Act step decides whether goals should be adjusted, methods should be changed or revise the plan and repeat the cycle or closes the cycle all together, (Agency for Healthcare Research and Quality, 2020). Ways to approach quality improvement are to establish improvement goals, start small which allows for you to learn from early mistakes. Carry the right individuals. Point out possible strategies. Always depend on data rather than your own assumptions. Allow for failures to be a learning tool, not everything will be successful. Decide on specific interventions to implement. Keep documentation of everything including data, and results. Put together a well written action plan. Develop a plan for keeping up with improvements over time. Over time, quality improvements can lead to efficient processes, and better outcomes