Starting with Assessment
The thinking and actions of radical quality are all driven by assessment which acts as a meta-cognitive process, guiding us in deciding what course of action should be taken. As a disciplined way of thinking, much of the radical quality perspective begins with the understanding of how we assess what is happening in processes that was first recognized by Dr. Walter Shewhart.
Shewhart’s thinking and observations were strongly influenced by the British mathematician and philosopher, Alfred North Whitehead, who proposed several important concepts that are fundamental to the quality cognitive system, so it is best to start by looking briefly at Whitehead.(1)
First, Whitehead observed that the world consists of inter-related processes and that this goes to the very root of our understanding of reality. The world, Whitehead realized, is not just a collection of things, but includes processes that exist in relation to each other. These processes do not stand still, but are constantly becoming. There is no fore-ordained future, according to Whitehead, since the world consists of constantly changing inter-related processes. Walter Shewhart was intensely interested in how processes change and he explicitly referenced Whitehead in his writings.(2)
Whitehead made an important observation that is central to radical quality. “The art of progress,” he noted, “is to preserve order amid change, and to preserve change amid order.” (3) As practitioners, we assess the processes and systems around us and determine how to maintain them within a set of constantly changing conditions, or we recognize the need to change a process or system and do so by control, problem-solving, incremental improvement, or innovation and invention.
So, it comes as no surprise that radical quality demands assessment to determine what should be changed and what should be protected from change. Our practice includes a wide variety of forms of assessment, most of which involve collecting data and information, driven by a desire to understand the truth. We define work processes with flow charts and collect and analyze data from key points within these processes. We conduct surveillances of how work is done and conduct audits of processes and systems. We survey customers, employ secret shopper studies, and conduct focus groups. In research and publication we assess work through peer reviews, In science, we require replication of experiments and subject results to myriad statistical tests to determine whether results are significant.
The Gradual Emergence of Radical Quality
Starting with Whitehead’s understanding that all systems are constantly subject to change, what then is the point of assessment and what is the purpose of our endeavors? Why have we developed these methods of assessment and various cognitive processes?
In selecting the imagery for his writings and videotapes for his Juran Institute, Dr. Joseph Juran drew upon paintings from the walls of Egyptian tombs depicting workers using measuring rods to reduce variation in carving stones for tombs.(4) The Code of Hammurabi included punishments for builders whose walls might collapse and cause injury. Anyone who has seen Incan construction will be fascinated with precision of the stonework in their walls. Clearly, from the earliest times of human civilization, there has been an emphasis on quality – assessing, controlling, fixing, improving, and re-inventing things. The gradual expansion of trade in the middle ages brought forward the notion of standards of quality for beers and wines. For centuries, knowledge about metallurgy and other crafts was controlled by guilds that ensured standards of quality and workmanship.
Shakespeare famously noted the humiliating consequences of poor quality. A petard was a small bomb used by soldiers to breach walls and allow soldiers to enter a structure. To be hoisted on one’s own petard meant to be blown up by your own bomb – a humiliating quality failure due to poor manufacture or use of the petard.
The concept of quality leaped ahead in the 19th century with advances in two areas. The desire to produce interchangeable parts for machinery and weapons brought about new realizations related to variation in repeatable processes – ultimately resulting in Shewhart’s studies. The need to fabricate metal vessels that could contain pressurized steam for engines led to the professionalization of mechanical engineering. Newspapers throughout the 19th century were constantly reporting on ships and locomotives that exploded on railways, rivers, and at sea, so there was a great need for a scientific understanding of metals, welding, and the manufacturing of vessels housing steam.
The cognitive systems that comprise the field of quality were painstakingly developed in order to serve humanity. For today’s new participants in the quality field, it may seem like the discipline emerged like Athena, fully developed from the mind of Zeus. It did not. To survive and thrive as a species, we rely on agricultural, manufacturing, medical, economic, educational, and environmental processes and systems and the role of quality in all of these is to maintain processes, fix deviations, improve processes, and stimulate innovation in all of these processes and systems. It is radical – going to the root of all processes and systems. Therefore, the quality discipline is the root of the survival and well-being of humanity. It is our sine qua non.
What Shewhart wanted to understand was the impact of variation on a repeatable process. Given the realization that systems are constantly subject to change, as Whitehead noted, Shewhart wanted to understand change. He found that there are two types of change in processes, which his protégé, Deming, named “common cause” and “special cause.”(5) Common causes of variation are part of the process or system, depending upon how it is designed. If you want to reduce the impact of this type of variation, you must change the system. Special causes of variation are due to adjustments made to the system and can significantly increase the variation within a process by efforts to correct or over-adjust the system, introducing more chaotic levels of variation. Shewhart’s revelation provided a whole new way to understand change.
How Change is Hidden
It is vitally important to understand something about our language when it comes to contemplating change in processes and systems. We typically want to spin, or interpret, change, causing people to look favorably or unfavorably on a change. The English language is full of words that all mean change, but are intended to sell you on the idea that the change is desirable so you do not need to be concerned about it. The process or product will be enhanced, modified, improved, or upgraded – all meaning it will be changed and someone wants you to embrace this change. Most people, however, have had the experience of having some process or system “enhanced”, only to find that it no longer performs as well or lasts as long. The positive spin is meant to either promote the change or to numb our attention to the change.
Likewise, there are words that mean the process is being changed and someone does not want you to consider the change to be desirable. It is being downgraded, messed with, or degraded and you should take exception to this change being made. There are many much more colorful expressions in our language that are used to describe change that someone does not like and that they want you to also not like. All of these terms mean that something is being changed and the negative spin is meant to highlight our attention to a change.
Following up on his observations about change, Shewhart developed a field of statistics, inventing control charts to visibly illustrate the nature of variation in a process, with statistically determined upper and lower control limits and a set of observations to point out whether the variation in a process is common cause variation or due to special causes.
Understanding the nature of variation and how to control it subsequently became vital to all forms of manufacturing, from electronics to shipbuilding and from aircraft to automobiles. The control and reduction of variation in repeatable processes resulted in lower scrap and rework in any setting, resulting in lower costs and increased competitive position, as Deming pointed out so clearly.
Over the same decades, engineers invented and assembled a powerful suite of methods to assess, control, and improve quality in industry. Dozens of practitioners and academics combined these methods with Shewhart and Deming’s control charts and other statistical methods to establish a body of knowledge, which is the foundation of the development of a profession.
Concurrently, the early practitioners who began to orchestrate the use of these concepts and methods also recognized that these methodologies influenced, and were influenced by, the social structure within organizations. Autocratic leadership styles inhibited open assessment and stifled efforts to control, fix, improve, and innovate within companies. The concept of systems theory, with the work of individuals such as Kurt Lewin, began to influence the understanding of quality.(6) The discipline of organizational psychology and the quality discipline began to become interwoven in the 1970’s and many of Deming and Juran’s observations are more about social science than statistics and engineering. This has not changed in the ensuing decades and strongly influences the concept of radical quality.
None of the people who created this quality body-of-knowledge (drawn from statistics, engineering, and the social sciences) viewed it as being ancillary, or merely a helpful addition to organizations. They all saw their work as vital at the root level of organizations, as a radical imperative for all leaders at all levels of all organizations. And, it is at this root level – a repeated and enduring lack of understanding and acceptance of the radical meaning of quality – that organizations continue to struggle.
Conceptual Challenges
The quality discipline has always wrestled with some fundamental questions that concern our interpretations and understanding of quality. Is the goal to simply make a process or system fit for its intended use, or do we strive for excellence? When we assess a process or system, what are our expectations of performance? How do we define success? And, if all processes and systems are constantly subject to the forces of change, is there any actual point of arriving at excellence? If so, can a process or system stay at a level of excellence?
These questions have generated a great deal of debate and some anger over the years as different individuals have offered differing opinions and have criticized the opinions offered by others. However, it may be that these questions are moot. They may constitute a false choice that causes us to take our eyes off of the real situation that Whitehead framed for us.
Let’s consider the Second Law of Thermodynamics – the concept of Entropy – which aligns quite well with Whitehead’s observations. All systems lose energy and run down. Entropy is a force constantly at work throughout the universe, which includes everything around us. In a very real sense entropy causes all processes and systems to change. The leaders in an organization are constantly aging and eventually they must all be replaced. The equipment needs repair. The experienced and reliable operator gets sick or retires and new people need to be trained. The piping starts to leak. The oil needs to be changed. The batteries run down. Everything changes.
One of the most visionary thinkers of the 20th century, Buckminster Fuller, suggested that humanity is an anti-entropic force in the universe. We are constantly assessing and taking actions to ensure that we do not disappear as a species, or at least to make some of us more comfortable while we are in the process of disappearing. (7) There is no fore-ordained future, as Whitehead noted, but there is a clear challenge to each and every organization to strive to continue to exist.
In retrospect, one of the funniest things I have heard quality practitioners say over the past 45 years is that if we do our jobs well, we will work ourselves out of a job. There won’t be anything left to improve in our organizations. I laugh at those assertions now because we truly did not understand the nature of entropy and the nature of change in organizations.
The great British historian, Sir Arnold Toynbee, believed that if history seems to repeat itself in some ways it is because each generation will confront some type of challenge or crisis that must be addressed and that from the time of Thucydides to today, each generation must find the internal inspiration to succeed or it will fail.(8) The fact that the challenges from one generation to the next often seem so similar, dealing with perennial issues, gives rise to the illusion that events are repeating themselves.
The question is not one of whether it is better to make incremental improvements or to strive for excellence, whatever those things may really mean. The question is survival in constantly changing times. Survival can only come about through a willingness to engage in unvarnished assessment of an organization’s situation through the rigorous use of the quality thinking and methods.
If this seems melodramatic, then perhaps your experience has not included work with processes and systems in which failure entails truly significant loss. Nowhere has the thinking and actions associated with radical quality generated more serious attention than in our nuclear industry, where there have been decades of unsung success, punctuated by terrible failures. From the design and fabrication of naval reactors to their noteworthy operations, the leadership of the nuclear NAVY has personified the principles of radical quality. Much of this commitment to quality has been infused into the commercial nuclear industry, as well. While most quality practitioners may not be familiar with Nuclear Quality Assurance – 1, developed by the American Society for Mechanical Engineers, most practitioners have benefited from this foundational document upon which most quality audit programs have been founded. The same can be said from the principles of Conduct Of Operations and Root Cause Analysis that came out of the nuclear NAVY and have had significant impact on power production, manufacturing, and health care. When failure in the design or operation of a facility can result in numerous deaths or the contamination of hundreds of square miles, quality becomes a matter of survival.
Assessment Principles
There are some underlying principles of assessment that bear further exploration.
First, assessment starts with making a comparison of the actual characteristics of a process or system against an agreed-upon standard that describes what should be happening. Shewhart was specifically looking at specific characteristics that were in use to define quality in processes. Surveillance and inspections are designed to look at very specific characteristics. Testing focuses on specific characteristics, such as temperature, chemical composition, and thousands of other characteristics, always comparing against a known standard and always employing a process to ensure the measurement equipment is calibrated.
In conducting audits, the auditor knows ahead of time what the responses and observations should be. When deviations appear, the auditor will continue to explore the situation by using questions that define the nature and scope of the deviation between what should be occurring and what actually is happening. An effective audit program, such as NQA -1, will include questions that will ensure the reliability of the adherence to quality at a radical level.
In one sense, assessment is like the work a coach does in reviewing the game film after a competition. As one famous coach noted, it is enjoyable to be at home on your sofa watching a ball game, but you only learn about the game from watching the game film. The study of the game film enables strengths and weaknesses to be revealed, along with errors that need to be avoided and opportunities for improvement.
Second, while assessments may look at very specific characteristics of a process, assessments can also examine the entire nature of an organization through methods such as the Malcolm Baldrige Criteria for Performance Excellence and international quality standards that provide a yardstick against which to measure the efficacy of an organization’s systems and processes. Unfortunately, only an extremely small fraction of organizations have leaders who embrace radical quality and who will employ broad assessment methods, such as the Baldrige Program.(9) Most leaders either do not want to know the truth about their organization, or they know the truth and do not want it revealed. Many are required to use quality standards, which can be effective in identifying areas in processes that need to be fixed or improved, but these process-focused standards do not always drive critical thinking about achieving excellence.
Third, assessment must embrace the recognition that often we do not know what we do not know. We know that we know some things and sometimes we know that we do not know other things and we set out with purpose to learn them. However, when we do not know something, and we do not know that we do not know it, an organization is at great risk. So, the purpose of assessment, in addition to understanding how closely we conform to desired levels and standards of specific characteristics, and an understanding of the overall efficacy of an organization’s systems and processes, is to discover things we do not know that we do not know.
Fourth, employing only one method of assessment may not only provide an insufficient view of what is happening in the organization, it can also skew the behaviors in an organization. If only one form of assessment is employed, then it may not provide all of the perspectives you need. It is important to listen to customers, but if you only assess customer satisfaction and do not assess the views of suppliers, owners, employees, and other stakeholders, you can be missing important information. Even worse, when an organization only uses one form of assessment, then everyone in the organization will learn how to maximize performance on that one dimension and allow other important components of the work system to lag. After all, what gets measured is what gets done.
Assessment Methods
There are many methods of assessment from the casual to the complicated and assessment can vary greatly in scope depending on the size of an organization you are leading. On the side of informal assessment, you might employ simple questions, such as “Tell me what is going on.” A variety of basic questions may be enough to enable a leader to sum up the key dynamics in an organization. On a more complex but still informal level, a leader can engage people in using metaphors to describe the status of issues in an organization to determine what is working well and what needs to be changed. In some cases, leaders can even use an art exercise, asking people to creatively draw a picture of what things are like in the organization.
However, organizations usually need a more structured and systematic approach to assessment, drawing upon a wide variety of methods that are suitable for different types of assessment needs. Assessments can be focused on customer or broader stakeholder perspectives, outcomes, peer comparisons, work processes, groups, leadership, or they can be institutional in nature.
Customer or stakeholder assessments seek to understand what stakeholders think about the organization, the extent to which their needs and interests are being met, what they like and do not like about their relationship with the organization, and what their aspirational thoughts that the organization might seek to fulfill in some manners. These are typically performed with surveys, focus groups, and interviews.
Outcome assessments are examining the results of a product or service and can be quantitative and qualitative in their design. Inspection of products, testing and grading of materials, testing and grading of students based on student learning outcomes, patient re-admissions, scores on standardized tests, and changes in physical characteristics, such as blood pressure, are all outcome assessments. These assessments help to determine if products or services are fit for their intended use.
Comparative assessments examine how an organization performs in comparison to its peer institutions. This could include a review of how peer institutions are performing with stakeholder assessments and outcome assessments. Comparative assessments provide insights into areas where attention needs to be given to fix processes, make improvements, or innovate. Common comparative assessment methods include conducting surveys of multiple, but similar, organizations, and conducting organized benchmarking exercises that focus on finding opportunities for learning from others who are doing something better in order to honorably adopt their methods.
Process assessments examine how work is actually being performed in an organization. This can include direct observation of how classes are taught, inspection of materials at different stages in a work process, review of statistical data that informs us whether a process is operating within statistical control limits, and small or major audits that provide examine evidence regarding of how tasks are performed.
Group assessments include formal meetings where a group or team of people use a structured process to discuss their performance and/or their aspirations for the organization. Group assessments can be structured around “team-building” activities in which people learn about their communication or personality styles and how those styles relate to everyone else in the group. A structured process such as Appreciate Inquiry can be used to facilitate a conversation that assesses the status of the organization.(10) The typical SWOT Analysis, used in strategic planning, is a form of group process assessment.
Leadership assessments examine the behaviors and results of leaders in an organization. There are a wide variety of approaches to leadership assessment and most Human Resources organizations include some formal approach that is conducted on some periodic basis. The key to the effectiveness of leadership assessments, from the perspective of radical quality, is to ensure that the yardstick against which leaders are being measured reflects the desired thinking and behaviors that support an emphasis on quality. If the metrics for leadership assessment are wrong, then the organization is in trouble.
Institutional Assessments are structured systems for examining the entirety of an organization, including its leadership, processes, approaches to planning, outcomes, and stakeholder perspectives. The Malcolm Baldrige Award Criteria is one example of a comprehensive system for assessing an entire organization. Quality standards, such as the ISO 9001 standard, also provide a yardstick against which to measure a wide range of activities in an organization. In education and health care, organizations, peer groups will develop standards for accreditation that provide assessment of multiple dimensions of an organization.
(1) Alfred North Whitehead. Process and Reality. (Corrected Edition) Free Press, 1978.
(2) Walter A. Shewhart. Economic Control of Quality of Manufactured Product. Van Nostrand, 1931.
(3) Whitehead.
(4) Joseph Juran. Juran on Quality Improvement Workbook. Juran Institute, 1982
(5) W. Edwards Deming. Quality, Productivity, and Competitive Position. MIT Press, 1982.
(6) Kurt Lewin. Field Theory In Social Sciences. Edited by Dorwin Cartwright, Harper, 1951.
(7) R. Buckminster Fuller. Utopia or Oblivion. Bantom Books, 1969.
(8) Arnold Toynbee. A Study of History. Oxford University Press, 1946.
(9) Denis Leonard and Mac McGuire. The Executive Guide to Understanding and Implementing the Baldrige Criteria. Quality Management Division, ASQ Quality Press, 2007.
(10) Jeanie Cockell and Joan McArthur-Blair. Appreciative Inquiry in Higher Education. Jossey-Bass, 2012.
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