1. Project Lead/Improvement Advisor:
Title:
Scope/Boundaries:
Team
Executive Sponsor:
Project Lead/Improvement Advisor:
Team Members:
Problem Statement:
Aim Statement:
Measures:
Outcome Measure
Balancing Measure
Root Causes of the Problem:
Change Ideas:
Anticipated Barriers and Mitigation Strategies:
Anticipated Timeline
Key Milestones
Resources Required:
Signatures:
Executive Sponsor: _______________________________
Project Lead: __________________________________
© Copyrighted Ontario Community Support Association 2014.  All rights reserved.

2. Team List the names and positions for:
Title: Project Title
Scope/Boundaries: Indicate the beginning and end steps and the process being focused on
Team List the names and positions for:
Executive Sponsor (someone on senior management who will be accountable at a senior level, will remove barriers, ensure adequate resources are provided, etc)
Project Lead (Person accountable for accountable for leadership of the project team and accountable for day-to-day project progress)
Process Owner (often the same person as the Project Lead; a person who is in a management position and is accountable for the process being improved;
Improvement Advisor (Someone who does not necessarily have content expertise, but provides and builds QI expertise in the team; for this Learning Collaborative, the Project Lead will also be the Improvement Advisor, supported by an External Coach.
Team Members (Ensure the team includes ndividuals from the front line who are most familiar with the process , and where possible, “suppliers” and “customers” who may be impacted through inputs to or outputs from the process)
Aim Statement:
Articulate your project aim stating “How much” (amount of improvement – eg 30%) , “by when” (a month and year), “as measured by” (needs to reflect service delivery improvement that will directly impact clients)
Problem Statement:
. What is the problem and what parts of the organization does it impact/touch?
. Why is this important to the organization? Is it linked to a strategic priority?
. Is there data or other evidence that helps to highlight the problem?
Measures:
Include a Family of Measures:
. Outcome Measures (at least one)
. Process Measures (at least one per change idea)
. Balancing Measures (at least one)
Root Causes of the Problem:
How were they identified?
Include any available evidence.
Change Ideas:
What are they?
What is the hypothesized relationship between the root causes and the change ideas?
Is there evidence in the literature or elsewhere for the relationship?
Anticipated Barriers and Mitigation Strategies
Anticipated Timeline
Over how many months will the project be conducted? If possible, specify start date by month and year, and end date by month and year
Key Milestones: Identify key points over the project duration at which time you anticipate key deliverables/results
Resources Required:
Budget, Dedicated Staff Time for Project Lead and for Team members.
Signatures: Signals that these individuals have read the Charter and are aware of the project focus, and at minimum, commit to and agree with the design, set up, and resource requirements at the early stages.
Executive Sponsor: _______________________________
Project Lead: __________________________________
© Copyrighted Ontario Community Support Association 2014.  All rights reserved.