I learned that data alone doesn't fix problems. You have to dig into why the gaps exist, not just point at them. Root cause analysis is the step we skip, and that's where the real work happens.
I plan to use fishbone diagrams and the five whys with my team to investigate our equity gaps instead of just reporting them. I'll also align our PDSA cycles with our CLNA timeline so continuous improvement is built into the year, not an afterthought. One gap at a time. Start small. Fix what we can.
