EASE Online – Registration

Thank you for your interest in registering for the Education and Sleep Environment (EASE) Project for hospitals. Please complete the information below pertaining to your hospital and your team for registration into the project. Following receipt of your registration, you will receive access to the materials for data collection, quality improvement, and education as part of the project.

Please note: If you do not have all of the requested information currently at your disposal, you may still complete the registration form. Should you have any questions regarding EASE, please contact Hayley Southworth at (614) 846-6258 or via email at hsouthworth@ohioaap.org.

EASE Project Leader for your Institution

First
Last

EASE Project Core QI Team

The EASE project can be completed by one hospitalist; a supporting QI team aids in success; this team is usually comprised of a physician leader, hospital administrative leader (such as GR staff), and QI staff member. Other team members (such as nursing leadership, child life specialists, etc) are encouraged. Please complete the information below for all additional team members participating in the project.

EASE Project Core QI Team - Additional Team Member #1

First
Last
Physician, Hospital Administrator, QI Staff, Nurse, MA, etc.

EASE Project Core QI Team - Additional Team Member #2

First
Last
Physician, Hospital Administrator, QI Staff, Nurse, MA, etc.

EASE Project Core QI Team - Additional Team Member #3

First
Last
Physician, Hospital Administrator, QI Staff, Nurse, MA, etc.

EASE Project Core QI Team - Additional Team Member #4

First
Last
Physician, Hospital Administrator, QI Staff, Nurse, MA, etc.

EASE Project Core QI Team - Additional Team Member #5

First
Last
Physician, Hospital Administrator, QI Staff, Nurse, MA, etc.

Hospital Information

Project Requirements

- Implementing a hospitalist based quality improvement project, which includes collecting and sharing data
- Collecting data 3 times as required in the project timeline
- Submitting PDSA Worksheets 3 times as required in the project timeline
- Acknowledging that the tools from the Ohio AAP and activities of the project will not be spread or conducted without our knowledge and permission