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Standardizing inefficiency does not make it efficient! I work for an non-profit hospital and we have to conform to JCAHO standards, which are a lot like ISO9000. What I have found is that people (who by their nature don't like change) cling to outdated and inefficient standards "because that's what the JCAHO manual says", rather than thinking of creative, more efficient ways of performing the same task. The only time anuthing gets reviewed and processes hurriedly changed is immediately prior toan on-site accreditation review. Is this any way to effectively run a business?