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I-PASS Implementation - Secondary Assessment (Coverys)

Thank you for expressing interest in implementing the I-PASS handoff methodology at your organization, in partnership with Coverys and the I-PASS Institute. Please respond to the questions below, providing as much context in the free text responses to support your answers as possible. This survey should take 25-30 minutes to complete. Responses are confidential and will be used for evaluation purposes only.
You will be asked to respond to a series of statements across five categories. It may be necessary to gather input from other leaders and subject-matter experts in your organization before submitting your responses. Please note that you may save responses and continue within 30 days using the button at the end of the survey.

Respondent Contact Information

Please complete the fields below before beginning this survey.
Name of Respondent(Required)
How would you describe your institution?(Required)
Did other individuals contribute to the responses in this survey?(Required)
If other individuals contributed to the responses submitted in this assessment, please list their names with titles in parentheses. Example: John Smith (CEO)

Current State of Handoffs & Patient Safety

Strongly disagreeDisagreeNeutralAgreeStrongly agreeUnknown
My organization has institution-wide or system-wide requirements for handoff training.
My organization conducts regular auditing of handoff workflows and assesses the content and quality of the handoff.
My organization reinforces structured handoff communication as part of annual reviews.
Please use this section to expand on your responses to the above statements relative to the current state of handoffs at your organization.

Quality Improvement (QI) Environment & Team Structure

Strongly disagreeDisagreeNeutralAgreeStrongly agreeUnknown
Please respond select a response to each statement provided.
Strongly disagreeDisagreeNeutralAgreeStrongly agreeUnknown
A long relationship with or within the organization
Professional and effective relationships with stakeholders at all levels within the organization
Experience with implementing large-scale QI or patient safety initiatives
Please respond select a response to each statement provided.
Strongly disagreeDisagreeNeutralAgreeStrongly agreeUnknown
Presence of support from mid-level leadership
Support/buy-in from clinical staff: Physicians (Attendings, faculty, residents); Advanced Practice Providers (NPs, PAs); Nurses
FTE support for project team roles: Site Lead, Project Manager/Coordinator, Training Champion, IT Champion, Data Champion, Campaign Champion
Internal competency for implementing QI processes & methodologies (data collection, reporting to stakeholders, etc.)
Please respond select a response to each statement provided.
Strongly disagreeDisagreeNeutralAgreeStrongly agreeUnknown
Lack of support from mid-level leadership
Lack of support/buy-in from clinical staff: Physicians (Attendings, faculty, residents); Advanced Practice Providers (NPs, PAs); Nurses
Lack of FTE support for project team roles: Site Lead, Project Manager/Coordinator, Training Champion, IT Champion, Data Champion, Campaign Champion
Lack of internal competency for implementing QI processes & methodologies (data collection, reporting to stakeholders, etc.)
Please respond select a response to each statement provided.
Please use this section to expand on your responses to the above statements relative to the QI environment at your organization.

Organizational Context

Strongly disagreeDisagreeNeutralAgreeStrongly agreeUnknown
My organization has few or no competing initiatives with I-PASS that would place stress or strain on the implementation.
My organization has few or no staffing concerns emerging from the COVID-19 pandemic.
My organization has not recently demonstrated a trend of compliance issues relative to handoff communication and patient safety.
My organization has no upcoming accreditation concerns (Magnet, ACGME CLER visit, Joint Commission, etc.)
Please respond to the statements below regarding the organizational context of your institution with respect to handoff communication.
Please use this section to expand on your responses to the above statements relative to your organizational context.

Technology Solutions for Handoff Communication

Strongly disagreeDisagreeNeutralAgreeStrongly agreeUnknown
My organization's EMR handoff tools can be easily customized to the content needs of each care area and clinician type.
My organization has standard HL7 interfaces for demographic and clinical data built for our EMR/EHR that can interface with I-PASS.
Testing environments at my organization are aligned with the production environment (version control, customizations, builds and integration).
Strongly disagreeDisagreeNeutralAgreeStrongly agreeUnknown
Server: Analyst and engineer(s)
Network: Connectivity, VPN, Provide IP addresses/ports, endpoints
Security: Access and risk management
User Authentication: Can provide standards and resources for SSO
HL7: Integration domain specialist (ADT, orders, results, meds, care teams)(system owners/application analysts)
Governance: Management and adherence to policies
Database: Development, Testing, Production
User Acceptance Testing Resources: Testing for clinical and technical use cases
Support: Provide support during implementation and post-implementation (point of contact for I-PASS for issue reporting, triage, and resolution)
Please use this section to expand on your responses to the above statements relative to your organization's technology solutions for handoff communication.

Overall Safety Goals & Organizational Strategy

Strongly disagreeDisagreeNeutralAgreeStrongly agreeUnknown
My organization has an intended strategy for the timeline of I-PASS implementation.
My organization has other priorities or initiatives that are being pursued or implemented and would be synergistic to I-PASS implementation
Please use this section to expand on your responses to the above statements relative to your organization's overall safety goals.