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Community Health Improvement
Performance Improvement Worksheet

Team/Committee Specific Performance Improvement Projects

 

Topic/Issue: __________________________

 

 Date:________________________________

Performance Improvement   

TOPIC/Issue:

 

How did you decide this is important (what baseline data is being used?)

 

 

Specific Aim or Purpose

 

 

Desired Outcome or Improvement Target

 

 

Plan to Achieve Target - Action Steps (who, will do what, by when)

What will be done? (brief description)

Who will do it?

By When?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How will you measure success and continue to monitor the process?

 

 

 

 

 

 

 

   
This page was last modified on: 04/18/2007 04:33:55