Please complete the survey below to indicate your facility's availability.

Your facility is being invited to Participate in a Focus Group Session exploring a new approach to reduce the burden of reporting Healthcare-Associated Infections (HAIs) to the Centers for Disease Control and Prevention’s (CDC), National Healthcare Safety Network (NHSN).

Note that all answers provided will be kept confidential, will only be accessible by the Arbor Research team, and will only be used for the purposes of scheduling the feedback session.

If you have any questions regarding the survey or the session, please contact Michelle Maxim, Project Manager, at Michelle.Maxim@ArborResearch.org. 

Thank you! 

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* 1. Please provide the name of your facility:

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* 2. Please provide the EHR vendor your facility uses:

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* 3. Please indicate which Focus Group session(s) your facility can attend:

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* 4. Please provide your contact information:

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* 5. Please list your nursing home chain (if applicable):

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