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Action Plan Template


  1. Using this form as a template, collaborate with staff to develop the plan. Identify 2-4 goals you wish to achieve and how you plan to do this. Consider what individuals will be involved, resources at your disposal and potential barriers. Also create a timeline for achieving these goals and ways in which you will measure your progress. Modify the form as needed.
  2. Keep copies handy to bring to meetings to review and update regularly. You may decide to develop new action plans for new phases of your quality improvement effort.

Action Plan Template (pdf)