Strengthening the QAPI Foundation: Key Processes for Data Collection and Communication Survey

1.Which of the following best describes your role?

Other (please specify)

4.This activity will result in a change in my: (Mark all that apply)

Knowledge (facts and information acquired by a person through experience or education)

Competence (having the ability to apply knowledge, skills or judgement in practice if called upon to do so)

Performance (what the participant does in practice)

Patient Outcomes (actual outcomes in individual patients and/or patient populations)

Community (change in population health status)

This activity will not result in a change

5.Note any changes or improvements that you plan to make as a result of attending this educational activity. If no changes are identified, please explain why (program format, content not appropriate, current practice reaffirmed, nothing learned, etc.)

6.General Comments and Suggestions:

7.Please enter your name and organization information.

Name:

Hospital:

Email:

The Compass Hospital Quality Improvement Contract is supported by contract number 75FCMC19D0028 from the U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the views of the U.S. Department of Health and Human Services or any of its agencies.

Funding for this webinar series was provided by the Health Resources Services Administration,
Rural Hospital Flexibility Program
(Catalog of Federal Domestic Assistance (CFDA) 93.241).

Thank you for completing the evaluation.

If you have questions please contact Norma Haskins, haskinsn@ihconline.org. For all IHC education
programming information go to www.ihconline.org.