Measurement & PDSA Cycles:
Individual Measurement Worksheet Sample – Complete this worksheet for each potential measure to plan data collection and to assist in determining its feasibility and link to the project’s Aim.
Individual Measurement Worksheet – Complete this worksheet for each potential measure to plan data collection and to assist in determining its feasibility and link to the project’s Aim.
Measurement Plan Template – Table template
Human Centered Design:
Baseline Facility Surveys:
Click below for different survey resources:
1) Assessing Your Practice – provided by the DATA team, Abt Associates. This is a large pdf file, but we thought that in particular pages 2-4, 7-8, 13-16, 19-21, 24-28, 34 may be helpful to your team.
2) PCHHC Pilot Practice Survey – this was piloted by Dr. Frayne when he was working with the Magnolia Clinic in Florida. This pre-intervention practice survey gathers information about the practice itself, but also about some current preconception risk screening activities.
3) Cross-Functional Flowchart & Matrix Templates – These have been used extensively in primary care and OB settings to document patient flow and roles & responsibilities of staff. Also attached is an example documenting tobacco cessation screening and cessation counseling in a clinic. – click here to view a sample completed Flowchart & Matrix Template.
Click here to view Consumer Screening Tools & Well Woman Resources
HRSA MCHB IM CoIIN Portal can be accessed here.