Divide a flip chart into boxes headed with 'Start', 'Continue' and 'Stop'. Ask your participants to write concrete proposals for each category - 1 idea per index card. Let them write in silence for a few minutes. Let everyone read out their notes and post them to the appropriate category. Lead a short discussion on what the top 20% beneficial ideas are. Vote on it by distributing dotsor X's with a marker, e.g. 1, 2, and 3 dots for each person to distribute. The top 2 or 3 become your action items.