Health care practitioners who are inexperienced in writing for publication are sometimes daunted by the publication process and fail to submit their work on quality improvement to a journal. New authors can acquire experience in writing a paper by working through a systematic thought process that includes consideration of what journal readers and editors want and if the work is ready for publication. The most important part of writing a paper is to think through the key ideas and messages for readers and then to organize the ideas into a logical structure. Writing clear answers to 10 key questions may be one way to start the process.