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Introduction:

A regional ECMO workgroup is being proposed to improve ECMO care through collaboration, benchmarking, and data-driven quality improvement. This survey aims to assess interest in ECMO-related initiatives, with the VCSQI as a supportive platform, and to explore potential integration with ELSO’s new “peer group” benchmarking tools.

We ask you to identify yourself to help us start a contact list. Survey results, if/when reported, will be blinded as to respondent and hospital.

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* 1. Contact Details

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* 2. I am a(n)... (select all that apply)

Section A: Hospital & ECMO Program Information

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* 3. What type of hospital/system do you represent? (Select all that apply)

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* 4. What is the level of ECMO patient care at your hospital?

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* 5. VCSQI is considering a regional workgroup that would bring ECMO principles together to discuss standardization of practices, development of guidelines, and data collection and analysis. Are you interested in sharing experiences and working with other ECMO principals to advance patient care across the region?

Section B: ECMO Data & Benchmarking Interest

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* 6. Does your hospital participate in the ELSO registry?

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* 7. If the ECMO workgroup decides to create an ELSO Peer Group for the purpose of sharing and reporting (blinded) data, what ECMO-related quality metrics would be most valuable to track collectively? (Select all that apply)

Section C: Activities and Involvement

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* 8. Please let us know the types of workgroup activities that would be useful to your practice. (Select all activities you prefer.)

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* 9. If, on Question 5, you answered, “Maybe. I need more details,” please ask here. Or provide your ideas on how to create a workgroup that will meet your expectations.

Thank you! We’ll let you know results as soon as possible. We look forward to supporting you and your team!
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