1. Quality Assurance Program Samples – Forms 6 and 7

2. 6. CQI Activity Plan for the Year 20___ This is your Personalized Learning Plan. This is your Personalized Learning Plan. Self-assess your dental hygiene practice yearly. Self-assess your dental hygiene practice yearly. Identify areas of your practice that need enhancement. Identify areas of your practice that need enhancement. Develop learning goals that will enhance your practice. Develop learning goals that will enhance your practice. 2 Home Prev. Next End

3. 3 Form 6 Sample The number of goals you select will depend on your needs and the time and learning that is realistically required to complete them.

4. 7. CQI Activities Evaluation for Goal # _____ This form reports on your progress towards your goal. This form reports on your progress towards your goal. A separate Form 7 must be completed for each goal. A separate Form 7 must be completed for each goal. 4 Home Prev. Next End

5. 5 Form 7 Sample Goal #1 …Researching and evaluating the PSR system as a periodontal screening tool.

6. 6 Home Prev. Next End Form 7 Sample Goal #1 cont’d

7. 7 Home Prev. Next End Form 7 Sample Goal #2 …Investigating dentin hypersensitivity to better help clients who are presenting with tooth sensitivity.

8. 8 Home Prev. Next End Form 7 Sample Goal #2 cont’d

9. 9 Home Prev. Next End Form 7 Sample Goal #3 …Researching ways to better communicate with my clients so I can better establish their priorities and expectations for oral care.

10. 10 Home Prev. Next End Form 7 Sample Goal #3 cont’d

11. 11  Continuing Competency Means Making a Commitment to Lifelong Learning  Home Prev. Back End Show