This worksheet helps practice teams use Plan-Do-Study-Act cycles to test and refine new or redesigned workflows. Teams can use it to define the change they want to test, document their prediction, determine who will participate, select a small testing period or patient group, and identify the information they will collect. After the test, the worksheet supports reviewing results, capturing staff or patient feedback, identifying what worked and what did not, and deciding whether to adopt, adapt, or test the change again. Practices can repeat the cycle until the workflow is ready for broader implementation. The worksheet is designed for use with the Care Gap Closure Practice Facilitation Blueprint Guide.