1. Project Title_______________________ Integrating Quality: Linking Clinical and Educational Excellence at UCDHS

2. Name of Team_______________ Unit/department where improvement work was done Team member names (May want to include a team picture)

3. Description of the situation/problem What was the problem that you set out to tackle? How was the problem identified? How was it affecting patient care?

4. Assessment of Problem

5. Project Aim What is the intent of the project? What is the intended end result? Write your specific, measurable aim

6. How Do We Work? List daily routines Draw a flow chart and describe the work process that affects patients’ experiences Action Event Go Decision Start

7. Strategy for Change How did you implement the proposed change? Describe how learners were involved? How did you disseminate results of analysis and plans for change to groups involved with or affected by change? What was the timetable for change?

8. Test _______________________ Describe your 1 st test of change Describe what you were focusing on and how you approached it

9. Test _______________________ Describe your 2 nd test of change Describe what you were focusing on and how you approached it (Add additional slides as needed to describe further tests of change) www.ihi.org

10. Measurement of Improvement How far did these changes resolve the problem that triggered your work? How did this improve patient care? –Is your data beginning to tell a story? –Can you draw any conclusions from the results to date? How is the change sustainable? What barriers to change did you encounter?

11. Use data from your measures to graphically display your efforts using control charts or annotated run charts

12. Highlights of Activities What were your team’s greatest successes? Which activities do you think have a high value? Did you identify successful strategies to address your team’s aim?

13. Lessons Learned What did you learn from the process? –What worked? –What did not work? –What would you do differently next time?

14. Conclusion What is the main message you would like to convey to others?

15. Next Steps Describe your next steps