Action Plan Entity Name: Year: Provider” Focus Area: Desired Outcome: Target Objective: Performance Measure(s): Data Source(s): Responsible Person: Team Members “Name” Responsible Target Completion Action Item Status Person Date Date 1. 2. 3. 4. 5. 6.
Action Plan Entity Name: Provider” Year: Focus Area: Desired Outcome: Target Objective: Performance Measure(s): Data Source(s): Responsible Person: “Name” Team Members Action Item Responsible Person Target Date Status Completion Date 1. 2. 3. 4. 5. 6.
Updated+Action+Plan+Template+May+2018.docx