Resources for Public Health Professionals
Project Evaluation Tools
- Individual Clinic Assessment
- Staff/Provider Survey
- Chart Audit Tool (Excel) - Right click and select SAVE AS to download the spreadsheet. See instruction for the Chart Audit Tool.
- Patient Waiting Room Survey - Referrals English Spanish
- Focus Group Questions and Informed Consent -Referrals
Clinic Agreement - Best Practices
Clinic Agreement - Referral Network
Project Evaluation Tools
- Individual Clinic Assessment (pdf)
- Staff/Provider Survey (pdf)
- Chart Audit Tool (Excel) - (Right click and select SAVE AS to download spreadsheet), instructions (pdf)
- Patient Waiting Room Survey - Referrals English Spanish (pdf)
- Focus Group Questions and Informed Consent - Referrals
Quality Improvement Tools
- MHD QI Monthly Report Template
- MHD PDSA Storyboard Template
- MHD PDSA Worksheet
- Pre Practice Assessment Instrument(source: Prescription for Health, a program of the Robert Wood Johnson Foundation)
- Post Practice Assessment Instrument(source: Prescription for Health, a program of the Robert Wood Johnson Foundation)
- Minneapolis SHIP Resource & Referral Network Clinic Action Plan
Accommodations
Should you require a reasonable accommodation in order to fully participate, or information in an alternative format, please contact 612-673-2301.
Para asistencia 612-673-2700 - Rau kev pab 612-673-2800 - Hadii aad Caawimaad u baahantahay 612-673-3500.
Last updated Aug 20, 2018
