Quality by Design, Second Edition

The new edition of the bestselling text on quality improvement in health care, providing powerful theoretical frameworks and principles, valuable tools and techniques, and a proven action-learning program. Additionally, Part 2 of the first edition is now available to download free.

Learn More and Download Part 2

The tools described are simple to use, and the concepts are clearly stated for anyone not familiar with microsystem theory and background.

– Review of Quality by Design, 1st Edition

The Institute for Excellence in Health and Social Systems (IEHSS) is excited to announce its transition to The Microsystem Academy

This rebranding, effective July 5, 2024, reflects our deep-rooted commitment to clinical microsystems research, which has been a cornerstone of our work since its inception. The transition includes no longer being affiliated with The University of New Hampshire.

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Success Characteristics

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 see a high-performing interprofessional microsystem in action? Contact
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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 2024 Program begins in September 2024
  • Spring 2025 Program begins in January 2025
  • Fall 2025 Program begins in September 2025
Learn More
National summit June 22
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Improve your or your team's communication and relationship skills

Team Communication and Relationships Program

  • Fall 2024 Program begins in August 2024

Relational Dimensions of Improvement and Change

  • Fall 2024 Program begins in September 2024

Additional Progams

An Emerging Nursing Model: The Virtual Nurse

  • Term 1 2025 begins in August 2024
  • Term 2 2025 begins in October 2024
  • Term 4 2025 begins in March 2025
  • Term 5 2025 begins in May 2025

Resilience and Wellbeing Program

  • Spring 2025 Program begins in January 2025

Leadership of Improvement Program

  • TBD
Team talking
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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.

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“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


Cystic Fibrosis Foundation, USA
Sheffield Microsystem Coaching Academy (MCA), UK
Trinity College, Ireland
Jönköping Academy, Sweden
Jönköping University, Sweden
Qulturum, Sweden