People are more than commodities.

As a professional in health services for over 30 years I know very well the difficulties Andrew articulated (Eureka 4.4.13) about the semantics of input, through put, flow through etc and documentation. All concepts that work wonderfully for people like Toyota, however real people (staff and clients) are not as pliable and ammenable to pathways and interventions and production. ie it does not always go to plan. This is the dilemma of all human service organizations - How to quantify what is needed in dollar terms. People are more than commodities.