Coin Spin PDSA Exercise

in Building Capability, Knowledge, Measurement, PDSA, Variation, Videos

By David M. Williams, PhD Several years ago, I was facilitating an improvement learning session and planned to use an exercise to help the participants learn how to do proper PDSAs and track data over time in a run chart. Normally, I would use my Mr. Potato Head PDSA exercise, but I didn’t want to carry […]

New Paper – Adverse Event Trigger Tool for EMS

in Measurement, Research

Over the last several years, through my work at the Institute for Healthcare Improvement and as a subject matter expert in paramedic delivery systems, I’ve had the pleasure to work with the great team at Hamad Medical Corporation’s national ambulance service. HMC Ambulance leaders aspired to develop an ambulance trigger tool modeled after the IHI […]

Candy Exercise to Learn About Variation

in Building Capability, Variation, Videos

By David M. Williams, PhD Looking for easy ways to help your team understand variation and the difference between common cause and special cause. One exercise I enjoy using is counting candy. All you need is ten or more “fun size” packets of regular M&Ms and one to two “fun size” peanut M&Ms. Run charts can […]

Video: Four Run Chart Rules

in Health Care, Measurement, Tools & Methods, Variation, Videos

By David M. Williams, PhD Harvardx course Practical Improvement Science in Health Care with the Institute for Healthcare Improvement. So as we’re getting enough data, we have the ability to start using more sophisticated tools. And when we get 12 data points in a run chart, we can begin to use four rules to help us […]

The Elements of a Run Chart

in Health Care, Measurement, Tools & Methods, Variation, Videos

By David M. Williams, PhD Harvardx course Practical Improvement Science in Health Care with the Institute for Healthcare Improvement. A run chart includes several elements. There’s a y-axis, that’s the one that goes up and down on the left hand side, and this shows what you’re actually measuring. This is what your data is about. Along […]

An Example of Using Data

in Measurement, Public Safety, Videos

By David M. Williams, PhD Harvardx course Practical Improvement Science in Health Care with the Institute for Healthcare Improvement. Here’s an example from an ambulance service. By contract, the service has to achieve a response time performance goal of 90%. So the board report shows the percentages on time each month. As long as the goal […]

Tracking Data Over Time

in Health Care, Measurement, Videos

By David M. Williams, PhD Harvardx course Practical Improvement Science in Health Care with the Institute for Healthcare Improvement. So we talked about data and collecting data, but how do we now convert data into something that we can visually see and enables us to build knowledge and learn. One of the simplest tools is to […]

Harnessing the Power of Data

in Health Care, Measurement, Videos

By David M. Williams, PhD Harvardx course Practical Improvement Science in Health Care with the Institute for Healthcare Improvement. So very traditionally in almost every setting, whether it’s health care or education or business, people look at data all the time. But they don’t necessarily look at data in a way that’s helpful for understanding what’s […]