Tuesday, 22 April 2014

Quirks of Quality




(17 Feb ’08)

             Ms. K, is so Quality-conscious that when she had to scratch where it itched, she analysed the entire event. Who/what bit her, what caused the itch, when did it happen (date and time meticulously noted), where (part of body plus possible geographical location), could this have been prevented, could it be prevented in future? Was there a smell? No? Why not? … queries were addressed in the detailed narrative summary (saved as a flow chart, and in excel. One never knew in what format who would want it when). She had a management intern who did it as his project, so he could learn ‘on the job’.  She designed an efficient feedback system. The form minutely covered demographic information. 2000 candidates were covered, a good audit sample. One knew at a glance, how many itchers belonged to Tamil Nadu, Maharashtra, Delhi, Goa, etc. It gave clothes and food preferences of people, whether or not they itched. Good effort, that.  
            To benefit everyone, she gave a power point presentation. Shared knowledge, transparent communication is the new mantra. She made it clear right at the beginning of her talk that in Quality vocabulary, there was no such thing as an ‘almost bitten’ situation. Either you’re bitten or you’re not bitten, assuming it wasn’t a rash, for that would have meant an entirely different perspective, a topic for another project.

            She had graphs comparing statistics of previous years which indicated increases of bites in certain months. There were more bites on the hands and feet than on the arms and thighs. Because she’s always wearing clothes. Might be common sense, but she proved it quantitatively. Applause, applause. A pie-chart showed which crawlies were involved: bees took a tiny sliver (a point raised and debated was whether a bee sting counted as a ‘bite’), ants took up another sliver (that apparently happened in the Company’s cafeteria; proof that we needed a new caterer), a chunk belonged to bed-bugs (a high powered six-sigma study was needed here), and three-fourths of the circle belonged to mosquitoes. We said, “This really is good Quality stuff. We could sell it to the pharma companies and make some money.” Enough material has been written and compiled on mosquitoes, but not from the Quality point of view: cost implications of buying body lotions and (wo)man hours lost in scratching, for example. The HR guys made quick notes.
            Engineering explained politely to Purchase that the window-meshes must be of smaller dimensions. Purchase turned to Accounts and said they mustn’t be so unkind (someone did say ‘tight-fisted’, but the rest hushed him up). Accounts cleared up some misconceptions: they merely disbursed the money. It was Administration that laid down the limits. Could we get on with the presentation, someone asked.
            Ms. K. continued: “Technology is the biggest driver for the Healthcare Industry. We have to focus on market-oriented improvements; we have to be pro-active and invest in state of the art equipment. If our patients get itchy, our CSI will suffer. We must incorporate all this in our CGP…”
            “What’s CGP?” someone asked.
            “Corporate Governance Policies.”
            “New abbreviation?”
            “Shut up, idiot.”
            The person withdrew, hurt. This was no way of expressing an opinion.  Quality applied to words, tones, gestures, body language. He asked another question: “What about mosquito nets? ”
            Ms. K. retorted: “AIIMS (Association of Itchery Institutes for Moneymaking Studies) has tied up with a foreign investor to have the very first conference on nets that provide tertiary level security to tier I patients in Grade A cities across Asia. Unfortunately, there is objection from….”
            “From?” someone interrupted.
            “Oh, FROM…. For Rights of Mosquitoes…it’s an NGO…”
            “NGOs interfere in Quality processes.” 
             Ms. K. continued: “Systems is developing a software to track itching habits of visitors to our company to understand the leverage of the mosquito business. We could consider revenue generation by starting specialty itch clinics. MRD has p-itched in and said they’d be able to retrieve information from the archives on how many itchy patients were admitted. We still don’t have statistics from the OPD and Healthcheck. Biomed has been working on a machine that can show up itchy areas on a normal x-ray machine. This information can be stored in our computers. Another software will analyse the data. Next year’s capital budget will include it. We expect support from Mosquitronics.”
            Brainstorming followed this session. Emails flew back and forth and there was a unanimous decision that every itch, no matter how unimportant it may seem to the itcher, must be documented carefully. The data would be collected and collated by Marketing who’d sort it objectively. The results would be sent to the Quality Authorities for unbiased perusal.
            Ms. K. has been such an inspiration. She has brought laurels to our institution and proved that nothing is so small that it can’t be considered important in matters of Quality.
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