FIELD NOTE (Colorado)

Facilitators, HEROs, Regional Health Connectors, and CHITAs complete regular field notes. We want to hear about what could affect (positively and negatively) the practice's improvement work on cardiovascular disease care.

Complete a new field note after each substantive contact with a practice, such as planned meetings and conference calls. A brief field note should also be completed if a meeting was canceled or missed. NOTE: All items on the form are required. Please give the best answer you can.

The field note answers three basic questions:

(1) What did you do at this visit? (activities, resources, tools, training)

(2) What's next? (plans and responsibilities for follow up, including the next visit or contact)

(3) What other essential information do we need to know? (key "takeaways" and assessment of engagement and teamness)

Thank you.

Loading... Loading...
You have selected an option that triggers this survey to end right now. To save your responses and end the survey, click the button below to do so. If you have selected the wrong option by accident and do not wish to leave the survey, you may click the other button below to continue, which will also remove the value of the option you just selected to allow you to enter it again and continue the survey.
The response has now been removed for the last question for which you selected a value. You may now enter a new response for that question and continue the survey.