Change Implementation Review Template
Session Information
Date: ______ Time Allocated: 45-50 minutes Department/Team: ______
Participants
Facilitator: ______ Data Presenter: ______ Timekeeper: ______ Recorder: ______ Team Members: ______
Original Implementation Review (5 minutes)
Change Initiative
Title: ______ Implementation Date: ______ Current Phase: ______
Original Goals
Success Criteria
Key Stakeholders
Internal:
External:
Evidence Review (15 minutes)
Quantitative Data
| Metric | Target | Current | Trend | |——–|———|———|——-| | | | | | | | | | |
Qualitative Feedback
Staff Feedback:
Student Feedback:
Parent/Community Feedback:
Resource Utilization
Budget:
- Allocated: ______
- Used: ______
- Remaining: ______
Time Investment:
- Planned: ______
- Actual: ______
Implementation Timeline Review
| Milestone | Planned Date | Actual Date | Status | |———–|————–|————-|———| | | | | | | | | | |
Impact Analysis (15 minutes)
Student Learning Impact
Positive Outcomes:
Challenges:
Teaching Practice Changes
Successful Adaptations:
Areas of Difficulty:
Unintended Consequences
Positive:
Negative:
Resource Effectiveness
Working Well:
Needs Adjustment:
Next Steps Planning (10 minutes)
Implementation Status Decision
[ ] Continue as is [ ] Continue with modifications [ ] Substantial revision needed [ ] Discontinue
Required Adjustments
Support Needs
Professional Development:
Resources:
Timeline Revisions
Short-term (1-2 months):
Medium-term (3-6 months):
Communication Plan
| Stakeholder Group | Message | Method | Timeline | |——————|———|———|———-| | | | | | | | | | |
Action Items
| Task | Responsible | Deadline | Resources | |——|————-|———-|———–| | | | | | | | | | |
Next Review
Date: ______ Focus Areas: ______ Required Preparation: ______