Smooth Transitions - Transfer Evaluation

Smooth Transitions is a statewide quality improvement initiative at the Foundation for Health Care Quality with the mission to improve hospital transfers from planned community-based births to promote greater patient safety and satisfaction. The goals of Smooth Transitions are to:

1. Improve the safety and efficiency of the transfer process through the establishment of system-wide protocols.
2. Collect and analyze transfer outcome data for the purpose of quality improvement.
3. Build greater collaboration between community-based midwives, EMS, and hospital care team.
4. Enhance the patient experience of care when transfers occur.

We are eager to hear from you about your recent hospital transfer experience and appreciate your honest feedback. Your responses will be used to help improve the transfer process for others. Survey data gets de-identified, aggregated, and shared during Perinatal Transfer Committee meetings for quality improvement at hospitals participating in Smooth Transitions. We encourage EMS participation in these meetings. In addition, selected quotes from surveys may be included in presentations to promote the program and in publications about Smooth Transitions.

It takes about 5 minutes to complete the survey. Thank you!

Question Title

* 1. What was the date of the emergency response to a community midwife?

Question Title

* 2. Was the transport from a home or a birth center?

Question Title

* 3. Receiving Facility and County

Question Title

* 4. Was the patient you transported:

Question Title

* 5. What type of transport was this?

Question Title

* 6. Why was the 911 call initiated? Please check all that apply.

Question Title

* 7. What did you find with the patient(s) upon arrival?

Question Title

* 8. Did the short report from dispatch match what you found on the scene?

Question Title

* 9. Did you receive a short report from the community midwife?

Question Title

* 10. Did the community midwife's short report include: Please check all that apply.

Question Title

* 11. Was there any information you did not receive that you felt would have been helpful/necessary for patient care?

Question Title

* 12. What was your estimation of time on the ﻿scene (in minutes)?

Question Title

* 13. What, in your opinion, would have shortened the time on scene?

Question Title

* 14. Did the community midwife accompany the client to the hospital?

Question Title

* 15. Do you have any general comments about the interactions between the community midwife and EMS during the course of care? (professional, respectful, helpful, clear roles, collaborative)

Question Title

* 16. What went well during this transport process? And how can this experience help inform future tranports?

Question Title

* 17. Have you participated in any of the PRONTO/Smooth Transitions LM-EMS simulation trainings?

Question Title

* 18. Would you like further contact with your local community midwives to build a better working relationship? Examples of this could be skills trainings/drills or informational sessions.

Question Title

* 19. Is there anything else you would like to share about this particular transport or with maternal/neonatal transports in general?

Question Title

* 20. How did you know about this survey, please explain?

Question Title

* 21. How do you feel about being given the opportunity to provide your feedback on this experience?

Question Title

* 22. Do you have any recommendations on how to improve this survey?

* 12. What was your estimation of time on the scene (in minutes)?