Model for Improvement - Aim Statement Worksheet

Aim Statement Worksheet (for team to identify an aim statement)

Worksheet available in word format. (doc, 1 page).

Examples of completed worksheets for:

• Clinton Team (pdf, 1 page)
• Franklin Team (pdf, 1 page)
• Schenectady Team (pdf, 1 page)

Organization Name: _________________________________________________________

1. Create an aim statement for improvement. (Include numerical goals.)
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
2. Who (identify team members and their roles) would be on the improvement team to accomplish this aim?
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
3. Given your aim what are some changes that you will test to reach your aim?
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   

From: Institute for Healthcare Improvement, How to Improve - Improvement Methods at: http://www.ihi.org/IHI/Topics/Improvement/ImprovementMethods/HowToImprove