Figure 1.

Two poles Two modes

Exploring Exploiting

Leading and Execute and

taking achieve
elsewhere Improve

Repetitive work
Charisma Interpersonal
Artificial
Heroes collaboration
intelligence

Leadership
Figure 1.2

Exploitation Maturing

Life curve
Exploration

Innovation
Figure 2.1
Figure 2.2

Anterior cingular
Ventromedian prefrontal cortex (ACC)
cortex (vpPFC) The controller
The reasoner

Ventromedian prefrontal
Orbitofrontal cortex (OFC)
cortex (vmPFC)
The regulator of emotions
The evaluator
Figure 2.3

Buffer
memory Working memory

Vision
Executive
center Planning Response
Touch

Short-term
storage
Hearing

Long-term memories
Skills, knowledge and memories
Figure 2.4

Conscious level Cognitive outsourcing

Rational work is costly Multiple external supports The world
Working memory is of logic, mathematics, artificial
quickly overwhelmed intelligence

Sub-conscious level: a huge parallel

processing capacity
Automatisms
Habits
Figure 2.5

Basal
ganglia

Amygdala

Ventral striatum
Figure 3.1

Affects
Emotions
Automatisms
Figure 3.2

Conscious level Cognitive outsourcing

Rational work is costly Multiple external supports The world
Working memory is of logic, mathematics, artificial
quickly overwhelmed intelligence

Sub-conscious level: a huge parallel

processing capacity
Affects Automatisms
Emotions Habits
Figure 5.1

The system is
pushed by
central planning

The system
is driven by
the
customer
Cust
omer
Figure 5.2

Compan
y
Internal
Transaction
relational

Employee or Relational power

professional Cust
omer
Inverting the
pyramid

The manager
plays the role of
a coach
 Figure 6.1

Blue collars Stock Stock Stock Stock

MP Stamping Press Welding Assembly
on the
assembly line

Central
Procurement Settings
planning

Method engineers Handling

White
Tooling
collar
workers Quality
Cleaning
Accountants management

Maintenance
Figure 6.2

Press

Tool or
die
Figure 6.3

Flow End
demand

Stock that covers

the problems
Imbalance Settings
Poor between taking too
planning operations long
Quality Poor
Machine problems maintenanc
stop e.
Communication
Late problem
delivery
Absenteeism
Figure 7.1

Inhibition: maintains some

Lots of light actors off stage
Figure 7.2

Buffer
memory Working memory

Vision
Executive
center Planning Response
Touch

Short-term
storage
Hearing

Long-term memories
Skills, knowledge and memories
Figure 7.3

Conscious level Cognitive outsourcing

Rational work Multiple external supports The world
Memory notebook of logic, mathematics, artificial
Working memory is intelligence
overwhelmed very
quickly

Sub-conscious level: a huge parallel

processing capacity
Affects Automatisms A machine to
Emotions Habits anticipate and
predict by
inferences
Intuition
Figure 10.1
Long-term business development and expertise
Expertise 1 Expertise 2 Expertise 3 Expertise 4

Project 1

Project 2

Project 3

Multitude of projects
Coordinator

or project Manager
Figure 11.1

Conscious level
Rational work
Memory notebook and long- Cognitive outsourcing
term memories

Sub-conscious level: a huge parallel

processing capacity
A machine to
Automatisms anticipate by
Affects
inferences
Emotions
Habits Intuition
Figure 12.1

Patient
Our vision
Being a leader in
quality

Our mission
Improving the health and well-
being of the patients we serve

Our values

Teamwork Integrity Excellence Service

Strategic pillars
Skills Quality Service Innovation
Recruit and Constantly To unequivocally Fostering a
retain the strive for the affirm our culture of
best, highest determination to innovation
quality of deliver
care outstanding
service to the
patient
Priority programs: cancer and cardiovascular disease

Virginia Mason founding principles and production system

Figure A2.1

Thalamus

Orbitofrontal
prefrontal
cortex
(vmPFC)
The evaluator
Hippocampus

Orbitofrontal
Cortex (OFC)
Hypothalamus The regulator of
Amygdala
emotions
Ventral striatum
Figure A2.2

Prefrontal cortex

Ventral striatum Amygdala

Reward Center The sentinel
Hippocampus
The Explicitor

Hypothalamus
Dopamine Dopamine

1 2 3 4
Ventral tegmental
area
The sprinkler
Figure A2.3