1-Project NameAIM Statement

•How Good:•By When: •For Whom:

Team Info• Time: Start Month, yr – current (month, yr)• Lead: who• Key Participants:

– Name (dept)

This material is protected pursuant to the TN Patient Safety and Quality Improvement Act of 2011.

2-Current Situation/Problem

• Background

• Observations (optional)

3-Desired Condition

• Vision

• Metrics impacted by this vision

4 – Current Process & Key Drivers• Process Steps • Key Drivers (opportunities)

5-DataProcess Measure(s)

Outcome(s)

Balancing Measure(s)

6-Key Improvement Strategies

Key Drivers Lead When

1)

2)

3)

4)

7-Tests of Change (PDSA-Plan, Do, Study, Act--Cycles)PDSA/Test of Change Rationale When Result

* See attached

Abbreviations Used• AMI: Acute Myocardial Infarction

8-Followup / Barriers / Unresolved Issues