About the Book

We began with aspirations of helping patients and those who cared for them through the work of improvement, having successfully applied those concepts elsewhere. Although we understood that healthcare would be different from other industries in which we had worked, we had reasonable hopes that our tools and methods could be successfully adapted to the new environment.

In writing Experiencing Improvement, we share both our own experience in doing this work and the experience of caregivers with whom we partnered, from executive to front-line personnel, in clinical and administrative roles. Experiencing Improvement is about partnership and the journey of adapting core improvement concepts and tools with caregivers at every level of a great institution.

About the Authors

Darryl Greene

Darryl Greene is a Senior Executive recognized for creating sustained profitability in Enterprises and large-scale organizations. He works with senior, middle, and frontline leaders to implement business management systems and improvement work creating successful transformation in their performance culture.

Darryl has over 26 years of experience in process improvement and performance management.

Roy Bivens

Roy specializes in working with senior executive teams in customizing and deploying Orion's proprietary methodologies to create world class performance driven organizations.

He brings a wealth of experience in senior executive coaching, best practice deployment and facilitation of executive teams from concept to implementation of organizational change. With experience in several foreign markets, Roy has worked on or led projects and initiatives in Six Sigma quality, finance, risk management and sales and marketing, with experience across twelve industries.

Karen Branick

Karen Branick has 25 years of experience improving process efficiency and work flow. Karen has worked with front line staff, middle management and senior leaders.

She advocates looking at their work from new perspectives using Orion tools to help them define goals, focus on performance improvement and better manage priorities.

Embracing the Big Picture

“What you are doing is bringing people into a situation so they can network to solve problems. They start to see each other as resources....They wouldn't have gotten to know each other or have empathy for each other's problems had they not sat at the table.”

- A Hospital President


“I think often times that when you are in a leadership role people look to you to fix things. But in reality, it is the people who work every day with it who fix [things].... It's really ownership of practice….The point is to empower the front line to find solutions for their own work practice. And it’s very rewarding to see teams like this come together and make it not only a huge impact for the patient, but for the organization from a financial perspective.”

- A Nursing Director


“I was amazed by the energy with which each of the staff members took on each of their assigned topics.... It's just really fun to see the staff get involved, take ownership of what's going on in the clinic, in the process we go through day in and day out.”

- A Physician Sponsor