Hospital 39+ Weeks Champion

 
The Ohio Hospital Association is pleased to have your participation in the 39 Weeks is Good4Baby Initiative. As a next step in this initiative, we ask each participating hospital to complete this baseline assessment to gauge where we are as a state in regards to early elective delivery rates and practices.

Please complete this short survey. At the end of the survey, you will have the opportunity to order a supply of lapel pins for use in discussing this important topic with your staff and physicians.

We will ask for a follow up survey in approximately 6-9 months to gauge progress. Thank you again for your participation.

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* 1. Your Name

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* 2. Your Title:

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* 3. Your Email Address

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* 4. Your Phone Number

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* 5. Hospital(s) or Health System Name: (if you are a health system, please list which hospitals are included in this response)

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