Which is NOT a component of the SMART framework?

• A. Specific
• B. Measurable
• C. Approachable
• D. Timely

Answer: (C)

The concept being tested is recognizing the elements that make a goal SMART. SMART goals are specific, measurable, achievable, relevant, and time-bound. Each part guides how a goal is crafted so it’s clear, trackable, realistic, aligned with bigger objectives, and has a deadline.

Appropriate criteria in SMART include being specific (exact what, who, where, and why), measurable (you can quantify progress), achievable (realistic given resources), relevant (meaningful to broader patient care or team goals), and time-bound (has a clear deadline). The option that doesn’t fit is the one described as approachable. Approachability doesn’t convey a concrete criterion for planning, measuring progress, or setting a deadline, so it doesn’t align with how SMART goals are evaluated. Timely is part of the time-bound aspect, which is essential, while approachable does not provide that structural clarity.

For example, a SMART goal would be: improve the accuracy of patient handoff from 70% to 90% within 6 weeks by using a standardized checklist. This demonstrates Specific, Measurable, Achievable, Relevant, and Time-bound elements in action.