3.7 How Does it Work in Real Life?



A busy ED wants to improve behavioral health screening rates, but doesn’t know where to start. The problem feels enormous. With a clear AIM — “Increase the percentage of adolescents (ages 12–17) screened for depression using the PHQ-A during ED triage from 30% to 80% by March 2026” — the team can design a PDSA cycle, track progress weekly, and demonstrate improvement to leadership and funders.

Result: The AIM creates accountability, momentum, and a shared definition of success. It also enables the team to identify the right measures (screening completion rate), the right data source (EMR report), and the right timeline (weekly tracking).


A primary care practice is overwhelmed by long waitlists for therapy referrals. Without a strong AIM, the problem feels too big to tackle — “we can’t fix the whole behavioral health system.” With a focused AIM — “Reduce average time from referral to first behavioral health appointment for children ages 5–17 in our practice from 45 days to 20 days by June 2026” — the team can test specific interventions (warm handoffs, co-located services, same-day brief visits) and measure whether they’re helping.

Result: Focus turns a frustrating, overwhelming problem into a tractable project with a measurable outcome.