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Dave Williams

@davewilliamsatx.bsky.social
904 followers 2.3K following 81 posts

Senior Advisor I Coauthor, Quality as an Organizational Strategy and The QOS Field Guide I Creator, Mr. Potato Head PDSA Exercise I DavidMWilliamsPhD.com

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Dave Williams @davewilliamsatx.bsky.social · 29/07/2026
From bright spots to a system. Build a whole-organization approach to improvement in my fall course, starting Sept. 9: davidmwilliamsphd.com/qos-series-d...
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Dave Williams @davewilliamsatx.bsky.social · 29/05/2026
New Research: Quality as an organizational strategy: building a system of improvement #FrontiersIn #HealthServices www.frontiersin.org/journals/hea...
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Dave Williams @davewilliamsatx.bsky.social · 04/02/2026
Many improvement projects get chartered but never progress to testing changes. Executing projects to results requires a shared method, capability building, & portfolio management—while learning what works. Managing a portfolio to results is essential. davidmwilliamsphd.com/2026/01/01/q...
davidmwilliamsphd.com
QOS: Activity 5 - Managing Improvement Efforts - David M. Williams PhD
This is part of a series on Quality as an Organizational Strategy (QOS). Read the introduction or explore other activities: Activity 1Read More
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Dave Williams @davewilliamsatx.bsky.social · 03/02/2026
Planning that enables learning and guides where to act is critical. It connects strategic objectives to specific places that shift the org forward and move metrics. Planning to improve and operate. Read more: davidmwilliamsphd.com/2026/01/01/q...
davidmwilliamsphd.com
QOS: Activity 4 - Planning for Improvement - David M. Williams PhD
This is part of a series on Quality as an Organizational Strategy (QOS). Read the introduction or explore other activities: Activity 1Read More
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Dave Williams @davewilliamsatx.bsky.social · 02/02/2026
We have data like never before. But you can still be data-rich and knowledge-poor without a theory behind collection and how to act. A system for obtaining and using information is essential—converting data to action. davidmwilliamsphd.com/2026/01/01/q...
davidmwilliamsphd.com
QOS: Activity 3 - System for Obtaining Information - David M. Williams PhD
This is part of a series on Quality as an Organizational Strategy (QOS). Read the introduction or explore other activities: Activity 1Read More
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Dave Williams @davewilliamsatx.bsky.social · 30/01/2026
Leaders struggle to see how their organization works as a system. Many processes across departments. But how are they linked? How are they designed to achieve the measures that matter? Viewing the org as a system enables learning across it. davidmwilliamsphd.com/2026/01/01/q...
davidmwilliamsphd.com
QOS: Activity 2 - Organization Viewed as a System - David M. Williams PhD
This is part of a series on Quality as an Organizational Strategy (QOS). Read the introduction or explore other activities: Activity 1Read More
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Dave Williams @davewilliamsatx.bsky.social · 28/01/2026
Most organizations display their mission statement. But is it actually used to guide decisions & focus their system. How do you move purpose from the wall to the work so it guides improvement, shapes decisions, and connects daily work to what matters. davidmwilliamsphd.com/2026/01/01/q...
davidmwilliamsphd.com
QOS: Activity 1 - Establish and Communicate the Purpose of the Organization - David M. Williams PhD
This is part of a series exploring Quality as an Organizational Strategy (QOS). Read the introduction or explore other activities: Activity 2Read More
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Dave Williams @davewilliamsatx.bsky.social · 26/01/2026
Most CQOs are first or second-generation in the role. First built the elements: training, metrics, safety programs. Second face integration: connecting elements into coherent systems. The role evolved from builder to architect. davidmwilliamsphd.com/2026/01/23/c... #improvementscience #quality
davidmwilliamsphd.com
The Chief Quality Officer: Evolution of Leading Quality - David M. Williams PhD
Twenty years ago, the title “Chief Quality Officer” barely existed in healthcare. Today, many health systems have one. But having a CQORead More
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Dave Williams @davewilliamsatx.bsky.social · 23/01/2026
When a dozen Breakthrough Collaboratives failed, the problem wasn't the method—it was using it at the wrong stage. BTS spreads proven changes. Most orgs need to start earlier and match your learning system to change maturity. New post👇 davidmwilliamsphd.com/2026/01/10/m... #improvementscience
davidmwilliamsphd.com
Matching Learning System to Change Maturity - David M. Williams PhD
Over the last 20 years, the Breakthrough Series Collaborative structure of learning sessions and action periods has been adopted to pursue improvementRead More
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Dave Williams @davewilliamsatx.bsky.social · 16/01/2026
The best professional development? Improvement projects. When staff study their own work, they find insights no consultant could. They see where handoffs break down, where info gets lost, why workarounds became normal. Result: Frontline experts. davidmwilliamsphd.com/2025/12/19/i...
davidmwilliamsphd.com
Improvement Projects Create Frontline Experts - David M. Williams PhD
Leaders build people to be experts in their roles—people who produce results for the clients and patients they serve. This starts withRead More
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Dave Williams @davewilliamsatx.bsky.social · 12/01/2026
AI can help us learn about systems and analyze data. But teams getting measurable results pair those tools with something timeless: clarity of purpose, fidelity to testing, commitment to fundamentals. That's what moves dots in the direction of goodness. davidmwilliamsphd.com/2026/01/02/t...
davidmwilliamsphd.com
The Real Path to Impact in the New Year - David M. Williams PhD
My college-age kids were home for the holiday break. At dinner one evening, my son asked an open-ended question that sparked aRead More
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Dave Williams @davewilliamsatx.bsky.social · 02/12/2025
The QOS Field Guide is out—a practical companion to Quality as an Organizational Strategy (QOS) and a #1 Amazon New Release in Quality. It helps leaders put QOS into action with tools, examples, and a roadmap for building a learning system. 📘 QOS a.co/d/94S2HFg 📘 The QOS Field Guide a.co/d/0V2Kyyi
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Dave Williams @davewilliamsatx.bsky.social · 17/11/2025
Patients are using AI chatbots to fill in gaps or supplement their experience with the healthcare systems. This can be a positive or create new frictions. How can a healthcare system keep up with this innovation and evolve to continue to meet patient needs? Source: www.nytimes.com/2025/11/16/w...
nytimes.com
Frustrated by the Medical System, Patients Turn to A.I.
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Dave Williams @davewilliamsatx.bsky.social · 07/11/2025
From Building to Accelerating. Over the past decade, many leaders have laid a strong foundation for quality. The structures and people are in place. Now the question is: how do we move from a good start to accelerating quality across the system? davidmwilliamsphd.com/2025/11/06/m...
davidmwilliamsphd.com
Moving from Developing to Accelerating - David M. Williams PhD
Healthcare leaders are constantly watching —CMS star ratings, Leapfrog safety grades, and U.S. News “Best Hospital” rankings. Strong results bring a momentRead More
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Dave Williams @davewilliamsatx.bsky.social · 21/10/2025
A great new paper on advanced PDSA using planned experimentation by Dr. Shafer at CHOC Children's. His project was to improve examination of ocular abnormalities in newborns. You can read the full paper here. bmjopenquality.bmj.com/content/14/4...
bmjopenquality.bmj.com
Improving completion of the red reflex examination at neonatal intensive care unit discharge: a practice improvement initiative and multisite planned experiment
Background Completing the red reflex examination (RRE) of the eyes to screen for ophthalmologic abnormalities is an essential component of the newborn physical examination. An abnormal RRE should prom...
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Dave Williams @davewilliamsatx.bsky.social · 02/10/2025
I am no pioneer at using AI in improvement work. I run small PDSA tests everyday to learn how it works and where it’s useful (and not). Here are four learning cycles and what I discovered. davidmwilliamsphd.com/2025/09/30/f...
davidmwilliamsphd.com
Four PDSA Tests of Artificial Intelligence - David M. Williams PhD
Photo by Hitesh Choudhary on Unsplash I’m not an AI pioneer. On Everett Roger’s adoption curve, I’m somewhere between an early adopterRead More
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Reposted by Dave Williams
Jarrett Walker @humantransit.bsky.social · 19/09/2025
I have a major piece in Bloomberg Citylab today. Should the US let transit fail, as Pennsylvania is already doing? And if not, what are the arguments we need to let it succeed? www.bloomberg.com/news/article...
bloomberg.com
Should We Let Public Transit Die?
Urban-rural hostility is fueling a public transportation crisis in US cities. But demands to abandon bus and train riders ignore the economic and social costs of cutting service.
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Dave Williams @davewilliamsatx.bsky.social · 18/09/2025
I listen to @kutnews.bsky.social for news and @kutx.bsky.social for Austin music everyday. I also watch @pbsnews.org on @austinpbs.bsky.social nightly. I just increased my monthly membership. Join me.
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Dave Williams @davewilliamsatx.bsky.social · 26/08/2025
One 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 vector of measures. Here are steps to take and questions to ask... davidmwilliamsphd.com/2021/02/07/u...
davidmwilliamsphd.com
Using Your Vector of Measures to Guide Action - David M. Williams PhD
By David M. Williams, Ph.D. Figure. Vector of Measures Displayed in Shewhart Charts (Source: QOS) One of the toughest struggles for leadersRead More
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Dave Williams @davewilliamsatx.bsky.social · 09/07/2025
People will manipulate a system if they feel it doesn't allow them to be their best. Here's an interesting example of researchers embedding hidden prompts in manuscripts to trick AI LLMs that journal reviewers may be potentially using. asia.nikkei.com/Business/Tec... @thebenedictevans.bsky.social
asia.nikkei.com
'Positive review only': Researchers hide AI prompts in papers
Instructions in preprints from 14 universities highlight controversy on AI in peer review
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Dave Williams @davewilliamsatx.bsky.social · 10/11/2024
Starter pack for #improvementscience go.bsky.app/DWvuaeu
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Dave Williams @davewilliamsatx.bsky.social · 10/04/2025
Powerful benchmark: compare a new employee on day 1 with the same person 6 or 12 months later. Are they still eager to find purpose, contribute meaningfully, and make a difference? QOS is an alternative—methods that transforms how people work together. bit.ly/QOSbook
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Dave Williams @davewilliamsatx.bsky.social · 25/06/2025
A large proportion of EMS patients do not benefit from ER transport. ET3 tried to change that. A failure not captured in this paper was the scale of the initiative without a pilot to create a change package and results. Still opportunity to improve. www.healthaffairs.org/content/fore...
healthaffairs.org
Learning From The Failure Of A CMS Emergency Medical Services Model | Health Affairs Forefront
The Emergency Triage, Treat, and Transport model, which CMS ended early in 2023, failed due to problems with program implementation, resource allocation, financial incentives with ongoing focus on fee...
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Dave Williams @davewilliamsatx.bsky.social · 05/06/2025
The science writer Robert P. Crease suggests there are three crucial properties that units of measures must possess: 1) accessibility, 2) proportionality, and 3) consistency.
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Dave Williams @davewilliamsatx.bsky.social · 02/05/2025
We used to have radio on TV…King, Imus, etc. Cable news today feels stale…same show different talkers. Bothsidesism. No learning. Podcasts & YouTube bring back the long interview & complexity & nuance. Love to see cable news follow. Via @brianstelter.bsky.social www.vanityfair.com/news/story/e...
vanityfair.com
How Ezra Klein’s YouTube Makeover Points to Podcasting’s TV Future
Major news outlets, like ‘The New York Times’ and ‘The Atlantic,’ and ex-cable stars are finding audiences on YouTube. “It is television,” says ‘Mediaite’ founder Dan Abrams. “Anyone who still thinks ...
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Dave Williams @davewilliamsatx.bsky.social · 17/04/2025
The application deadline is Friday. Don't miss this opportunity to be part of a select cohort of leaders in the only advanced improvement science program for emergency services. ⏳ Apps close April 18 🔗 davidmwilliamsphd.com/ems-course/
davidmwilliamsphd.com
Next Level Improvement Science for EMS - David M. Williams PhD
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Dave Williams @davewilliamsatx.bsky.social · 11/04/2025
The applications deadline is one week from today. Don't miss this opportunity to be part of a select cohort of leaders in the only advanced improvement science program for emergency services. ⏳ Apps close April 18 🔗 davidmwilliamsphd.com/ems-course/
davidmwilliamsphd.com
Next Level Improvement Science for EMS - David M. Williams PhD
Read More
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Dave Williams @davewilliamsatx.bsky.social · 10/04/2025
Powerful benchmark: compare a new employee on day 1 with the same person 6 or 12 months later. Are they still eager to find purpose, contribute meaningfully, and make a difference? QOS is an alternative—methods that transforms how people work together. bit.ly/QOSbook
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Dave Williams @davewilliamsatx.bsky.social · 08/04/2025
Quality as an Organizational Strategy blends the theories of systems thinking, variation, knowledge, and psychology with methods for developing a learning organization to pursue continuous, results-driven improvement. Getting Started on Deming Institute Podcast: podcast.deming.org/getting-star...
podcast.deming.org
In Their Own Words: Getting Started with Quality as an Organizational Strategy: A Conversation with Cliff Norman and David Williams
Why would any leader choose to take on a transformation that requires rethinking how they lead, how their organization functions, and how they learn? In this episode, we dive deeper with Cliff No...
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Dave Williams @davewilliamsatx.bsky.social · 06/04/2025
Joined #handsoff crowds in Austin, Texas. #Resist.
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Dave Williams @davewilliamsatx.bsky.social · 02/04/2025
🚨 EMS leaders need more than grit—they need tools to test, measure & improve. That’s why @mtaigman.bsky.social and I built Next Level Improvement Science for EMS Leaders. 🎙️ I joined @ukrobl.bsky.social on EMS One-Stop to explain why: 🔗 davidmwilliamsphd.com/ems-course/ 🎧 apple.co/4aKVQn7
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Dave Williams @davewilliamsatx.bsky.social · 31/03/2025
I am grateful to the leaders at the Quality Leaders Forum at the Children’s Hospital Association for inviting me to discuss research on the role of CQOs in driving quality across systems. It was a privilege to introduce the methods outlined in our book, "Quality as an Organizational Strategy."
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Dave Williams @davewilliamsatx.bsky.social · 27/03/2025
Do you have 2 mins? Watch the trailer for an upcoming master class to help EMS & fire leaders build the capability to do results-driven improvement with @mtaigman.bsky.social & me. Co-sponsored by ESO & @firstwatchdata.bsky.social youtu.be/fKZftQw-FVo #ems #firedepartment #ambulance
youtu.be
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Dave Williams @davewilliamsatx.bsky.social · 26/03/2025
Change requires new routines, discipline, & time & space. When pursuing quality as a strategy, QI projects help us understand the organization & the challenges of making changes. The learning system adds new methods & learning to build a system of improvement. davidmwilliamsphd.com/2025/03/18/l...
davidmwilliamsphd.com
Leadership's Learning System - David M. Williams PhD
Many leadership teams begin by establishing their own learning systems. David A. Garvin defines a learning organization as “an organization skilled atRead More
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Dave Williams @davewilliamsatx.bsky.social · 21/03/2025
I interviewed leaders like Peter Senge, Don Berwick, Blan Godfrey, John Seddon, Paul Batalden, and Michael Maccoby and asked: What drives them to move beyond the status quo and adopt a strategy grounded in the Science of Improvement? Here's what I learned davidmwilliamsphd.com/2025/03/18/w...
davidmwilliamsphd.com
Why do some leaders choose change? - David M. Williams PhD
What causes a leadership team to decide to embrace change and begin adopting quality as a strategy? Many leaders and organizations doRead More
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Dave Williams @davewilliamsatx.bsky.social · 17/03/2025
Wednesday's zoom, I am joined by Dr. Achala Vagal, co-directer at the CCTST at the U of Cincinnati College of Med. I'll talk about the methods of Quality as an Organizational Strategy and Dr. Vagal will share what it's like using these methods to develop quality as a strategy across their system.
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ISQua - International Society for Quality in Health Care @isqua.org · 11/03/2025
Join ISQua’s North American Community of Practice Webinar on March 19 at 12:00 PM (EST) to explore Quality as an Organizational Strategy! David M. Williams, Achala Vagal & Ulfat Shaikh share strategies & real-world insights on implementing QOS in healthcare. Register now 👉 bit.ly/4bIQPxh
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Dave Williams @davewilliamsatx.bsky.social · 11/03/2025
I am looking forward to joining @isqua.org to discuss building on the Science of Improvement and using methods to adopt improvement as your organizational strategy. Please register and join us. For more information on QOS: davidmwilliamsphd.com/book/ #improvementscience #quality
davidmwilliamsphd.com
Book - David M. Williams PhD
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Dave Williams @davewilliamsatx.bsky.social · 12/11/2024
How do leaders gauge their progress in pursuing quality as a strategy? One place to start is to use the QOS assessment tool. Each member of the leadership team completes it on their own. Then, consolidate the results and learn together. davidmwilliamsphd.com/2024/11/01/q...
davidmwilliamsphd.com
Assessing of Progress in Making Quality an Organizational Strategy - David M. Williams PhD
How will your leadership team know if your organization is progressing to create a system for improvement? The following guidelines are designedRead More
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Dave Williams @davewilliamsatx.bsky.social · 06/03/2025
🚑 EMS leaders—are you ready to take improvement to the next level? Join Mike Taigman and I for a master course designed for EMS leaders to achieve results-driven improvement. Now accepting applications. #EMS #fire #ImprovementScience davidmwilliamsphd.com/ems-course/
davidmwilliamsphd.com
Next Level Improvement Science for EMS - David M. Williams PhD
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Dave Williams @davewilliamsatx.bsky.social · 06/03/2025
🚑 EMS leaders—are you ready to take improvement to the next level? Join Mike Taigman and I for a master course designed for EMS leaders to achieve results-driven improvement. Now accepting applications. #EMS #fire #ImprovementScience davidmwilliamsphd.com/ems-course/
davidmwilliamsphd.com
Next Level Improvement Science for EMS - David M. Williams PhD
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Dave Williams @davewilliamsatx.bsky.social · 04/03/2025
These are the kinds of heroes we need. My next donation is Friday. Via @npr.org www.npr.org/2025/03/03/n...
npr.org
James Harrison, whose blood donations saved over 2 million babies, has died
Harrison, whose plasma contained a rare antibody, rolled up his sleeve 1,173 times from 1954 to 2018. The Australian is credited with helping 2.4 million babies and advancing scientific research.
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Dave Williams @davewilliamsatx.bsky.social · 03/03/2025
Newsweek released its 2025 list of the "world's best hospitals". Leaders love to compare their organizations to others. Knowing where you rank can be useful, but not enough. How will you learn from leading organizations and get better? davidmwilliamsphd.com/2020/08/06/b...
davidmwilliamsphd.com
Benchmarking - How do we compare? - David M. Williams PhD
By David M. Williams, Ph.D.   No one likes to talk about dying. Sudden death due to heart disease occurs 250,000 timesRead More
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Dave Williams @davewilliamsatx.bsky.social · 27/02/2025
How do leaders figure out how to focus attention on work that best serves the customer and gets results. Begin with your vector of measures; a set of indicators linking your purpose, core stakeholders, and key outcomes. Here are steps to take: davidmwilliamsphd.com/2021/02/07/u...
davidmwilliamsphd.com
Using Your Vector of Measures to Guide Action - David M. Williams PhD
By David M. Williams, Ph.D. Figure. Vector of Measures Displayed in Shewhart Charts Source: Mecklenburg EMS Agency, Charlotte, NC, USA One ofRead More
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Dave Williams @davewilliamsatx.bsky.social · 22/02/2025
I like Yong’s definition of burnout: “A lot of the health care workers I spoke to said that it wasn’t that they couldn’t handle doing their job. It was that they couldn’t handle not being able to do their job.” I share his observation.
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Dave Williams @davewilliamsatx.bsky.social · 21/02/2025
One of the hardest parts of improvement is breaking through the gravitational pull of the status quo. It’s amazing how much effort good people will spend doing everything they possible can to NOT CHANGE and, as a result, NOT IMPROVE. All improvement requires change.
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Dave Williams @davewilliamsatx.bsky.social · 18/02/2025
Making changes to a process is essential to improvement. Leaders can struggle with selecting where to improve. Here's a method that can help select for impact.. davidmwilliamsphd.com/2020/10/04/p...
davidmwilliamsphd.com
Prioritizing Improvement Efforts - David M. Williams PhD
By David M. Williams, Ph.D. Making changes to a process is essential to improvement. Improvement efforts require chartering projects that will impactRead More
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Dave Williams @davewilliamsatx.bsky.social · 13/02/2025
Pleasure to join the Deming Institute podcast to talk about our new book Quality as an Organizational Strategy. QOS was developed to meet Dr. Deming's challenge to weave the theories, concepts, and methods for building improvement into the fabric of organizations. podcast.deming.org/quality-as-a...
podcast.deming.org
In Their Own Words: Quality as an Organizational Strategy with Cliff Norman and Dave Williams
What if you could transform quality from a compliance exercise into a strategic advantage? In our latest podcast, Andrew Stotz sits down with Cliff Norman and David M. Williams, two of the autho...
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Dave Williams @davewilliamsatx.bsky.social · 10/02/2025
I'm excited to lead the 2025 U.S. offering of the @theihi.bsky.social Improvement Advisor Professional Development Program in Boston starting in Sept. This is the leading publicly offered program on Improvement Science and Methods. Come join the next cohort. www.ihi.org/education/tr...
ihi.org
Improvement Advisor Professional Development Program: United States
The Improvement Advisor (IA) is devoted to helping identify, plan, and execute improvement projects throughout an organization, deliver successful results, and spread changes across the entire system....
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Dave Williams @davewilliamsatx.bsky.social · 25/01/2025
Systems thinking is critical for improvement. Visualizing the system helps us work with the present & make impactful changes for the future. The LA fires are horrible & raised awareness about firefighting systems. Interesting article about the hydrant system. www.nytimes.com/interactive/...
nytimes.com
L.A. Wildfires Reveal the Limits of Hydrant Systems
While hydrants can play a role in fighting a wildfire in its early stages, the systems weren’t designed to combat the large blazes currently ravaging the Los Angeles area.
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