Quality Improvement Assessment Template Page 10

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Steps to Quality Improvement
Worksheet I: Implementation Strategy
• Identifies how we will accomplish change.
• Planning will help coordinate the activity of the team.
• The implementation strategy includes how the change will be communicated, implemented,
and evaluated.
1. Create an implementation strategy that incorporates the following questions:
• What is the change?
• Why has the team suggested this change? What is the goal?
• Who will be involved in the change? Are there other staff that may be affected by this
change?
• Where will the change take place? Remember to start small – this may mean that the
change will be pilot tested on only one unit in the facility first. Then once the change
succeeds it will be spread to other units in the facility.
• When will the change be made (start date)?
• When will it be evaluated (evaluation date)? Timing is important – there must be enough
time allotted to implement the change so that behaviors change and then continue with the
new process.
• How will it be evaluated – how will we know if we can expand this change to other areas?
The evaluation must be something that can be measured as an outcome of the change.
For example, if the change is to make sure that all older adults have a comprehensive
assessment within 24 hours of admission, the audit would examine the timing of the
admission and the assessment and whether the comprehensive assessment was
completed.
2. Implementation Strategy:
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Communication is the key!
• Share the answers to the above questions with the staff who will be involved in making the
change.
• Talk about the change positively.
• Ask for feedback on how to implement the proposed change.

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