Sustaining VR Process and Outcome Improvements

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* 1. Facility Name:

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* 2. 6-digit CCN#

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* 3. First and Last Name:

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* 4. Email Address:

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* 5. Integrate:  How will the progress and improvements made to the following processes be integrated into standard work flow at your facility?
- Identifying eligible patients
- Referrring patients 
- Following up with referred patients to assist them with connecting to VR/EN services 

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* 6. Sustain:  Documentation has been an integral part of this VR QIA project. 

How does your facility intend to sustain accurate and timely VR status documentation in CROWNWeb and other reporting databases?

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* 7. Spread:  Best practices and knowledge about successful interventions should be disseminated and distributed widely. 

How will successful interventions you've tested throughout this project (e.g., direct referrals, Lobby Days, partnership with local employment networks, etc.) be incorporated and shared with existing and future staff/teammates as well as future and existing patients and family members?

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* 8. What other actions will your facility engage in to sustain improvements of the three metrics of this QIA: screening, referral, receiving services? 

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