The document outlines 7 steps for successful service improvement: 1. Leadership declares adoption of new practices and all employees are change agents. 2. Leadership creates a sense of urgency with a clear vision of goals. 3. Change teams are created with expert leaders to lead knowledge translation. 4. Areas needing change are identified and prioritized through a needs assessment. 5. Barriers to improvement like training or motivation are assessed. 6. Competent trainers are created to train staff on new interventions. 7. Monitoring teams with reward systems are created to ensure compliance.