in+care Campaign Transition Survey

Question Title

* 1. How would you best describe your level of participation in the Campaign? (select one)

1 - Not Active

5 - Very Active

Question Title

* 2. Which of the following in+care Campaign activities have you utilized? (check all that apply)

in+care Campaign Database (Data Submission / Benchmark Report)

Improvement Update Form

Pre-Work

Monthly Webinar

Meet the Author / Journal Club Webinar

Campaign Coaches

Local Quality Champions / Local Retention Groups

Partners in+care

Office Hours

in+care Campaign Website

Other (please specify)

Question Title

* 3. Of those in+care Campaign activities that you have utilized, how to you rate their impact on your retention efforts? (select one)

	Not Utilized	No Impact	Some Impact	High Impact
in+care Campaign Database (Data Submission / Benchmark Report)	in+care Campaign Database (Data Submission / Benchmark Report) Not Utilized	in+care Campaign Database (Data Submission / Benchmark Report) No Impact	in+care Campaign Database (Data Submission / Benchmark Report) Some Impact	in+care Campaign Database (Data Submission / Benchmark Report) High Impact
Improvement Update Form	Improvement Update Form Not Utilized	Improvement Update Form No Impact	Improvement Update Form Some Impact	Improvement Update Form High Impact
Pre-Work	Pre-Work Not Utilized	Pre-Work No Impact	Pre-Work Some Impact	Pre-Work High Impact
Monthly Webinar	Monthly Webinar Not Utilized	Monthly Webinar No Impact	Monthly Webinar Some Impact	Monthly Webinar High Impact
Meet the Author / Journal Club Webinar	Meet the Author / Journal Club Webinar Not Utilized	Meet the Author / Journal Club Webinar No Impact	Meet the Author / Journal Club Webinar Some Impact	Meet the Author / Journal Club Webinar High Impact
in+care Campaign Coaches	in+care Campaign Coaches Not Utilized	in+care Campaign Coaches No Impact	in+care Campaign Coaches Some Impact	in+care Campaign Coaches High Impact
Partners in+care	Partners in+care Not Utilized	Partners in+care No Impact	Partners in+care Some Impact	Partners in+care High Impact
Local Quality Champions / Local Retention Groups	Local Quality Champions / Local Retention Groups Not Utilized	Local Quality Champions / Local Retention Groups No Impact	Local Quality Champions / Local Retention Groups Some Impact	Local Quality Champions / Local Retention Groups High Impact
Office Hours	Office Hours Not Utilized	Office Hours No Impact	Office Hours Some Impact	Office Hours High Impact
in+care Campaign Website	in+care Campaign Website Not Utilized	in+care Campaign Website No Impact	in+care Campaign Website Some Impact	in+care Campaign Website High Impact

What made these activities more or less impactful?

Question Title

* 4. Which of the following in+care Campaign activities should be continued alongside activities of a potential new NQC Campaign? (check all that apply)

in+care Campaign Database (Data Submission / Benchmark Report)

Improvement Update Form

Monthly Webinar

Meet the Author / Journal Club Webinar

Coaching Around Retention in+care

Local Quality Champions / Local Retention Groups

Partners in+care Facebook Page

Partners in+care Webinars

Office Hours

in+care Campaign Website

Other (please specify)

Question Title

* 5. I've found the interactions with my coach to be a beneficial component of my involvement in the Campaign. (select one)

1 - Strongly Agree

5 - Strongly Disagree

N/A - My agency has had no contact with our coach.

Comments (Optional)

Question Title

* 6. Which methods are the most helpful to help promote a potential new NQC Campaign? (check all that apply)

HRSA-HAB TARGET Center Website

HRSA-HAB Bi-Weekly Informational Email (from Paula Jones)

National Quality Center Website

National Quality Center Newsletter

At an National Quality Center event (e.g., training, collaborative)

Campaign Toolkit Mailers

Referral by HRSA-HAB Project Officer

Referral by another provider

Referral by a consumer

Referral by my AETC

Referral by my NQC Coach

Participation and Discussion at HIVQUAL Regional Group meetings

Campaign Promotional Video

Other (please specify)

Question Title

* 7. To what extent should a new NQC Campaign with a different focus be tied to the in+care Campaign?

The new Campaign should be an extention of the in+care Campaign (same logo, name, etc).

The new Campaign should be distinct, but visibly related to in+care Campaign (similar logo, name, etc).

The new Campaign should be separate from the in+care Campaign (new look, logo, etc.).

It really depends on how closely the topic of the new NQC Campaign is linked to in+care Campaign.

Question Title

* 8. What do you think about the frequency of retention data submissions to the in+care Campaign (every other month) - would you like to see it changed in a future NQC Campaign?

The submission frequency for the in+care Campaign was ok for me and my agency and we submitted when we could.

It was too frequent and would be better for us if submissions were due on a quarterly basis in future NQC Campaigns.

It was too infrequent and would be better for us if submissions were due on a monthly basis in future NQC Campaigns.

No preference on data submission frequency.

Question Title

* 9. What is the best way for NQC to collect improvement strategy information from participants in future NQC Campaigns?

Question Title

* 10. Do you have any suggestions for how Campaign activities could be changed to improve your experience or their applicability to your work (website organization, coaching interfaces, frequency of data submission, frequency or format for collecting improvement strategies)?