Implementation Guide for the CANDOR Process: Appendix C
Organization Team Roster
Purpose: To confirm understanding of expectations by team members.
Who should use this tool? CANDOR Implementation Team Leader and other Team Leads.
How should you use this worksheet? Each member of the CANDOR Implementation Team should sign this form.
| Team Role | Name | Credentials | Title | Signature | Date |
|---|---|---|---|---|---|
| CANDOR Implementation Team Lead | |||||
| Disclosure Team Lead | |||||
| Care for the Caregiver Team Lead | |||||
| Event Reporting, Investigation, and Analysis Team Lead | |||||
| Resolution Team Lead | |||||
| Physician Champion | |||||
| Nurse Champion | |||||
| Patient and Family Advisors | |||||
| Risk Management Champion | |||||
| Direct Patient Care Team | |||||
| Indirect Patient Care Team |
