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MEDICAL TRANSITION MANAGEMENT (MTME)

Dwight Carroll, P. O. Box 32033, Raleigh, NC  27622  Tel. (919) 264-6023

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W. Edwards Deming's 14 Points for the Transformation of Management:

1.   Provide for the long-range needs of the practice.  Don't focus on short-term profitability.  The goal is to stay in business.

2.   Adopt a new way of thinking.  Delays, mistakes, and poor service are not acceptable.

3.   Build quality into services and products.  Stop depending on inspection to find defects.  Use statistical process control.

4.   Minimize total cost by establishing long-term relationships based on loyalty and trust.  Don't select suppliers on the basis of low bids alone. 

5.   Work to improve the system of service and production.  Improvement is not a one-time effort.  Every activity in the system must be continually improved to reduce waste and improve quality.

6.   Institute training.  Managers must know how to do the jobs they supervise and be able to train workers.

7.   Institute leadership.  The job of managers is to help people do a better job and remove barriers in the system that keep them from doing their job with pride.

8.   Drive out fear.  People need to feel secure in order to do their jobs well.  There must never be a conflict between doing what is best for the practice and meeting the expectations of a person's immediate job.

9.   Break down barriers between departments.  Create cross-functional teams so everyone can understand each-other's perspective.  Do not undermine team cooperation by rewarding individual performance.

10.  Stop using slogans, exhortations, and targets.  It is the system that creates defects and lowers productivity.  Exhortations don't change the system; that is management's responsibility.

11.  Eliminate numerical quotas for workers and numerical goals for people in management.  This is management by fear.  Try leadership.

12.  Eliminate barriers that rob people of their right to pride of workmanship.  Stop treating workers like a commodity.  Abolish annual performance reviews.

13.  Encourage education and self-improvement for everyone.  An educated workforce is the key to the future.

14.  Take action to accomplish the transformation. Management must lead the effort with action, not just support.

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