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#246 from R&D
Innovator Volume 5, Number 11
November 1996 Fighting
the Fire Before It's a Conflagration: Steps to Take to Avoid a
Crisis Dr.
Sawyer is principal of The Sawyer Partnership in San Jose,
California. She helps
clients solve expensive, chronic problems such as those that cause
customers to consider taking their business elsewhere.
Phone (408) 929-3622. A crisis was
coming. It was the
middle of April, and a new, one-time of production run that was to
begin July 1 and last until September 1 was having serious
troubles. The new
computer systems were anything but stable, and test performances
of the process were inadequate, even for small volumes of product.
People from just about every department in the company were
frantically trying to resolve the multitude of technical problems,
but it was obvious to all concerned that the current path was
leading to a crisis. At
risk were millions of dollars and the company's reputation.
Failure would certainly make news in the industry. As Stephen Covey,
author of Seven Habits of
Highly Effective People puts it, "If we keep doing what
we're doing, we're going to keep getting what we're getting." This story of how the company resolved the mess should be
relevant to just about anyone involved with a crisis situation. Step
1: Define Success Criteria and Measure Performance Identifying and
defining any problem begins with data:
we start by defining what success means in measurable,
objective terms. This tells us what to measure and clarifies both
"trouble" and "optimal" performance levels.
We can track trends in these key measures to help us: •
Determine the truth about what is actually occurring •
Understand and plan for risks and vulnerabilities •
Focus action to achieving specific results •
Verify that the action taken achieved those results We have to
define, from the data, when the problem is solved, or at least
when it is out of the crisis state.
This key step forces us to focus carefully, get specific,
and agree about what is important. Key management,
vendors, and technical representatives agreed to success criteria
in an intensive, facilitated all-day work session. It was hard work. The
group struggled with limiting the success criteria to the minimum product volume and quality standards required during the
three-month production run, without adding
"would-be-nice" objectives.
If extra production or other requirements were added, no
matter how desirable for other reasons, the work required to
survive the busy months ahead would be diluted or even obstructed.
However, survival depended on our ability to focus on
exactly what was needed to just satisfy our market--nothing more nothing less.
This was not the time to stretch goals. Choosing the
right metrics was the hardest part because everyone had to
discipline their thinking differently than they ever had before. The first difficulty was staying focused on defining
survival. The second
difficulty was pinning it down to specific, measurable criteria. The third difficulty was accepting that less than perfect
thresholds were not only OK, but necessary.
We succeeded in brainstorming possible metrics, then
questioning each rigorously: •
Was the metric important to surviving this once-a-year
production run? If we
didn't make the threshold, how bad would it be to the company?
If we did achieve it, did we deserve congratulations (and,
perhaps, a party)? •
Was the metric specific and measurable?
Would we know--unambiguously--whether or not we were
successful? After much
discussion, the group agreed on threshold levels of performance,
the definition of success. These
measures included time to start the production run, shipping rate,
product concentration and product purity. Once the metrics
were defined, it was relatively straightforward to begin
collecting the data to demonstrate how we were progressing.
Graphs were updated and reviewed weekly. This allowed us to detect and intervene early if any trend
lines headed in the wrong direction or got dangerously close to
the trouble level. Because
we started collecting data at the same time we started taking
action, we were not able to demonstrate improvements over previous
performance. This was
not important, however, since we really didn't care about past
history. What was
important was that the metrics showed our actions were effective
at keeping performance below the trouble threshold. Step
2: Identify Priorities and Risks The next step is
to identify priorities based on the success criteria.
By analyzing the data, we can choose the areas to focus
that are most important to achieving our success metrics.
For example, if the concentration of the product started to
fall, we knew we must investigate why and address that specific
problem immediately. If
we didn't, the total production wouldn't make its goal. The defined success criteria dictate the priorities:
we would focus on anything that threatened our success
metrics--and not waste time on anything that had little or no
impact on those metrics. This step also
requires that we analyze the situation specifically for risks.
We consider both threats to the company that could result
from attempting to address the issue and getting it wrong (or from
not addressing it at all) as well as the vulnerabilities, of
possible obstacles to success.
What could go wrong? Once
we knew what could go wrong, we could take steps to eliminate the
possibility, or at least contain the impact. Priorities and
risks were always evaluated with respect to their impact on our
ability to achieve the success criteria.
The goal was to resolve first the issues with the largest
negative impact on the production.
For example, the new software had been prepared with some
fancy features that were supposed to really fine-tune the process.
These features, if they worked, would make things easier. However if one of these features failed during the run, it
could cause significant enough delays to jeopardize the whole run.
The risk of having them far outweighed any possible
advantage. We agreed
to use only the most essential elements of the software, and not
to change the software unless it was to correct a bug that
threatened our performance metrics, our success criteria.
These criteria gave us the ability to say "no" or
"not now" to changes that previously had been considered
mandatory. Step
3. Develop and Execute Project Plan With the
priorities and risks clearly identified, the next step is to
decide what to do about them and then do it.
For each priority and risk, we do the following steps: •
Chunk it into component issues and define success criteria
to measure that the issue is resolved •
For each issue, analyze for root causes and verify that the
causes are real and important to achieving success criteria •
For each cause, identify what deliverables will enable us
to eliminate the cause •
For each deliverable, identify what actions we must take to
create the deliverable. The actions are
the bottom line: until
somebody does something to change things, we'll keep getting what
we're getting. Taking
action to avoid or mitigate risks is as critical as taking action
to resolve issues that are directly causing the problem. We identified one
major chunk as the lack of change management in the company.
Thus, individuals from both production and packaging would
change things according to their independent requirements, usually
with inadequate planning and often conflicting with each other.
We determined that one of the causes of the change
management problems was that there was no procedure for
authorizing any given change or determining when that change
should be implemented. Deliverables
included procedure documentation, a change request form that had
to be approved before the change could be implemented, and change
criteria for deciding whether a change was essential to the
production run, and therefore should be implemented. Step
4: Measure Results As actions are
implemented, we measure how we're doing by continually checking
our success criteria metrics.
If the metrics indicate an undesirable trend, or that we've
actually exceeded the trouble levels, we immediately re-evaluate
what we're doing to find out why and adjust course as necessary.
In this case, it was clear from the steady trend of the
shipping rate that the actions were having the desired effect.
Some of the other metrics were less ideal, but in every
case the metric provided advance warning and we were able to
identify what caused the reversal and correct it before we were
back in serious trouble. Step
5: Celebrate Avoiding a major
crisis is hard work and the people who achieve it deserve
congratulations. This
key step is often overlooked, perhaps because new issues are
always ready for our attention or perhaps because it's hard to
identify when a crisis has been avoided.
In any case, avoiding the crisis is valuable to the
company, and we must take care to identify when that occurs and
reward individuals who make it happen. The success of
the production system was celebrated in mid-September, after the
three-month run was finished, and the metrics proved we survived. In this case, everyone who participated in the effort was
invited to a special breakfast hosted by senior executives. The charts demonstrating the achievement were proudly
displayed. |
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