1. Using the three questions from the Model for Improvement, address a challenge in your organization that needs to be improved: • What are we trying to accomplish? • How will we know that a change is an improvement? • What change can we make that will result in improvement? 2. List three concepts used in your organization every day that might need an operational definition to improve shared meaning. Examples might be: What do we mean by Length of Stay (LOS)? What do we mean by a fall for a patient? Test these definitions with your colleagues; is there shared meaning?