Quality Committee/Team Meeting Record

Committee Team ____________________________________________

1. Members Present:

2. Date: ____________ Call to Order: ____________(Time)

Prior Minutes Approved: __ Yes __ NO ___ NA

3. Topic:

Findings/Analysis/Discussion/Conclusions:

Recommendations/Actions:

Follow-up:

Topic:

Findings/Analysis/Discussion/Conclusions:

Recommendations/Actions:

Follow-up:

4. Adjournment: ____________ (Time)

5. Signature of Recorder: _________________________ Date: _______________