Assign one individual to provide day-to-day leadership of the initiative. This person should understand the system where abbreviations are used and also have some quality improvement experience. This could be a quality improvement specialist, or a clinical or technical expert (e.g., nurse or pharmacist). If the project lead does not have quality improvement experience it will be helpful to have someone else with this experience either on the team or supporting the team. The project lead needs to have enough accountability and authority to work effectively with the senior leadership sponsor, clinician champions, and other members of the improvement team.