Meeting Minute Guide

Do   n ot   f orget   y our   s chool   n ame  

TIPS Meeting Minutes Form

School:

Meetings

Date

Time

Location

Facilitator

Minute Taker

Data Analyst

(begin and end)

Today’s Meeting

Next Meeting

Mark   m embers   w ho   a re  

Team Members (Place “X” to left of name if present)

present   w ith   a n   “ X”   i n   t he   b ox.  

Today’s Agenda Items (Place “X” to left of item after completed):

Keep   t rack   o f   i tems   f or  

 

1.

5.

Agenda Items for Next Meeting

next   m eeting   h ere.  

2.

 

6.

 

1.

3.

 

7.

 

2.

 

4.

8.

3.

This   s ection   i s   f or   p roblems   t hat   y ou   a re   m onitoring   –   y ou   a lready   p ut   s olutions   i n   p lace   b ut   w ere   t hey   e ffective?  

Previously-Defined Problems

Solution Actions

Precise Problem Statement

(Prevent, Teach, Reward, Correct,

Goal & Timeline

Fidelity of Imp.

Effectiveness of

(What, When, Where, Who, Why)

Extinguish, Safety)

Who?

By When?

Solution

Not started

Worse

Problem   c haracteristics   w ill   b e   c opied   a nd   p asted   f rom   t he   N ew   P roblems   s ection   o r   r emain   o n   t he  

Partial imp.

No Change

form   u ntil   t he   p roblem   i s   r esolved.     B efore   ( or   a t)   e ach   m eeting,  

e nter   t he   C urrent   r ate/level   p er  

Imp. w/fidelity

Imp but not to Goal

school   d

ay.     D uring   e ach   m eeting,   u pdate  

F idelity   o f   i

mplementation   ( Did   w e   d o   w hat   w e   s aid   w e  

Stopped

Imp & Goal met

would   d o?).     T hen  

c ompare   C urrent   L evel   t o   G

oal   a nd   u pdate   t he  

E ffectiveness   o f   S

olution.     I s   t he  

Notes:

Current rate/level per

problem   W orse,   I mproved   b ut   n ot   t o   G oal,   o r   w as   t he   g oal   m et?  

school day = _______

Administrative/General Information and Issues

Information for Team, or Issue for Team to Address

Discussion/Decision/Task (if applicable)

Who?

By When?

New Problems

Fidelity of Imp.

Effectiveness of

Solution Actions

Measure

Solution

Precise Problem Statement

(Prevent, Teach, Reward, Correct,

Goal &

(What/How/When/Who

(What/How/When to

(What, When, Where, Who, Why)

Extinguish, Safety)

Who?

By When?

Timeline

to measure/report)

assess/report)

• What   d ata   w ill  

What   i s  

• How   w ill   y ou  

What?     W hen?     W here?     W ho?    

What   s olutions   a re   y ou  

measure   o utcomes  

By   w hen  

your   g oal  

measure   f idelity?  

Why?  

Who   w ill  

putting   i n   p lace   t hat   a re  

(look   a t   g oals)?  

and   b y  

will   t hey   b e  

• How   o ften?  

Current Level:

implement?  

feasible   a nd   y ou   t hink  

• How   o ften   g athered?  

put   i n  

when  

• Who   w ill   s et   i t   u p?  

How   o ften   i s   t his   p recise   b ehavior  

will   h ave   t he   d esired  

• Who   w ill   r eview   a nd  

should   i t   b e  

place?  

• Who   w ill   g ather   a nd  

occurring   ( rate   p er   d ay,   f requency  

outcome??  

report   i t?  

reached?  

report   i t?  

per   h our)?  

TIPS II Training Manual, 2014. Meeting Minute Guiding Form