This survey has been developed in order to assess the impact of the Region 3 Learning Collaborative structure. We will use the results to determine how to make the Learning Collaborative relevant and useful to its stakeholders.

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* 1. Organization

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* 2. Name (optional)

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* 3. Title (optional)

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* 4. Email (optional)

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* 5. Which of the following Learning Collaborative groups do you participate in, and what is your role in each? (Check all that apply):

  Leader Liaison Group Member
Emergency Center Utilization Cohort
Patient Navigation Cohort
Behavioral Health Cohort
Primary Care and Specialty Care Cohort

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* 6. Which of the following Cohorts, in which you are not currently a participant, do you plan to participate in?

  Would like to participate
Emergency Center Utilization Cohort
Patient Navigation Cohort
Behavioral Health Cohort
Primary and Specialty Care Cohort
Chronic Care Cohort

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* 7. Which of the following workgroups do you participate in? (Check all that apply)

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* 8. What has been your attendance at the Learning Collaborative group meetings you participate in?


* We understand that not all cohorts have had the opportunity to meet the same number of times; we will take this into consideration as we analyze results.*

  Not a group member Attended at least 1 meeting Attended 2-4 meetings Attended 5 or more meetings
Emergency Center Utilization Cohort
Patient Navigation Cohort
Behavioral Health Cohort
Primary Care and Specialty Care Cohort

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* 9. What are your primary reasons for attending cohort meetings and/or activities? (Check all that apply)

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* 10. What have been some obstacles to your attendance of Learning Collaborative group meetings and/or activities, if any (check all that apply):

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* 11. How useful has the information you’ve obtained at the cohort meetings been to your project implementation/outcomes success?

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* 12. How useful have the cohort meetings been in helping you establish collaborative relationships with other organizations in the region and/or beyond?

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* 13. How much support does your organization provide to the activities/projects of the Learning Collaborative (i.e. Cohort activities, “Raise the Floor” initiatives, ability to attend meetings, etc.)?

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* 14. Are you aware of the roles of the Quality Improvement and Data Advisory Workgroups?

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* 15. In general, are you satisfied with the assistance provided to the Learning Collaborative by the Quality Improvement Workgroup?

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* 16. In general, are you satisfied with the assistance provided to the Learning Collaborative by the Data Advisory Workgroup?

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* 17. What is your level of experience with Quality Improvement Methodologies (i.e. Total Quality Management, Lean Six Sigma, PDSA, etc.?) * Not limited to DSRIP project(s)

  None General Knowledge Participated in project(s) applying QI Methodology Led project(s) applying QI methodology Formal training/Certification in QI methodology
TQM
Lean Six Sigma
PDSA/PDCA

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* 18. What is your level of understanding of the Institute for Healthcare Improvement (IHI) Breakthrough Series Framework?

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* 19. What is your level of understanding of the IHI Breakthrough Series framework application to the Region 3 Learning Collaborative?

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* 20. In general, are you satisfied with the pace and progress of your Learning Collaborative Cohort(s)?

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* 21. What are some areas of improvement for future cohort/subgroup meetings? (check all that apply)

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* 22. Other comments regarding the Learning Collaborative process:

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