Leadership magazine May/June 2018 V47 No. 5 | Page 22

Principles of improvement The six principles of improvement science, according to the Carnegie Foundation for the Advancement of Teaching, are: 1. Make the work problem-specific and user-centered. It starts with a single question: “What specifically is the problem we are trying to solve?” It enlivens a co-development orientation: engage key participants early and often. 2. Variation in performance is the core problem to address. The critical issue is not what works, but rather what works for whom and under what set of conditions. Aim to advance efficacy rel