PHFPQ Sustainability Questionnaire

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Sustainability is about ensuring that the improvements you have made will last. In order for these enhancements to be lasting, we must establish a plan for sustainability. We all want these changes and improvements to become part of the culture in your facility.
 
To successfully complete this questionnaire, please take a moment to consider the most recent Quality Improvement Activity your facility participated in.
 
  • What can be done to ensure that this intervention will become part of the culture in your facility?
  • How will you ensure that these steps will continuously support your current processes?
  • Will this require that you modify training in your facility?
  • How will you track these interventions to ensure improvements in performance measures are sustained?
  • If you have a corporate partner, what is their role in supporting this sustainability plan?
 
 

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* 1. What is the name of your facility?

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* 2. What is the 6 digit CMS provider number of your facility? (Begins with a 45- or 67-)

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* 3. Please enter your first and last name.

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* 4. Please enter your email address.

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* 5. What is your title? (i.e. Facility Administrator, Clinic Manager, etc.)

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* 6. STANDARDIZATION: In order for the FPR and staff partnership to become the culture, standard, or usual business in your facility, please provide specific examples of how you will hardwire and prioritize this partnership into your current system?

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