Which step is not included in the Model for Improvement?

The step that is not included in the Model for Improvement is analyzing conditions. The Model for Improvement focuses on three fundamental questions: What are we trying to accomplish? How will we know that a change is an improvement? What changes can we make that will result in improvement?

To achieve improvement in a process, the model emphasizes identifying changes that can lead to an enhancement of the process (identifying changes), establishing measures to monitor progress and outcomes (establishing measures), and implementing those changes to see their effect in a real-world setting (implementing changes).

While analyzing conditions may be a necessary part of understanding a context or problem, it is not directly a step within the framework of the Model for Improvement. The model is more action-oriented, focusing on change and measurement rather than analysis of underlying conditions. Thus, the inclusion of this step would not align with the primary focus of the model, which centers on practical actions that lead to measurable improvements.