation of the logical flow ofactivities within a process.

    Includes:

    Simple Flowchart

    Top Level/Top Down Flowchart

    Deployment/Cross-Functional Flowchart

    Purpose:

    To set out in a concise and un-ambiguous form the logical sequence ofactivities which make up a process.

    Used When: (PDSA Steps 2, 3, 5, 6, 8)

    Commencing an improvement project, to understand what reallyhappens now.

    Understanding the changes of responsibility between people, functionsor departments in the normal course of a business process.

    Identifying the most effective and practical points for collection of

    process measure data.

    Documenting a process.

    Organisational Use: Mapping the current process

    happens, what can be measuwaste elimination might be f

    A quick-reference guide tprocess.

    Emergency procedure.

    Error-checking or fault analy

    Map of proposed re-desigtraining.

    Tips & Pitfalls:

    Too little detail to be useful.

    Too much detail to be read e

    New processes not designed

    them, hence no commitment

    Flow Chart does not reflect r

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    SAI Global 2004 Page 29

    Method: Simple Flowchart

    1. Agree the Boundaries [the beginning, end and whether or not to

    include any support activities] and define the Purpose of the Process.

    2. Establish the major steps and agree their sequence. If complex, draw a

    Top-Level Chart, listing the key elements and decisions under eachmajor step.

    3. Agree the appropriate level of detail, taking account of the intended

    users.

    4. Develop the detail steps by either Brainstorming onto sticky notes, or

    stepping through what actually happens. Arrange the steps in the

    sequence in which they currently happen [follow something through

    the process, rather than tracking each person]. Apply the correct

    symbols and join them with arrows to show the sequence.

    5. Review with a wider group and check accuracy, completeness

    [including loops and decision labels], consistency and detail.

    6. Prepare final form of Chart and confirm agreement with those who

    operate the process.

    SOME OF THE STANDARD SYMBOLS USED IN FLOWCHARTING ARE

    AS FOLLOWS:

    STA

    ACT

    DEC

    CON

    TO I

    PAG

    QUA

    THIS PASSIST

    PRO

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    Method: Level/Top Down Flowchart

    1. Agree the Boundaries [the beginning, end, and whether or not to

    include any support activities] and define the purpose of the Process.

    2. Establish the major steps and agree their sequence. There should

    generally not be more than six major steps. If there is discussion or

    debate, use sticky notes so they can be easily moved about.

    3. Draw an arrow box for each major step and describe it in 2 or

    3 words, including a verb.

    4. List the key elements and decisions under each major step. Keep to the

    important mainstream things only, dont get into the detail and

    exceptions.

    Review with a wider group andboundaries], consistency and det

    Prepare final form of chart and cthe process.

    Variation:

    If it helps achieve clarity for an

    branches can also be added.

    Record name &

    address

    Special delivery

    instructions

    Double check

    quantities

    Take OrderAss

    I

    Upda

    as yo

    Doub

    picke

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    Force Field

    Description:

    A facilitated group process which generates a list ofdriving or reinforcing factors and opposing or limiting

    factors.

    [The same basic method is used for Plus-DeltaseeFeedback Stationand, with a different format.]

    Purpose:

    To stimulate creative thinking and shared group understanding of thepositive forces at work and the negative forces that restrict the current

    issue. The aim is to reinforce the positive forces and eliminate the negativeforces.

    Used When: (PDSA Steps 2, 3, 8)

    To launch a planning or review activity.

    At the beginning of a project or change activity.

    To quickly gather and share the knowledge, experience andunderstanding of the group.

    As a reflective tool for groups and individuals, clarifying progress androles of individuals.

    Organisational Use:

    To kick off a strategic plann

    To help ensure the results obe sustainable.

    To focus the team's thinking

    To help get alignment of a n

    Assist in identifying the chan

    Track progress towards desir

    Map an improvement proces

    Tips & Pitfalls

    Work mainly on removing o

    Don't get bogged down discu

    Try to ensure everyone gets

    You usually get more benopposing/limiting factors ththings that are already streng

    During brainstorming, dont

    Use regularly over time to sh

    +

    NOTES

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    SAI Global 2004 Page 33

    Method:

    1. Divide a large sheet of flip-chart paper vertically and draw a horizontal

    line across near the top for column headings. Write the topic/objective

    across the top of the sheet.

    2. Label the LH column with a large +, the RH column with a

    .

    3. Brainstorm a list of things that might help [+] and things that might

    work against [] the group's objectives using one of the methodsdescribed earlier. Set a time limit of no more than 5 minutes on each

    column, but allow extra ideas to be added in any order.

    4. When the process of gathering possible driving/reinforcing factors and

    opposing/limiting factors is complete, group related ones and discuss

    and prioritise the list. [Consider using the Inter-relationship Digraph

    and Multi-Voting]. Focus most effort on addressing the

    opposing/limiting factors.

    Example

    Force Field: Poor oral skills o

    Ideal State: Staff present them

    Variation:

    Strengths/Opportunities: Changethings we do really well andcould be significantly improAssessment] or changes happenbe to our advantage [for use in st

    See also Feedback Station.

    See also Desired State Diagram

    Good role models

    Opportunities tospeak in front ofothers

    Communicates ideas

    Gain confidence &self esteem

    High energy activity

    +

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    Frequency Distribution Chart

    Description:

    A Bar Chart showing the frequency withwhich measurement falls into particular

    ranges, and thus the distribution of variationabout the average, nominal or target value.

    [Also known as a Histogram or a VariationChart]

    Purpose:

    To establish the pattern of variation from a process.

    Used When: (PDSA Steps 2, 3, 4, 7)

    To find out the capability of a process to meet specification or

    expectations.

    To understand the nature and extent of variation from a process.

    To help investigate whether there may be different influences on the

    process from time to time.

    To see if the amount of variation has been reduced when trialling animprovement.

    Organisational Use:

    The distribution of scores in

    Collecting and representing matter.

    Tips & Pitfalls:

    If the process is not stable ocollected, the chart may be d

    The more data points, the bdistribution, but the longer

    of mixing in data from abnor

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    SAI Global 2004 Page 35

    Method:

    1. Collect the readings (pieces of data) of the measurement under

    investigation.

    2. Determine the number of classes or bars into which you wish to break

    down the data. The following are suggested as the most suitablenumber of classes for the number of observations.

    No. of Readings No. of Classes

    Under 50 5 7

    50 100 6 10

    100 200 7 12

    Over 200 10 20

    3. Find out the range [highestlowest readings] of the data. E.g. if

    30 readings are taken. As an example, 30 readings were taken with the

    lowest value being 5.6 and the highest 6.9. The range was

    12.5 5.6 = 6.9

    4. Divide the range by the number of classes youve decided to use to

    calculate the width of each class. Then round up or down to the most

    convenient width. Choose the actual class boundaries to fall between

    readings if possible. E.g. Width = 6.9 / 5 = 1.36, round to 1.5 as a

    convenient width.

    5. Create a Check Sheet for the classes and count the data into it. Add up

    the totals for each class. E.g.

    Class Tally Total

    5.9 6.4 l l l l l 5

    6.5 7.0 l l l l 4

    8.0 9.4 l l l l l l l l 8

    9.5 10.9 l l l 8

    11.0 12.5 l l 5

    6. Draw in a horizontal axis an

    Mark the classes along the h

    7. Establish the total count for

    the vertical axis. Label it.

    8. Draw in bars to represent the

    9. Place a descriptive title on t

    as time, date and source of th

    Variation: Opinion Histog

    Set up a Check Sheet on a largecovering the expected range of oideal room temperature or preferoom one small sticky note to pabove their own preference.

    The resulting Bar Chart [built d

    Frequency Distribution Chart focan see the pattern of variation

    consensus.

    6

    Frequency

    5

    10

    15

    20

    25

    30

    35

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    NOTES

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    Interrelationship Digraph

    Description:

    A tool that takes an issue or a problem and identifies the logical orsequential links among related causes. A key feature is that it moves away

    from the notion that events or problems have a single cause. It looks formultidirectional thinking rather than linear. Graphically mapping out thecause and effect links among all the items generated.

    Purpose:

    To take a number of ideas, issues, items, and chaotic situations andsystematically identify the linkage between these items, showing the causeand effect relationships so that key drivers can become the basis for asolution.

    Used When: (PDSA Steps 2, 4 & 9)

    Identifying root causes.

    There are multiple causes of variation and it is not clear which causehas the most affect on the others.

    Data is not available to identify root causes.

    There are a large number of interrelated issues that need to be betterdefined.

    Organisational Use:

    1. Complex problems, e.g. the causes of poor work place morale, a

    supermarket receives high number of customer complaints.2. Establish the (reasons) why a process or project is behind schedule.

    3. Not convinced that a cause & effect study has identified all causes.

    4. When a committee is not satisfied with the level of participation.

    Tips & Pitfalls:

    Work with between 5 25 it

    Use portable work surfaces,

    Use common sense when y

    with very close tallies must judgement call, not science.

    In a 2-way arrow situation, c

    Example:

    What are the issues related to reducing l

    L

    IN

    Excessive

    packaging

    IN = 1 OUT = 1

    Lack of parentalexamples

    IN = 4 OUT = 1

    No

    IN

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    SAI Global 2004 Page 39

    A

    B

    CD

    E

    Method:

    1. Select the problem and agree on statement. (Can

    come from various sources: Brainstorming,

    Affinity Diagram, Cause & Effect Diagram, Tree

    Diagram).2. Generate idea/issue cards (sticky notes). Team

    should have good knowledge of the subject. Ideas

    may come from other tools or from brainstorming.

    3. Lay out the cards in a large circle (like the face of a clock) with plenty

    of space to draw arrows. Choose any of the ideas as a starting point.

    4. Draw relationship arrows. Ask of each pair in turn is there a

    cause/influence relationship. If yes which one is stronger. Draw the

    arrow from the stronger influence to the weaker one, reflecting the

    relationship. (e.g. A to B) then (A to C), (A to D) etc. Then start with

    B, (B to C), (B to D) etc. Continue until you have completed the circle.NOTE: Only draw the stronger of the relationships. Do not draw two-

    headed arrows. If there is no relationship, then

    do not show an arrow.

    5. Tally or add the number of outgoing and

    incoming arrows. A high number of outgoing

    arrows indicate an item that is a root cause or

    driver. (This is generally the item addressed

    first). A high number of incoming arrows

    indicate a key outcome. (This can be used as

    an objective or measure of success.

    6. In the picture to the right A = 0 In, 4 Out; B = 2 In, 1 Out; C= 4 In, 0

    Out; D= 1 In, 3 Out; E= 2 In, 1 Out. The first item to consider would

    be A, but D should also be considered as a possible driver. C would be

    considered as an outcome.

    Variation:

    Table/Matrix Version:

    Sometimes it is necessary for a In these situations a table format

    A B C

    A

    B

    C

    D

    E

    A

    B

    CD

    E

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    Loss Function

    Description:

    The Loss Function chart shows the variation away from an ideal value.

    Purpose:

    To indicate the loss of service, time, product, quality as it moves awayfrom the ideal state or predetermined target.

    Used When: (PDSA Steps 2, 3, 5, 7)

    Investigating and better understand customer requirements.

    Finding the optimum compromise between conflicting requirements.

    Highlighting the opportunity for re-design to reduce sensitivity to

    variation.

    Determining which aspects of a process will most benefit fromvariation reduction.

    Organisational Use:

    1. Getting consensus on a subjective, but quantitative, issue such as timeor room temperature.

    2. Time needed to complete a project

    3. Selecting optimum expected quality of a piece of work.

    4. Optimum expectation litter in the yard.

    Tips & Pitfalls:

    If superimposing several fun

    comparable scales.

    Whilst the optimum operatinthe low and the high loasymmetrical and the proceneed to be biased away fromunacceptable conditions on

    steepest loss function.

    Spec Limit

    IdealLower

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    SAI Global 2004 Page 41

    Method:

    1. Decide on the scale to measure.

    2. Draw a line on the whiteboard or butchers paper, across the bottom of

    board or sheet, showing the scale.

    3. Give each person three different coloured sticky notes,

    e.g. Yellow = optimum; blue= too little; green = too much.

    4. Each person places the optimum colour sticker on the chart, one above

    the other, starting from the bottom of the chart.

    5. Then each person places the too little colour on chart, starting from

    the bottom of chart, if same time as first colourleave some overlap

    to see first colour.

    6. Use the same process for too much.

    7. Once all the notes have been placed on the chart, draw curved linesaround each distribution to show the intersection. The optimum

    measure is the one with the least amount of losses.

    ExampleStudents place sticky notes showing the ideal discussion time.

    .

    Variation:

    Sometimes Loss Functions from

    single property are overlaid on oeffort vs door seal gap).

    Loss Functions are also often Chart for the actual process outp

    Dur

    Distribution of "Too

    Short" opinions

    [ie a measure of loss]

    Dist

    act

    brea

    Student Discussion Tim e

    Group showing the least loss.

    Lower

    MeasureofLostVal

    ue

    Loss

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    Lotus Diagram

    Description:

    A tool that aids participants in breaking down broad issues into workablecomponents.

    A tool that allows the capture of many creative ideas and how to thinklogically, while solving a problem.

    This tool can be used by individuals, teams, or by a large group such as adepartment or a classroom.

    Purpose:

    The Lotus Diagram is used to organise or prioritise information.

    To promote logical and creative thinking.

    Used When: (PDSA Steps 2, 5, 8)

    When dividing tasks.

    Considering the implications of a policy.

    Breaking down a concept into actionable, manageable components.

    Organisational Use:

    1. Outlining projects

    2. Developing strategies of imp

    3. Can be used like a mind map

    4. Mapping ideas, tasks, inform

    5. Showing pre-knowledge anunit

    LotusDiagram

    1 2

    1 2 3

    8 8 4

    7 6 5

    7 6

    Tips & Pitfalls:

    For an individual use an A4 sizea white board so all can view.

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    Method:

    1. On a large sheet of paper draw a naughts and crosses chart that covers

    the entire sheet.

    2. In each square, draw another naughts and crosses chart. The final chart

    will have nine large boxes with nine boxes in each large box.3. Put your ideas or topic in the middle box of the chart.

    4. Brainstorm up to eight sub-topics

    5. Place the sub-topics in the centre of each of the eight outside boxes

    and brainstorm again.

    6. Finally, prioritise your ideas and decide what you want to pursue.

    SUB

    SUB

    SUB

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    Matrix Diagram

    Description:

    The Matrix diagram displays the presence and/or strength of anyrelationship between two or more sets of ideas, items, issues, processes,

    functions, etc. in a graphical manner.

    Purpose:

    This tool organises large numbers of pieces of information likecompetencies, functions, tasks and characteristics, into sets of items to be

    compared. By graphically displaying the logical connecting point betweenany two or more items, a Matrix Diagram will assist in determining whichitems in each set are related.

    Used When: (PDSA Steps 1, 2, 4 & 8)

    Limiting implementation resources prevent you from doing all theoptions.

    Choosing activities to be tested against current activities.

    Ranking options.

    There is disagreement over the relative importance of decision-makingcriteria.

    Key issues are identified and action options must be narrowed down.

    Definable and assignable tasks are to be assigned within yourorganization.

    A d m

    B i l l i n g

    C u s t o m e r s

    C o u r s e s

    T y p e

    T y p e

    Organisational Use:

    1. Organising work to departm

    2. Analysing the use of resourc3. Prioritisation of resources to

    4. Ranking options, e.g. NGT m

    Tips & Pitfalls:

    Interpret the matrix using nOften the visual pattern is su

    Stress the content to be evalu

    Use only one primary resaccountability.

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    Method:

    The basic or L shaped matrix diagram uses a topic or issue on an X and Yaxis for comparison. Using a symbol the matrix diagram displays very

    viably the strength of the relationship between the items being compared.

    1. Select the issues or factors for comparison. Some typicalconsiderations:

    Whos responsible for what?

    Various decision criteria, (time, cost, etc.)

    Conflicting activities.

    2. Select an appropriate team:

    Those who have influence or power to assess and confirm views.

    Those involved up front.

    3. Select the appropriate Matrix Format (See Variation Section for

    descriptions)4. Decide on the Relationship Symbols to be used:

    The possible meanings applied to the symbols, as well the symbols

    used, could be endless. The key thing to achieve is a clear

    understanding by the team of each symbol and its meaning. Establish a

    clear legend that defines each symbol used.

    5. Complete the Matrix

    Remember the tip: Use only one primary responsibility symbol toindicate ultimate accountability.

    Correlation Matrix:In a Correlation Matrix, symbols are used to show the strength of thecorrelation between each set of criteria.

    Example:

    This example shows:

    Symbol Description

    High Correlatio

    Medium Correl

    Low Correlation

    Lotus Chart

    Book report

    For/AgainstReport

    Opinionreport

    Narrative

    Which too

    organise tType

    of

    writing

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    Matrix DiagramExamples

    Capability/Capacity Matrix

    A capacity matrix gives an overview of acategory against the level of competence.

    Method:

    1. Draw a matrix as shown above.

    2. The main areas are listed in the left hand

    column.

    3. Each area is broken down into its

    components.

    4. Each individual harts their progress against

    the competence levels.

    5. Proof of level reach is listed in the

    Portfolio column.

    _____________________________

    Check Sheet Matrix

    The check sheet matrix is used when collecting

    data.

    Met

    1. D

    2. P

    c

    3. Et

    4. C

    ____

    Tre

    The even

    staff

    Dept

    Query

    Delivery

    Price

    Availability

    Despatch Warehouse Sales Service

    Invoices

    IIIIIII IIIII

    IIIII II

    IIIIII

    III

    III

    IIIII IIIII

    IIIII IIIII

    IIIII III

    IIIII IIIIIIIIII II

    IIIII II

    IIIII IIIII

    IIIII II

    Capacity Capacity Breakdown

    Information

    Knowledge

    Know-How

    Wisdom

    3-D

    Portfolio

    Purpose ofQuality and Improvement in

    School s and Prescho ols

    Processof Quality and Improvement inSchool s and Prescho ols

    Data Collection for Quality andImprovement in Schools and Preschools

    Benefits of Q uality

    Case Examplesof QualityImplementation

    Cost of Poor Quality

    History of Quality

    Learning Cycle, includin g reflection

    Mapping a Qu ality Strategy

    Need for Improvement

    Quality Assurance

    Roadblocks to Quality

    Improving Our School/Preschool BigPicture

    IntroducingQuality andImprovement

    in Schools andPreschools

    Five Key Elements of Imp roving Qu ality

    Direction

    Planning

    Clients

    Processes

    System

    Data

    Variability

    Peop le

    Learning

    Community

    Stakeholders

    Principles

    Leadership

    Systems View

    Clients and Outputs

    Mission

    Processes

    Relationships

    Suppliers and Input s

    Values

    Vision

    Seeing Systems

    System sThinking

    The Laws of Systems

    Assessment Dimension (ADRI)

    Assessment Mat rix

    ABEF Australi an Business Excellence Awards

    Categories and Items

    Australian

    Business

    ExcellenceFramework

    (ABEF)

    Deriving Strengths and Opportunities

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    Mapping Tools: Mind Map

    Description:

    A visual tool to show possibilities, links between information and show thescope of a topic/problem.

    Purpose:

    A mind map gives an overall picture of the situation or problem. It links ideasand information in the scope of the topic.

    Used When: (PDSA Steps 2, 3, 6, 8)

    Giving a quick overview of the information.

    Organisational Use:

    To summarise a topic.

    Consolidate information form a variety of sources.

    Helps to make associations and links to pieces of information.

    Think through and present complex problems.

    A way to show the overall scope or structure of a topic or problem.

    Tips & Pitfalls:

    Use key words or phrases.

    Use different colors for each line that carries a main heading.

    Use symbols, icons, pictures as well as words to highlight theinformationmaking it easier to see and remember connections.

    Use arrows to show connections between different elements

    Method:

    1. Write the problem or situation

    around it.

    2. Draw a line from the circle fo

    the heading on top of the line.3. From each main heading, dra

    draw information for each sub

    4. Continue until map completed

    Example:

    Stud

    Leade

    Organis

    atio

    n

    Focuse

    d

    Tidy

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    Pareto Chart

    Description:

    A Bar Chart of a measure of relative importance,sorted into descending order.

    (Based on the Pareto Principle, also known as the80-20 Rule, that a small number of factors tends tohave most of the influence)

    Purpose:

    To illustrate the relative importance of a few items or possibilities over the

    many others

    Used When: (PDSA Steps 2, 3, 4, 7)

    Making a choice between a number of possibilities.

    Explaining the relative impact of one or more factors.

    Comparing several alternative bases on which to make a choice.

    Organisational Use:

    1. Collecting and displaying dataffect a process.

    2. Showing how much time is

    interruption.

    3. Showing which classes of cvolume, revenue, effort, proble

    Tips & Pitfalls:

    The most difficult, and criticdeciding what to chart.

    Determine which measure wo

    prepared to take a second or th

    Frequency and cost to the c

    commonly used.

    If in doubt, draw several Pare

    the factor/item/cause that is co

    F ac to r 3 F ac to r 1 F ac to r 2 F act or 5 F ac to r 4 O th er

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    Method:

    1. Decide what measured effect data will provide the best indication of

    relative importance, e.g. total number, dollar value, percentage effort, etc.

    of each factor.

    2. Collect data on check sheets. Total each factor and convert to a percentage

    of the grand total.

    3. Rank the categories or reasons for the measured effect [factors] in

    descending order of importance, based on the data collected.

    4. Divide the horizontal axis and label with the most significant factor on the

    left hand side, and in descending order to the far right hand category. It is

    common practice to collect all minor factors into a category called other,

    and to place this at the extreme right of the chart (even though this may

    then not be the smallest value).

    5. Label the vertical axis with an appropriate scale to accommodate the

    greatest percentage in your results.

    6. Draw in the columns for each factor and give the chart a clear descriptive

    title.

    Factor 1 21 19.3

    Factor 2 18 16.5

    Factor 3 36 33

    Factor 4 5 4.6

    Factor 5 12 11

    Other 17 15.6

    Total 109 100

    2

    3

    1

    5

    4

    6

    Item Count % Rank

    0

    5

    10

    15

    20

    25

    30

    35

    Fa cto r 3 Fa cto r 1 Fa cto r 2 Fa cto r 5

    Percentage

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    Plus/Delta

    Description:

    A simple tool to provide quick and easy feedback on strengths (what workswell) & Opportunities for Improvement.

    Purpose:

    To stimulate creative thinking and shared group understanding of where to startand what to focus on in order to progress the groups objectives.

    Used When: (PDSA Steps 1, 3, 6, 9)

    To launch a planning or review activity.

    At the beginning of a project or change activity.

    To quickly gather and share the knowledge, experience and understandingof the group.

    At the completion of a project, meeting or other activity to review whatwent well and what should be improved next time.

    Method:

    1. Divide a large sheet of flip-chart

    across near the top for column h

    of the sheet.

    2. Label the LH column with a large

    3. Brainstorm a list of things that ar

    improvement [] using one of th

    this book.

    4. Set a time limit of no more than

    ideas to be added in any order.

    5. If silent brainstorming is used, th

    prioritise actions.

    Example:PLUS-DELTAQua

    +

    Kept good minutes

    Structured agendas

    Regular reporting

    Kept Storyboard up-to-

    date

    So

    bu

    Ini

    Pr

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    NOTES

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    Run Chart

    Description:

    A graph of successive measurements of the sameparameter over time

    Purpose:

    To show the history of a series of data points in a manner which facilitates therecognition of sudden changes, trends and cycles.

    Used When: (PDSA Steps 2, 3, 4, 6, 7)

    Monitoring a process and alert us to unexpected changes.

    Investigating the process performance.

    Detecting the effect of a process improvement.

    Organisational Use:1. Regular tracking of the results measures of a process or system.

    2. Continual monitoring of process measures.

    3. Investigating a process that is not achieving its intended performance

    levels.

    4. Studying the effect of a process change.

    Tips & Pitfalls

    Often the routine step for displaying data from a daily check sheet.

    This is the first step to constructing a Control Chart. If the behaviour of a process is highly non-linear, try using a log scale on

    the y-axis so that important detail is not lost.

    If there is a constant, large amount of point-to point variation, moreadvanced tools such as Histograms may be needed to pick up changes inthe process.

    Be careful to highlight to othequite erroneous assumptions m

    The frequency of recording withe potential consequences of t

    Method:1. Draw vertical and horizontal

    scale the horizontal axis

    intervals between readings.

    2. Label & scale the vertical ax

    range of readings encountered

    3. Place a descriptive title on the

    4. Plot the data points onto the c

    sequence.

    5. Join the data points with

    highlight the sequence.

    Variation:

    Calculate and draw in the averagesketch in a trend lines.

    Run Chart

    Days

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    Stakeholder Requirement Analysis

    Description:

    Stakeholder Requirement Analysis is a simple form that can be used to collectdata and or collate data from other sources. It also is known as ClientRequirement Analysis and Customer Model.

    Purpose:

    It is a used as vehicle to gain information about stakeholders (e.g. Customers,Suppliers, Boards, interested organizations, etc.) requirements, and to analyse

    this in line with current operations and organisational capacity.

    Used When: (PDSA Steps 1, 2, 3, 5, 7 & 9)

    Identifying stakeholder requirements and analysing the ability to supply

    those requirements.

    Defining your requirements and discussing them with a supplier and/or as

    input to a Service Level Agreement.

    Tips & Pitfalls:

    This document is a tangible tool to focus discussions about service in what

    may be an emotional situation especially if the service level is poor.

    It also creates a record of perceptions, something not normally maintained.

    The comments column can be used to record agreed measures and targets

    of service or product quality.

    Method:

    1. Obtain from the stakeholder a list of their requirements using the form, or

    from another source (e.g. survey, focus group, interview, etc.). Also have

    them indicate the priority by either scoring on importance or ranking the

    importance on a scale of 1 to 10.

    2. Stakeholders use the third c

    performance.

    3. If there is a gap, can it be

    comments or make comments

    Stakeholder R

    Process

    Requirement

    1.

    2.

    3.

    4.

    5.

    Variation:

    A simple variation that can

    Stakeholder and your staff attheir requirements, rank each

    against current performance on

    Ask your staff to complete

    stakeholders view will be as li

    Then compare and discuss w

    stakeholder.

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    Systems View Diagram

    Description:

    A simple tool which represents an

    organisation, operation or functionin terms of its Processes, itsRelationships, and its interactionwith the world around it.

    Purpose:

    Helps us see the whole rather than the pieces.

    Helps make the complex comprehensible.

    Shows how individuals contribute to the overall purpose.

    Explains inter-relationships and helps identify root causes.

    Promotes effective communication through clarity.

    Facilitates optimisation instead of sub-optimisation.

    Enables the identification of key leverage points.

    Used When: (PDSA Steps 1, 2, 3, 7 & 9)

    Looking at the whole context of the area or activity of interest.

    Considering the wider implications of a proposed change.

    Trying to understand the influences of other parts of the organisation or itsenvironment.

    Organisational Use:

    1. Align everyones understandin

    2. Looking for the best place to s

    3. Introducing new people to the

    4. Developing management appro

    5. Re-aligning people to the over

    Tips & Pitfalls:

    Take particular care that peopthe entire organisation/departm

    It is best not to try to show ifood business] as these are n[These wouldhowever be inpDepartment.]

    If people proposeproperties o

    direct these to the Results Me

    The use of Backing Sheets

    may assist in gathering moresummarised onto the one pag

    INPUT OUTPUTRELATIONSHIPS

    PROCESSES

    FEEDBACK

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    Method:

    1. Assemble the participants.

    2. Draw the outline/template and write up the elements (see example below).

    3. Starting always with the groups understanding, guide the correct

    completion of the detail below each element.

    4. If necessary, group like detail into categories so that there are not more

    than 6 items under any one label.

    5. If there does not seem to be anything to record under a label, or if the

    participants dont know of anything, leave this blank to highlight the

    missing opportunity.

    6. Check the groups understanding of and satisfaction with the completed

    diagram.

    System Components

    Values: Shared beliefs abou

    Mission: Shared understandi

    Vision: Is a picture of the de

    Our People: People who work in

    Relationships: Interactions betwee

    system.

    Processes: Sequences of activi

    Process

    Measures:

    Indicators of perform

    Suppliers People who provide

    Inputs: Products and servic

    OtherStakeholders:

    People who have aClients and Supplier

    Clients: The people we pro

    benefit from what we

    Outputs: The services and

    expectations.

    Result Measures: The key indicators

    got it right.

    Targets: The numeric values

    our system.

    SYSTEM DESCRIPTIONValues

    Mission

    Suppliers Vision Clients

    Inputs Outputs

    ResultsMeasures

    Feedback Targets

    Other Stakeholders

    Our People

    Relationships

    Processes ProcessMeasures

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    Tree Diagram

    Description:

    A tool that systematically maps out in increasing detail the full range of pathsand tasks that need to be accomplished to achieve a primary goal and each

    related sub-goal.

    Sometimes also known as a Systems Tree.

    Is often the next tool to use after the Affinity Diagram and InterrelationshipDigraph. The Tree Diagram could also follow from Matrix Data Analysis,which may have identified a specific need.

    Purpose:

    Used to get from the conceptual or big picture stage down to the detail of a

    task.

    Develops issues or requirements into practical details that allow

    implementation.

    Shows the sequence of activities that must occur to reach the requirement.

    Develops a map of all the tasks arising from a recognised need.

    Used When: (PDSA Steps 2,3, 4, 5, 7 & 8)

    Broad objectives must be broken down into implementation detail.

    To offer a complete view.

    All of the implementation options must be explored.

    Show the relationship of the parts to the whole.

    When assignable tasks must be created.

    Can be used with different matrix.

    Organisational Use:

    1. Breaking down customer reprocesses, tasks within an o

    addressed.

    2. Implementing a continuous im

    3. As an organisational chart.

    4. In addressing poor performcorrective actions.

    Tips & Pitfalls:

    Use cards or sticky notes as it the development stages.

    Always start at the broadest lev

    If you start with the right goals

    Concentrate on tasks and actio

    Plan for succes s

    Strategic Plan

    Key factors

    succes s

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    Method:

    1. Choose the Tree Diagram Goal Statement (This

    may come from the Driver of an Interrelationship

    Digraph all or some of the Header cards from an

    Affinity Diagram or from scratch.)

    2. Assemble the right team with detailed implementation knowledge.

    3. Generate the Major Tree Headings. The broadest paths

    to follow.

    4. Complete the Tree Diagram under each major path.

    Ask at each level What needs to happen to achieve

    this goal? There should be a direct cause and effectrelationship between the second level and the first

    level, and so forth as the branches are developed.

    5. Review the completed Tree Diagram for

    completeness and logical flow. At each

    level of detail ask Is there something

    that we have forgotten? and Will these

    actions lead to these results?

    Variation: