Strengthening the QAPI Foundation: Key Processes for Data Collection and Communication

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* 1. Which of the following best describes your role?

Staff Nurse

Nurse Manager

Critical Care Nurse

Risk Manager

Infection Control Professional

Quality Improvement Professional

Physician

Pharmacist

Home Health Care Professional

Long-term Care Provider

Other (please specify)

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* 2. Please indicate your level of agreement with the following:

	Strongly Agree (Yes)	Agree	Neutral	Disagree	Strongly Disagree (No)
The content is relevant to my work.	The content is relevant to my work. Strongly Agree (Yes)	The content is relevant to my work. Agree	The content is relevant to my work. Neutral	The content is relevant to my work. Disagree	The content is relevant to my work. Strongly Disagree (No)
This activity will enhance the effectiveness of my work.	This activity will enhance the effectiveness of my work. Strongly Agree (Yes)	This activity will enhance the effectiveness of my work. Agree	This activity will enhance the effectiveness of my work. Neutral	This activity will enhance the effectiveness of my work. Disagree	This activity will enhance the effectiveness of my work. Strongly Disagree (No)
The Speaker communicated ideas and information clearly	The Speaker communicated ideas and information clearly Strongly Agree (Yes)	The Speaker communicated ideas and information clearly Agree	The Speaker communicated ideas and information clearly Neutral	The Speaker communicated ideas and information clearly Disagree	The Speaker communicated ideas and information clearly Strongly Disagree (No)

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* 3. Did the activity meet your expectations in accomplishing the stated objectives:

	Completely	Mostly	Partially	Minimally	Not At All
Identify how to develop a Quality meeting agenda.	Identify how to develop a Quality meeting agenda. Completely	Identify how to develop a Quality meeting agenda. Mostly	Identify how to develop a Quality meeting agenda. Partially	Identify how to develop a Quality meeting agenda. Minimally	Identify how to develop a Quality meeting agenda. Not At All
Discuss the importance of developing a data plan.	Discuss the importance of developing a data plan. Completely	Discuss the importance of developing a data plan. Mostly	Discuss the importance of developing a data plan. Partially	Discuss the importance of developing a data plan. Minimally	Discuss the importance of developing a data plan. Not At All
Identify the value of developing a data MAP including reporting structures.	Identify the value of developing a data MAP including reporting structures. Completely	Identify the value of developing a data MAP including reporting structures. Mostly	Identify the value of developing a data MAP including reporting structures. Partially	Identify the value of developing a data MAP including reporting structures. Minimally	Identify the value of developing a data MAP including reporting structures. Not At All

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* 4. This activity will result in a change in my: (Mark all that apply)

Knowledge (facts and information acquired by a person through experience or education)

Competence (having the ability to apply knowledge, skills or judgement in practice if called upon to do so)

Performance (what the participant does in practice)

Patient Outcomes (actual outcomes in individual patients and/or patient populations)

Community (change in population health status)

This activity will not result in a change

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* 5. Note any changes or improvements that you plan to make as a result of attending this educational activity. If no changes are identified, please explain why (program format, content not appropriate, current practice reaffirmed, nothing learned, etc.)

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* 6. General Comments and Suggestions:

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* 7. Please enter your name and organization information.

Name:

Hospital:

Email:

The Compass Hospital Quality Improvement Contract is supported by contract number 75FCMC19D0028 from the U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the views of the U.S. Department of Health and Human Services or any of its agencies.

Funding for this webinar series was provided by the Health Resources Services Administration,
Rural Hospital Flexibility Program
(Catalog of Federal Domestic Assistance (CFDA) 93.241).

Thank you for completing the evaluation.

If you have questions please contact Norma Haskins, haskinsn@ihconline.org. For all IHC education
programming information go to www.ihconline.org.