HEF

Health Department Performance Measure Form

Organization(Required)

Contact Name(Required)

First Last

Contact Email(Required)

How many of these pre-identified critical required PERSONNELL category types were met by your facility to manage patient surge?

Critical Care Physicians(Required)

Critical Care Nurses(Required)

Advanced Practice Nurses(Required)

Physicians Assistants(Required)

Respiratory Therapists(Required)

Pharmacists(Required)

Dieticians, Physiotherapists, and Occupational Therapists(Required)

Mental Health Clinicians, Social Workers, Chaplaincy, and Clinical Ethicists(Required)

Trauma, Emergency Department, and Perioperative Services(Required)

Pediatrics, Neonatal, and Obstetric Services(Required)

Laboratory and Diagnostic Imaging Services(Required)

Environmental Services Staff(Required)

Clinical Supply Staff(Required)

Sterile Processing Technicians(Required)

Facilities and Information Technology(Required)

Security(Required)

Admin and Finance(Required)

Other personnel (describe below)(Required)

Other personnel

CAPTCHA