TRAIN Participant Final Survey TRAIN Collaborative Participant Final Survey Participant Information Expect this survey to take approximately 15 minutes to complete. The information you provide will be used to improve future Ohio AAP programs. You may denote "N/A" if you do not have an answer for any question, and use estimates or your best knowledge if needed. An * indicates a required field. Please provide your practice name: * Please provide your first and last name: Please provide your email (to receive ABP attestation link): Are you seeking Maintenance of Certification credit for your participation? Yes No Please rate the frequency with which your practice does the following actions. Select a number from the scale below. 0 = Does not apply / do not wish to answer; 1 = Never; 2 = Rarely (at least once a month); 3 = Sometimes (at least once a week); 4 = Most of the time (almost every well visit) Screens infants for injury and abuse risks in any method (including formal screening tools, provider discussion, EMR reminder phrases, etc.) 0 1 2 3 4 Discusses injury and abuse prevention behaviors with families of infants 0 1 2 3 4 Performs complete physical exam on infants less than 6 months of age (including the components of face, neck, and torso) 0 1 2 3 4 Documents complete physical exam on infants less than 6 months of age (including the components of face, neck, and torso) 0 1 2 3 4 Uses ICD Codes to document infants with identified injuries 0 1 2 3 4 Provide psychosocial assessment to infants with identified injuries 0 1 2 3 4 Order skeletal survey for infants with identified injuries 0 1 2 3 4 Place consultative call to child abuse center and/or pediatrician for infants with identified injuries 0 1 2 3 4 Have discussion with families to access resources or referrals to prevent injuries and abuse (mental health resources, family counseling, etc.) 0 1 2 3 4 Provide a list of local resources to families with infants (whether injury identified or not) 0 1 2 3 4 Please rate your degree of confidence in your ability to do the following items. Select a number from the scale below. 0 = Does not apply/Do not wish to answer; 1 = Not at all confident; 2 = Somewhat Confident; 3 = Moderately Confident; 4 = Confident; 5 = Very Confident Provide resources or referrals for families with risks for injury or abuse 0 1 2 3 4 5 Discuss injury and abuse with families of infants 0 1 2 3 4 5 Identify sentinel injuries 0 1 2 3 4 5 Assess a family's risk for injury and abuse 0 1 2 3 4 5 Perform a complete physical exam on infants less than 6 months of age 0 1 2 3 4 5 Perform a psychosocial assessment for infants with identified injuries 0 1 2 3 4 5 Order skeletal surveys as appropriate 0 1 2 3 4 5 Connect with child abuse centers or pediatricians as needed 0 1 2 3 4 5 Use ICD Codes to document identified injuries 0 1 2 3 4 5 What was most helpful part of this project for improving your practice? Discussion Tools Data Collection Increased Knowledge/Education Networking OtherOther What are your sustainability plans (select all that apply)? Continue using the changes made during this project WITHOUT modification Continue using the changes made during this project WITH modifications Add portions of the project into EMR No plans to use ANY portion of the project in the future OtherOther In regards to the amount of injuries identified by your practice in this project, was the number of injuries: Lower than expected Higher than expected As expected OtherOther Compared to other practices in Ohio, do you feel your practice has: More sentinel injuries than average practices Less sentinel injuries than average practices About the same amount of sentinel injuries as average practices Unsure OtherOther What do you believe is the largest contributor to the number of injuries or lack of injuries identified in your practice? Is this impacted by factors such as demographics, parental education, provider actions, patients with injuries are taken to ER or do not attend visits, etc.? Do you believe all injuries that could have been identified during this project were? Why or why not? How did this project change the way you address risks for abuse in practice? What, if any, feedback did families provide on their experiences with this project? If you encountered barriers or challenges while implementing this project, what were they? How did you overcome them? Are there additional educational materials or resources you feel would improve this project for future waves? What are they? Please share if you have any additional feedback or comments. Submit If you are human, leave this field blank.
