MACHC Technical Assistance Survey - 2015 Question Title * 1. How satisfied are you with the following aspects of our services?1. Knowledge demonstrated by staff Extremely Dissatisfied Dissatisfied Satisfied Extremely Satisfied Not Sure Extremely Dissatisfied Dissatisfied Satisfied Extremely Satisfied Not Sure Comments: Question Title * 2. Responsiveness of staff to your needs Extremely Dissatisfied Dissatisfied Satisfied Extremely Satisfied Not Sure Extremely Dissatisfied Dissatisfied Satisfied Extremely Satisfied Not Sure Comments: Question Title * 3. Usefulness of Information/assistance provided Extremely Dissatisfied Dissatisfied Satisfied Extremely Satisfied Not Sure Extremely Dissatisfied Dissatisfied Satisfied Extremely Satisfied Not Sure Comments: Question Title * 4. Overall quality of the services provided Extremely Dissatisfied Dissatisfied Satisfied Extremely Satisfied Not Sure Extremely Dissatisfied Dissatisfied Satisfied Extremely Satisfied Not Sure Comments: Question Title * 5. How can we improve our service delivery to you?. Question Title * 6. What topic or skill area was addressed by the training and/or technical assistance we provided? (i.e. diabete management, quality improvement, EMR, OSZV, PCMH) Question Title * 7. To what degree to you feel you have improved your knowledge or skills as a result of your work with us? Complete one line for each topic or skill area addressed by the training and/or technical assistance provided. (i.e. diabetes management, quality improvement, EMR, OSV, PCMH) No Improvement Minimal Improvement Moderate Improvement Large Improvement Not Sure Diabetes Management Diabetes Management No Improvement Diabetes Management Minimal Improvement Diabetes Management Moderate Improvement Diabetes Management Large Improvement Diabetes Management Not Sure Quality Improvement Quality Improvement No Improvement Quality Improvement Minimal Improvement Quality Improvement Moderate Improvement Quality Improvement Large Improvement Quality Improvement Not Sure EMR EMR No Improvement EMR Minimal Improvement EMR Moderate Improvement EMR Large Improvement EMR Not Sure OSV OSV No Improvement OSV Minimal Improvement OSV Moderate Improvement OSV Large Improvement OSV Not Sure PCMH PCMH No Improvement PCMH Minimal Improvement PCMH Moderate Improvement PCMH Large Improvement PCMH Not Sure Other (please specify): Question Title * 8. To what degree do you feel your organization has improved your knowledge or skills as a result of your work with us? Complete one line for each topic or skill area addressed by the training and/or technical assistance provided. (i.e. diabetes management, quality improvement, EMR, OSV, PCMH) No Improvement Minimal Improvement Moderate Improvement Large Improvement Not Sure Diabetes Management Diabetes Management No Improvement Diabetes Management Minimal Improvement Diabetes Management Moderate Improvement Diabetes Management Large Improvement Diabetes Management Not Sure Quality Improvement Quality Improvement No Improvement Quality Improvement Minimal Improvement Quality Improvement Moderate Improvement Quality Improvement Large Improvement Quality Improvement Not Sure EMR EMR No Improvement EMR Minimal Improvement EMR Moderate Improvement EMR Large Improvement EMR Not Sure OSV OSV No Improvement OSV Minimal Improvement OSV Moderate Improvement OSV Large Improvement OSV Not Sure PCMH PCMH No Improvement PCMH Minimal Improvement PCMH Moderate Improvement PCMH Large Improvement PCMH Not Sure Other (please specify): Question Title * 9. To what degree do you feel your organization has improved its capacity in the following areas as a result of your work with us? Complete one line for each topic or skill area addressed by the training and/or technical assistance provided. (i.e. diabetes management, quality improvement, EMR, OSV, PCMH) No Improvement Minimal Improvement Moderate Improvement Large Improvement Not Sure Diabetes Management Diabetes Management No Improvement Diabetes Management Minimal Improvement Diabetes Management Moderate Improvement Diabetes Management Large Improvement Diabetes Management Not Sure Quality Improvement Quality Improvement No Improvement Quality Improvement Minimal Improvement Quality Improvement Moderate Improvement Quality Improvement Large Improvement Quality Improvement Not Sure EMR EMR No Improvement EMR Minimal Improvement EMR Moderate Improvement EMR Large Improvement EMR Not Sure OSV OSV No Improvement OSV Minimal Improvement OSV Moderate Improvement OSV Large Improvement OSV Not Sure PCMH PCMH No Improvement PCMH Minimal Improvement PCMH Moderate Improvement PCMH Large Improvement PCMH Not Sure Other (please specify): Question Title * 10. What do you feel is the most valuable result of your work with us? Question Title * 11. What additional technical assistance or trainings do you think would help or enhance your organization right now? Question Title * 12. Please provide any other comments, questions or concerns. Submit response