1. [Organization Name]: Sepsis Collaborative
Template for Site Updates
Learning Sessions
Hospital Logo Here
(Replace This Image)
Presenter(s):
Name Here
Area of Hospital: (list all that apply to this month’s update)
Emergency Department
Hospital Medicine (Inpatient Units)
Critical Care Units
Reporting Period:
Month/Year of Collaborative
Required Slide
Instructions:
-Replace blue box with your hospital’s logo
-Enter names of presenters, area of hospital, reporting period

2. [Organization Name]: Sepsis Collaborative
Key Driver Diagram
SPECIFIC AIM(S)
PRIMARY DRIVERS
CHANGE STRATEGIES
Required slide for first 3 learning sessions
Thereafter, Only present when there are updates to diagram or an overview of efforts is warranted for discussion

3. [Organization Name]: Sepsis Collaborative
Display QI Tools/Resources Developed (Paste Here)
Required slide for first 3 learning sessions
Thereafter, Only present when there are updates to diagram or an overview of efforts is warranted for discussion

4. [Organization Name]: Sepsis Collaborative
PDSA Description
PDSA cycle #
Start Date:
End Date:
Measure
Intervention 
Plan
Objective for cycle: What do you expect to accomplish? What key driver/need does it address.
Prediction: What did you expect to happen
Plan: What questions will be answered (Who, What, When, Where)?
What data will be collected (Who, What, When, Where)? Do
Carry out the plan.
Document observations.
Record data.
Study
Analyze the data.
Compare prediction to results of PDSA cycle.
Summarize what was learned (challenges, accomplishments, unintended consequences).
Act
Utilize the learning from this PDSA cycle and incorporate into next PDSA cycle.
Should the team implement the findings from this PDSA cycle?
Is the team ready to make a change?
Consider next PDSA cycle—what additional cycles need to be run?
Required Slide

5. [Organization Name]: Sepsis Collaborative
Site Specific Data Charts (Paste Here)
Required Slide

6. [Organization Name]: Sepsis Collaborative
Month/Year Highlights
Milestones
Lessons Learned
Successes
Barriers
Supported Needed from CHAT or Other Sites
Required Slide
Instructions:
-Please keep responses concise (avoid long sentences)
- Select the stoplight that best illustrates your site’s progress (delete others)