Insert Site Logo Team Report Out Date Project

Insert Site Logo Team Report Out Date: Project Name: Project Origin: Process Owner: Team Members: Metrics or Deliverables: Metric/Deliverable 1 Metric/Deliverable 2 VETERANS HEALTH ADMINISTRATION Insert Organization Name/Logo

Insert Site Logo Aim - 1. Reason For Improvement Problem Statement: Scope: Trigger: Ø Process Start: Ø Process Stop: VETERANS HEALTH ADMINISTRATION Insert Organization Name/Logo

Insert Site Logo Map - 2. Current State VETERANS HEALTH ADMINISTRATION Insert Organization Name/Logo

Insert Site Logo • • Map - 3. Target State Ideal or Target State Process Map Targets/Goals/AIM Statement VETERANS HEALTH ADMINISTRATION Insert Organization Name/Logo

Insert Site Logo Measure - 4. Gap Analysis Current State versus Target State • Waste difference • Metrics comparison • Process step comparison • Gap Analysis Tools Used • Root Cause(s) VETERANS HEALTH ADMINISTRATION Insert Organization Name/Logo

Insert Site Logo Measure - 5. Solution Approach If we do this…then we will achieve this…. . Effect on Metric 1 VETERANS HEALTH ADMINISTRATION Effect on Metric 2 Effect on Metric 3 Insert Organization Name/Logo

Insert Site Logo Change - 6. Rapid Experiments Description Who VETERANS HEALTH ADMINISTRATION Hypothesis Actual Benefit Insert Organization Name/Logo

Insert Site Logo Change - 7. Completion Plan Description Who VETERANS HEALTH ADMINISTRATION When % completed % Sustained Insert Organization Name/Logo

Insert Site Logo Sustain - 8. Confirmed State Metric Baseline Goal Actual Baseline or below Above Baseline, trending to goal Goal or better VETERANS HEALTH ADMINISTRATION Countermeasures Fill in when needed in sustainment phase Insert Organization Name/Logo

Insert Site Logo Sustain - 9. Insights What went well? • What did not go well? • Lessons Learned • VETERANS HEALTH ADMINISTRATION Insert Organization Name/Logo