2020 Health Center Needs Assessment Survey

You do not need to fill out the entire survey if you are unsure of specific answers. Please fill out whatever you feel comfortable/capable of answering.

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* 1. Please complete the following information:

Your Name

Your Title

Your Email Address

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* 2. Your Organization

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* 3. Your role

Other (please specify)

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* 4. Please rate the value and usefulness of the following AACHC resources.

	Very Useful	Useful	Somewhat Useful	Not Useful	Unsure
Website (www.aachc.org)	Website (www.aachc.org) Very Useful	Website (www.aachc.org) Useful	Website (www.aachc.org) Somewhat Useful	Website (www.aachc.org) Not Useful	Website (www.aachc.org) Unsure
Monthly Newsletter (Primary News for Primary Care)	Monthly Newsletter (Primary News for Primary Care) Very Useful	Monthly Newsletter (Primary News for Primary Care) Useful	Monthly Newsletter (Primary News for Primary Care) Somewhat Useful	Monthly Newsletter (Primary News for Primary Care) Not Useful	Monthly Newsletter (Primary News for Primary Care) Unsure
Daily E-News	Daily E-News Very Useful	Daily E-News Useful	Daily E-News Somewhat Useful	Daily E-News Not Useful	Daily E-News Unsure
Advocacy Update Emails	Advocacy Update Emails Very Useful	Advocacy Update Emails Useful	Advocacy Update Emails Somewhat Useful	Advocacy Update Emails Not Useful	Advocacy Update Emails Unsure
Legislative Alerts	Legislative Alerts Very Useful	Legislative Alerts Useful	Legislative Alerts Somewhat Useful	Legislative Alerts Not Useful	Legislative Alerts Unsure
Peer Networking Committees	Peer Networking Committees Very Useful	Peer Networking Committees Useful	Peer Networking Committees Somewhat Useful	Peer Networking Committees Not Useful	Peer Networking Committees Unsure
Training and Technical Assistance (ie seminars, symposiums, conferences)	Training and Technical Assistance (ie seminars, symposiums, conferences) Very Useful	Training and Technical Assistance (ie seminars, symposiums, conferences) Useful	Training and Technical Assistance (ie seminars, symposiums, conferences) Somewhat Useful	Training and Technical Assistance (ie seminars, symposiums, conferences) Not Useful	Training and Technical Assistance (ie seminars, symposiums, conferences) Unsure

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* 5. Are there any resources you would like AACHC to include that are not currently available on our website?

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* 6. Are there any resources or topics that you would like AACHC to include in our newsletters that we are not currently covering?

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* 7. If you are interested in joining an active Peer Networking Committee that you are not currently on, please check which one(s) below and the appropriate AACHC staff will contact you.

Behavioral Health (Behavioral Health leadership or designee)

Billing and Coding (billers and coders)

Chief Operations Officer (COO)

Clinical Committee (CMO or designee)

Community Outreach & Marketing Education Team - COMET (communications staff, marketing, PR, & outreach staff)

Dental Committee (dentists, hygienists, dental office managers, or designee)

Eligibility, Enrollment & Engagement Team (O&E supervisors and lead staff)

Equity (Diversity and Inclusion/HR or other appropriate staff)

Finance Officers Group (CFO, controllers, other finance leaders)

Grants

Health Care for the Homeless (HCH grantees and other homeless-serving health centers)

Human Resource Officers (HR directors and managers)

Migrant Health Centers (MHC grantees and other agricultural worker serving health centers)

Pharmacy (lead pharmacists)

Quality Committee (quality directors and managers, data analysts, IT - those involved with health center quality outcomes)

Substance Use Disorder

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* 8. Is there a topic not being addressed by a Peer Networking Committee that you have interest in exploring?

Yes

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* 1. Please complete the following information:

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* 2. Your Organization

Question Title

* 3. Your role

Question Title

* 4. Please rate the value and usefulness of the following AACHC resources.

Question Title

* 5. Are there any resources you would like AACHC to include that are not currently available on our website?

Question Title

* 6. Are there any resources or topics that you would like AACHC to include in our newsletters that we are not currently covering?

Question Title

* 7. If you are interested in joining an active Peer Networking Committee that you are not currently on, please check which one(s) below and the appropriate AACHC staff will contact you.

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* 8. Is there a topic not being addressed by a Peer Networking Committee that you have interest in exploring?

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* 9. If yes, what?