by David M. Williams, Ph.D. How many times have you heard someone say, “this always happens” or “this happened to me before?” Every organization has improvement opportunities, but when quality is your strategy, you need a system to fix problems on the spot when possible or capture the problem in a structured way and add it […]
Working Backward from the Customer
in Improvement Science, Systems, Tools & Methodsby David M. Williams, Ph.D. I love barbeque. Texas is known for our love of the craft and everyone has a favorite place. Ruby’s BBQ is a franchise operated locally in Austin by K & N Management. In 2010, they became the second restaurant to be awarded the Malcolm Baldrige Award for Excellence. While teaching at […]
Using Your Vector of Measures to Guide Action
in Measurement, Quality as an Organizational Strategy (QOS), Systems, Tools & Methods, VariationBy David M. Williams, Ph.D. Figure. Vector of Measures Displayed in Shewhart Charts Source: Mecklenburg EMS Agency, Charlotte, NC, USA One of the toughest struggles for leaders is figuring out how to focus attention on the work that best serves the customer and will get the desired results. A great place to begin is your […]
Prioritizing Improvement Efforts
in Improvement Science, Knowledge, Quality as an Organizational Strategy (QOS), Systems, Tools & MethodsBy David M. Williams, Ph.D. Making changes to a process is essential to improvement. Improvement efforts require chartering projects that will impact strategic processes requiring design or redesign. Organizations routinely struggle with selecting processes needing improvement and that will achieve the organization’s objectives. What follows is a structured process, using qualitative methods, to support selecting […]
Back-of-the-Envelope Problem Solving
in Education, Implementation, Improvement Science, PDSA, Systems, Tools & MethodsBy David M. Williams, Ph.D. The Breakthrough Series Collaborative model is an improvement learning system that brings teams together to pursue a shared aim. Teams use an evidence-based change theory and improvement methods including the Plan, Do, Study, Act (PDSA) Cycle and time-series data (run charts and Shewhart Control Charts). In the Institute for Healthcare […]
Problem-Solving by Learning From the Process
in Improvement Science, Knowledge, Systems, Tools & Methods, VariationBy David M. Williams, Ph.D. Photo by Bluehouse Skis on Unsplash Let’s face it…patient care documentation is not the most enjoyable aspect of clinical care delivery. It takes time, the electronic medical record isn’t user friendly, and caregivers have a lot going on. It’s no surprise improving clinical documentation is a common improvement opportunity for a […]
How Leaders Decide a Change is Needed
in Improvement Science, Knowledge, Leadership, Quality as an Organizational Strategy (QOS), SystemsBy David M. Williams, Ph.D. Photo by Tetiana SHYSHKINA on Unsplash Have you ever searched your computer hard drive only to be surprised by the number of files and multiple versions of a similar theme? I have hundreds of Microsoft PowerPoint presentations from client engagements, trainings, and conferences I’ve delivered and dozens of Microsoft Word documents of blog […]
Shhh…Leaders Don’t Talk about Systems Thinking
in Improvement Science, Systemsby David M. Williams, PhD Photo by Jeremy Philemon on Unsplash As New York began its response to the COVID19 outbreak, a journalist asked Governor Cuomo why he had not closed the schools and stopped […]
What’s the worst thing you’ve ever seen?
in COVID-19, Systems, Tools & MethodsBy David M Williams, PhD Photo by Benjamin Voros on Unsplash I’m not the best at small talk. A closet introvert, I’m not the first one to start a conversation. That doesn’t mean I don’t like meeting new people, getting to know them, or going to parties. In Steve Harper’s book The Ripple Effect, when […]
QOS: Activity 2 – Organization Viewed as a System
in Measurement, Quality as an Organizational Strategy (QOS), Systemsby David M. Williams, Ph.D. In a recent blog post (here), I shared how Associates in Process Improvement transformed Dr. Deming’s theory of Organizations Viewed as a Production System into a five-part approach known as Quality as an Organizational Strategy. In this series, we’ll take a deeper look at each of the five activities including […]