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* 1. How concerned are you about CMS' new restraint guidelines?

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* 2. What actions have you taken to improve restraint and seclusion practices in your facility?

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* 3. How important is it for you to provide training to frontline staff about the latest restraint and seclusion guidelines?

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* 4. How concerned are you about medication reconciliation?

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* 5. How effective is your facility's medication reconciliation process?

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* 6. How concerned are you about clinical alarm management?

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* 7. What actions have you taken to reduce clinical alarm fatigue in your facility?

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* 8. How concerned are you about patient satisfaction?

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* 9. What actions have you taken to improve patient satisfaction in your facility?

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* 10. Please rate your interest in purchasing a book with best practice guidance and tools on the following topics.

  Very interested Somewhat interested Not interested
The revised CMS restraint and seclusion guidelines
Medication reconciliation
Clinical alarm management
Value-based purchasing
Patient satisfaction

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* 11. Are there any other topics about which you'd like to receive training and information in 2016?

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* 12. What is your biggest priority/challenge in 2016?

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* 13. In which formats would you prefer to receive HCPro content (i.e., books and newsletters)?

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* 14. Would you be interested in participating in the following activities with HCPro?

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* 15. If you would like to participate in a focus group or call with HCPro, please provide your contact information.

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