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* 1. Which of the following best describes your title?

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* 2. What is your agency’s average daily census?

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* 3. How would you describe your agency?

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* 4. Which of the following services do you offer?

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* 5. In regards to staff training and education, which of the following areas are you most interested in?

  Very interested Somewhat interested Not interested
Skilled nursing services and documentation
Skilled therapy services and documentation
ICD-10 implementation and training
ICD-10 coding and assessment accuracy
OASIS completion strategies
OASIS best practices strategies
OASIS-C1 guidance
Infection control procedures
HIPAA
Survey preparation and mock surveys
Compliance plan creation
Clinician orientation
Billing and coverage
Homecare quality initiatives
Hospice quality initiatives
Hospital readmissions
Policy and procedure management
Audit prevention (RAs, ZPICs, MACs)

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* 6. Which of these potential homecare book topics would you be most likely to purchase? (Please choose all that apply.)

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* 7. If you are interested in a webcast series that focused on ICD-10 training, which specific areas would you want covered? (Please choose all that apply.)

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* 8. What topics would you be interested in seeing in the next volume of Home Health Aide On-the-Go in-services, which focuses on the training of home health aides? (Please choose all that apply)

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* 9. What is your preferred method of obtaining education, news, and tools related to your job? (Please choose all that apply.)

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* 10. In which formats would you prefer to receive Beacon Health books? (Please choose all that apply.)

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* 11. How do you use the content you purchase from Beacon Health? (Please choose all that apply.)

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* 12. Which features in a product would make you most likely to purchase it? (Please choose all that apply.)

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* 13. Name one work-related issue that keeps you up at night.

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* 14. Would you be interested in participating in the following with Beacon Health?

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* 15. If you would like to participate in a call or focus group with us, please provide your contact information.

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* 16. If you would like to be entered in a drawing for a free electronic book from Beacon Health, please provide your contact information.

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