Directions: From January 1 through March 14, 2022, the PA PQC will be engaging PA PQC health care teams from the participating PA PQC hospitals and their community partners into the 2022 PA PQC initiatives and priorities. To express interest in PA PQC priorities for 2022, please complete this survey with your PA PQC health care team by January 31, 2022. After you have submitted your survey, your PA PQC Quality Improvement Coach will be in touch with your team's PA PQC champions and points of contact.

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* 1. PA PQC Hospital

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* 2. Please enter your name and title

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* 3. If your PA PQC health care team is planning to prioritize MATERNAL OUD, please indicate whether you will be continuing this focus or starting a new focus.

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* 4. If your PA PQC health care team is planning to prioritize MATERNAL SUBSTANCE USE, please indicate whether you will be starting a new focus on this topic with the PA PQC.

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* 5. If your PA PQC health care team is planning to prioritize OPIOID-EXPOSED NEWBORNS, please indicate whether you will be continuing this focus or starting a new focus.

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* 6. If your PA PQC health care team is planning to prioritize SUBSTANCE EXPOSED NEWBORNS, please indicate whether you will be starting a new focus on this topic with the PA PQC.

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* 7. If your PA PQC health care team is planning to prioritize IMMEDIATE POSTPARTUM LARC (IPLARC), please indicate whether you will be continuing this focus or starting a new focus.

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* 8. If your PA PQC health care team is planning to prioritize MATERNAL DEPRESSION SCREENING & FOLLOW-UP (MOMD), please indicate whether you will be continuing this focus or starting a new focus.

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* 9. If your PA PQC health care team is planning to prioritize SEVERE HYPERTENSION TREATMENT (PA AIM), please indicate whether you will be continuing this focus or starting a new focus.

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* 10. For each initiative topic you selected, please briefly describe why you are prioritizing this topic, any key interventions your team is implementing or now sustaining, and your 2022 goals for that topic.

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* 11. Please include any questions or feedback you have about the PA PQC's 2022 initiatives and priorities. 

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