Please complete the following information.

This for is being used to assess understanding of the QIA Interventions and Activities in the 2019 Support Gainful Employment (VR) Quality Improvement Activity. Please review the Webinar Recording and/or webinar slides prior to competing this form.
Please complete by July 31, 2019.
 

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* 2. Contact:

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* 3. This webinar was over 1 hour long

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* 4. This QIA requires developing a relationship with staff at Access-VR, EN or other job skills development agencies accessible (in person or online) to your dialysis facility's patients

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* 5. It is required for at least 1 staff member to attend quarterly National QIA LAN Calls

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* 6. The goal(s) of these QIA(s) is/are:

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* 7. Do you feel your facility can meet the QIA(s) goals?

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* 8. Do you have any other comments, questions, or concerns?

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