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* 2. Please enter the names of facility staff involved in RCA

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* 3. What are the top 3 underlying issues that facility staff identify as potential causes for poor performance on the identified measure(s) targeted for this PHFP QIA?

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* 4. Which root cause method did you use?

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* 5. How long did it take you to complete this RCA?

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* 6. Where you provided with the resources needed to help you complete this RCA?

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* 7. If you answered "No" for question #6, what resources would have helped you complete this RCA. Please be specific.

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* 8. This RCA helped you identify root causes for not completing depression screenings or not providing a follow up plan for patients.

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* 9. Please provide any additional comments or feedback on the RCA process.

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