this assignment will be divided into 3 steps 1-revise my paper according to my professor's comments and the grading rubric and then start writing to develop continue the paper.his assignment needs

this assignment will be divided into 3 steps 1-revise my paper according to my professor’s comments and the grading rubric  and then start writing to develop continue the paper.his assignment needs

this assignment will be divided into 3 steps 

1-revise my paper according to my professor’s comments and the grading rubric  and then start writing to develop continue the paper.

his assignment needs two things:

First of all, rewrite research introduction, purpose, questions and aims to develop my file’s writing I will attach it below. 

Please complete the following:

1- review the item posted in the “Bloom’s Taxonomy” tab to help with the development of aims ( I will Attach the file ) 

2- review “APA” style and follow it 

3- review the item posted in the “Grading rubric” tab so that you are familiar with how your grading will be moving forward. ( I will Attach the file ) 

4- Use this previously developed capstone template to help you in revising my paper’s  formatting and with examples or “descriptions” of what each section should include RESEARCH INTRODUCTION, PURPOSE, QUESTIONS, AND AIMS. I will attach the files. 

Second, After your writing I need you to write a file that has an oral presentation about my capstone project, I want to tell my teacher about my project around a two-minute. Sharing my topic, Purpose, Research Questions and Aims. ( Simply stand in front of your peers and tell us what you will be doing for your capstone project ) 

Third, I WILL ATTACH MY FILE’S RESEARCH WRITING because this assignment is following it and for development…

MY TOPIC IS ( HAND HYGIENE IN RADIOLOGY DEPARTMENT )

Discussion: Financing of Health CareWith coinciding concerns about health care costs and the imperative to improve quality of care, health care

Discussion: Financing of Health CareWith coinciding concerns about health care costs and the imperative to improve quality of care, health care

                             Discussion: Financing of Health Care

With coinciding concerns about health care costs and the imperative to improve quality of care, health care providers and others face difficult decisions in the effort to achieve an appropriate balance. Such decisions often are addressed in the policy arena. How do policymakers evaluate which health care services should be financed through government programs? How do ethics-related questions and other considerations play into this evaluation process? Is it possible to contain costs and provide accessible, high-quality care to all, or is the tension between cost and care inherent in the U.S. health care delivery system? These questions are central to health care financing decisions in the United States.

For this Discussion, you will focus on the policy decision-making process that determines what types of care are covered by public and private insurers and the ethical aspects of such financial decisions.

                                                     To prepare:

Read the case study “Economic Impact of States Declining Medicaid Expansion”  page 190 of the Milstead text( BOOK :HEALTH POLICY AND POLITIC ATTACHED BELLOW) .

Review the information in the Washington Post article “Review of Prostate Cancer Drugs Provenge Renews Medical Cost-Benefit Debate” in the Learning Resources. ( DOCUMENT ATTACHED BELLOW)

Consider how policy decisions currently are made about what will and will not be paid for and what changes, if any, could improve the process.

Reflect on how the Washington Post example illustrates the tension between cost and care.

Post your analysis and assessment of the ethical and economic challenges related to policy decisions such as those presented in the Washington Post article. 

How does this type of situation contribute to the tension between cost and care? Substantiate your response with at least two outside resources. 

CHECK THE MEDIA PRESENTATION ATTACHED BELLOW

How do the results fit with previous research in the area? (This may be reflected in the literature review.)

Conduct a literature search to select a quantitative research study related to the problem identified in Module 1 and conduct an initial critical appraisal. Respond to the overview questions for the c

Conduct a literature search to select a quantitative research study related to the problem identified in Module 1 and conduct an initial critical appraisal. Respond to the overview questions for the critical appraisal of quantitative studies, including:

Is this quantitative research report a case study, case-control study, cohort study, randomized control trial or systematic review?

Where does the study fall in the hierarchy of evidence in terms of reliability and risk of bias?

Why was the study done? (Define the problem and purpose.)

Were the steps of the study clearly identified?

What was the sample size?

Are the measurements of major variables reliable and valid? Explain.

How were the data analyzed?

Were there any untoward events during the conduct of the study?

How do the results fit with previous research in the area? (This may be reflected in the literature review.)

What does this research mean to clinical practice?

 My Topic is Can Proper Hands Hygiene control Hospital Acquire Infections?

Needs Introduction, Upload scholarly Quantitative Research article to it, and must be less than 5yrs. Old

The discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course competencies covered.For this assignment, make sure you post your initial response to

The discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course competencies covered.For this assignment, make sure you post your initial response to

The discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course competencies covered.

For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.

To support your work, use your course and text readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by the end of the week.

Read the section titled “Reflective Practice: Pants on Fire” from chapter “Health Policy, Politics, and Professional Ethics” and address the questions below:

  • How do you judge Palin’s quote? [“And who will suffer the most when they ration care? The sick, the elderly, and the disabled, of course. The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama’s death panel so his bureaucrats can decide, based on a subjective judgment of their level of productivity in society, whether they are worthy of health care. Such a system is downright evil.] Effective strategy to oppose Democrats’ plans for health care reform or unethical scaremongering?
  • Reflect on what informs your judgment: commitment to advance care planning, analysis of facts, and/or political party loyalties?
  • Is it right for nurses to endorse health reform legislation even if the legislation is not perfect? Does this apply to the recently failed American Health Care Act?

For this discussion, you will need to address all of the questions below and be sure to participate fully by responding to your classmates as well. Citations should be used to support your analysis an

For this discussion, you will need to address all of the questions below and be sure to participate fully by responding to your classmates as well. Citations should be used to support your analysis an

For this discussion, you will need to address all of the questions below and be sure to participate fully by responding to your classmates as well. Citations should be used to support your analysis and references should be included in APA format. Be sure to review the Discussion Question Guidelines before you begin!

This week, you will be creating two Excel spreadsheets in one Excel workbook (file). Save the file as W4DQ_YourLastName (Excel will add the default of .xlsx to this name) and then Save often so you don’t lose any work! Name each worksheet descriptively.

Sheet 1 (which you will rename).

  1. Create an itemized list of at least ten (10) items that you will need for your graduation party. Lay out your Excel spreadsheet following the example below. Make your columns as wide as you need to show all the information for that column by double clicking on the line between the columns or dragging the line between the columns. Cell B2 had the Wrap Text on the Home ribbon in the Alignment group turned on due to the length of the description. Only include numbers in the Cost per Unit, Quantity, and Cost columns so your calculations will work.
  2. When you have entered your data, Sort your information by Item.
  3. Share any questions about this or anything else in the Discussion Area.

Sheet 2 (which you will rename).

MS Excel is a great help with calculations which are completed using formulas. Remember, by typing an equal sign (=) into a cell, you are preparing Microsoft Excel to do a formula calculation. Refresh your memory on the use of formulas from this week’s assigned reading and the online lectures. For Sheet 2, think of a situation at home, work, or even a hobby or sport for which you could use a calculation and create a formula to solve a problem.

  1. Open a spreadsheet in MS Excel and create your formula. Make sure you label components of your spreadsheet.
  2. In the Discussion Area when you attach your file, describe the purpose of your formula and how it will help solve the problem it was designed to address. Share any challenges you had as well as tips for others.
  3. Delete the unused worksheets by right clicking on them one at a time and choosing Delete.

Prepare examples of various coding and billing issues you have experienced in clinic settings especially in Peds and women’s healthCreate a LinkedIn account at www.LinkedIn.com Follow sign-up

Prepare   examples of various coding and billing issues you have experienced in clinic   settings especially in Peds and women’s healthCreate a LinkedIn account at www.LinkedIn.com Follow sign-up

Prepare   examples of various coding and billing issues you have experienced in clinic   settings especially in Peds and women’s health

  1. Create a LinkedIn account at www.LinkedIn.com
  2. Follow sign-up instructions to create a new profile.
  3. Follow the rubric to create a standout student profile
  4. Post your LinkedIn® URL in your assignment section of Blackboard

Skill

Professional

Proficient

Developing

Incomplete

Comments

SCORE

25

22

19

17

PHOTO

(10)

Business Professional Headshot or other

appropriate to industry.

Business Professional Headshot.

Picture is casual in nature.

Picture is missing.

Headshot is not blurred and clearly shows face.

May include more than

headshot.

A group shot or other

individual is included in photo.

Distracting background.

A plain backdrop is used.

Clothing is not

appropriate to industry.

Quality of Photo is lacking, e.g. focus,

contrast etc.

HEADLINE

(10)

Brief, informative and use of keywords, skills, or interests that relate to the industry or related career goals and/or interests

Connects current position to career goals

Brief, informative and use of keywords, skills, or interests

Does not related to career goals and/or interests

Default to Current Title and Organization

Default of Student at Florida National University

Thoughtfully considered use of default

Default of Student at Florida National University or Current position unrelated to career goals

SUMMARY

(10)

Describes current status, relevant skills, interests, coursework or experiential experiences e.g., internships, student leadership roles, campus activities etc.

Describes current status, skills and interests

Career goals or interests may not be evident

Describes academics, skills and activities

List of skills without validating experience

Summary is missing

Connects background to position, goals or industry of interest

Concise and confident manner

Use of action words, job or industry specific key

Words

EDUCATION

(Includes: School, Dates Attended, Degree, Field of Study, and Activities and Societies.

GPA optional

(10)

All appropriate information included.

Presented in a balanced manner

All appropriate information is included with 1-2 incorrect items. (ex: abbreviations)

1-2 pieces of content missing.

3+ pieces of content are missing.

Skill

Professional

Proficient

Developing

Incomplete

Comments

DESCRIBED EXPERIENCE

(any work and/or activities with bullet points to describe tasks and accomplishments or summary narrative of experience)

(10)

All appropriate information included (Company Name/Organization Name, Title, Location, Time Period, and Description.)

Statements clearly describe tasks and duties of position.

Action statements demonstrate a variety of transferrable skills.

All appropriate information included with 1-2 incorrect  items (ex: abbreviations)

Statements clearly describe tasks and duties of position.

Action statements demonstrate some transferrable skills.

1-2 pieces of content missing

Statements could more clearly describe tasks and duties of position.

Action statements do not demonstrate transferrable skills.

3+ pieces of content are missing

Statements do not describe tasks and duties of position.

There are no action statements utilized and it is difficult to discern transferrable skills.

Accomplishments / results quantified where appropriate.

Accomplishments / results are not quantified where appropriate.

Accomplishments / results are not quantified where appropriate.

Accomplishments / results are not quantified where appropriate.

SKILLS & EXPERTISE

(10)

5+ relevant pieces of information is given to further validate skills, interests and abilities

3-4 relevant pieces of information given to further validate skills, interests and abilities

1-2 relevant pieces of information given to further validate skills, interests and abilities

No relevant pieces of information given to further validate skills, interests and abilities

(courses, honors and

awards, skills and

endorsements,

organizations,

volunteer,

recommendations,

groups, endorsements

etc.)

RECOMMENDATIONS

 (10)

1 or more professional recommendations/references listed

1 professional recommendation/reference listed

1 personal recommendation/reference listed

Recommendation/reference is missing

LOCATION/INDUSTRY & PROFESSIONAL LANGUAGE

(10)

Location and industry   both clearly identified on profile

Positive, engaging, and enthusiastic language throughout profile that helps demonstrate the writer’s achievements.

Action verbs are varied, and well-chosen to demonstrate tasks, duties, transferrable skills and accomplishments related to career goals.

Only location or industry listed and clearly identified on profile

Language is neutral throughout profile

Action verbs are varied, yet the selection is conventional or homogenous. Not offering much space to describe tasks, duties, transferable skills and accomplishments in a detailed way.

Location and industry not clearly identified on profile

Language is neutral throughout profile

Action verbs are not varied.

Location and industry are missing

Language is negative throughout profile

Action verbs are not varied.

No negative or unprofessional content is expressed

No negative or unprofessional content is expressed

1-2 negative or unprofessional content is expressed

3+ unprofessional content expressed

UNIQUE URL

(10)

Unique and professional URL created

Professional URL created but lacks unique quality

Unprofessional URL

URL missing

GET CONNECTED

(5)

1 or more professional groups joined

At least one professional group joined

1 non-professional group joined

Professional group missing

SPELLING / GRAMMAR

(5)

No errors in spelling, grammar, verb tense,

personal pronouns, and/or

1-2 errors in spelling, grammar, verb tense,

personal pronouns,

3-4 errors in spelling, grammar, verb tense,

personal pronouns,

5+ errors in spelling, grammar, verb tense,

personal pronouns,

punctuation.

and/or punctuation.

   and/or punctuation.

and/or punctuation.

*Don’t forget to adjust your privacy settings!

1

1

8. Explain how severe burns are classified, treated and managed.

Discussion Board Topic: Homeostatic Imbalance – AcneIn the textbook on page 121, the Homeostatic Imbalance section explains that acne is an active infection of the sebaceous glands. Discussion Que

Discussion Board Topic: Homeostatic Imbalance – Acne

In the textbook on page 121, the Homeostatic Imbalance section explains that acne is an active infection of the sebaceous glands. 

Discussion Questions

  1.  What is thought to cause acne? What causes some individuals to have mild acne, while others exhibit severe acne? Are there age- and sex-related differences?

  2.  What are the leading nonprescription treatments of acne?

  3.  What are the leading prescription treatments of acne?

Other Concepts:

4. Discuss changes in the skin on hot and cold days, or when you have a fever. Remember behavioral changes as well, such as curling up under a blanket when sleeping on a cold night or stretching out without a cover on a hot night.

5. Discuss the effects of alcohol consumption on skin color and body temperature regulation.

6. Discuss the difference between the terms visceral and parietal.

7. Briefly discuss the interplay between body systems and to note their interrelationships in maintaining homeostasis. For example, Vitamin D reabsorption in the skin and activation by the kidneys.

8. Explain how severe burns are classified, treated and managed.

9. Discuss tattooing, and use it as a model to emphasize learning the layers of the epidermis and dermis.

10.  Discuss the ABCD rule of malignant melanoma and talk about your own observations or experiences.

Write a 3–5-page memo in which you define accreditation and licensure including the four major accrediting organizations, compare and contrast the data collected in acute care organizations and how it differs in long-term care, and identify alternate storage systems best suited for long term care, including where charts are stored.

(References and Turn it in Report) Imagine that you are a long-term care administrator. You have had several new hires on your leadership team two of which have come from an acute care setting. You a

(References and Turn it in Report)

Imagine that you are a long-term care administrator. You have had several new hires on your leadership team two of which have come from an acute care setting. You are concerned that some members of your leadership team are not fully informed about the state and federal laws that govern the operation of long-term care organizations.

Write a 3–5-page memo in which you define accreditation and licensure including the four major accrediting organizations, compare and contrast the data collected in acute care organizations and how it differs in long-term care, and identify alternate storage systems best suited for long term care, including where charts are stored.

Your memo should be properly formatted and for the following:

  • the heading and opening,
  • context, task segment,
  • summary,
  • discussion segment,
  • and the closing segment.

I would like to know if you can revise this paper and provided 3 references.Lean Thinking in Aircraft Repair and Maintenance Takes Wing at FedEx Express LAX aircraft maintenance facility reaps big re

I would like to know if you can revise this paper and provided 3 references.Lean Thinking in Aircraft Repair and Maintenance Takes Wing at FedEx Express LAX aircraft maintenance facility reaps big re

I would like to know if you can revise this paper and provided 3 references.  This Paper is on Gemba Walk

Lean Thinking in Aircraft Repair and Maintenance Takes Wing at FedEx Express

LAX aircraft maintenance facility reaps big returns in short time By Doug Bartholomew If ever there were a testimony to the flexibility of lean practices, it’s the FedEx Express Aircraft Maintenance facility at Los Angeles International Airport (LAX).

One of three large aircraft maintenance facilities in the Aircraft Operations Division of FedEx Express, the LAX hangar differs from a traditional manufacturing plant in one significant way: rather than assembling products, the facility performs both routine maintenance and safety checks as well as unscheduled repairs, both major and minor. Despite this variability, FedEx LAX has applied lean principles with impressive results.

Although FedEx Express operates about 170 aircraft maintenance facilities worldwide, including about 100 in the U.S. that perform routine maintenance that generally takes a day or less, it’s in this sprawling 950,000-square-foot facility — staffed with 550 employees — that the company performs much of its major service, repairs, overhauls, and equipment upgrades. “We do a lot of unscheduled work,” says Hector Chavez Jr., aircraft maintenance manager and a leader of the hangar’s lean initiative. In other words, the FedEx Express LAX staff must be prepared to replace or repair everything from a cracked engine nacelle to a faulty hydraulic line on any of the corporation’s 360 large cargo transport aircraft.

FedEx Express LAX’s lean initiative, which has been under way since December 2007, dovetails nicely with the corporation’s current emphasis on finding ways to reduce costs and boost revenues during the global economic downturn. To that end, the LAX facility has accelerated the aircraft upgrade programs it already had under way that are designed to reduce maintenance costs by increasing capacity with the same equipment and staff. “Here we have found opportunities where we can create capacity by using lean,” says Phillip Coley, managing director of aircraft maintenance at FedEx Express, who is in charge of the LAX maintenance facility as well as one in Indianapolis.

Fighting the Recession

To be sure, lean is paying off for FedEx Express at its LAX hangar. For example, take the facility’s bread and butter maintenance and repair exercise, the labor-intensive operation it calls a C-check — a series of deep maintenance inspections and repairs on an aircraft that typically took six weeks or so. Two years ago, with the same size staff, equipment, and floor space, the facility performed 14 C-checks. This year (April 2009) LAX has already done the equivalent of the current fiscal year’s as well as next fiscal year’s C-checks. This year the facility plans to complete 30. The C-check improvement alone is especially critical to the company, because FedEx Express’ Los Angeles Airport operation is the only maintenance site handling this major maintenance regimen. Any overflow of C-checks FedEx LAX can’t handle are outsourced at an average cost of about $2 million excluding parts. “Lean has enabled us to optimize our resources,” Coley says. In other words, any work that can be brought back in-house yields immediate and significant savings. FedEx Express delivers about 3.4 million packages and 11 million pounds of freight each day worldwide. The largest operating company in the $38 billion FedEx enterprise, FedEx Express brings in the lion’s share of the revenue– $24.4 billion in fiscal 2008. While saving a million dollars here and a million there may not seem like a lot, Coley says every bit of savings counts dearly during the downturn, which has resulted in a decline in FedEx’s package delivery and cargo business. The company’s domestic package volume when measured year-to-year was down 7.7 percent as of the second quarter of its fiscal year ended last November 30, and international priority package volume was off 6.7 percent over the same period year-to-year. Ground volume (-0.9 percent) and freight shipments (-2.0 percent) were down as well. To reduce costs, FedEx Express plans to park some airplanes that are not being fully utilized for possible use later at a site near Victorville, CA. In the near term, other aircraft, including nine aging 727-200s, are being permanently retired. Ten leased A310-200s also are being returned.

“C” Check Savings

Despite the business slowdown, the FedEx Express LAX staff of lean-trained aircraft maintenance technicians is digging in for the long haul, finding ways to save money for the company until better times return. A key piece of the strategy is to continue the hunt for lean opportunities to remove waste and refine maintenance operations for greater efficiency. In fact, a radically redesigned approach to the way the LAX facility handles the all-important, labor-and-parts-intensive C-check of a jet aircraft has already yielded FedEx some big dividends. By reducing the typical time it takes to do a C-check from 32,715 man-hours six months ago to 21,535 man-hours today, the facility is able to handle more work (see chart below). That translates into a savings of $2 million, excluding parts, per C-check that otherwise would have had to be performed by a paid third-party aircraft maintenance firm.

Some typical C-check activities the mechanics perform include overhauling the aircraft’s cargo loading system, overhauling the cockpit seats in some planes, and overhauling the aircraft’s large flaps, the adjustable rear portion of the main wings that is critical for creating lift on takeoff and drag on landing. FedEx LAX has already done initial kaizen on the cargo loading system maintenance, reducing the time that process requires from about 30 days two years ago to about 18 to 20 days now. Additional C-check refinements include further improving the flap overhaul/replacement process, and improving the kitting system to speed the cargo loading maintenance process even more. Through these more efficient C-checks, as well as a critical landing gear modification and other lean initiatives, FedEx LAX and its sister facilities in Memphis and Indianapolis, are expected to save the company an estimated $18 million during the current fiscal year.

Maintenance facilities at Memphis and Indianapolis handle the “B”-check maintenance procedures that typically require about 400 man hours or more. Lean is paying off considerably for these facilities as well. As an example, Indianapolis has cut the time it takes an out-of-service aircraft to receive a B-check service from 60 elapsed hours to 30 hours, with a June 2009 goal of further reducing the B-check time to 24 hours. Reducing the elapsed hours by half on a B-check allows more hangar capacity, which allows the facilities to handle more special visits and aircraft modifications. In Memphis, for instance, increased capacity has been used to handle extra work such as installation of fire suppression systems and HUD (Head Up Display, which allows pilots to see cockpit data without looking down, similar to the system military fighters use). In the past, these modifications would have been sent to outside contractors. By performing them in-house, FedEx Express is able to save on external spend.

Value-Stream Mapping Coley points out that FedEx Express’ use of the C- and B- checks to designate certain levels of maintenance programs and inspections are not standard industrywide, generic terms, rather they are customized FedEx terms only. “A C-check might be anything at a different airline, depending on the approved maintenance program and operational pull,” he explains.

Excluding unexpected major repairs, most C-check maintenance operations are fairly predictable, requiring certain new parts and specific tools the aircraft mechanic technicians need to install them. Using Value-Stream Mapping, the lean teams analyzed all the standard work involved in a series of prototype “vanilla” C-check. They came up with 68 milestones, or key aspects of the overall process.

Then they were able to sit down and plan each C-check, breaking it down into four-hour increments. By understanding each four-hour block of mechanics’ time, Coley explains, “They learned how to pass the baton without dropping it, so that one mechanic can pick up on a task exactly where his predecessor on the last shift left off.” The end result was that they were able to carve plenty of wasted time and movement from the various processes that make up the typical activities in a C-check. For example, a couple of big bottlenecks were eliminated by finding ways to place pallets of special tools and airplane parts right on the hangar floor where the airplane maintenance technicians (AMTs) are working. Before the lean initiative, mechanics typically queued up in front of the parts stock room, often waiting for 15 minutes or longer, just to get batch of screws or a particular component. With some of the best-paid airplane mechanics in the industry on staff, that waiting time can be costly.

Both the parts staff and the AMTs participated in figuring out which parts were most likely to be needed during the C-check operations. They also decide the best way for the highest-use parts to be displayed on a “roto-bin,” a cart with a parts rack, and brought to the location closest to where they’re needed, thus eliminating unnecessary walking for mechanics. They even found a way to place a “quick parts” box on a level with the cockpit/nose of the aircraft for mechanics working on that part of the plane. “The difference in the way the AMTs work now has been easily 180 degrees,” Chavez says. Instead of taking up to four hours for setup, it now takes two hours or less. “Now our mechanics have the parts they need just 10 feet away. They need air, a ladder, electrical — it’s all just 10 feet away.” For less commonly needed parts, the facility has located four terminals on the floor where mechanics can look up the specific parts they need. Similarly, when the AMTs found they needed a special tool, such as a four-foot-long torque wrench, they had to go to the tool crib and — you guessed it — line up once more. Again, FedEx LAX engaged both the parts staff and the airplane mechanics in the kaizen to figure out the best sets of tools the AMTs needed close at hand for each particular repair or maintenance operation in the C-check. “We have a toolkit assigned to each mechanic’s task so we don’t have skilled people standing in line,” Coley says. “We realized that our internal customer is our mechanic.”

Speaking of tools, each airplane mechanic has his own full-size, multiple-drawer toolbox on wheels similar to those used by automotive mechanics. Before the LAX facility performed a 5S operation to clean up the workplace, these large wheeled toolboxes were scattered around on the floor, making it difficult for the mechanics to find their own boxes, let alone walk among them. Today, the boxes are lined up in neat rows, each parked in its own assigned location, allowing easy access for the AMTs to walk between them.

See examples of 5S improvements by FedEx LAX employees:

  • Improved storage of panels and carts
  • Carts for sheet metal and cockpit windows
  • A tool to help check thrust reversers
  • Improved sharpening tool 

Brake Mods Pay Off

Among the most significant cost-saving measures the FedEx LAX facility has pursued aggressively during the downturn is its accelerated schedule for converting old steel brakes on aircraft to carbon brakes, which are more durable and require less frequent replacement.

Based on the FedEx LAX facility’s repair records on brake replacement, steel brakes last at most 337 cycles — with most aircraft flying two cycles, or round trips, daily — or about six months. By contrast, the carbon brakes provide 2,200 cycles of service, or about three years. With 8 to 10 brakes per airplane, the savings add up fast. The brake modifications save the company about $1 million per year in fewer parts and reduced labor cost per aircraft. The task of swapping out the old steel brakes for new carbon ones — a more complicated process than simply changing a pair of brake shoes as one would on a car — was so important that Coley and his team performed a kaizen exercise to find and implement ways to improve and speed the changeover. The result was that FedEx LAX got the time it took to do a brake modification down from about 15 days to 7 days. Another kaizen on replacing landing gear — there are four per aircraft — yielded a time reduction from 11 to 12 days down to about 5.5 days, Coley says.

Motivating Employees

Of course, getting airplane mechanical technicians, parts specialists, and other staff on the hangar floor to think lean wasn’t easy, Coley admits. “We invested a lot of lean training in our employees, because we believe that, ultimately, everybody should get to be a change agent.” Coley, who successfully re-energized a lean initiative at United Airlines in San Francisco, where he was director of airframe maintenance, knows that any lean program can be only as good as the workers who participate in it and believe in its success. To that end, he devotes a big chunk of his time to motivating employees and finding ways to bolster their commitment to the lean efforts. “It’s a major cultural change, to get people to do things because they want to do them,” he says. Chavez agrees, pointing out that when the lean program was launched, people were somewhat skeptical. “At first it was an uphill battle,” he says. “There was an attitude, ‘We’ve seen many of these programs before.’ It took about four months for people here to really understand this was going to be a complete change in the way business would be conducted. Now, it has really taken off.”

Coley likes to use visual tools to help motivate workers. He shows employees videos that demonstrate how lean works and show how it can pay off. He even takes groups bowling, assigning them to teams that compete with one another to see which is best at “balancing the workload” — i.e., finding the best combination of bowlers to achieve the highest score within certain parameters. “They actually start to collaborate to try to get the highest team score,” Coley says. “At the end, we do some lean training, and you can see they understand the concepts and how it works.” (The company also developed a group exercise program to cut injuries. Use this link to see pictures of the warm-up routine.) Besides using videos, he has lined the hallways of the office area of the hangar building with large color blow-up photographs of outstanding employees on the job. “I’m a believer that recognition for employees is effective,” Coley says. What’s different in this case, though, is that each month the workers are asked to choose an employee-of-the-month, instead of management (Coley or a manager) making the selection.

The LAX hangar received close to 1,000 suggestions in the past year. If a mechanic has an idea to improve a process, he can present it as a suggestion to the lean committee. “If it’s only something that takes an hour or two to do, we tell them they should just do it,” Coley says. Having the airplane mechanics and other hangar staff consider each suggestion and work out their own solutions to the way work is handled goes a long way toward making the lean program at FedEx LAX a success, Chavez believes. “The very way you present it to people is key to getting their buy-in,” he says. “We actually have the personnel who are part of the process help figure out the solution.” Adds lead mechanic Monte Petry, “One of the things we’ve learned here is that you’ve got to take everybody’s opinion into account before making a decision.” As a former airplane mechanic himself, Coley doesn’t put much stock in formalities. When he took the job a year ago, one of the first things he did was get rid of the personalized parking space for the director. In a similar vein, he spends a minimum of five hours a week roaming the workareas, including the hanger floor, the parts warehouse, and the tool storage area. “The mechanics know I’m out there on the floor to help them, do an independent audit, and that I have a check list,” he says. “I look to see if the leaders and technicians are active. Are the manager and lead mechanic touring the work area? My goal is to be on the floor three times a week.”

Box Score for Aircraft Maintenance C-Checks at FedEx LAX Before Lean Improvements:

  • Actual wrench time varied greatly depending on the task
  • Airplane maintenance technicians (AMTs) spent between 1.3 and 2.4 hours a day walking to get parts, tools, etc.
  • AMTs made 106 trips (five trips per mechanic) in pursuit of expendables and consumables

After Lean Improvements:

  • Wrench time improved and moved toward a standard that the Lead Mechanic could predict
  • AMTs spent between .47 and 1.3 hours each day walking to get things other than consumables and expendables
  • AMTs made approximately 25 trips to obtain items for tasks during observations (carbon brake mod, outside kitting, and point-of-use scope) 

For More Information

FedEx Express — Founded in 1971 as Federal Express Corporation, FedEx Express is the world’s largest express transportation company, providing service to every U.S. 

address and to more than 220 countries and territories. The company uses a global air-and-ground network to speed delivery of time-sensitive shipments, usually in one to two business days.

 Leadership Behavior and Actions to Sustain Lean From the CEO to unit leaders to plant managers and supervisors, business leaders at all levels play a critical role in sustaining a lean program. Here are some of the specific tactics, practices, and behaviors that they can deploy to keep employees and teams motivated, and the organization moving forward. 

1. COMMUNICATE THE VISION Company leaders need to provide regular and consistent communication with employees about the specific returns that the company is gaining from its lean initiative, and what’s in it for them. Employees need to understand how lean impacts the company’s overall competitiveness, financial performance and, ultimately, job security.

 2. ALWAYS UPDATE STANDARD WORK Standardized work reinforced with visual work instructions based on the kaizen-improved processes can help ensure employees adhere to the correct work procedures. Such standards guard against back-sliding to the old ways of working. Of course leadership must also communicate that standard work processes are always open to modification during future kaizen events. 

3. GO ON GEMBA WALKS Going to the gemba, walking around the plant and asking employees, “What did you do this week to make continuous improvement happen?” That’s one of the most powerful questions a leader can ask. When business leaders keep asking such questions, employees soon learn what’s important and what they need to be working on. It’s important, though, to differentiate between gemba walks and plant walks, or “board” walks. Board walks involve reviewing the plant’s performance (SQDC) boards to ensure that each area is meeting targets, and providing support for corrections when needed. A gemba walk typically involves an executive or other top-level manager observing select processes and functions, such as material flow, with the goal of helping plant leaders and other continuous-improvement personnel see potential and high-priority areas for improvement. 

4. BUILD A CONTINUOUS IMPROVEMENT CULTURE True lean leadership encourages continuous improvement even when the improvement ideas don’t meet expectations. By making it acceptable to try something even if it fails, leaders empower workers to assume responsibility for solving their own problems. It’s important to demonstrate that observing processes, challenging current practices, and engaging in improvement activities are all part of a comprehensive problem-solving approach that will improve the business. 

5. FOSTER A RESPECTFUL, TEAM-DRIVEN ORGANIZATION Teamwork is an essential element of any lean initiative because it requires employees from different departments to work together to improve processes that almost always cross functional boundaries. Encouraging groups to contribute their ideas and responding to their suggestions is one way that teamwork demonstrates respect. Engendering respect and mutual trust is a critical element of any lean initiative. Yet leaders often overlook it because they focus all attention on process improvement. In a lean business, one way to demonstrate such respect is by actively encouraging every employee to be deeply engaged in the work that he or she does for customers and the company. 

6. CONTINUE TO MOTIVATE EMPLOYEES: Employee enthusiasm for any initiative naturally will wane over time. Full participation in a continuous-improvement program goes far beyond normal job descriptions and the scope of most employee compensation programs. This is where leaders personally participating in the continuous-improvement process can demonstrate the organization’s commitment. They can participate in kaizen events and be part of the problem-solving process. Leaders can motivate individuals by increasing their autonomy and encouraging them to find ways to permanently improve their work. At the FedEx Express Aircraft Maintenance facility at Los Angeles International Airport, the plant’s managing director takes employees bowling, assigning them to teams that compete with each other to get the highest score within a defined set of parameters. Employees quickly figure out that they must collaborate to get the highest team score. After the bowling session the plant’s managing director holds a lean training session to reinforce how teamwork improves outcomes. How One FedEx Facility Encourages Teamwork 

7. MAINTAIN REGULAR TRAINING Another way to sustain lean is through non-stop training of all employees, including supervisors, in the redesigned and improved work processes. Cross-training employees is also critical. Employees who have been trained in all the primary work processes tend to exhibit a more proprietary attitude toward improving their own work processes and offering ideas to improve other processes as well. For instance, Menlo Worldwide Logistics in San Mateo, Calif., a large warehouse and distribution firm, rotates its kaizen teams to examine the work flows in other departments. Groups of employees visit other work areas, inspect the process, and then discuss their ideas and findings to the area’s supervisor. 

8. REINFORCE PERFORMANCE AND PROGRESS WITH METRICS AND VISUAL-MANAGEMENT TOOLS Another way to show employees how their efforts are advancing the company’s lean efforts is through the use of visual-management tools and constantly updated metrics. Tracking and reporting performance metrics help sustain the organization’s commitment to the lean at both the leadership level and on the plant floor. For example, measuring takt time is one way to ensure employees are following procedures and standard work. Supervisors and work cells should report takt time hourly, and post hour-by-hour charts for employees to see how performance is measuring up against goals. If performance is off, the team can see it and figure out what needs to be done to get back on track. 

9. POST CONTINUOUS-IMPROVEMENT SCORECARDS Tracking progress on a month-to-month basis reinforces accountability and gives leadership an opportunity to check on results. At Menlo Worldwide, for example, each warehouse is evaluated based on projects completed that month and planned projects in the coming month. Each facility posts a monthly “continuous-improvement roadmap,” known within Menlo as a “30-30” form. The April/May 30-30 may contain a half-dozen or more initiatives completed in April, along with a similar number of projects scheduled for May. These forms report project status and detail the time trimmed from each process and the annual savings. 

Whether it’s a week-long kaizen event or a six-month project, too many companies make improvements that produce significant early results, and then they walk away to work on the next thing. To use a medical metaphor, just because the operation is a success doesn’t mean the treatment is complete. The doctor still needs to monitor the patient through a post-operative recovery and follow up with physical therapy.

 Long-term success with lean works much the same way. Business improvement leaders need to follow up to make sure new behavior patterns are consistent with the new methodology. This includes a commitment by executives to remain engaged in the lean process by going to the gemba and participating in kaizen events. 

 Management behavior and actions are part of a successful company’s overall effort to regularly communicate the impact lean has on financial targets and how the employees’ contributions impact them.

At the FedEx Express Aircraft Maintenance facility at Los Angeles International Airport, the plant’s managing director takes employees bowling, assigning them to teams that compete with each other to get the highest score within a defined set of parameters. Employees quickly figure out that they must collaborate to get the highest team score. After the bowling session the plant’s managing director holds a lean training session to reinforce how teamwork improves outcomes.

Discussion: Developing a Philosophy, Goals, and ObjectivesAs addressed in this week’s Learning Resources, an organization’s philosophy statement derives from its mission and indicates the values a

Discussion: Developing a Philosophy, Goals, and ObjectivesAs addressed in this week’s Learning Resources, an organization’s philosophy statement derives from its mission and indicates the values a

Discussion: Developing a Philosophy, Goals, and Objectives

As addressed in this week’s Learning Resources, an organization’s philosophy statement derives from its mission and indicates the values and beliefs that steer decision making. An organization’s philosophy statement should be used to develop goals and objectives that lead to assured action.

As effective organizations recognize, “setting specific goals in a clear and compelling way—and insisting that people work together to achieve them—is the best way to get results” (Ashkenas, 2012, para. 9).

This Discussion builds on the Week 2 Discussion 2, as you create a philosophy statement, goals, and objectives for Mountain View Health Center, the organization featured in the case study introduced last week.

You will continue to work within the same small group.

Note: You will develop an individual philosophy statement, goals, and objectives independently. Through the collegial exchange that follows, you will offer each other suggestions for refinement.

To prepare:

  • Review information on philosophy statements, goals, and objectives in Chapter 7 of the Marquis and Huston text and in the other Learning Resources.
  • Review the Mountain View Health Center case study presented in this week’s media, and reflect on the mission and vision statements you developed for Discussion 2 in Week 2.
  • Conduct additional research as necessary to strengthen your understanding of the process for creating a philosophy statement and developing goals and objectives and to deepen your thinking about the organization. For instance, you may research organizations with similarities to Mountain View and examine their philosophy statements, goals, and objectives.
  • Draft a philosophy statement for Mountain View Health Center.
  • Craft at least one goal and at least one related objective to operationalize the philosophy.
  • Consider what you have learned about the importance of the philosophy statement and the process of developing one, as well as the significance of and distinctions between goals and objectives.

By Day 3

Post a philosophy statement for Mountain View Health Center, at least one goal, and at least one related objective. Offer insights you have gained about the process of developing a philosophy statement, as well as the significance of and distinctions between organizational goals and objectives.

optional resources:

Cara, C. M., Nyberg, J. J., & Brousseau, S. (2011). Fostering the coexistence of caring philosophy and economics in today’s health care system. Nursing Administration Quarterly, 35(1), 6–14.

Lorenzi, N. M. (2011). AMIA’s realigned strategic plan. Journal of American Medical Informatics Association, 18(2), 203–208.

Kenny, G. (2012). From the stakeholder viewpoint: Designing measurable objectives. Journal of Business Strategy, 33(6), 40–46.

https://www.ahajournals.org/doi/pdf/10.1161/CIRCULATIONAHA.109.192703
http://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6241/CH/mm/case_study/index.html

Kramer, M., Schmalenberg, C., & Maguire, P. (2010). Nine structures and leadership practices essential for a magnetic (healthy) work environment. Nursing Administration Quarterly, 34(1), 4–17.