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F-QM-003-B-V0 — Continuous Quality Improvement (CQI) Project Charter and Committee Minutes

Type: Form · Version: V0 · Status: DRAFT — UNAPPROVED · Served read-only from the bundled QMS copies. The Drive master is untouched.

Parent document: LAB-QM-003 — Continual Improvement, Quality Indicators, and Performance Improvement Program Policy (parent is encoded in the form number)

Rendered in-browser from the project's Word file F-QM-003-B-V0-cqi-project-charter-and-committee-minutes.docx (policies-docx / forms-docx — the file Junry reviews). Formatting is faithful, not pixel-perfect; the DOCX is the official copy.

Document #	F-QM-003-B-V0	Parent Document	LAB-QM-003 — Continual Improvement and Performance Improvement Program Policy

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# SECTION A — CQI PROJECT CHARTER

Part 1 — Project Overview

Item	Details
Project Title
Project Charter No.	CQI-C-YYYY-____
Date Initiated	YYYY-MM-DD
Target Completion Date	YYYY-MM-DD
Project Lead / Owner
Project Team Members

Part 2 — Problem Statement, Objectives, and Scope

Section	Narrative
Problem Statement	Describe the specific process gap, error frequency, or turnaround delay identified.
Project Goal / Target	Specific, measurable target (e.g. reduce hemolysis rate below 1.0% within 90 days).
Scope & Boundaries	Processes, wards, and technical sections included and excluded.

Part 3 — Action Plan and Methodology (PDCA Cycle)

Phase	Planned Actions & Interventions	Status
Plan (P)	Data collection plan, baseline audit, and root-cause analysis	[ ] Done
Do (D)	Pilot the workflow or procedure change	[ ] Done
Check (C)	Post-intervention measurement, audit, and baseline comparison	[ ] Done
Act (A)	Add the change to the SOP and train staff	[ ] Done

Part 4 — Results, Verification, and Formal Closure

Evaluation Item	Details
Baseline Metric vs Post-Intervention Metric	Baseline: ___________________ Post-Intervention: ___________________
Was the Project Target Achieved?	[ ] Yes [ ] Partially [ ] No
Lessons Learned & Standardization Actions
Project Lead Signature & Date	Signature: _________________________________ Date: _________________
CQI Committee Chair Approval & Closure	Signature: _________________________________ Date: _________________

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# SECTION B — CQI COMMITTEE MINUTES

Part 1 — Meeting Details and Attendance

Item	Details
Meeting Quarter & Date	[ ] Q1 [ ] Q2 [ ] Q3 [ ] Q4
Time & Venue	Time: HH:MM
Committee Chair	Pathologist: _______________________________ [ ] Present [ ] Absent
Committee Secretary	Chief Medical Technologist / LQM: _________ [ ] Present [ ] Absent
Medical Technologist Representative	___________________________________________ [ ] Present [ ] Absent
Nursing / Ward Representative	___________________________________________ [ ] Present [ ] Absent
Other Attendees / Guests

Part 2 — Agenda and Discussion Summary

Agenda Item	Discussion Summary & Findings
1. Review of Previous Minutes & Matters Arising
2. Quality Indicator Trends (F-QM-003-A-V0)
3. Occurrence, Deviation & Complaint Trends
4. Ongoing CQI Studies & Charters Progress
5. New Quality Improvement Opportunities

Part 3 — Decisions and Assigned Action Items

Item No.	Description of Action / Project Assigned	Responsible Person	Target Completion Date	Follow-up Status
1				[ ] Open [ ] Closed
2				[ ] Open [ ] Closed
3				[ ] Open [ ] Closed
4				[ ] Open [ ] Closed

Part 4 — Verification and Sign-Off

Role	Name	Signature	Date
Secretary: Chief Medical Technologist / LQM	Junry, RMT
Chair: Pathologist / Head of Laboratory