Implementing New York State's CARE Act: A Toolkit for Hospital Staff

Thank you for participating in our survey.

This toolkit was prepared by United Hospital Fund. Your feedback will be helpful as we continue to review and update guides and other material regarding the CARE Act.

You can learn more about the work United Hospital Fund does to help family caregivers and health care providers work better together at www.nextstepincare.org and at www.uhfnyc.org.

Question Title

* 1. What is your role at the Hospital? Check all that apply.

Care Coordinator

Care Manager

Discharge Planner

Hospital Administration

Nurse

Patient and Family Advocate

Patient Educator

Physician

Social Worker

Admissions

Other (please specify)

Question Title

* 2. Is this toolkit helpful for your understanding of the CARE Act and its requirements?

Not at all helpful

Slightly helpful

Moderately helpful

Very helpful

Extremely helpful

Not at all helpful

Slightly helpful

Moderately helpful

Very helpful

Extremely helpful

Question Title

* 3. Do you still have questions about the CARE Act's requirements?

Yes

Don't know

Question Title

* 4. If you have questions, what are they about? Choose all that apply.

Caregiver training

Consent by the patient for the family caregiver to receive health information

Discharge notification

Identification of the family caregiver

No questions at this time

Other (please specify)

Question Title

* 5. What do you see as the most significant challenge for your hospital in implementing the CARE Act?

Named caregiver unable to perform required tasks

Named person unwilling or unavailable or otherwise not appropriate

Not enough time to train caregivers

Patient unwilling to consent to share medical information

Patient unwilling to name a caregiver

Staff resistance

Other (please specify)

Question Title

* 6. How likely are you to use this toolkit in your daily work with patients and family caregivers?

Not at all likely

Slightly likely

Moderately likely

Very likely

Extremely likely

Not at all likely

Slightly likely

Moderately likely

Very likely

Extremely likely

Implementing New York State's CARE Act: A Toolkit for Hospital Staff

Question Title

* 1. What is your role at the Hospital? Check all that apply.

Question Title

* 2. Is this toolkit helpful for your understanding of the CARE Act and its requirements?

Question Title

* 3. Do you still have questions about the CARE Act's requirements?

Question Title

* 4. If you have questions, what are they about? Choose all that apply.

Question Title

* 5. What do you see as the most significant challenge for your hospital in implementing the CARE Act?

Question Title

* 6. How likely are you to use this toolkit in your daily work with patients and family caregivers?

Question Title

* 7. Please tell us any other comments or suggestions you may have about the Hospital Toolkit.

Question Title

* 8. May we contact you for more feedback about this toolkit and the CARE Act?
Please enter your name and email address below.

Question Title

* 1. What is your role at the Hospital? Check all that apply.

Question Title

* 2. Is this toolkit helpful for your understanding of the CARE Act and its requirements?

Question Title

* 3. Do you still have questions about the CARE Act's requirements?

Question Title

* 4. If you have questions, what are they about? Choose all that apply.

Question Title

* 5. What do you see as the most significant challenge for your hospital in implementing the CARE Act?

Question Title

* 6. How likely are you to use this toolkit in your daily work with patients and family caregivers?

Question Title

* 7. Please tell us any other comments or suggestions you may have about the Hospital Toolkit.

Question Title

* 8. May we contact you for more feedback about this toolkit and the CARE Act? Please enter your name and email address below.

* 8. May we contact you for more feedback about this toolkit and the CARE Act?
Please enter your name and email address below.