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Quality Improvement Project Team List

Use this form to document your Quality Improvement Project Team members, their roles, and contact information.

When selecting Improvement Team participants, seek representation from each functional area that will be affected.

  • Physicians
  • Front desk staff
  • Rooming clerks
  • Nursing staff and inter-disciplinary team
  • Clinic manager
  • EMR staff
  • Others as appropriate.

Download Word Document