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It needed to invest in new development labs and to co-locate teams. In the summer of 2009 management decided to bring production of a water heater back to the U.S. everyone met to review the prior day, and what they would do that day. everyone met again to review what they''d done. from an Asian contractor.
A second was introduced in a medical-surgical unit at Theda Clark Hospital in Neenah in 2009, and a third in another medical-surgical unit at Appleton Medical Center in 2010. The physician leads the clinical assessment and planning process but as a team member/partner. Another lean tenet is assessment before action.
It increased R&D spending from 7-8% of revenue before 2009 to 11-12% of revenue starting in 2010, and maximized the return on that increased investment. It has a more rigorous organization structure that divides responsibilities between the innovation team and developmentteam, and strengthens management around the opportunity pipeline.
The first concerns the challenge of creating the meaningful use program for the HITECH Act when I served as national coordinator of health information technology from 2009 to 2011, at the beginning of the Obama administration. Two personal stories illustrate these points. They had incentives to do so, but they could easily refuse.
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