Identify the solution that you determined would be most effective in resolving the stated problem and define the intended outcomes of implementing the change (e.g., your improvement goal). For quality to improve, a change must occur. That change must be quantifiable. In other words, it must be measurable.

The chosen problem is CAUTI in acute care hospitals on a medical surgical floor.

Create an implementation plan in which you:

Explain how you will measure the change and how you will know when you have reached your improvement goal.

Create a list of outcomes required to reach your outcomes goal. This will allow you to determine the actions needed and the priority of tasks that will result in the desired outcome.

Determine who will be responsible for each outcome (typically each is assigned to a team member who is motivated to see the successful implementation of the plan).

Determine the actions needed to take place for each outcome to occur. Questions to consider when determining what action needs to take place:

Who do we need to talk to?

Departments

Stakeholders – must identify 

What needs to be decided?

• What resources are needed?
• Personnel
• Supplies and equipment
• What milestones need to be set to know we’re on track?
• When do we need to check on the progress of those milestones?
• Develop an overall time frame for the project. Explain why the chosen timeframe is appropriate. 
• What potential setbacks do we need to plan for?
• Develop a risk management plan. How to mitigate risk? 
• Do any tasks need to be done before taking this action?

Establish a budget, roles, and who will be responsible for what.

Determine how you will monitor progress. This will provide you with the means of tracking actions as they are completed and will make you aware of actions that are late or off track.

• Select an EBP model to guide the implementation of the plan. John Hopkins model or Iowa model

Summarize the model and how it applies to your project 

Remember that without a measure, progress becomes a matter of opinion, and opinions can easily change over the course of an implementation timeline.

• Create an evaluation plan. Your evaluation plan will define the standard of measurement for progress and will include:

Measurable outcomes (both short-term and long-term formative assessments and summative assessments)

Data to be collected and how and when it is to be collected.

Established evaluation points where data can be evaluated, and adjustments made to the implementation plan as a result.