Preceptor Team members Project Title Preceptor Team members

Health Care Problem State reason for action Provide supporting data if available

Stakeholder Analysis Who is involved? Who is affected? Try Mind Mapping Start interviewing- qualitative baseline data

Define the Aim What are you trying to accomplish? Specify numeric goals (how good?) time frame (by when?) patient population/system (for whom?) K. Shannon, 2012

Identify Measures of Change Outcome Measures e.g. Duration of delay in administration of 1st dose antibiotics Process Measures e.g. % of antibiotic following forms filled e.g. % of fax orders with telephone follow-up Balancing Measures e.g. Staff satisfaction

Cause-Effect Analysis Fishbone Diagrams Flowcharts Type of tool needed depends upon nature of problem

Select Change Focus on a change concept eliminate waste, improve work flow, optimize inventory, change work environment, improve patient interface, manage time, reduce variation, improve error proofing, improve service Perform effort vs yield analysis High effort Low yield High effort High yield Low effort Low yield Low effort High yield

Evidence Review 1-2 slides identify relevant literature or best practice models Who else has thought about this problem and tried to fix? Critically appraise and describe how relates to your project aim

Methods What was your hypothesis? What type of data did you collect? How did you collect the data? What sample did you use and what was your reasoning?

Results 2-4 slides summarizing qualitative or quantitative data analysis

Example: Qualitative Data Parents observed speech problems by age 4 and as young as 11 months “Around 10 months I noticed she was not starting to talk like my other children did” A minority of children received Early Intervention “I asked the doctor about it but they were just like oh, he’ll grow out of it” “We were supposed to have a lady come to the house and stuff but it was impossible because I was working full-time and he was at daycare”

Automated BMI% calculation Incorporated BMI% into nursing data collection Added BMI% to vitals

Interpretation/Discussion How does your data inform your understanding of the health care problem? How does your data influence your interpretation of how to improve the system? What will you do next?

Sustainability What barriers do you perceive to sustaining the change? What resources are available to sustain the change? What is the cost-benefit of the old process versus the new process?

References References for literature cited Names of faculty/staff interviewed Location of sites where processes observed, or any other relevant info