This worksheet provides an alternate format for using Plan-Do-Study-Act cycles to test and refine new or redesigned care gap closure workflows. Teams can use it to define the change being tested, document their prediction, select a small testing group or timeframe, assign responsibilities, and identify the information they will collect. After the test, the worksheet supports reviewing results, gathering staff or patient feedback, identifying needed adjustments, and deciding whether to adopt, adapt, or repeat the change. Practices can use either PDSA worksheet option based on the format that best supports their team.