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This document provides a step-by-step process for improving care delivery through collaborative learning. It outlines the Planned Care Model for redesigning care delivery and the Model for Improvement for testing changes. The 7 steps include: 1) familiarizing the care team with these models, 2) organizing roles, 3) adopting guidelines, 4) understanding patient needs, 5) choosing measures, 6) planning care, and 7) supporting patient self-management. Changes are tested with individual patients and successful changes are implemented for all patients.













