Here's a handy guide to refer to on how to create an Improvement Story. We find it best to adhere to the FISH framework: Focus on what to improve, Improve, Sustain the improvement and Honor your progress. Within that framework, you'll define the problem to be solved, Find the root cause, develop countermeasures to address the problem, monitor the process to confirm and sustain the improvement, then review and refocus for the next improvement. QI Macros can help in every step of the process.