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.

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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

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.

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Success Characteristics
National summit June 22

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.

  • Spring 2024 Program begins in January 2024
  • Fall 2024 Program begins in September 2024
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Improve your or your teams communication and relationship skills

Team Communication and Relationships Program

  • Spring 2024 Program begins in January 2024
  • Fall 2024 Program begins in August 2024

Relational Dimensions of Improvement and Change

  • Spring 2024 Program begins in January 2024
  • Fall 2024 Program begins in September 2024
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Team talking

Invest in individual and team wellbeing

Now more than ever, the “humanistic” side of improvement, including promoting resilience and wellbeing in individuals, teams, leadership and organizations, is essential to support post-COVID burnout, poor morale, mental health challenges and compassion fatigue.

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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
Cystic Fibrosis, Canada