1. Preceptor Team members
Project Title
Preceptor
Team members

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

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

4. 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

5. 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

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

7. 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

8. 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

9. 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?

10. Results
2-4 slides summarizing qualitative or quantitative data analysis

11. 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”

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

13. 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?

14. 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?

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