At my current client, the hospital RS Bungsu in Bandung, we are working a lot with metrics and visualizations. This has proven to have a profound effect in interest, focus and understanding for the entire staff.

During the last years a couple of “rules” (I’ll come back to the quote marks soon) has established itself. Based on our experience and feedback we have come up with a few guidelines that helps us to do better metrics and visualizations of them.

In this post I wanted to share our current set of “rules”. Hopefully this will be helpful to you and maybe even you can share your guidelines with me.

“This works for us” (™), “Your millage might vary” (™) and “Please see past the practice and look for principle that you might find useful in your setting” (™). All of those applies to this post.

These are...

I’ve seen many people change into something better over my years as a consultant. It’s beautiful thing - but I’ve never experienced something like that I witnessed today.

I was a small, small part of that change and I wanted to share the story with you. It’s a powerful testament to what capabilities lives in each human being that can be released if given the right circumstance and rooms.

Ibu Elsye

This is Ibu Elsye (lady dress in black in the picture) or Mrs. Elsye for you westerners.

She’s General Manager of a hospital, Rumah Sakit Bungsu, that I’m helping, here in Indonesia. General Manager; what is that, in a hospital - is a very natural question to ask. Basically she’s in charge of everything that is not health care. Food, laundry, maintenance, security staff, drivers … you name it.

If...

This is just a short post on a (in the western world) well-known topic. I think I read it first in Switch

People doesn't oppose change. People opposed being changed

Or maybe with more details, if you make a change without a compelling reason for doing so the change management will be uphill from day one.

I’ve mostly been the changer in this, but recently I was the person being changed (the changee?) and I wanted to share my experience and thoughts. So that I, at least, never ever does this again.

This can be around any change, but for the sake of argument let’s say that I send an email to my staff like this:

Starting tomorrow; everyone has to be in the office 15 minutes earlier. We, the management, thinks that this will improve work around here.

Please note that the reasoning below has nothing...

You are happy to meet me among the living. The error I’m describing nearly killed me with frustration, and if that didn’t happen I was about to help it by finish myself off.

No worries though - I found the solution. Hence I’m alive and can tell the story.

This is the error, that haunted me into the wee hours of the night, in all it’s glory:

1) Uncaught error outside test suite: Uncaught Error: listen EADDRINUSE :::3000 at Object.exports._errnoException (util.js:837:11) at exports._exceptionWithHostPort (util.js:860:20) at Server._listen2 (net.js:1231:14) at listen (net.js:1267:10) at Server.listen (net.js:1363:5) at Application.app.listen (node_modules/koa/lib/application.js:70:24) at Object.<anonymous> (index.js:10:5) at Object.<anonymous> (test/site.spec.js:1:73) at Array.forEach (native) at StatWatcher._handle.onchange (fs.js:1285:10) 

I got that error from mocha when watching my tests with the --watch flag. But only when I ran that watching command as a npm script from package.json. Yeah, it...

This is my second attempt to write this post. It’s not that the post itself is hard to write but the concept makes my head … go ouchie. That tend to happen to my head when I see potential quantum leaps.

Instead of the fancy intro I had planned, I’m just going to give a short introduction, point you to an awesome article, tell you how to get this to run.

So what is it then? Basically runtimejs is a tiny, unikernel OS that you can bundle together with your application, as a dependency to your application. Which is basically what a OS is, right? Our application needs some libraries like koa, a runtime-platform (like Node) and an OS (like Linux) that the platform can run.

What if that last part just was a dependency like normal to our application? Like this:

The other week we put up a thick rope to use as a liana, al á Trazan, for our kids. Extremely simple; just a rope, and I made a big tangled knot at the end. You can see my kids use it on the picture to the left. They loved it.

Then one day one of our neighbors, that often help us and stops by - nice people, came by. He looked that the rope, saw my kids struggling to climb it and said:

you know... it should really have a plank or something at the end so it's easier for them to stand on.

I said: Nah… this is good enough for them. They are enjoying themselves plenty.

Two days later …

This is a post on coaching, asking before helping and not improving things that works fine.

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Today I had a session with the management group of one of our hospitals. We ended up talking about how to choose what we’re going to do next. Questions like; “but how can we know what is best”, “there’s so many things to do” or “everyone have a different opinion” were discussed during and after the meeting.

I was reminded of a tip from a colleague and (to me) mentor from way back, Lars Littorin. I was complaining about so many things to do, not knowing where to start etc. His answer:

Great! Then you know exactly what to do; make a list of the things you need to do, and then start doing one of them.

There’s much truth in there. I think Lars is a great guy, but I doubt he knew how much use I have had from this single quote. Maybe, just maybe, he doesn’t...

Got a recommendation to read Nature by Ron Jeffries and I did. What a read! I loved it from the get go.

My short review is quite simply;

“This book made me think. It left me with more questions than I had going in. But better more concrete questions. Seeking simple(r) answers. Also it’s sprinkled with challenges and gentle provocations of the current state of mind and process.

The underlying principle ‘Simplify it’ is something that resonate very deeply with me. I recommend anyone doing, struggling to do or thinking about doing this thing we call ‘agile’ to read this book.

And then give a copy to every important person in your organization.

Thank you for a great read!”

I’ve been following Ron Jeffries (not only on twitter, but that’s a good start) for a long time, not only on twitter. The first thing I read...

This is a just a short post, mainly an idea that I can get out of my head.

I’ve been helping the management team at one of our hospitals to come up with something to track our progress against. The main question was actually quite simple:

How would we know if this hospital is awesome?

We came up with a couple of balancing scores that we will take for a spin in our first experiment round. The idea is the these values will guide our actions - if we can make things that improve the values (one or more) it’s a good thing. In the spirit of balancing scores we are keeping track on more than one to make sure that we’re not tilting our efforts toward, say only financial values.

Hmmm… need to write some of those ideas down, maybe. Ok - now to the topic of...

A couple of days ago I offered my services to one of the hospital directors here. In their current situation they could need some structuring and focus on start executing. I know that I can help them with this (using my normal “tricks” of visualization, transparency and short iterations etc) and hence asked if I could be of assistance.

Now, this particular director is a really smart one and the response was quick, to the point and a real head twister for me:

Thanks for that offer! What is you can help us with, then?

I was a stumped! What do I do? Why would anyone want that? Who am I to think that I can help them? I’m an IT guy, no formal training, no formal authority here. Why should they want me?

I ended up referring to my past work and try to describe that to the director...