Facility Name
Quality Improvement Meeting Minutes
QI Project Title:
QI Project Type (administrative, technical or physician performance):
Staff Meeting Date:
Staff in Attendance
Goal/Description of the Project:
Data Collection Period:
Results (Discuss overall results including sample size and thresholds):
Discussion (Discuss cause for suboptimal results or results below threshold values):
Quality Improvement or Corrective Action Plan (Explain steps to improve process, persons responsible,
education, implementation dates, re-evaluation process, etc):
Re-evaluation Date:
Reported by