Institute for Healthcare Improvement
Boston, Massachusetts, USA
A change concept is a general notion or approach to change that has been found to be useful in developing specific ideas for improvement. Use this worksheet with your team to choose and explore relevant change concepts for a quality improvement (QI) project.
For more information, visit the
Selecting Changes page.
Note: This tool is part of the IHI Quality Improvement Practicum, a 9-week online course in which participants receive tools, coaching, and community support to aid them in running a local improvement project. Learn more at