EPoSSI Tool Feedback Survey Question Title * 1. Please provide your contact information. Name Hospital/Company Name Email Address Question Title * 2. What is the highest level of Quality Improvement (QI) education/experience that you have? Certification/formal training Understanding of basic QI principles None/Very little experience with QI Question Title * 3. Select all that apply: I have taken the ACS QI Basics Course I have worked on a QI project I hold a Quality Improvement related position None of the above Question Title * 4. On a scale of 0 to 10, what is your overall ranking of the usefulness of EPoSSI in planning your QI project? 0 5 10 Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 5. How familiar are you with the following components of EPoSSI? Very familiar Somewhat familiar Neutral Not very familiar Not at all familiar Choosing improvement team Choosing improvement team Very familiar Choosing improvement team Somewhat familiar Choosing improvement team Neutral Choosing improvement team Not very familiar Choosing improvement team Not at all familiar Detailing the problem Detailing the problem Very familiar Detailing the problem Somewhat familiar Detailing the problem Neutral Detailing the problem Not very familiar Detailing the problem Not at all familiar Developing project aims Developing project aims Very familiar Developing project aims Somewhat familiar Developing project aims Neutral Developing project aims Not very familiar Developing project aims Not at all familiar Choosing an intervention Choosing an intervention Very familiar Choosing an intervention Somewhat familiar Choosing an intervention Neutral Choosing an intervention Not very familiar Choosing an intervention Not at all familiar Planning implementation Planning implementation Very familiar Planning implementation Somewhat familiar Planning implementation Neutral Planning implementation Not very familiar Planning implementation Not at all familiar Planning project monitoring Planning project monitoring Very familiar Planning project monitoring Somewhat familiar Planning project monitoring Neutral Planning project monitoring Not very familiar Planning project monitoring Not at all familiar Planning end-of-project decision making Planning end-of-project decision making Very familiar Planning end-of-project decision making Somewhat familiar Planning end-of-project decision making Neutral Planning end-of-project decision making Not very familiar Planning end-of-project decision making Not at all familiar Launching and monitoring QI project Launching and monitoring QI project Very familiar Launching and monitoring QI project Somewhat familiar Launching and monitoring QI project Neutral Launching and monitoring QI project Not very familiar Launching and monitoring QI project Not at all familiar Question Title * 6. Are there criteria in EPoSSI that you feel are not necessary (or applicable) to planning a QI project? If yes, which ones and why? Question Title * 7. Are there criteria you feel should be added to EPoSSI? If so, please describe. Question Title * 8. Select the statement that best applies to you when working on a QI project. EPoSSI includes a lot of new information that I don't usually incorporate into my QI projects. I already incorporate SOME of EPoSSI, but some of it is new to me. I already incorporate MOST of EPoSSI into my QI projects. Question Title * 9. If you have any feedback/suggestions regarding EPoSSI, please elaborate below. Question Title * 10. I would be interested in providing additional detailed feedback on EPoSSI. Yes No Done