Thank you for participating in the ILPQC Immediate Postpartum LARC (IPLARC) Initiative! In order for us to have a better understanding of where teams are in providing immediate postpartum LARC, please complete the survey below by Friday, May 18.
Please email Danielle Young, danielle.young@northwestern.edu, with any questions.

Question Title

* 1. Hospital Name

Question Title

* 2. Has your hospital placed any immediate postpartum LARC devices (IUD or Implant) in the past 6 months?

Question Title

* 3. Has your hospital placed any immediate postpartum LARC devices (IUD or Implant) in the past year?

Question Title

* 4. Does your hospital have LARC on the inpatient hospital formulary?

Question Title

* 5. Does your hospital have an immediate postpartum LARC protocol on L&D?

Question Title

* 6. Does your hospital have an immediate postpartum LARC protocol on the postpartum unit?

Question Title

* 7. Does your hospital use 340B for purchasing LARC devices?

Question Title

* 8. Which inpatient LARC devices have billing codes implemented?

Question Title

* 9. Who codes/bills for deliveries?

Question Title

* 10. Is coding/billing for deliveries done via EMR or paper?

Question Title

* 11. Has your hospital billed for immediate postpartum LARC devices?

Question Title

* 12. Does your hospital have a protocol for standardized comprehensive contraceptive counseling, including immediate postpartum LARC (IPLARC) counseling, in the inpatient setting?

Question Title

* 13. Have you received reimbursement for the devices that you placed?

Question Title

* 14. Does your largest affiliated ambulatory care / prenatal care clinic / obstetric outpatient practice have a protocol for standardized comprehensive contraceptive counseling including immediate postpartum LARC (IPLARC) counseling?

Question Title

* 15. If your hospital does not provide immediate postpartum LARC in the hospital do you have a protocol for helping patients receive immediate post discharge LARC (a referral location you can send a patient to on day of discharge or first week post-discharge to receive LARC).

Question Title

* 16. Cumulative % of providers in your unit currently trained to provide immediate postpartum LARC (IPLARC)

Question Title

* 17. What topics are you interested in learning about during immediate postpartum LARC (IPLARC) team webinars? (please select all that apply)

Question Title

* 18. What are areas of immediate postpartum LARC implementation where you think your hospital has experienced success?

Question Title

* 19. ILPQC is offering an immediate postpartum LARC training in partnership with ACOG on May 31 in Springfield, IL and on July 30 in Chicago, IL. At least one team member from every hospital participating in the ILPQC IPLARC Initiative is required to attend one of the trainings. Registration link: https://www.eventbrite.com/e/ilpqc-immediate-postpartum-larc-2018-training-workshops-tickets-45737747835

Question Title

* 20. What are three barriers to implementation of immediate postpartum LARC start up at your hospital?

T