Develop a question that you are trying to accomplish? Ex. We want to halve the rate of central line infections in the intensive care unit by (this date). Measurable criteria – How will we know that a change is an improvement? Outcomes – What changes can we make that will result in improvement? Optional – Use tools such as flow charts, cause-effect diagrams) to make processes of care explicit. Discuss how safety, quality, and cost effectiveness of health care can be improved through the active involvement of patients and families. Note any strategies to empower patients or families in all aspects of the health care process. Identify gaps between local and best practice.