Problem Statement Template
[Pages:6]Developing a Problem Statement: Integrating IST Measures and Crafting an AIM Statement
Joan Johnston, RN, DNP(c)
Joan.Johnston@umassmed.edu 508-808-0596
Problem Statement Template
What is affected* Occurring Where*
Current Ideal
When/Who
Gap:
Frequency Consequences
* Must have
Problem Statement Example
Gap: Sentenced inmates are not being screened for SUD in our facility.
What is affected* ? sentenced inmates
Occurring Where* ? our facility
Current
? screened during medical appointments only
Ideal
? all sentenced inmates screened at arrival & every 6 months
When/Who
Frequency Consequences: Opportunities to provide EB care for SUD not being identified & provided.
"SMART" Goal Template
Specific Measurable Achievable
Relevant Time Bound
Goal:
Identify barriers Plan to address barriers
"SMART" Goal Example
Goal: By the end of the next month, 40% of sentenced inmates will be screened for SUD using a validated instrument within 24 hours of their arrival at our facility.
Specific
? Newly arrived sentenced inmates
Measurable
? 40%
Achievable ? End of the next month
Relevant
? Screened for SUD using validated instrument
Time Bound ? Within 24 hours of their arrival
No screening instrument, no related workflow, data storage
Select instrument, develop workflow, train staff
Stakeholder Analysis Tool
Name/Dept. Buy In Concerns
Benefits
Response Strategy
Based on GE Healthcare Performance Solutions PI Development Program
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