It is quite interesting how you can be blocked off by a two-word subject line like Six Sigma. (Heck, sometimes it works the opposite way.)
If one were to perform proper project/program management, it should be following the principles of Six Sigma anyway.
I often get flack from folks in smaller organizations who claim that Six Sigma applies to bigger shops. I retort by saying whatever it is they do is really in line with the general philosophy of Six Sigma anyway. For instance, in a small company, a project wouldn't fly unless a quantifiable return to a customer who matters to the business is deemed worth it. That, by itself, is in line with my generalization of the Six Sigma approach to a project -- identifying my customer, quantifying a value to my customer and communicating that value to that customer.
So, case in point. There is no room to consider any other approach in a smaller organization. It may just not be known as Six Sigma.
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