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* 1. Name

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* 2. Degree/Credentials

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* 3. Which continuing education credits are you requesting?

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* 4. Email

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* 5. Did the presentations have commercial bias?

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* 6. How satisfied were you with this learning collaborative session?

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* 7. Was this learning collaborative session a good use of your time?

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* 8. Did this learning collaborative session help you identify strategies to work towards the goals of the program?

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* 9. How could we have made the session more effective for you? Or what suggestions do you have for the future learning collaborative sessions?

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* 10. In regard to presenters, please rate them by placing a check in the appropriate box:

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Quality of presenters
Presenters’ knowledge of subject matter
Usefulness of Educational Material
Effectiveness of teaching method

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* 11. Please rate how well you are able to meet the following objectives:

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Describe the Change Package and Next Steps for the PA PQC's Moving on Maternal Depression (MOMD) initiative
Describe how to incorporate depression screening and follow-up services in prenatal and postpartum office visit workflows
Discuss examples of how birth hospitals are responding to implicit bias
Describe how to incorporate standard work and root cause analyses into your approach to quality improvement in the PA PQC
Discuss example of how birth hospitals and NICUs have adopted PA PQC key interventions for maternal OUD or NAS
Describe the logistical challenges to offering immediate postpartum LARC and examples for how to break through each challenge

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