ABSTRACT

A critical aspect of developing this new management system is to have a mechanism for problems to “rise to the right level.” Leaders coach, develop, and encourage their staff to problem-solve at the front-line unit level first. Problems that the front-line units struggle with are escalated to the middle management level primarily through daily middle management leader rounds. Problems that cannot get addressed at the middle management level escalate to the senior leadership level through daily/ weekly senior leadership rounds. We often have problems “festering” at a lower level with no awareness at the higher levels where the knowledge, resources, and expertise are to address these issues. This escalation can just be a corner of your staff’s LDM board but requires leaders to round regularly and take these issues as “homework” and follow up with their teams.