PA Perinatal Quality Collaborative (PA PQC) Session Two 6.28.19 Survey

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* 8. Which continuing education credits are you requesting?

CNE (Nursing)—You will receive an electronic copy of your certificate via email

CME (Physician)—You will receive instructions for accessing your credits via email

Social Work CEUs—You will receive your certificate via mail from the University of Pittsburgh

PCB (PA Certification Board)—You will receive an electronic copy of your certificate via email

Other (Non-accredited Certificate of Completion)—You will receive an electronic copy of your certificate via email

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* 9. Social Work CEU Recipients Only:
Requesting Social Work CEUs?

Yes

Address and Phone Number (required to receive credit):

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* 10. CME RECIPIENTS ONLY: Please enter your 5 digit University Pittsburgh CME credit retrieval code. If you do not have a code, please choose and write 5 digits to access your records.

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* 11. Did the presentations have commercial bias?

Yes (if yes, please explain)

Please describe any commercial bias ____________________________________________________________

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* 12. How satisfied were you with this learning collaborative session?

Not at all satisfied

Not very satisfied

Somewhat satisfied

Very satisfied

Extremely satisfied

Not at all satisfied

Not very satisfied

Somewhat satisfied

Very satisfied

Extremely satisfied

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* 13. Was this learning collaborative session a good use of your time?

Yes

If no, please explain

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* 14. Did this session help you identify strategies to work towards the PA PQC goals?

Yes

Please explain

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* 15. If you answered yes to question 14, please list two or more changes you will implement in your site as a result of participating in this activity.

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* 16. In regard to presenters, please rate them by placing a check in the appropriate box:

	Very low	Low	Moderate	High	Very High
Quality of presenters	Quality of presenters Very low	Quality of presenters Low	Quality of presenters Moderate	Quality of presenters High	Quality of presenters Very High
Presenters’ knowledge of subject matter	Presenters’ knowledge of subject matter Very low	Presenters’ knowledge of subject matter Low	Presenters’ knowledge of subject matter Moderate	Presenters’ knowledge of subject matter High	Presenters’ knowledge of subject matter Very High
Usefulness of Educational Material	Usefulness of Educational Material Very low	Usefulness of Educational Material Low	Usefulness of Educational Material Moderate	Usefulness of Educational Material High	Usefulness of Educational Material Very High
Effectiveness of teaching method	Effectiveness of teaching method Very low	Effectiveness of teaching method Low	Effectiveness of teaching method Moderate	Effectiveness of teaching method High	Effectiveness of teaching method Very High

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* 17. Please rate how well you are able to meet the following objectives:

	Not at all	Not very well	Somewhat well	Very well	Extremely well
Describe how the PA PQC will help link PA PQC sites to community-based partners	Describe how the PA PQC will help link PA PQC sites to community-based partners Not at all	Describe how the PA PQC will help link PA PQC sites to community-based partners Not very well	Describe how the PA PQC will help link PA PQC sites to community-based partners Somewhat well	Describe how the PA PQC will help link PA PQC sites to community-based partners Very well	Describe how the PA PQC will help link PA PQC sites to community-based partners Extremely well
Describe how other PA PQC sites are implementing quality improvement projects towards the collective aims of the PA PQC	Describe how other PA PQC sites are implementing quality improvement projects towards the collective aims of the PA PQC Not at all	Describe how other PA PQC sites are implementing quality improvement projects towards the collective aims of the PA PQC Not very well	Describe how other PA PQC sites are implementing quality improvement projects towards the collective aims of the PA PQC Somewhat well	Describe how other PA PQC sites are implementing quality improvement projects towards the collective aims of the PA PQC Very well	Describe how other PA PQC sites are implementing quality improvement projects towards the collective aims of the PA PQC Extremely well
Describe how MDWISE and the PA PQC will be helping to disseminate guidelines from MDWISE	Describe how MDWISE and the PA PQC will be helping to disseminate guidelines from MDWISE Not at all	Describe how MDWISE and the PA PQC will be helping to disseminate guidelines from MDWISE Not very well	Describe how MDWISE and the PA PQC will be helping to disseminate guidelines from MDWISE Somewhat well	Describe how MDWISE and the PA PQC will be helping to disseminate guidelines from MDWISE Very well	Describe how MDWISE and the PA PQC will be helping to disseminate guidelines from MDWISE Extremely well
Describe best practices for prenatal SUD screening	Describe best practices for prenatal SUD screening Not at all	Describe best practices for prenatal SUD screening Not very well	Describe best practices for prenatal SUD screening Somewhat well	Describe best practices for prenatal SUD screening Very well	Describe best practices for prenatal SUD screening Extremely well
Identify local Medication-Assisted Treatment (MAT) resources in Pennsylvania for pregnant and postpartum women with Opioid Use Disorder (OUD)	Identify local Medication-Assisted Treatment (MAT) resources in Pennsylvania for pregnant and postpartum women with Opioid Use Disorder (OUD) Not at all	Identify local Medication-Assisted Treatment (MAT) resources in Pennsylvania for pregnant and postpartum women with Opioid Use Disorder (OUD) Not very well	Identify local Medication-Assisted Treatment (MAT) resources in Pennsylvania for pregnant and postpartum women with Opioid Use Disorder (OUD) Somewhat well	Identify local Medication-Assisted Treatment (MAT) resources in Pennsylvania for pregnant and postpartum women with Opioid Use Disorder (OUD) Very well	Identify local Medication-Assisted Treatment (MAT) resources in Pennsylvania for pregnant and postpartum women with Opioid Use Disorder (OUD) Extremely well
Discuss key interventions with peers and other PA PQC sites for NAS screening and NAS non-pharmacotherapy protocols, MAT initiation and continuation, severe hypertension bundles and postpartum hypertension follow-up, and/or breaking down barriers to quality improvement	Discuss key interventions with peers and other PA PQC sites for NAS screening and NAS non-pharmacotherapy protocols, MAT initiation and continuation, severe hypertension bundles and postpartum hypertension follow-up, and/or breaking down barriers to quality improvement Not at all	Discuss key interventions with peers and other PA PQC sites for NAS screening and NAS non-pharmacotherapy protocols, MAT initiation and continuation, severe hypertension bundles and postpartum hypertension follow-up, and/or breaking down barriers to quality improvement Not very well	Discuss key interventions with peers and other PA PQC sites for NAS screening and NAS non-pharmacotherapy protocols, MAT initiation and continuation, severe hypertension bundles and postpartum hypertension follow-up, and/or breaking down barriers to quality improvement Somewhat well	Discuss key interventions with peers and other PA PQC sites for NAS screening and NAS non-pharmacotherapy protocols, MAT initiation and continuation, severe hypertension bundles and postpartum hypertension follow-up, and/or breaking down barriers to quality improvement Very well	Discuss key interventions with peers and other PA PQC sites for NAS screening and NAS non-pharmacotherapy protocols, MAT initiation and continuation, severe hypertension bundles and postpartum hypertension follow-up, and/or breaking down barriers to quality improvement Extremely well
Identify action items and next steps for your PA PQC team's quality improvement plans	Identify action items and next steps for your PA PQC team's quality improvement plans Not at all	Identify action items and next steps for your PA PQC team's quality improvement plans Not very well	Identify action items and next steps for your PA PQC team's quality improvement plans Somewhat well	Identify action items and next steps for your PA PQC team's quality improvement plans Very well	Identify action items and next steps for your PA PQC team's quality improvement plans Extremely well

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* 18. How could we have made the session more effective for you?

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* 19. What suggestions do you have for the future learning collaborative sessions (including topics)? Please use this space to also note if you would like to lead a Knowledge Cafe on a particular topic.

PA Perinatal Quality Collaborative (PA PQC) Session Two 6.28.19

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* 1. PA PQC Site Name

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* 2. Name

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* 3. Date of Birth

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* 4. Degree/Credentials

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* 5. Licensed State

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* 6. Email

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* 7. Phone Number:

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* 8. Which continuing education credits are you requesting?

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* 9. Social Work CEU Recipients Only:
Requesting Social Work CEUs?

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* 10. CME RECIPIENTS ONLY: Please enter your 5 digit University Pittsburgh CME credit retrieval code. If you do not have a code, please choose and write 5 digits to access your records.

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* 11. Did the presentations have commercial bias?

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* 12. How satisfied were you with this learning collaborative session?

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* 13. Was this learning collaborative session a good use of your time?

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* 14. Did this session help you identify strategies to work towards the PA PQC goals?

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* 15. If you answered yes to question 14, please list two or more changes you will implement in your site as a result of participating in this activity.

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* 16. In regard to presenters, please rate them by placing a check in the appropriate box:

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* 17. Please rate how well you are able to meet the following objectives:

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* 18. How could we have made the session more effective for you?

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* 19. What suggestions do you have for the future learning collaborative sessions (including topics)? Please use this space to also note if you would like to lead a Knowledge Cafe on a particular topic.

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* 1. PA PQC Site Name

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* 2. Name

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* 3. Date of Birth

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* 4. Degree/Credentials

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* 5. Licensed State

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* 6. Email

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* 7. Phone Number:

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* 8. Which continuing education credits are you requesting?

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* 9. Social Work CEU Recipients Only:Requesting Social Work CEUs?

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* 10. CME RECIPIENTS ONLY: Please enter your 5 digit University Pittsburgh CME credit retrieval code. If you do not have a code, please choose and write 5 digits to access your records.

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* 11. Did the presentations have commercial bias?

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* 12. How satisfied were you with this learning collaborative session?

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* 13. Was this learning collaborative session a good use of your time?

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* 14. Did this session help you identify strategies to work towards the PA PQC goals?

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* 15. If you answered yes to question 14, please list two or more changes you will implement in your site as a result of participating in this activity.

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* 16. In regard to presenters, please rate them by placing a check in the appropriate box:

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* 17. Please rate how well you are able to meet the following objectives:

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* 18. How could we have made the session more effective for you?

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* 19. What suggestions do you have for the future learning collaborative sessions (including topics)? Please use this space to also note if you would like to lead a Knowledge Cafe on a particular topic.

* 9. Social Work CEU Recipients Only:
Requesting Social Work CEUs?