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  5. GCCV - Transitions Hosp/Nursing Home Follow-up
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Exit Survey
 
 
Thank you for your past participation in the GCCV Transitions between Hospital and Nursing Home workshop on May 22, 2014. 

Please help us to understand your experience, and continue to improve GCCV programming, by completing this brief survey by Tuesday, September 9, 2014.  It should take no longer than 10 minutes of your time.  Your responses will be kept confidential and all reported information will be groups, so that no single person or organization may be identified.  If you have any questions related to this survey, please feel free to contact Maryfrances Porter, Ph.D., at (434) 825-4841.
 
 
 
* Enter the first letter of your mother's first name.
   
 
 
 
* Enter the first letter of your mother's maiden name.
   
 
 
 
* Enter the first letter in the city of your birth.
   
 
 
 
* Enter the first letter in the state of your birth.
   
 
 
 
* Enter the four-digit year of your birth.
   
 
 
 
Since participating in the Transitions between Hospital and Nursing Home workshop in May, have you continued to work in a health care setting that services the geriatric population?
 
Yes
 
No
 
 
 
Have you used any of the information that you learned at the May 22 Transitions between Hospital and Nursing Home workshop in the following ways? (check all that apply)
 
For your own reference
 
Shared the information with others at work
 
To teach others
 
Any other way

 
 
 
Since taking the Transitions between Hospital and Nursing Home workshop, I have used the... (check all that apply)
 
SBAR Communication Form and Progress Note
 
Stop and Watch Early Warning Tool
 
Nursing Home to Hospital Transfer Form
 
Hospital to Post-Acute Care Transfer Form

 
 
 
In what ways has the workshop added value to your practices? (check all that apply)
 
I have been able to implement strategies transitions in care from hospitals to nursing homes.
 
I have been able to implement strategies transitions in care from nursing homes to hospitals.
 
I have been able to reduce miscommunications during transitions in care.
 
I have been able to improve the care I provide to my patients/clients.

 
 
 
Please provide at least one concrete example of how you have incorporated information from the workshop through your work practices.
   
 
 
What, if anything, do you need in order to make transitions between hospitals and nursing homes best practices an integral part of your workplace activities? Please use numbers 1-5 where 1 represents "Less Urgent" and 5 represents "More Urgent."
1 2 3 4 5 N/A
More training, personally, to understand effective transitions between hospitals and nursing homes.
Access to more resources.
Training for my coworkers.
Time set aside to work with coworkers to become skilled at using resources fro the workshop.
Support from management.
 
 
 
If you have faced any challenges while trying to implement effective transitions between hospitals and nursing homes in your workplace, please describe below.
   
 
 
 
If you have any suggestions regarding future workshops, please provide here: