"Tips Meeting Minute Form"

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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
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