Planning: establish scope and focus of work to be accomplished, define desired outcomes, determine timing and resources required for the effort.

Assessment: conduct systematic inquiry to discover "root causes" and "key drivers" of issues impeding desired levels of performance, identify opportunities for enhancing performance & define action priorities.

Design: determine specific nature and focus for performance improvement effort(s) and develop implementation strategy, approach, and detailed action plan.

Implementation: execute on strategies & planned actions to address targeted priorities and manage the change process associated with it.

Evaluation & Refinement: monitor effectiveness of implementation, measure results achieved, and refine approaches for increase positive impact.