Placemat Initiative Proposal

Minimum: 3; Maximum: 10
Name (First) (Last) Division Unit/Section
No more than 500 Characters
*Measures should follow SMART principle: Specific-Measurable-Actionable-Relevant-Timebound.
Primary measure Current Status Target
No more than 500 characters
No more than 500 characters
What level(s) does this initiative impact?
Initiative Category
Proposal Guidance

What problem are you addressing?

The problem is the measurable difference between your goal ("what good looks like") and the outcome you are experiencing.

For example:  Pretend you are addressing the unusually high accident rates on certain city streets.

You have a goal of a safe city for drivers. What good looks like is as few accidents as possible. The problem you are facing is that the city is not as safe for drivers as it can be. You know this because there are more accidents in certain areas than in others.

What is your primary measure for impact?

A "primary measure" is the specific, direct outcome you are trying to change.  
For example:   Your primary measure would be the number of vehicle crashes at the high-accident locations.

What is your proposed solution?

A solution is your proposed action to improve the root cause of the problem.
For example:   You propose installing stop signs at each of these intersections.

Evaluation Criteria
Alignment with Placemat Theme: initiative addresses one or more of the themes defined on Placemat
Clearly Defined Improvement Opportunity to be addressed and current condition
  • Defined Improvement Opportunity: the improvement opportunity is described in sufficient detail make measurement possible
  • Current Condition: data is provided to quantify or qualify the improvement opportunity and provide a baseline to measure success against
Number of Internal Stakeholders Affected: internal stakeholders are those individuals employed directly by MO DMH
Number of External Stakeholders Affected
  1. Contracted Entity Workforce: those individuals that are employed by an organization that contracts with MO DMH
  2. Individuals Supported: Individuals (and their families) that directly receive services from MO DMH or a DMH-contracted Provider
  3. Community Stakeholders: Community members that are directly affected by an initiative. Includes law enforcement agencies, hospital agencies, and other Missouri residents not otherwise associated with MO DMH
Resolves Safety Issue: Addresses existing safety concern for State employees and/or contracted entities
Increased efficiency through automation and/or simplification of existing process
  • Simplification means that the process requires fewer steps or resources (such as money, materials, personnel) to complete than existing process
  • Automation means that the process, once set up, operates automatically with only monitoring and maintenance required
Alignment with National priorities: Initiative aligns with Federal or national (e.g., mandates, initiatives, or calls to action)
Alignment with MO State priorities: Initiative aligns with current legislative or governorship priorities
  • Can be accomplished within current resources, or
  • Includes plan to obtain outside resources (e.g., grants or partnerships with other State agencies or outside organizations)
  • Clear Start and End
  • Criteria for success (including milestones)
  • Progress measures defined with method to track
  • Specific Action Steps with persons’ responsible
  • Efficacy can be assessed within 90-days