--3D Voices--

"We have been using the 3DPS Model for creating sustainable, systems-based change at UAB for four years. Results have been impressive, and we now being requested to bring 3DPS into key services broadly across the hospital. For the first time, frontline staff are directly engaged in the entire improvement process. 3DPS puts to rest the misconceived notion that quality and safety in healthcare come at a financial burden. When the frontline care providers identify and improve the critical systems and their sub-components, the resulting cost reductions invariably favor any initial investment. In short everybody wins: the work environment improves, staff morale improves, quality and safety improve with significant cost reductions and, most importantly, patient satisfaction soars as they receive the care that they deserve. As a testament to the efficacy of 3DPS, UAB has recently submitted two peer reviewed papers to major journals on 3DPS implementation, the first on improving quality of care and safety, and the second in reducing burnout and staff shortages."
Frederick van Pelt, MD, MBA
Chief Transformation Officer, UAB Medical Center, New Agreements Healthcare Senior Fellow, 2006 – 2008
A great call to kick off the new year in 3D Problem Solving. I have had the opportunity to be in the heart of acute care delivery for the past 6 months and I am here to tell any of you who are a bit more removed--it's bad and getting worse every day. I have been facilitating 3DPS; it’s been incredibly elegant how powerful it is, even with a novice reading the manual and learning as I go. I know I am on the right track as our little group has met weekly since October (small holiday break). Most showed up every single week and were "all in". We took our brand-new block scheduling grid and our charter for our newly formed steering committee and to the medical executive committee this week and were fully endorsed. Like-minded team members included the MDs - amazing but true!! One of our MDs said "For years we have been talked to and told what to do. For the first time someone listened, and we decided together what to do and did it and will keep doing it". That statement alone is reason to give this facilitation method a try for solving something in your world.
Sailing on the success we had with this one, this 3D Problem Solving team now wants to move on to the next high priority problem. Did I have time for this work? Absolutely not. Did I make time for this work? Yes, and it’s one of the highest ROI projects I have had in the past decade.”
Jennifer Misajet, MHA, RN, CNOR, CSSM
Trinity Health COO/CNO & Vice President/Patient Care Svcs, Board of Directors Competency and Credentialing Institute (CCI)
"As president of healthcare system comprised mainly of smaller, rural hospitals, we brought David in to work with us in two critical areas: A systems-based model for acquiring hospitals and training our managers in 3DPS. When I moved on to be a founder and CEO of New Light Healthcare, a company that manages and assists community hospitals through challenging times, we still rely on David’s 3DPS as foundational in assisting our client hospitals. As David is fond of saying and as we have found to be true, ‘Sustainable performance improvement in companies requires two things: Improved Systems and Growth in Leaders, Managers, and Staff—You must have both’.”
Todd Biederman – Founder
New Light Healthcare
"It seems like it’s getting harder and harder to accomplish any type of meaningful change in healthcare. There’s an abundance of bureaucracy that makes it nearly impossible to make improvements, not to mention the lack of enthusiasm/engagement from staff or even lack of staff altogether creating even more obstacles to overcome. Add in a lack of resources and finances to invest in change and you begin to feel as though your hands are tied. Despite how dismal it may seem to be in healthcare at this time, there’s something new and exciting out there that can save us. It’s 3D Problem Solving, and it addresses all that is wrong with healthcare right now. I’ve personally seen this approach produce a $10 million turnaround at my former hospital. I had to learn more. After obtaining my certification in 3D Problem Solving, I immediately put the principles into action. The process was easy, fast, and effective. Obtaining buy-in for participation was effortless after mentioning the successes that other facilities have experienced with this approach. When all was said and done, our team accomplished a seemingly impossible undertaking. The resultant hope, engagement, and transformation of all the team members was palpable. The team went from being hesitant and fearful to hopeful and excited after coming together to re-design a complex, cumbersome process. How is this approach different than all the others? 3D Problem Solving considers two important aspects of meaningful change – systems and people. It infuses engagement, collaboration, and vigor into a toxic, stressed work environment and uses this positive energy to empower staff to find solutions for the broken systems they’ve been forced to work with. When you are told to do more with less, 3D Problem Solving is the approach you need."
Liana Ryan
Performance Improvement Analyst at Northwest Healthcare Tucson
“3D Problem Solving is amazing because it works. I’m passionate about being a leader for real change in nursing and healthcare. 3D is the vehicle that is taking me where I want to go. I’m looking at introducing 3D to the nursing associations in which I’m active.”
Alicia Truelove - MSN, RN, CV-BC, NPD-BC
Registered Nurse • ANA/California Advocacy Institute Fellow • Certified 3D Problem Solving Facilitator
My boss, our Chief Transformation Officer, had spoken to us of his time with David Dibble learning a new systems-based transformation model for healthcare or what we call 3D Problem Solving. As a first-year fellow working in Clinical Practice Transformation (CPT), David was brought in to lead us in the transformation of the RNICU and, at the same time, train me and two of my CPT associates in facilitation of the model. It was an amazing experience for all three of us. In the six months training with David and learning his approach to facilitation and problem solving has transformed not only the way I solve problems in the workplace but has largely defined the lens through which I view personal, cultural, and societal issues. On a professional level, I gained an invaluable sense of confidence, now viewing every problem as an opportunity for systems-based change. As now a CPT lead facilitator, I have tangible tools that position me as a uniquely valuable team member and allowed me to emerge as a thought leader. I believe the short time we spent together will inform the rest of my career, no matter the path I take. From a personal perspective, David’s training has given me a sense of optimism and peace when dealing with challenges in my personal life. I no longer blame people for the issues I observe in the world and instead practice compassionate understanding of the systems-based explanation for human behavior. I do not think a day goes by where I do not employ his skills in humble inquiry to understand the opportunities for transformation and change from a systems-based perspective. I would highly recommend David and his teachings to anyone looking to facilitate transformation in healthcare or any workplace or the world around us.
Carlie Dobbins
MHA, Director CPT, UAB Medicine
“The 3D model is the ticket. I have been using it and teaching it with curriculum in all venues. Even sharing in Egypt. Wow! So grateful for sharing the model throughout. David, I continue to mandate your book for all I am mentoring and leading. It is awesome to serve in this space. Thank you for all you have done!”
Kristen Noles
Nurse Leader - Performance Improvement Manager, University of South Alabama Health System
“3D Problem Solving will show you how to create the work life you are meant to live and how to teach others to do the same.”
don Miguel Ruiz
author The Four Agreements
"David and I worked together for almost two years. His 3DPS approach helped change a hospital organization from silo-thinking into an effective, systems-oriented unit. He did this through 3DPS, by teaching, coaching, pulling people to go to places they never thought they could achieve. He helped us look at healthcare from a perspective that few other people in the business have done. Our organization was a much better hospital and people were better as a result of implementing 3DPS."
John Rossfeld
CEO, Gila Regional Medical Center
“3D Problem Solving create a framework for a holistic approach to the operations of an organization. It embraces the development of the people while setting them up to be successful through optimization of the systems
in which they must work. "
Sue Nieboer, RN, MPA
VP Operations, Gerber Memorial Health Systems
“David’s implementation of 3D Problem Solving is a one-of-a-kind consultation. Leaders and grass roots staff work together to improve the systems of care. Through shared successes, it earns buy-in from everyone. No more blaming and complaining. If your organization is in need of developing leadership and management, cultural transformation and sustainable systems-improvement, the 3D Problem Solving Model is the model for you.”
Peggy Gaughan Doyle R.N.,
O.R. Manager of the Year, 
Director Perioperative Nursing, Brigham and Women’s Hospital
“David, I hope you are doing well. I think about you and the work often. The ripple effect of what I have learned from you and 3D Problem Solving continues to extend here in Oregon. A day doesn’t go by without me thinking about and practicing 3D. I’ll definitely be in the Certification Program.”
Dan Schweigert
MD
"Our organization has brought in 3D Problem Solving with great results. We now are more systems literate, which has resulted in better communication, more creativity, and higher levels of service to our clients. Additionally, individuals in the organization have experienced personal transformations with accompanying improvement in their management and leadership skills. Simply put, 3DPS, facilitated properly, will transform you and your organization. I highly recommend it, especially for those of us in leadership and management roles."
Rich Bradway, MSW
Program Manager, Family Recovery Center
“Every time I see the amazing results achieved by my teams doing the 3D work, I am inspired. Now, I'm the one who is energized.”
Maryle Malloy
Healthcare Consultant, Certified 3D Problem Solving Facilitator
“David has an intuitive sense of business in the way he works with his clients to, through 3DPS, accomplish extraordinary results in their companies. David has worked with the best, and still they learn from him on what they need to do to develop their people and grow their businesses. His model for change delivers in multiple ways, above all enriching the leadership team with greater understanding about how to lead and manage change. I recommend David as a mentor, colleague, and advisor to any and all who desire not only to improve but to take a leap toward leadership and management mastery."
Frederick ‘Rick’ Buchman
Published International Author and Consultant, and President and CEO at Hayward Enterprises Inc.
“I met David at the Deming Seminar in 1992 and was immediately impressed by his knowledge and abilities. I subsequently have come to know David as a mentor, coach, and most importantly, as a good friend. With his 3D Problem Solving, he takes leadership, management, and systems-based improvement to a new level, the level of true transformation of not only systems and processes, but of one’s self. I am honored to know David and it is a true privilege to work with someone who is a real pioneer in leadership, management, and quality."
Charles Hannabarger, MBA/TM, LSSMBB
Lean Six Sigma Consultant and QA Analyst at The Highland Group
“I have been waiting for years for a training that has it all. David Dibble has created (!) a brilliant program that combines the most effective coaching techniques (3DPS) I’ve ever experienced, with a solid foundation in business systems. Best of all, the model integrates systems transformation science with don Miguel Ruiz’s Four Agreements. This winning combination is already transforming my coaching clients – and me!"
Linda Landon
Business and Executive Coach
“WOW!! The 3DPS Course accelerated my ability to aid my clients in reducing frustrations in their workplace. I am much more effective as a Systems/Quality Auditor and Consultant.”
Vicki Delaney
Senior Systems/Quality Auditor and Consultant