1. Clinical Area of Focus: Group Members: Faculty Advisor:
Title of Project
Clinical Area of Focus:
Group Members:
Faculty Advisor:

2. Background
1-2 slides on problem identified, why it’s important, what is currently known about extent of problem both nationally, and specifically in clinical site of QI project

3. Aim Restate Aim of project here:
Which of the IOM’s 6 Quality Aims is project focused on?

4. Drivers
List ‘primary drivers’ identified by team of your project’s aim
Specify the ‘secondary drivers’ related to your primary drivers above that are the focus of your team’s QI efforts
(feel free to just put in driver diagram here)

5. Metrics
Specify your key metrics that you are tracking on your QI project
(aka, list family of measures)

6. Test of Change(s) Completed To Date
Why selected?
Improvement Realized?
Learning gained?
Failed tests can be as important as successful tests.

7. Data
Show Run Charts that are annotated with your changes tested

8. Next Test of Change(s) Considered
Why selected?
Timeline?

9. Improvements Made

10. Barriers that remain

11. Next Steps
Transition plan?
How to ensure sustainability?

12. Conclusions
Lessons Learned