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AIM/NICHQ Quality Improvement Community of Learning Cohort 2 Registration 2023 (May-August)

1. What is your full name? *This question is required.

2. What is your email address? *This question is required. This question requires a valid email address.

3. What organization do you represent? *This question is required.

4. What is your title or role at your organization? *This question is required.

5. Please identify your collaborative state, jurisdiction, or other geographic area. *This question is required.

6. What do you want to accomplish as a member of this Community of Learning? *This question is required.

7. What improvement approaches are most commonly used by you or those you collaborate with? *This question is required.

Lean
Six Sigma
FOCUS PDSA
The Model for Improvement
Other Please enter an 'other' value for this selection. * This question is required.
None
Unsure

8. Do you have a formal plan in place for supporting implementation and spread of the AIM patient safety bundles in your State? *This question is required.

9. Tell us about the level of engagement and willingness in your state or institution to work on the AIM patient safety bundles. If you are unsure, please write “unsure”. *This question is required.

10. Do you engage pregnant and postpartum people with lived experience in your quality improvement efforts?
*This question is required.

11. If yes, please explain your engagement of pregnant and postpartum people with lived experience. If no, please explain your barriers or challenges with engaging pregnant and postpartum people with lived experience. *This question is required.

12. Which of the AIM Patient Safety Bundles has your state implemented? *This question is required.

Obstetric Hemorrhage
Severe Hypertension in Pregnancy
Safe Reduction of Primary Cesarean Birth
Cardiac Conditions in Obstetrical Care
Care for Pregnant and Postpartum People with Substance Use Disorder
Postpartum Discharge Transition
Sepsis in Obstetric Care
None of the above
Unsure

13. Who are your community partners and to what extent are they involved in your quality improvement efforts? *This question is required.

14. Do you have access to internal quality improvement expertise or coaching? *This question is required.

15. Is there anything else that we haven’t asked you about that you would like to share? *This question is required.