Step 2: Create the Guiding Coalition, Part 1

Having analyzed your baseline data and identified needs, you are now in a position to create your team and reporting structure and to solicit endorsement, including funding and visible commitment, from facility leadership and key stakeholders.  Develop and present a business case that speaks to both clinical and administrative audiences.

Below are some tools to help you:

Tracking and reporting outcomes:

For your ASP, determine which outcome measures will indicate successes and challenges.  Outcome measures should be evaluated and reported regularly (quarterly and annually) to leadership and stakeholders at your facility (Part 2:  reporting structure).  Include which outcomes to track and their projections in your business case.

  • Expand upon background data already collected
    • Antimicrobial consumption and cost per 100 patient-days
    • C. difficile infection rate
    • Susceptibility data
  • To demonstrate there was no negative impact from the ASP on patient safety and quality of care:
    • Length of stay (by service)
    • Mortality (by service)
    • Ventilator days (ICU)
  • Compliance with guidelines and pathways
  • Require support from other departments—form liaisons early


  • Morris AM, et al. Healthc Q 2010;13(2):64-70.
  • Kotter JP. Leading Change. Boston:  Harvard Business School Press, Boston 1995.

Next:  Step 2:  Create the Guiding Coalition, Part 2