DMWAustin help organizations discover how they may use the tools and theories of improvement science to continually transform their organizations and better serve their customers. We are practitioners and teachers of the methods of improvement science and are not dedicated to any single industry. Our work has included projects in public safety, health care, transportation, education, family business, and aerospace.

Examples of recent work with diverse organizations follows.

Education – Building a Teaching Effectiveness Network
With The Carnegie Foundation for the Advancement of Teaching, the American Federation of Teachers, and the Institute for Healthcare Improvement, supported by The Bill & Melinda Gates Foundation.

The Building a Teaching Effectiveness Network (BTEN) brings together leaders in education practice, policy, and research to focus on developing and retaining effective new teachers. As part of the BTEN team, DMWAustin provided planning, improvement advising and teaching to district, union, and school leaders in a multiple states. Emphasis was on the needs of new teachers to develop reliable teaching skills, collaborate with colleagues, engage families, and successfully navigate the policies and routines of their districts and schools. The goal was to learn from teachers about the challenges they deem most urgent and to work with district and union leaders who were committed to improving both the systems and specific practices that support teacher learning.

Healthcare – Impacting Cost & Quality
With the Institute for Healthcare Improvement (IHI)

Health-care costs are out of control and highly variable. Health-care reform emphasizes increasing quality and reducing the cost of care. DMWAustin worked with IHI and organizations from across North America and Europe in a collaborative effort to learn opportunities and methods to improve quality, eliminate waste, and reduce cost. Using tools like A3 Thinking, the IHI Waste Identification Tool, and rapid cycle PDSA testing, participating organizations saved close to $43 million in only the first two years. The aim was to save 1% of each organization’s operating expenses year after year. DMWAustin provided improvement advising and teaching.

Ambulance – Regional EMS Authority (REMSA) – Reno, NV

The Affordable Care Act created the Center for Medicare & Medicaid (CMS) Innovation. CMS is the largest purchaser of health care in the US and can influence quality. In 2012, the Innovation Center began awarding grants to health-care providers with innovative ideas to improve access, enhance quality, and reduce per capita cost that can be piloted and spread. DMWAustin provided improvement advising and training to REMSA and assisted the organization in developing its change strategy, operational plan, and measurement system. REMSA has begun the work to create a Community Health Early Intervention Team and a dedicated non-emergency nurse triage center to support non-acute patient care needs, reduce inappropriate use of ambulances and emergency departments, and reduce admissions and readmissions.