Locate the missing change
The keynote distinguishes underreporting, underachievement and underdesign. Sometimes a change happened but was poorly recorded. Sometimes the change has not happened. Sometimes the intended change and its evidence were never specified.
Follow the decision beyond the institution
Publications, meetings and tools are important outputs. The next question is whether another actor changed a guideline, budget, practice or service. The session asks teams to identify the decision-maker, decision window and record that could establish the change.
Make contribution claims inspectable
Participants separate contribution from attribution and consider alternative explanations. The framework asks what changed, whether independent records support it and how the institution’s contribution fits the sequence of events.
Designed to produce
A useful next step.
A shared language for impact and a practical rule for the evidence a team should plan to collect before implementation begins.