Dave Williams
@davewilliamsatx.bsky.social
Senior Improvement Advisor I Author, Quality as an Organizational Strategy I Ambulance System Expert I Creator, Mr. Potato Head PDSA Exercise I DavidMWilliamsPhD.com
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/2025/11/06/m...
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
davidmwilliamsphd.com
November 7, 2025 at 5:44 PM
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/2025/11/06/m...
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/content/14/4...
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...
bmjopenquality.bmj.com
October 21, 2025 at 2:13 PM
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/content/14/4...
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/2025/09/30/f...
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
davidmwilliamsphd.com
October 2, 2025 at 2:13 PM
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/2025/09/30/f...
Reposted by Dave Williams
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...
www.bloomberg.com/news/article...
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.
www.bloomberg.com
September 19, 2025 at 7:38 PM
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...
www.bloomberg.com/news/article...
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.
September 18, 2025 at 5:30 PM
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.
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...
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
davidmwilliamsphd.com
August 26, 2025 at 6:17 PM
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...
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/Business/Tec...
@thebenedictevans.bsky.social
'Positive review only': Researchers hide AI prompts in papers
Instructions in preprints from 14 universities highlight controversy on AI in peer review
asia.nikkei.com
July 9, 2025 at 1:47 PM
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/Business/Tec...
@thebenedictevans.bsky.social
Reposted by Dave Williams
November 10, 2024 at 3:35 AM
Reposted by Dave Williams
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
QOS is an alternative—methods that transforms how people work together. bit.ly/QOSbook
April 10, 2025 at 3:10 PM
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
QOS is an alternative—methods that transforms how people work together. bit.ly/QOSbook
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...
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...
www.healthaffairs.org
June 25, 2025 at 12:16 PM
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...
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.
June 5, 2025 at 5:04 PM
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.
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...
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 ...
www.vanityfair.com
May 2, 2025 at 2:50 PM
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...
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/
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/
April 17, 2025 at 2:32 AM
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/
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/
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/
⏳ Apps close April 18
🔗 davidmwilliamsphd.com/ems-course/
April 11, 2025 at 8:50 PM
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/
⏳ Apps close April 18
🔗 davidmwilliamsphd.com/ems-course/
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
QOS is an alternative—methods that transforms how people work together. bit.ly/QOSbook
April 10, 2025 at 3:10 PM
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
QOS is an alternative—methods that transforms how people work together. bit.ly/QOSbook
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...
Getting Started on Deming Institute Podcast: podcast.deming.org/getting-star...
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...
podcast.deming.org
April 8, 2025 at 1:36 PM
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...
Getting Started on Deming Institute Podcast: podcast.deming.org/getting-star...
April 5, 2025 at 11:10 PM
🚨 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
🎙️ I joined @ukrobl.bsky.social on EMS One-Stop to explain why:
🔗 davidmwilliamsphd.com/ems-course/
🎧 apple.co/4aKVQn7
April 2, 2025 at 8:29 PM
🚨 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
🎙️ I joined @ukrobl.bsky.social on EMS One-Stop to explain why:
🔗 davidmwilliamsphd.com/ems-course/
🎧 apple.co/4aKVQn7
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."
March 31, 2025 at 3:45 PM
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."
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
Co-sponsored by ESO & @firstwatchdata.bsky.social
youtu.be/fKZftQw-FVo
#ems #firedepartment #ambulance
youtu.be
March 27, 2025 at 1:36 PM
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
Co-sponsored by ESO & @firstwatchdata.bsky.social
youtu.be/fKZftQw-FVo
#ems #firedepartment #ambulance
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/2025/03/18/l...
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
davidmwilliamsphd.com
March 26, 2025 at 2:22 PM
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/2025/03/18/l...
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...
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
davidmwilliamsphd.com
March 21, 2025 at 4:14 PM
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...
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.
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
Register now 👉 bit.ly/4bIQPxh
March 17, 2025 at 2:46 PM
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.
Reposted by Dave Williams
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
Register now 👉 bit.ly/4bIQPxh
March 11, 2025 at 9:02 AM
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
Register now 👉 bit.ly/4bIQPxh
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
March 11, 2025 at 4:13 PM
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