Follow-up Support —Team Action Plan Template —

One Year Plan Objective (clear, measurable, realistic, and important): Propellers:

Hurdles:

Action Plan

Action Step Lead Person(s) Time Line

Developed by RMC Health Professional Development Partnership, Page 1 funded by the Centers for Disease Control and Prevention

 

                 

         

     

     

     

     

     

Next Steps Actions We Will Take Within the Next Three Months:

Action Lead Person(s) By When?

Developed by RMC Health Professional Development Partnership, Page 2 funded by the Centers for Disease Control and Prevention

 

           

          

   

     

     

     

     

       

                    

     

     

     

 

Additional Partners/Stakeholders We Need to Involve:

Partner/Stakeholder How Will They Be Contacted?

By When?

Follow‐Up Support We Need:

Type of Assistance When Preferred Method (e.g., phone, email, in person)

Developed by RMC Health Professional Development Partnership, Page 3 funded by the Centers for Disease Control and Prevention