PICOT : For adults with COPD will

PICOT : For adults with COPD will the implementing of electronic medication monitor as compared to current practice impact inhaler adherence over 12 weeks? MeasurementAfter project completion: What will you continue to measure? What will you stop measuring? What will you do if you see a negative effect? What will you do if you see clinical significance, but not statistical significance? Ownership Who will own the new process that was implemented? How will you tell if the person is engaged and onboard with the improvement process? Communication How will you communicate about the change and who will be the messenger? When will communication take place? How will you support individuals in the new process? What type of training will you use after project completion? Who will be responsible for that training? Change Management How will you respond to resistance/barriers to change (“But this is how we have always done things.”) How would you use your evidence-based change model to ensure adoption and sustainability? How will you standardize the process so that it is easy to do the “new” right thing? Workload Is the change increasing the overall workload to the system? If so, how can you decrease the workload? If not, how will you communicate about what is changing and not changing? Adapted from “Sustainability Planning?

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