Step Two: Familiarize Yourself with the MFI Framework

The Model for Improvement (MFI) is a widely used tool to improve patient care, enhance clinic efficiency, and increase patient and provider satisfaction.[i]

The Model for Improvement Framework[i]

The MFI framework asks health care practices to reflect on three strategic questions:

  • “What are we trying to accomplish?” [the AIM STATEMENT or goal of the QI effort]
  • “How will we know a change is an improvement?” [the MEASURE that determines whether the change led to improvement]
  • “What change can we make that will result in improvement?” [the CHANGE that will be tested]

With an aim, measure(s), and change at the ready, the QI team engages in a series of learning cycles ­‒ known as Plan, Do, Study, Act (PDSA) cycles­‒ to test whether a proposed CHANGE results in the desired AIM. PDSA cycles are ideally implemented on a small scale, often in rapid succession, and over a short period of time.

Check out these brief videos for more information about MFI.

Model for Improvement – Clip 1

Model for Improvement – Clip 2 (Aim, Measures, Changes, and Data)

Use the following webinar series to give your QI Team an overview of MFI and PDSA.

Go to Step Three


[i] Langley GJ, Moen RD, Nolan KM, et al. The Improvement Guide: A Practical Approach to Enhancing Organizational Performance (Second Edition). San Francisco (CA): Jossey-Bass Publishers; 2009.

[i] Langley GJ, Moen RD, Nolan KM, et al. The Improvement Guide: A Practical Approach to Enhancing Organizational Performance (Second Edition). San Francisco (CA): Jossey-Bass Publishers; 2009.

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