Over at Slate, Zachary Meisel and Jesse Pines have a sensationalist article entitled Waiting Doom that describes how hospitals are killing emergency room patients. They claim Esmin Green’s death was caused by the length of time she waited in the E.R. which they blame on the hospital practice of boarding inpatients. In their words, Despite increasing evidence that crowded E.R.s can…
Archive | government
Fourth of July factoids
In case you didn’t see it, the U.S. Census Bureau issued a Facts for Features release (note: destination page has been removed) in observance of The Fourth of July 2008. It’s full of unusual holiday-themed factoids you can share at your picnic. My favorite is that the baked beans you eat likely came from North Dakota; the state produced 42%…
Holiday week ramblings
Some performance management ramblings to kick off your holiday week: (A) Barry suggests Four Questions To Ask When Building Your First Strategy Map: What’s the advantage that differentiates us from our competitors? What are the three most important things we need to measure to drive that advantage? What are the three most significant gaps or barriers…

Performance Management Saves Lives
You can always count on Bob Hanson of Sarasota County for a good performance management story. Here’s one that I heard him tell recently: The Parks and Rec department struggled with recruiting and retaining lifeguards for the public pools. People viewed being a lifeguard as only a summer job, not a career, so job satisfaction…
Unhealthy Measures
It seems like every few months someone tries to claim performance management is bad for organizations. The latest one comes from Phil Dourado who writes, “Target-based systems distort everything and most people’s behaviour.” Phil bases his indictment of performance management on several stories about the UK’s National Health Service in which “brilliant, dedicated people [are] pushed…

Improving Performance at USPS
At a recent performance management conference, I attended a talk by the Manager of Strategic Business Planning at the U.S. Postal Service (USPS) who described how they used performance management concepts to dramatically improve the agency. I showed up at the talk with skeptical attitude, as the post office does not have the best reputation…
Automating Measurement Mania
Several years ago, I visited a U.S. government agency that tracked more than 1000 different performance measures representing nearly every aspect of their operations. The measures came from multiple operational systems, a dozen or more Excel workbooks, and several employee and citizen surveys. The entire process was automated, allowing many of the measures to be updated daily…
Reinventing Local Government
Every once in a while an idea comes along that’s so simple but so compelling that it sticks in my head for days. It also makes me wonder, “Why the heck didn’t I think of that?” An exchangeable tank for your gas grill fits the bill. So does the iPod. But not the Internet –…