Rapid Cycle PDSA

Rapid Cycle PDSA Worksheet for Testing Changes

Aim Statement: (Overall goal you would like to reach)

Person When to be Where to be Every goal will require multiple smaller tests of change Responsible done done Describe your first (or next) text of change Plan

List the tasks needed to set-up this test of change 1. 2. 3. 4. 5.

Predict what will happen when the test is carried out Measures to determine if prediction succeeds 1. 1. 2. 2. 3. 3. 4. 4.

Do Carry out the change/test, collect data, and begin analysis. Describe what actually happened when you ran the test.

Study Describe measured results, how they compare to the predictions. Did original outcomes improve? Complete analysis of data, summarize learning.

Act Are you ready to make a change? Plan for next cycle. Describe modifications to plan for next cycle from what you learned.

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Organization:

Cycle #___/Date: ______Objective: PLAN

ACT DO

Plan Questions: Predictions: Plan for change or test—who, what, when, where: Plan for collection of data—who, what, when, where:

Do Carry out the change or test, collect data, and begin analysis:

Study Complete analysis of data and summarize what was learned:

Act Are you ready to make a change? Plan for the next cycle.

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MO-06-31-HPMP February 2006 This material was prepared by Primaris, the Medicare Quality Improvement Organization for Missouri, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy.