Plan-Do-Study-Act Worksheet Question Title * 1. What is your planned change? Question Title * 2. What is the timeline for implementing this QI cycle? Question Title * 3. What members of your team will work on this activity? Question Title * 4. What will each of the QI team members do? Team member 1 Team member 2 Team member 3 Team member 4 Team member 5 Question Title * 5. What patient population will you focus on? Question Title * 6. How will you measure your outcomes? Done