Engaging with PAC3 Survey

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* 1. Name

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* 2. Email

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* 3. Name of Organization

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* 4. Professional Degree

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* 5. How did you hear about PAC³?

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* 6. Are you a new center interested in joining PAC³?

Yes

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* 7. PAC³ has multiple committees which you can learn about on our website under About > Committees. Would you be interested in receiving invitations to any of the following committee meetings?

Database Committee

Education and Outreach Committee

PAC3/PC4 Joint Equity, Diversity, and Inclusion Committee (JEDI)

Patient & Family Action Committee

Quality Improvement Committee

Scientific Review Committee

Specialized ACCU Pharmacists

PAC3 Conference Planning Committee (for Fall and Spring conferences)

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* 8. Our committees also have a number of workgroups currently working on various projects. Please indicate if you would like to join any of these workgroups:

Database - Audit Workgroup

Database - Data Analytics Workgroup

EOC - APP Education Project

JEDI - EDI Champions

JEDI - EDI Webinar Series

JEDI - Language Access Project

JEDI - Underrepresented in Medicine (URiM) Outreach

SRC - Feeding Workgroup

SRC - Knock Out NEC Workgroup

SRC - Hospital Readmissions Workgroup

SRC - Length of Stay Project (Future Project)

Engaging with PAC3

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* 1. Name

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* 2. Email

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* 3. Name of Organization

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* 4. Professional Degree

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* 5. How did you hear about PAC3?

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* 6. Are you a new center interested in joining PAC3?

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* 7. PAC3 has multiple committees which you can learn about on our website under About > Committees. Would you be interested in receiving invitations to any of the following committee meetings?

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* 8. Our committees also have a number of workgroups currently working on various projects. Please indicate if you would like to join any of these workgroups:

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* 9. Other comments/questions?

* 5. How did you hear about PAC³?

* 6. Are you a new center interested in joining PAC³?

* 7. PAC³ has multiple committees which you can learn about on our website under About > Committees. Would you be interested in receiving invitations to any of the following committee meetings?