1. RULE #1: All work must be specified according to content, sequence, timing and outcome.
2. RULE #2: Explains how the people involved in a work process should connect with one another. Simply put, Rule #2 states that every connection in the process must be direct (yes/no responses)
3. RULE #3: This rule specifies that every service process must flow along a simple, specified path.
4. RULE #4: Stipulates that process improvement must be done based on the scientific method, under the guidance of a coach and by those doing the work closest to the problem. This implies that ‘frontline’ workers are empowered (and expected) to make improvements to their own jobs. Their supervisors are responsible to provide both direction and assistance to this effort as coaches. (Krebs, 2008)
When you think of governance, many will think who is the boss and how do I delegate. Spear’s Four Laws serve to empower the process improvement and serve to strengthen shared vision through active engagement and ownership. Physicians, nurses and key stakeholders are engaged early and accountable to lead the clinical transformation which is essentially the byproduct of the Spears. Consider that clinical people will be most using the proposed system so it would make the most sense that they steward the process and help define the work. Resources speak to