Kudos to Jim Estill. His blog “ceo blog – time leadership” was just named among the top 10 leadership Jim Estill Cover Page from his blogblogs by HR World. Coincidentally, one of his posts, What Gets Measured Gets Done, was also named among the top 5 blog posts of the week by Wally Block.  Jim is right, of course, what gets measured gets done. And he provides the nifty example in his dedication to his fitness routine (which is impressive in itself). But he doesn’t go far enough.

A good lesson comes from Atul Gawande, a 2006 MacArthur Fellow and general surgeon at Brigham and Women’s Hospital in Boston. In his book titled simply BETTER, Gawande tells the story of the most innocent of measurement scales–the Apgar scale–that spawned one of the greatest advances in the American system of health.

Dr. Virginia Apgar created the scale in 1953 in response to the terrible observation that all the great advances in medicine in the previous hundred years had been unable to reduce rate of infant death at the time of birth. Though mothers were much more likely to survive the birth of their children, the child still faced a 1-in-30 chance of dying while struggling to come into the world.

Apgar’s solution was simple and stunningly effective. Read the rest of this entry