Improving Patient Safety System Implementation for Patients with Limited English Proficiency

OMB 0935-0178

Latest Forms, Documents, and Supporting Material

Document Name
Form Form #11 Semi-Structured Site visit interview Form and Instruction
Form Form #10 Semi-Structured Follow-up interview Form and Instruction
Form Form #9 Patient Outcome Survey Form and Instruction
Form Form #8 Post-training Behavior Survey Form and Instruction
Form Form #7 Pre-Training Behavior Survey Form and Instruction
Form Form #6 Learning Outcomes Survey Form and Instruction
Form Form #5 Training Participant Satisfaction Survey Form and Instruction
Form Form #4 Staff Training Form and Instruction
Form Form #3 Master Trainer Training Form and Instruction
Form Form #2 Pre-Work for Master-Training Form and Instruction
Form Form #1 Readiness Assessment Survey Form and Instruction
Supporting Statement Part B -- Improving Patient Safety System Implementation for Patients with LEP 5 10 11.docx Supporting Statement B
Attachment M -- Federal Register Notice.pdf Supplementary Document
Attachment A -- Healthcare Research and Quality Act of 1999.pdf Supplementary Document
Supporting Statement Part A -- Improving Patient Safety System Implementation for Patients with LEP 5-6-11.doc Supporting Statement A
Semi-Structured Site visit interview Form and Instruction
Semi-Structured Follow-up interview Form and Instruction
Patient Outcome Survey Form and Instruction
Post-training Behavior Survey Form and Instruction
Pre-Training Behavior Survey Form and Instruction
Learning Outcomes Survey Form and Instruction
Training Participant Satisfaction Survey Form and Instruction
Staff Training Form and Instruction
Master Trainer Training Form and Instruction
Pre-Work for Master-Training Form and Instruction
Readiness Assessment Survey Form and Instruction