Practice Facilitation Handbook

Module 4 Appendix

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Table of Contents

Aim: (overall goal you wish to achieve)

Every goal will require multiple smaller tests of change

Describe your first (or next) test of change: Person responsible When to be done Where to be done
       

Plan

List the tasks needed to set up this test of change Person responsible When to be done Where to be done
    .  

 

Predict what will happen when the test is carried out Measures to determine if prediction succeeds
   

Do      Describe what actually happened when you ran the test

Study  Describe the measured results and how they compared to the predictions

Act      Describe what modifications to the plan will be made for the next cycle from what you learned

Cambridge, MA: Institute for Healthcare Improvement. Adapted with permission.

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Page last reviewed May 2013
Page originally created June 2013
Internet Citation: Module 4 Appendix. Content last reviewed May 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod4appendix.html