FMDA Quality Advocacy Coalition Strategic Forum:Thursday, Oct. 12, 2017 Disney's Grand Floridian Resort

FMDA's Quality Advocacy Coalition

Stakeholder's Best Practices Roundtable – Reducing Avoidable Hospital Readmissions Statewide, Tuesday, April 17, 2018
A. Full Name*

PrefixFirst NameLast Name
Credentials
Organization
Position Title
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
B. Do you work in a clinical setting?

YesNo
If yes, what is the site of service? If no, what type of setting?
C. In an effort to reduce Avoidable Hospital Re-admissions, how have you or your organization effected positive change?
D. Do you have topic-specific (see G.) successes you would like to present at the meeting (5-10 minutes)?
E. What strategies have been successful for your organization?
F. Focused topics to be discussed include Advance Care Planning, Technology and Sharing Clinical Information, and Medication Safety on Transition: An emphasis on medication errors of omission and commission and what meds/med combos are high on the readmission-o-meter.
G. Of these three topics, which afternoon work group would you like to participate in?

Advance Care PlanningSharing Clinical InformationMedication Safety on Transition
H. Are you willing to serve on a subcommittee?
Thank you for registering! We look forward to seeing you there.
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FMDA's Quality Advocacy Coalition