Project Title Hospital Name - Location Aim Statement Run Charts

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Project Title Hospital Name - Location Aim Statement Run Charts Lessons Learned Aim?: (Including your How Good and By When statement) Make fonts large and use simple text, labels, dates and notes prior to shrinking graphs. Should be able to fit 6-8 readable graphs here. If no data are available for a particular measure, please create an “empty” run list that includes the name of the measure to be collected. Enter summary here (What did your tested changes teach the team? If something worked or didn’t work, list here) Recommendations and Next Steps Why is this project important?: Enter summary here (What do you need from Executive Project Champion, Sponsor at this time to move project?) Recommendations Next steps for testing Changes Being Tested, Implemented or Spread For each listed change, indicate whether it is being Tested (T), Implemented (I) or Spread (S) Team Members Name of Project Champion, Senior Leader Sponsor & all other names and roles © 2012 Institute for Healthcare Improvement

Project Title Hospital Name - Location Aim Statement Run Charts Lessons Learned Recommendations and Next Steps Changes Being Tested, Implemented or Spread Team Members © 2012 Institute for Healthcare Improvement