Identify how you chose this project and what you aim to achieve.

For Cornerstone CQI, you will need to write:

• Problem statement – what problem do you want to address?
• Rationale – why did you choose this problem?
• Aim statement – what do you aim to achieve?

Having a clear and explicit aim written down keeps you on track and shows you what success looks like.

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For example:

• "Long patient wait times are resulting in negative feedback and poor clinic attendance."
• "Our Māori population has a lower than average uptake of MMR vaccinations, resulting in higher than average cases in our community."
• "The number of patients in our community reporting poor mental health has increased in the last 5 years."
• "X% of our patient population has Y condition. Research shows that this is 3% higher than the expected average for a rural community."

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For example:

Your rationale should cover:

How did you identify this as an area of need?

What evidence or data source did you use?

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You might say:

• "Patient feedback from the PES was showing that patients were unhappy about wait times. We used the PMS to identify current wait times and confirm that this was an issue."
• "PHO reports showed that we were continually not able to improve our Māori childhood immunisation rates."
• "Patients were often doing a DNA for spirometry referrals – this meant COPD wasn't being diagnosed and our PMS showed high asthma numbers."

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For example:

You could follow this kind of structure to construct an aim statement:

"We want to increase/decrease _____________ (outcome/metric)

from ___________ (baseline)

to ___________ (target)

in ___________ (specific patient population)

by ___________ (timeframe)."

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You might say:

"We want to decrease the number of diabetic patients (outcome and patient population) with HbA1c levels over 65 (metric) from 21 (baseline) to 10 (target) over the time period from June to December (timeframe)."

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