Order 1472842: quality improvement initiative

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Improvement-Project-Charter-Template1.docx

Project Name

rev. MM/DD/YYYY

AIM

How good? For whom? By when? 1-2 sentences

EXAMPLE AIM STATEMENTS

PROBLEM

What is the problem? What happens, when, how often/how much, to whom does it happen? 2-3 sentences

IMPORTANCE

Why is this project important? How will the improvement benefit patients? What is the potential downside of this effort for patients? What background information (data/analysis/literature) supports the choice of this effort? What area or organizational goals does this project align with/support? 4-5 sentences

EXPECTED OUTCOMES

Specific objectives and numerical targets. Anticipated products, tools and deliverables (e.g., checklist, clinical pathway, etc.).

MEASURES

Brief measure descriptions summarized from more detailed measures table. Include outcome (1-2), process (2-5) and balancing (1-2) measures.

RISKS/BARRIERS

What are the major challenges you anticipate? IT? Attitudes? Behaviors? Culture? Time?

STAKEHOLDERS

Who are the key stakeholders in the planned changes? How will you incorporate interprofessional and multidisciplinary input? How will you incorporate patients’ and families’ perspectives?

SCOPE

In Scope:

Out of Scope:

SCHEDULE

Key dates (project kickoff, milestones, etc.) summarized from detailed project timeline.

PROJECT TEAM

Team Member

Project Role (sponsor, lead, SME, coordinator, etc.)