Project Title: __________________ Date: _

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Presentation transcript:

Project Title: ______________________________ Date: _____________ Hospital Name: ____________________________ State: _____________ Self Assessment Score, 1-5 (see AHA/HRET Assessment Scale document) = _____ Aim Statement Run Charts Lessons Learned Aim?: (Including your How Good and By When statement) (Make fonts large, title, labels, dates and notes very simple on graphs prior to shrinking graphs. Should be able to fit 6-8 readable graphs here. If no data are available for a particular measures either create “empty” run list the name of the measure(s) to be collected.) (Enter summary here) Why is this project important?: Recommendations and Next Steps 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 & roles) © 2012 Institute for Healthcare Improvement