G Appendix G Tracking Project Performance Measures Templat

Sickle Cell Disease Treatment Demonstration Program - Quality Improvement Data Collection

Appendix G Tracking Project Performance Measures Template

Sickle Cell Disease Treatment Demonstration Program - Quality Improvement Data Collection

OMB: 0906-0019

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Appendix G: Tracking Project Performance Measures Template


TRACKING PROJECT PERFORMANCE MEASURES


Quarterly Objective and Performance Data



1st Qtr___ 2nd Qtr ___ 3rd Qtr___ 4th Qtr___ 1st Qtr___



PERFORMANCE MEASURE # 1

Quarterly Performance Objective______ ______ ______ ______ ______



Quarterly Performance Indicator ______ ______ ______ ______ ______

Numerator ______ ______ ______ ______ ______

Denominator ______ ______ ______ ______ ______



PERFORMANCE MEASURE # 2



Quarterly Performance Objective______ ______ ______ ______ ______



Quarterly Performance Indicator ______ ______ ______ ______ ______

Numerator ______ ______ ______ ______ ______

Denominator ______ ______ ______ ______ ______



PERFORMANCE MEASURE #

Quarterly Performance Objective______ ______ ______ ______ ______



Quarterly Performance Indicator ______ ______ ______ ______ ______

Numerator ______ ______ ______ ______ ______

Denominator ______ ______ ______ ______ ______











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