Now Available!
Quality by Design, Second Edition
The new edition of the bestselling text on quality improvement in health care.
"The second edition of Quality by Design is much more than a revision of the original book. It is a full re-write, building on the strong foundation of the first edition whilst bringing the thinking right up to date. Key is the advancement from microsystems to mesosystem/care pathway improvement, alongside a greater focus on patient co-production and improving staff wellbeing. The new updated chapters are authored by a wide group of international experts, drawing on a broader evidence base. A must-read for anyone working to improve patient care."
Steve Harrison, Deputy OD Director, Organisational Development
Sheffield Teaching Hospitals NHS Foundation Trust
Leaders, Improvement Experts, Coaches, Faculty, and Staff
Are you curious to discuss the multiple chapters and the new Mesosystem workbook? Join us for “QbyD2 Authors in the Room.” Authors of each of the chapters will be available to discuss their chapters in detail, answer questions and engage in deeper dialogue.
The Microsystem Academy
Microsystem Fundamentals
If you're just getting started in learning about microsystems, review our listing of videos, books and publications to help you get started.
- Want to visit a high-performing interprofessional microsystem/mesosystem in action? Inquire at clinicalmicrosystem@gmail.com.
Become a Team Coach
Become a team coach for your personal professional development or to create a team coaching group at your organization. Especially during times of challenge, like the COVID-19 pandemic, voices from the field say that those who use a coaching style are most successful at leading teams.
- Fall 2025 Program begins in July 2025
- Spring 2026 Program begins in January 2026
- Fall 2026 Program begins in August 2026
Improve your or your team's communication and relationship skills
Team Communication and Relationships Program
- Fall 2025 Program begins in August 2025
Relational Dimensions of Improvement and Change
- Fall 2025 Program begins in September 2025
Additional Programs
An Emerging Nursing Model: The Virtual Nurse
- Contact us for more information and dates
Resilience and Wellbeing Program
- Contact us for more information and dates
Leading Improvement Program
- Contact us for more information and dates
Need guidance and direction?
No goal is too big or too small. We work with organizations on improvement initiatives, organizational transformation, and bringing new multidisciplinary teams together, always adapting to your context. Schedule a one-hour complimentary exploratory conversation.
Learn More
“Eighty percent of staff at the front lines of care reported what they needed help with the most during the improvement process was communication and relationship skills, not the technical knowledge of improvement.”
— Marjorie M. Godfrey, 2013
© 2025 Godfrey Group, LLC
Video credit: William Daugherty http://drone-artist.com