Maternal Hypertension - Sustainability Plan Check-In

Please review this survey with your Maternal Hypertension Initiative quality improvement team and designate a team member to complete this survey for your hospital.

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* 1. Please review this survey with your Maternal Hypertension Initiative quality improvement team and designate a team member to complete this survey for your hospital.

Please provide the name and contact information of your hospital administrator. This information will be used to share news of the accomplishments of and awards received by your team.

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* 2. Please provide the name and contact information of your hospital administrator. This information will be used to share news of the accomplishments of and awards received by your team.

Do you have a patient/family team member on your hospital team for the Maternal Hypertension Initiative?

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* 3. Do you have a patient/family team member on your hospital team for the Maternal Hypertension Initiative?

If you answered "No" to Q3, what assistance would be most helpful to engaging a patient advisor? Select all that apply.

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* 4. If you answered "No" to Q3, what assistance would be most helpful to engaging a patient advisor? Select all that apply.

What statement best describes your QI Team's focus on the Maternal HTN Initiative?

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* 5. What statement best describes your QI Team's focus on the Maternal HTN Initiative?

What elements of the Maternal Hypertension Bundle were most effective in reducing time to treatment?

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* 6. What elements of the Maternal Hypertension Bundle were most effective in reducing time to treatment?

What steps have you taken to that are most effective to implement an education program for all nurses and providers on Severe HTN/Preeclampsia and the Severe HTN/Preeclampsia bundle elements and the unit-standard protocol that supports culture change?

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* 7. What steps have you taken to that are most effective to implement an education program for all nurses and providers on Severe HTN/Preeclampsia and the Severe HTN/Preeclampsia bundle elements and the unit-standard protocol that supports culture change?

What barriers have you faced in implementing an education program for all nurses and providers on Severe HTN/Preeclampsia and the Severe HTN/Preeclampsia bundle elements and the unit-standard protocol that supports culture change?

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* 8. What barriers have you faced in implementing an education program for all nurses and providers on Severe HTN/Preeclampsia and the Severe HTN/Preeclampsia bundle elements and the unit-standard protocol that supports culture change?

What steps have you taken that have been most effective to implement standard protocols for early warning signs, updated diagnostic criteria, monitoring and treatment of severe preeclampsia/eclampsia (include order sets and algorithms) across all units of your hospital to facilitate systems change?

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* 9. What steps have you taken that have been most effective to implement standard protocols for early warning signs, updated diagnostic criteria, monitoring and treatment of severe preeclampsia/eclampsia (include order sets and algorithms) across all units of your hospital to facilitate systems change?

What barriers have you faced to implement standard protocols for early warning signs, updated diagnostic criteria, monitoring and treatment of severe preeclampsia/eclampsia (include order sets and algorithms) across all units of your hospital to facilitate system change?

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* 10. What barriers have you faced to implement standard protocols for early warning signs, updated diagnostic criteria, monitoring and treatment of severe preeclampsia/eclampsia (include order sets and algorithms) across all units of your hospital to facilitate system change?

Please rate the QI support strategies from ILPQC in the second year of the Maternal Hypertension Initiative (5 being most helpful and 1 being least helpful)?

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* 11. Please rate the QI support strategies from ILPQC in the second year of the Maternal Hypertension Initiative (5 being most helpful and 1 being least helpful)?

  1 2 3 4 5 N/A
Face-to-face meeting in May 2017
One-on-one QI support calls
QI topic calls (e.g. engaging the ED)
Monthly team webinars
Team talks
Reviewing ILPQC data reports with your team
ILPQC Hypertension Toolkit Binder
AIM/ACOG online emodules for provider/staff education
ILPQC Grand Rounds Speaker Bureau
What additional feedback do you have on the Maternal Hypertension Initiative for ILPQC?

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* 12. What additional feedback do you have on the Maternal Hypertension Initiative for ILPQC?

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