Date of Initial Meeting: Date(s) of Review Meetings Brief Problem Description (e.g., student name, group identifier, brief item description) Precise Problem Goal and Solution Identify Fidelity Did it work?     I Statement Timeline Actions and Outcome Data (Review current levels and compare to goal) M What? When? Where? Who? Why? How Often? What? By When? By Who? By When? What? When? Who?  P What fidelity data will Fidelity Data: Outcome Data (Current Levels): L we collect? E What? When? Who? M of Implementation Comparison to Goal E Not started Worse N Partial implementation No Change T Implemented with fidelity Improved but not to goal Stopped Goal met S Notes: Notes: O What outcome data L will we collect? U What? When? Who? T I Next Steps O Current Levels: Continue current plan N Modify plan S Discontinue plan Other Notes: Notes: [Paste new problem table(s) as needed] Organizational/Housekeeping Task List Item Discussion Decisions and Tasks Who? By When? Evaluation of Team Meeting (Mark your ratings with an Our Rating “X”) Yes So-So No 1. Was today’s meeting a good use of our time? 2. In general, did we do a good job of whether we’re completing the tasks we agreed on at previous meetings? tracking 3. In general, have we done a good job of actually the tasks we agreed on at previous meetings? completing 4. In general, are the completed tasks having the on student behavior? desired effects
Date of Initial Meeting: Date(s) of Review Meetings Brief Problem Description (e.g., student name, group identifier, brief item description) Precise Problem  Statement What? When? Where? Who? Why? How Often? Goal and  Timeline What? By When? Solution  Actions By Who? By When? Identify Fidelity  and Outcome Data What? When? Who? I M P L E M E N T S O L U T I O N S Did it work? (Review current levels and compare to goal)  What fidelity data will we collect? What? When? Who? Fidelity Data: of Implementation Not started Partial implementation Implemented with fidelity Stopped Notes: Outcome Data (Current Levels): Comparison to Goal Worse No Change Improved but not to goal Goal met Notes: What outcome data will we collect? What? When? Who? Current Levels: Next Steps Continue current plan Modify plan Discontinue plan Other Notes: Notes: [Paste new problem table(s) as needed] Organizational/Housekeeping Task List Item Discussion Decisions and Tasks Who? By When? Evaluation of Team Meeting (Mark your ratings with an “X”) Our Rating Yes So-So No 1. Was today’s meeting a good use of our time? 2. In general, did we do a good job of tracking whether we’re completing the tasks we agreed on at previous meetings? 3. In general, have we done a good job of actually completing the tasks we agreed on at previous meetings? 4. In general, are the completed tasks having the desired effects on student behavior?