2. Enter usable intervention here ☐ 3. Enter usable intervention here ☐ 4. Enter usable intervention here ☐ [OTHER] ACTION PLAN 3a. Usable Intervention Selected for Monitoring: Enter selected intervention here 3b. Enter change manager’s name here 4. Action Plan: Use Plan-Do-Study-Act Cycles to implement and sustain the selected STAGE ACTION STEPS EXPECTATION REVIEW EVIDENCE SUMMARY TO DATE INFORM NEXT STEPS What date will In what stage of How do the inform what the team What is the expected result of this activity? Analyze results and record what was the team implementation will do? learned. study the How will the team study adult effort and is the current fidelity of implementation? Celebrate successes. Identify barriers. intervention and
2. Enter usable intervention here ☐ 3. Enter usable intervention here ☐ 4. Enter usable intervention here ☐ [OTHER] ACTION PLAN 3a. Usable Intervention Selected for Monitoring: Enter selected intervention here 3b. Enter change manager’s name here 4. Action Plan: Use Plan-Do-Study-Act Cycles to implement and sustain the selected STAGE In what stage of implementation is the current intervention and ACTION STEPS How do the inform what the team will do? EXPECTATION What is the expected result of this activity? How will the team study adult effort and fidelity of implementation? REVIEW DATE What date will the team study the EVIDENCE SUMMARY TO INFORM NEXT STEPS Analyze results and record what was learned. Celebrate successes. Identify barriers.