University of Wisconsin Oshkosh

Student Health Center

Quality Improvement Study Form

Title of study:

Study Timeframe:

Problem Statement:

Problem Measurement: (frequency, severity and/or source)

Findings/Results:

Measures taken to resolve problem:

Recommendations for re-study:

Problem Improvement/Change:

Date reviewed and approved by Quality Committee:

Adm. QI Study Form, Created 7-11-03