Please feel free to use this template, your school’s template, or create one on your own!

[Insert University or Organization’s Name] [Insert team members’ name(s), project sponsors if applicable, etc.] 28th Annual IHI National Forum on Quality Improvement in Health Care

Introduction and Background What is your organizing aim statement? What motivated you to focus on this topic? Who did you recruit to your project team? What was the make-up of your leadership team? Who were the key stakeholders involved from your community? How did you develop your leadership structure?

Methods What community organizing tactics did you incorporate into your approach? What measures were used to track your progress over time?

Outcomes Did you reach your target goals? Was your aim achieved? Did your project demonstrate improved health outcomes of the target population? Has this project been a catalyst for other types of activity on your campus/in your organization? What do you plan to do next? Have you set a new aim to build off of your initial project?

Key Learnings How did the community organizing framework inform your project work? Share 2-3 things you and/or your team learned from your project work and/or the partnerships you built.

Challenges What is/are your biggest challenge(s)? What are you doing to address them? Can people at the Forum help you overcome the challenge? (is there an “ask?”)

Contact Information [Insert name(s) and email] Link to any appropriate organization, IHI Open School Chapter, or university web pages Thank you!