Consider the practice-wide changes needed to implement Bright Futures Guidelines and incorporate Bright Futures core tools in health supervision visits. 

PDSA Cycle: Start with a single process and rapidly test a change – by planning it, trying it, observing the results, and acting on what is learned.

Plan

Plan the process: What is the workflow? Who is involved? What materials (eg, screening tools, brochures) are needed and how will they be accessed?

Do

Pilot the process you have laid out.

Study

Gather feedback from staff. What worked? What did not work?Use the information gathered to help refine and improve your process.

Act

If needed, redesign your process and test again. Implement changes that resulted in success.

Use successive PDSA cycles to refine and improve your process. The value of the PDSA cycle is the continuous search for improvement.

Once a process is working well, standardize improvements and begin to use them regularly.

Consider formalizing the process as an office policy/procedure document.

Choose a different process or procedure and use PDSA cycles to test and refine as above.