Prioritizing Improvement Efforts

in Improvement Science, Knowledge, Quality as a Business Strategy (QBS), Systems, Tools & Methods

By 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 & Methods

By 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, Variation

By 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 a Business Strategy (QBS), Systems

By 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 […]

What’s the worst thing you’ve ever seen?

in COVID-19, Systems, Tools & Methods

By 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 […]