Quality Improvement Assessment Template Page 12
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15Steps to Quality Improvement
Worksheet K:
Pilot Test Evaluation Worksheet
• Evaluating the pilot test allows your team to organize observations the team has made
through the pilot test period and to determine whether further testing is needed, revision of the
process or goal is needed, or whether the process can now be implemented throughout the
facility.
• Evaluation requires collecting data to check whether the change has helped you reach your
goal.
Ask these evaluation questions at a team meeting, a staff meeting, in an anonymous
questionnaire, or via informal communication with staff.
1. Do we need to reevaluate our initial goal?
2. What is working well? Why?
3. What is not working? Why?
4. What can be done differently?
5. Do we need to revise the materials we are using (if any)?
6. How does staff feel about the change in process?
7.
Are older adults positively affected by the change in process?
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