The vignettes in the attached document are not intended to be literal examples of such efforts, although they rely heavily on real-life experiences.  Nor are they intended to be instructions for specific projects the reader can pursue at their own health center. Rather, these are intended to be aspirational examples of quality work that can be launched by an individual with relatively little support and produce results “by next Tuesday” (or relatively quickly).  The vignettes are written to encompass both health centers with many resources and those with less, to provide a variety of perspectives.  We hope that they inspire associative thinking for the reader, helping to identify specific work that can be accomplished “by next Tuesday.”