NIPA Cohort 3: Learning Collaborative Evaluation Question Title * 1. What is your primary role at your practice? Physician Nurse practitioner Physician’s assistant Nurse Medical assistant Administrative/front desk Other (please specify) Question Title * 2. In what state is your practice? California Connecticut Illinois Indiana Mississippi North Dakota New Jersey New York Ohio Virginia Washington Question Title * 3. Please respond to the following Strongly Agree Agree Neither Agree nor Disagree Disagree Strongly Disagree The National Immunization Partnership with the APA project helped me improve immunization delivery in my practice. The National Immunization Partnership with the APA project helped me improve immunization delivery in my practice. Strongly Agree The National Immunization Partnership with the APA project helped me improve immunization delivery in my practice. Agree The National Immunization Partnership with the APA project helped me improve immunization delivery in my practice. Neither Agree nor Disagree The National Immunization Partnership with the APA project helped me improve immunization delivery in my practice. Disagree The National Immunization Partnership with the APA project helped me improve immunization delivery in my practice. Strongly Disagree The information covered in the project met my learning needs. The information covered in the project met my learning needs. Strongly Agree The information covered in the project met my learning needs. Agree The information covered in the project met my learning needs. Neither Agree nor Disagree The information covered in the project met my learning needs. Disagree The information covered in the project met my learning needs. Strongly Disagree I received the technical assistance I needed to successfully complete this project. I received the technical assistance I needed to successfully complete this project. Strongly Agree I received the technical assistance I needed to successfully complete this project. Agree I received the technical assistance I needed to successfully complete this project. Neither Agree nor Disagree I received the technical assistance I needed to successfully complete this project. Disagree I received the technical assistance I needed to successfully complete this project. Strongly Disagree Question Title * 4. The following components of the project supported my QI efforts: Strongly Agree Agree Neither Agree nor Disagree Disagree Strongly Disagree Project Orientation Project Orientation Strongly Agree Project Orientation Agree Project Orientation Neither Agree nor Disagree Project Orientation Disagree Project Orientation Strongly Disagree Pre- and Post-Project HPV Rate Data Pre- and Post-Project HPV Rate Data Strongly Agree Pre- and Post-Project HPV Rate Data Agree Pre- and Post-Project HPV Rate Data Neither Agree nor Disagree Pre- and Post-Project HPV Rate Data Disagree Pre- and Post-Project HPV Rate Data Strongly Disagree Monthly Data Collection on Missed Opportunities Monthly Data Collection on Missed Opportunities Strongly Agree Monthly Data Collection on Missed Opportunities Agree Monthly Data Collection on Missed Opportunities Neither Agree nor Disagree Monthly Data Collection on Missed Opportunities Disagree Monthly Data Collection on Missed Opportunities Strongly Disagree Monthly Feedback Reports Monthly Feedback Reports Strongly Agree Monthly Feedback Reports Agree Monthly Feedback Reports Neither Agree nor Disagree Monthly Feedback Reports Disagree Monthly Feedback Reports Strongly Disagree Monthly Webinars Monthly Webinars Strongly Agree Monthly Webinars Agree Monthly Webinars Neither Agree nor Disagree Monthly Webinars Disagree Monthly Webinars Strongly Disagree Virtual Toolkit Virtual Toolkit Strongly Agree Virtual Toolkit Agree Virtual Toolkit Neither Agree nor Disagree Virtual Toolkit Disagree Virtual Toolkit Strongly Disagree Question Title * 5. What was the most useful aspect of participating in the project? Question Title * 6. What was the least useful aspect of participating in the project? Question Title * 7. Please categorize how each of the following strategies were applied by your practice. Implemented New System Improved Existing System No Change to Existing System Strategy Not Implemented Strong Provider Recommendation Strong Provider Recommendation Implemented New System Strong Provider Recommendation Improved Existing System Strong Provider Recommendation No Change to Existing System Strong Provider Recommendation Strategy Not Implemented Provider Prompts Provider Prompts Implemented New System Provider Prompts Improved Existing System Provider Prompts No Change to Existing System Provider Prompts Strategy Not Implemented Standing Orders Standing Orders Implemented New System Standing Orders Improved Existing System Standing Orders No Change to Existing System Standing Orders Strategy Not Implemented Reminder-Recall System Reminder-Recall System Implemented New System Reminder-Recall System Improved Existing System Reminder-Recall System No Change to Existing System Reminder-Recall System Strategy Not Implemented Question Title * 8. As you reflect on the work you did as part of this project and changes you implemented in your office systems, what things do you think had the greatest impact on reducing missed opportunities for HPV vaccine? Question Title * 9. What additional materials would you like to see included in this project? Question Title * 10. Do you have any additional comments or feedback you wish to share? Done
