1. Authors/Collaborators
Project Title
Authors/Collaborators

2. Project Aim

3. Background

4. Setting Practices involved (list all applicable)X Y Z
Site champions or personnel (if applicable)

5. Quality Improvement Plan (if applicable)
Changes Implemented x
PDSA cycles in process
(List objective of each cycle only)

6. Method (for research) Study design Participants (if applicable)
Status of data collection: complete vs ongoing
Data collection strategy

7. Key Measures

8. (Preliminary) Results

9. Conclusions

10. Lessons Learned
From this work, what is the most important implication for practice?
From this work, what does your team intend to do next?

11. Next Steps
Research questions emerging from project
Future plans