What is the final step when outcomes are not met after assessing a change?

• A. Plan a new strategy if outcomes are not met
• B. Discover a problem
• C. Plan a strategy using indicators
• D. Implement a change

Answer: (A)

When outcomes are not met after assessing a change, the next move is to plan a new strategy to close the gap. This is the step that guides what actions to take next and how to adjust the approach in the next cycle of improvement. Planning a new strategy helps set the direction for re-implementation and measurement, ensuring you test a revised plan and track whether it improves results. Implementing the change comes after this planning, while discovering a problem or planning only with indicators are parts of earlier stages or methods, not the final step after a shortfall.