Form 0920-23FZ Attachment 1D-Public Health Program Impact of Training

Form Approved

OMB Number: XXXX-XXXX

Expiration Date: XX/XX/XXXX

Training Evaluation: Healthcare Outbreak Prevention and Response Curriculum for Public Health Departments

Data collection instrument: Public Health Program Impact of Trainings

Data Elements

Outbreak Response Training Did anyone from your program participate in CDC Healthcare Outbreak Response Training Course? ​​☐​ Yes ​​☐​ No ​​☐​ Unsure If yes, How helpful was this training course in increasing your staffs’ knowledge on how to conduct HAI/AR response and prevention activities? 3. Did this training course provide training resources that reduced burden on you or your program staff? 4. How could this training be improved to make it a more effective learning experience for your staff? 5. What part of this course was most helpful for your HAI/AR Program? Outbreak Response Training – Case-study/Tabletop Exercise Did anyone from your program participate in the CDC Healthcare Outbreak Response Case-study Tabletop Series? ​​☐​ Yes ​​☐​ No ​​☐​ Unsure If yes, Which tabletop exercise(s)? How helpful was the tabletop exercise(s) in increasing your program’s workforce capacity to conduct HAI/AR response and prevention activities? 9. Did the tabletop exercise(s) provide training resources that reduced burden on you or your program staff? 10. How could the tabletop exercise(s) be improved to make it a more effective learning experience for your staff? 11. What part of the tabletop exercise(s) was most helpful for your HAI/AR Program? 12. Has your HAI/R program utilized the CDC Healthcare Outbreak Response Case-study materials for internal or external training activities? If yes, 13. Which materials has your HAI/AR program utilized for internal or external training activities? 14. For whom did your program facilitate the Outbreak Response Training – Case-study (check all that apply)? ​​☐​ Regional HAI/AR Staff ​​ ☐​ Local Health Department Staff ​​☐​ Other (please specify) Healthcare Infection Prevention and Control (IPC): Foundational Training 15. Did anyone from your program participate in CDC Healthcare IPC: Foundational Training for HAI/AR Programs course? 16. How helpful was this training course in increasing your staffs’ knowledge of foundational IPC practices? 17. Did this training course provide training resources that reduced burden on you or your program staff? 18. How could this training be improved to make it a more effective learning experience for your staff? 19. What part of this course was most helpful for your HAI/AR Program?