Last day of the IA program here in Singapore. Brandon and I have them figuring out which Shewhart chart is most appropriate for their project measures. Shiva from the NIU is addressing spread activities here in Singapore. It’s been a great week. Thanks for your hospitality.

Day 9 here at the Singapore IA Prog. The class is making great progress on figuring out which Shewhart chart is most appropriate for different measures. Start by drawing the charts and data before Turing to the software. If you can’t do it on paper avoid the vapor!

Here in Singapore with Brandon Bennett teaching workshop 2 of the IHI Imp Advisor Prog. We have them figuring out which Shewhart chart to make with data from a clinic call center. These folks are great at making charts. Well done.

Closing LS5 in Singapore. Dr Bang is describing the next Action Period site visits and assignments I prep for LS6 on July 29th. Thanks for inviting me to be part of your journey. Well done! The journey continues.

Wrapping up LS5 for the diabetes collaborative in Singapore. Teams are reporting out their flowcharts and next pdsa tests. Here we have a team showing how overweight DM pts can participate in the Lighter Life weight loss program. Congrats.

The imp teams are working on their pt treatment flowcharts and planning their next tests of change to reduce HbA1c percents. A lot of good ideas being laid out

This afternoon here in Singapore we are addressing phase 2 of the diabetes collaborative. Introducing Will, Ideas and Execution along with the MFI, team chapters and a deeper dive into the Milestones in the Quality Measurement journey. Great people doing great work.

Learning about patient centered care from Dr Wong at Sing Health. The focus is on wellness not sickness. Hospital admission is a failure of the system! Health and wellbeing do not happen in the hospital but in the home and community.

A QI lead from Sing Health is sharing their flow process for engaging DM patients in their care pathway. This work is very pt focused and engagement is quite high.

Here is Singapore with my friends from the Natl Imp Unit kicking off Learning Session 5 for their National diabetes collaborative. We are hearing patient stories about the care process, the bottlenecks and what matters to them. Inspiring stories and work.

Heading toward the end of Day 5 of the IA Wave 81. We are into creative thinking and Miriam from St Jude’s Research Hospital is explaining how they used the random word provocation to generate ideas about changes. The random word techniques is being tested with the class.

Here in Boston with Rebecca, Karen and Elena kicking off Day 5 of IA Wave 81. Got the participants building presentations on various QI Tools. So, what’s in your toolbox?

Dr Ali Latif has joined me in my strategic dashboard presentation to describe Hamad’s journey in building Shewhart charts into the HMC strategic dashboard. Much better than RAG ratings.

Doing an icebreaker here in Doha to see who has the longest run of bouncing a ping pong ball. Differs techniques but all performing well.

Here in Doha at Hamad Medical Corp with Maryanne Gilles and my colleagues from HHQI teaching workshop 3 of the Improvement Specialist Prog. Maryanne is covering the principles of implementation, scale-up and spread. Great group celebrating 10 yr of work here in Qatar!

IA Wave 78 is teaching us about advanced Shewhart charts. CUSUM, EWMA, standardized charts and several other ones to add to the tool box.

It’s day 11 of the IA Prog here in London. Finishing up the office cycle time study. Chris and Gareth are showing the final big chart. One of the biggest Shewhart charts you’ll ever make.

Here in London with my good friend Dr Amar Shah teaching workshop 3 of the IHI IA Prog. The class is learning about planned experimentation by seeing who can blow the biggest bubbles. Factors = worker, wand, bubble solution and training. Who is making the biggest bubbles?

Starting Day 10 of the Wave 75 IA Prog. Members of the class are sharing how they put the 2^4 factorial on bubble blowing into Study It to determine the best combination of the 4 factors. Good work folks! Now on the the Cycle Time exercise!!

Finishing up Day 1 of WS3. Amar is explaining how to interpret the ever popular cube in a 2^3 full factorial. Now we are really having fun!