{"id":1413,"date":"2009-08-09T23:45:05","date_gmt":"2009-08-10T06:45:05","guid":{"rendered":"https:\/\/staging.opexlearning.com\/resources\/?p=1413"},"modified":"2021-11-14T23:03:32","modified_gmt":"2021-11-15T04:03:32","slug":"unappetizing-spaghetti-diagrams","status":"publish","type":"post","link":"https:\/\/staging.opexlearning.com\/resources\/unappetizing-spaghetti-diagrams\/1413\/","title":{"rendered":"Unappetizing Spaghetti Diagrams"},"content":{"rendered":"<div class=\"a296a24fa2fc69ef5487857f02f111e8\" data-index=\"9\" style=\"float: none; margin:10px 0 10px 0; text-align:center;\">\n<script async src=\"\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- Single Post readerboard -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:inline-block;width:728px;height:90px\"\r\n     data-ad-client=\"ca-pub-8207522353004717\"\r\n     data-ad-slot=\"1144967431\"><\/ins>\r\n<script>\r\n(adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<!--powerpress_player--><p class=\"powerpress_links powerpress_links_flv\" style=\"margin-bottom: 1px !important;\">Podcast: <a href=\"https:\/\/staging.opexlearning.com\/resources\/wp-content\/uploads\/2011\/06\/lean-six-sigma-training\/spaghetti-diagram.flv\" class=\"powerpress_link_pinw\" target=\"_blank\" title=\"Play in new window\" onclick=\"return powerpress_pinw('https:\/\/staging.opexlearning.com\/resources\/?powerpress_pinw=1413-podcast');\" rel=\"nofollow\">Play in new window<\/a> | <a href=\"https:\/\/staging.opexlearning.com\/resources\/wp-content\/uploads\/2011\/06\/lean-six-sigma-training\/spaghetti-diagram.flv\" class=\"powerpress_link_d\" title=\"Download\" rel=\"nofollow\" download=\"spaghetti-diagram.flv\">Download<\/a><\/p><p class=\"powerpress_links powerpress_subscribe_links\">Subscribe: <a href=\"https:\/\/itunes.apple.com\/us\/podcast\/shmula.com-lean-leadership\/id930098243?mt=2&amp;ls=1#episodeGuid=https%3A%2F%2Fstaging.opexlearning.com%2Fresources%2F%3Fp%3D1413\" class=\"powerpress_link_subscribe powerpress_link_subscribe_itunes\" target=\"_blank\" title=\"Subscribe on Apple Podcasts\" rel=\"nofollow\">Apple Podcasts<\/a> | <a href=\"https:\/\/staging.opexlearning.com\/resources\/feed\/podcast\/\" class=\"powerpress_link_subscribe powerpress_link_subscribe_rss\" target=\"_blank\" title=\"Subscribe via RSS\" rel=\"nofollow\">RSS<\/a><\/p><p>A Spaghetti Diagram Example Healthcare &#8211; is a simple visual tool to demonstrate the flow of material, flow of information, and flow of money in a process. The word &#8220;spaghetti&#8221; is descriptive because it describes flow that is not easily understood, can&#8217;t easily be followed, or if the flow is literally all over the place.\u00a0 Indeed, a Spaghetti Diagram represents a point-of-departure: what does the current state look like and what are the exact improvements we need to make?<\/p>\n<p>Put another way, a Spaghetti Diagram is a visual representation of how bad things really are and are used to expose Waste and Opportunity.<\/p>\n<blockquote><p>How Bad are Things, Really?<\/p><\/blockquote>\n<p>Sometimes, through poor thinking and poor choices, Spaghetti Diagrams aren&#8217;t just representations of how things are, but they can be representations of what we have created: sometimes, we turn our processes into Spaghetti Diagrams; this is precisely the case with the U.S. Government and the current Healthcare Debate.<\/p>\n<p>The Democratic Party&#8217;s proposed Healthcare scheme is below <sup class='footnote'><a href='#fn-1413-1' id='fnref-1413-1' onclick='return fdfootnote_show(1413)'>1<\/a><\/sup>:<\/p>\n<p>This map begs several questions:<\/p>\n<ul>\n<li>Where does it start?<\/li>\n<li>Where does it end?<\/li>\n<li>Are all motions equally important?<\/li>\n<li>What are the value-added steps?<\/li>\n<li>What are the steps we can do without?<\/li>\n<li>Can a 15 year old understand what is happening on this map?<\/li>\n<\/ul>\n<p>It is safe to conclude that the map above is clearly <a title=\"shmula.com, complexity, bloated process\" href=\"https:\/\/staging.opexlearning.com\/resources\/process-cycle-efficiency-pce\/330\/\">bloated &#8212; complexity at its worst<\/a>.<\/p>\n<p>For me, I have a question that drives clarity and honesty in my thinking:<\/p>\n<blockquote><p>Can a 15 year old understand this?<\/p><\/blockquote>\n<p>If the answer is &#8220;No&#8221;, then I need to work harder to make my idea clearer and simpler.\u00a0 Using that question as a litmus test for the Healthcare Scheme above, I believe the answer would be a clear &#8220;No.&#8221;\u00a0 In other words, the Map above is a starting point, not an ending point: there is much to improve.<\/p>\n<p>One area not exposed by either of the above maps is, perhaps, the most insidious of all: amidst all the confusion and motion are people that could potentially be harmed.\u00a0 The patient is the true casualty in either of the above maps: she gets lost in it &#8212; indeed, we forget that at the center of Healthcare is the patient.\u00a0 Broken processes enable our forgetfulness of people.<\/p>\n<blockquote><p>Broken process unfortunately helps us to forget people<\/p><\/blockquote>\n<p>Another map worthy of Spaghetti-like accolades is below <sup class='footnote'><a href='#fn-1413-2' id='fnref-1413-2' onclick='return fdfootnote_show(1413)'>2<\/a><\/sup>:<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-4465 size-full\" title=\"shmula-healthcare-democrat-plan\" src=\"https:\/\/staging.opexlearning.com\/resources\/wp-content\/uploads\/2009\/08\/shmula-healthcare-democrat-plan.jpg\" alt=\"healthcare plan of democrats, complexity\" width=\"1056\" height=\"816\" srcset=\"https:\/\/staging.opexlearning.com\/resources\/wp-content\/uploads\/2009\/08\/shmula-healthcare-democrat-plan.jpg 1056w, https:\/\/staging.opexlearning.com\/resources\/wp-content\/uploads\/2009\/08\/shmula-healthcare-democrat-plan-600x464.jpg 600w, https:\/\/staging.opexlearning.com\/resources\/wp-content\/uploads\/2009\/08\/shmula-healthcare-democrat-plan-300x231.jpg 300w, https:\/\/staging.opexlearning.com\/resources\/wp-content\/uploads\/2009\/08\/shmula-healthcare-democrat-plan-1024x791.jpg 1024w\" sizes=\"(max-width: 1056px) 100vw, 1056px\" \/><\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/www.amazon.com\/gp\/product\/1420083805?ie=UTF8&amp;ref_=sr_1_1&amp;s=books&amp;qid=1283607526&amp;sr=1-1&amp;linkCode=shr&amp;camp=213733&amp;creative=393181&amp;tag=sixsigma09-2\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-4466 aligncenter\" title=\"lean-for-hospitals\" src=\"https:\/\/staging.opexlearning.com\/resources\/wp-content\/uploads\/2009\/08\/lean-for-hospitals.jpg\" alt=\"\" width=\"496\" height=\"200\" \/><\/a><\/p>\n<p>Again, the presence of many squiggly lines means one thing: OPPORTUNITY for improvement.\u00a0 This is clearly a starting point, not and ending point.\u00a0 There is so much to improve.<\/p>\n<p>To be fair, creating a future-state of the above is not trivial, underscoring the fact that Healthcare is clearly complex.\u00a0 One thing is clear, if anything needs and begs improving, it is Healthcare where the biggest opportunities lie <sup class='footnote'><a href='#fn-1413-3' id='fnref-1413-3' onclick='return fdfootnote_show(1413)'>3<\/a><\/sup>.<\/p>\n<div class='footnotes' id='footnotes-1413'>\n<div class='footnotedivider'><\/div>\n<ol>\n<li id='fn-1413-1'> Source: House of Representatives <span class='footnotereverse'><a href='#fnref-1413-1'>&#8617;<\/a><\/span><\/li>\n<li id='fn-1413-2'> Source: The New Republic <span class='footnotereverse'><a href='#fnref-1413-2'>&#8617;<\/a><\/span><\/li>\n<li id='fn-1413-3'> <a title=\"shmula, kevin meyer, evolvingexcellence\" href=\"https:\/\/kevinmeyer.com\/\" target=\"_blank\" rel=\"noopener\">Credit to Kevin<\/a> for the inspiration <span class='footnotereverse'><a href='#fnref-1413-3'>&#8617;<\/a><\/span><\/li>\n<\/ol>\n<\/div>\n<!--CusAds0-->\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Podcast: Play in new window | DownloadSubscribe: Apple Podcasts | RSSA Spaghetti Diagram Example Healthcare &#8211; is a simple visual tool to demonstrate the flow of material, flow of information, and flow of money in a process. The word &#8220;spaghetti&#8221; is descriptive because it describes flow that is not easily understood, can&#8217;t easily be followed, [&hellip;]<\/p>\n","protected":false},"author":12327,"featured_media":4465,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[17],"tags":[880],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Spaghetti Diagram Example Healthcare: Unappetizing Meal<\/title>\n<meta name=\"description\" content=\"Here&#039;s a Spaghetti Diagram Example Healthcare - 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