By David M. Williams, Ph.D. Where do you start your journey to adopt Quality as an Organizational Strategy (QOS)? It’s tempting to approach this work like an educational program or theoretical exercise, but the theories and methods are only worth pursuing if they support continually improving and getting results that position your organization for […]

Operational Definition of Improvement
in Improvement Science, Measurement, Quality as an Organizational Strategy (QOS), VariationBy David M. Williams, Ph.D. “What is YOUR definition of ‘improvement’?” she asked. The leadership team just finished reviewing the improvement efforts from last year. Teams summarized their projects and shared reflections on key learnings and barriers. The team worked together all year, and their investment of time, energy, and desire was evident. Enthusiasm was […]
Capturing Improvement Needs
in Improvement Science, Quality as an Organizational Strategy (QOS), Systems, Tools & Methodsby 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 […]
How to Assess and Reboot
in Implementation, Leadership, Quality as an Organizational Strategy (QOS), Tools & Methods, Variationby David M. Williams, Ph.D. Photo by İrfan Simsar on Unsplash Whether you are a leader in a new role or one wanting to reboot your current one, you need an approach to make your work visible, to assess current conditions, and make a game plan. Here is guidance to help. Reviewing key inputs A good […]
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 […]
Drilling Down into Aggregate Data
in Improvement Science, Measurement, Quality as an Organizational Strategy (QOS), Tools & Methods, VariationBy David M. Williams, Ph.D. Every organization tracks a family of measures with data from various moments of time. The list of indicators often blend measures created by leadership with a mix of from other sources like accreditation bodies, regulators, and benchmarking vendors. These data are usually at an aggregate level or minimally stratified by […]
Scenario Planning – Probability in Uncertainty
in Quality as an Organizational Strategy (QOS), Tools & MethodsBy David M. Williams, Ph.D. Photo by Luis Quintero on Unsplash Camp Gladiator is a $60 million dollar Austin fitness company started by a married couple and former American Gladiator contestants. Its mission is to impact the physical fitness and lives of as many people as possible with a program of high-intensity interval training and […]
What’s Your Management Method?
in Improvement Science, Leadership, Quality as an Organizational Strategy (QOS)By David M. Williams, Ph.D. Source: James L Reinertsen, MD, The Reinertsen Group Recently I sat down with Dr. Jim Reinersten to think about what makes traditional leaders shift to being quality leaders. Dr. Reinersten is a rheumatologist by training and former hospital chief executive. He’s also a Senior Fellow at the Institute for Healthcare Improvement […]
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 […]