0920-1282 Form 4 - HAI/AR Performance Measures (SHARP Project V; P

HAI/AR Performance Measures (SHARP Project V; Project Firstline), 2022-2023
Page 1

PFL PM1 Number And Types Of Staff
Jurisdiction

__________________________________

Today's Date
__________________________________
Does your program have a PFL Lead?
Yes
No
Have you updated the Staffing Directory with the required information?
Yes
No
Please make sure to update the Staffing Directory with the Project Firstline Lead.
Please be sure to update the Staffing Directory when a Project Firstline Lead is identified.
Please provide a status update or challenges encountered in identifying or hiring a lead.

Q1. Have you used a Third-party vendor to support Project Firstline? Third-party vendors are considered any
organizations contracted to complete a specific deliverable.
Yes
No
Q1a. Please specify the third-party vendor(s) you used
to support Project Firstline?

Academic institution
Nonprofit organization (non-academic)
Communications vendor
IT vendor
Professional association
Other third-party vendor

Academic Institution(s)
Q1a(i). Name of the academic institution (specify all
if more than one academic institution used):

Q1a(ii). Briefly describe the role of the academic
institution(s) in supporting Project Firstline's
training activities:

10/06/2022 9:25am

__________________________________________

__________________________________________

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Nonprofit organization(s) - (non-academic)
Q1a(iii). Name of the Nonprofit organization(s)
(non-academic) (specify all if more than one Nonprofit
organization used):

__________________________________________

Q1a(iv). Briefly describe the role of the Nonprofit
organization(s) in supporting Project Firstline's
training activities:

__________________________________________

Communications Vendor(s)
Q1a(v). Name of the communications vendor(s) (specify
all if more than one communications vendor used):

Q1a(vi). Briefly describe the role of the
communications vendor(s) in supporting Project
Firstline's training activities:

__________________________________________

__________________________________________

IT Vendor(s)
Q1a(vii). Name of the IT vendor (specify all if more
than one IT vendor used):

Q1a(viii). Briefly describe the role of the IT
vendor(s) in supporting Project Firstline's training
activities:

__________________________________________

__________________________________________

Professional Association(s)
Q1a(ix). Name of the professional association(s)
(specify all if more than one communications vendor
used):

__________________________________________

Q1a(x). Briefly describe the role of the professional
association(s) in supporting Project Firstline's
training activities:

__________________________________________

Other third-party vendor(s)
Q1a(xi). Please specify other third party vendor(s)
used to support Project Firstline:

Q1a(xii). Briefly describe the role of the other third
party vendors(s) in supporting Project Firstline's
training activities:

10/06/2022 9:25am

__________________________________________

__________________________________________

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Please identify any entity(ies) you have partnered with to accomplish PFL activities during this budget period. This
would include any organizations you worked with outside of a formal contract or funding agreement. (Select all that
apply)
Local or District/Regional Health Department(s)
Academic partner (e.g., university, community college, etc.)
Local hospital association
Health system
Local Healthcare Organization/Chapters of professional associations/state professional societies
Other
Please specify the 'Other' entity PFL partnered with to accomplish activities.
__________________________________
Please specify what type of organization '[pfl_partner_other]' is.
__________________________________
Total number of the following entity supporting your Project Firstline efforts during this budget period How many of
the total number were newly engaged during this budget period? How did this/these entity/ies support Project
Firstline efforts? (Select all that apply)
Local or District/Regional Health Department(s) ______ ______ ______
______
Total number of the following entity supporting your Project Firstline efforts during this budget period How many of
the total number were newly engaged during this budget period? How did this/these entity/ies support Project
Firstline efforts? (Select all that apply)
Academic partner (e.g., university, community college, etc.) ______ ______ ______
______
Total number of the following entity supporting your Project Firstline efforts during this budget period How many of
the total number were newly engaged during this budget period? How did this/these entity/ies support Project
Firstline efforts? (Select all that apply)
Local hospital association ______ ______ ______
______
Total number of the following entity supporting your Project Firstline efforts during this budget period How many of
the total number were newly engaged during this budget period? How did this/these entity/ies support Project
Firstline efforts? (Select all that apply)
Health System ______ ______ ______
______
Total number of the following entity supporting your Project Firstline efforts during this budget period How many of
the total number were newly engaged during this budget period? How did this/these entity/ies support Project
Firstline efforts? (Select all that apply)
Local Healthcare Organization/Chapters of professional associations/state professional societies ______ ______ ______
______
Total number of the following entity supporting your Project Firstline efforts during this budget period How many of
the total number were newly engaged during this budget period? How did this/these entity/ies support Project
Firstline efforts? (Select all that apply)
[pfl_partner_other] ______ ______ ______
______

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Were your PFL efforts supported by any other entities not included above?
Yes
No
Please specify the type of organization and support provided by this organization.

10/06/2022 9:25am

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HAI/AR Performance Measures (SHARP Project V; Project Firstline), 2022-2023
Page 5

PFL PM2 August 2022 to December 2022

PFL Measure 2: Number and characteristics of individuals trained, by training opportunity
(funded by Project Firstline)
One form should be completed for EACH training (i.e., this form will only ask about the details
of a single training. Please fill out another form to report on an additional training).
Information about training format and content, audience, and evaluation will be collected.
To add a new training event in REDCap click "Save and Add New Instance."
Note: Since Project Firstline allows for tailored approaches to training, we acknowledge the
types of training implemented in each jurisdiction will vary. Please include BOTH longer
training events and shorter training events (e.g., webinars or teleconference calls;
intentionally adding Project Firstline training infusions to existing meetings or site visits). For
events that span more than one day or more than one session, if the participant group largely
comprises a consistent group of people in each day or session, report this grouping of
trainings as a single, cumulative training event.
Did your health department hold one or more PFL
training events in the reporting period (August 1December 31, 2022)?

Yes
No

Training Event Characteristics
Date of training event (If it's a multi-day training,
input the start date):
Who conducted the training?

Please specify the Grantee or Designee

Type of training event:

Please give a brief description of the event
(e.g. train-the-trainer series that spanned across
multiple dates; interactive webinar with facilitated
discussion; live Q&A session reposted for asynchronous
viewing afterwards)

10/06/2022 9:25am

__________________________________
ELC-funded Health Department
Grantee or Designee

__________________________________
Train the trainer (i.e. training individuals who
will then turn around and train batches of people
within an organization. The primary purpose of the
training should be to formally prepare individuals
to be trainers for future training sessions.)
Direct training of healthcare personnel or public
health staff

__________________________________

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How did you use data to inform this training event?
(Select all that apply)
(Examples of data sources may include: your learning
needs assessment, outbreak data, NHSN, a state agency
survey, etc.)

To identify topic for training
To define the intended audience/setting for the
training
To understand/address specific learning needs of
the intended audience
To adapt training content
To understand how best to disseminate/publicize
the training event
Data was not used
Other

Please specify how data was used to inform this
training.

__________________________________

Please feel free to elaborate on your response about
how data was used to inform this training event.

__________________________________

Please select the data source(s) used to inform this
training event: (Select all that apply)

Please describe any other data source used to inform
this training event.
Infection control topics covered in the training event
(select all that apply):

Please specify other topics covered

Total length of training in hours.
For short trainings, you may use decimals/fractions
(e.g. 30 min = 0.5 hours; 15 min = 0.25 hours; 5 min =
0.08 hours):
Training delivery methods used:

Please specify other delivery methods utilized

10/06/2022 9:25am

NHSN data
Our jurisdiction's learning needs assessment
Outbreak data
State agency survey
Other

__________________________________
Crisis Standards of Care
Engineering Controls
Environmental Infection Control
Goal of Infection Control
Hand Hygiene
Microbiology Basics
PPE
SARS CoV-2 variants and mutations
Triage and Screening
Source Control
Spread of Infections
Vaccination and Injection Safety
Other topics covered

__________________________________

__________________________________
(Please estimate if you do not know the exact
number of hours administered)
Live event only
Live event, recorded, and then posted for later
viewing
Asynchronous only event (e.g., self-paced video
viewing on LMS, social media, or website)
Other delivery method

__________________________________

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Was this a one-time event or a series?
(Consider your event a series if the event spans more
than one day or session, and the same group of people,
more or less, were intentionally invited to attend the
various sessions in the series. If the trainings were
separately planned and the same people happened to
show up, this would not be considered a series.)

One-time event
Series

Which language was used in the training event? (Select
all that apply)

English
Spanish
Other

Please specify other language used:

__________________________________

Did you use Project Firstline materials developed by
the CDC in this training or to guide training session
development? (e.g., PFL training videos, PFL
facilitator's toolkit).

Yes
No

Please indicate the material(s) used:

PFL Facilitator Toolkit Guide
PFL Participant Booklet
Session Feedback Form
Facilitator Self-Assessment Form
Other

Please describe the other training materials used.

Did you use non-Project Firstline materials in this
training or to guide training session development?
Please list material(s) used:

Please describe what training materials your
jurisdiction used:

__________________________________
Yes
No

__________________________________

__________________________________

Participants
What was the total attendance at the event?

10/06/2022 9:25am

__________________________________
(Please estimate if you do not know the exact
number in attendance)

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Indicate professional roles in attendance, specifying
number in attendance for each role.

Total number of physicians in attendance

Total number of physician assistants in attendance

Total number of advanced practice nurses in attendance

Total number of registered nurses (RN) in attendance

Total number of licensed practical nurses (LPN) in
attendance

Total number of nursing/medical assistants in
attendance

10/06/2022 9:25am

Physician
Physician assistant
Advanced practice nurse (e.g., nurse practitioner)
Registered nurse (RN)
Licensed practical nurse (LPN)
Nursing/medical assistant
Dentist/Dental Hygienist
Technician (e.g., radiology, surgical, pharmacy,
etc.)
Therapist (e.g., physical, occupational,
respiratory, etc.)
Pharmacist
Environmental/facility services (e.g., EVS staff,
facility managers, facility engineers)
Social services and community services (e.g.,
social workers, community health workers,
residential/outpatient mental health treatment
staff)
Healthcare administrator (e.g., clinic or hospital
directors, CEOs)
Non-clinical support staff (e.g., HR personnel,
marketing/communications staff, quality/patient
safety staff, clerical staff)
Emergency medical technician/paramedic
Laboratory staff
Public health professional
Other professional role
(If you do not know the exact attendance by role,
please estimate.)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

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Total number of dentists/dental hygienists in
attendance

Total number of technicians (e.g., radiology,
surgical, pharmacy, etc.) in attendance

Total number of therapists (e.g., physical,
occupational, respiratory, etc.) in attendance

Total number of pharmacists in attendance

Total number of environmental/facility service
professionals in attendance

Total number of social and community service
professionals in attendance

Total number of healthcare administrators in
attendance

Total number of non-clinical support staff in
attendance

Total number of emergency medical technician/paramedic
in attendance

Total number of laboratory staff in attendance

Type of public health professionals in attendance

10/06/2022 9:25am

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)
Communications Specialist
Epidemiologist
HAI/AR Program Coordinator
Health Educator
Infection Preventionist
Public Health Nurse
Other public health professional

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Total number of public health professionals in
attendance

__________________________________
(Please estimate if you do not know the exact
number in attendance)

Please specify the other professional roles in
attendance

__________________________________

Please specify the other type of public health
professionals in attendance

__________________________________

Total number of other professional roles in attendance

Indicate workplace settings represented by training
attendees, specifying number of individuals in
attendance representing each workplace setting.
For example, if 4 physicians from an acute care
hospital setting are in attendance, enter "4" for this
category. If you do not know the exact attendance by
setting, please estimate.

Total number of individuals in attendance from acute
care hospitals:

Total number of individuals in attendance from
critical access hospitals:

Total number of individuals in attendance from
long-term acute care hospital or inpatient
rehabilitation facilities:

Total number of individuals in attendance from skilled
nursing facilities (nursing homes):

Total number of individuals in attendance from
assisted living facilities:

10/06/2022 9:25am

__________________________________
(Please estimate if you do not know the exact
number in attendance)
Acute care hospital
Critical access hospital
Long-term acute care hospital or inpatient
rehabilitation facility
Skilled nursing facility (nursing home)
Assisted living facility
Pharmacy
Dental facility
Home health
Health department
Outpatient dialysis facility
Outpatient/ambulatory care (e.g., medical,
surgical, behavioral health clinic)
Other setting type

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

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Total number of individuals in attendance from
pharmacies:

Total number of individuals in attendance from dental
facilities:

Total number of individuals in attendance from home
health facilities:

Please specify the type of individuals in attendance
from health department(s):

Total number of individuals in attendance from state
health departments:

Total number of individuals in attendance from
territorial health departments:

Total number of individuals in attendance from local
health departments:

Total number of individuals in attendance from tribal
health departments:

Total number of individuals in attendance from
outpatient dialysis facilities:

Total number of individuals in attendance from
outpatient/ambulatory care facilities:

Please specify the type of outpatient/ambulatory
facilities represented by training attendees
Total number of individuals in attendance from other
setting types:

10/06/2022 9:25am

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)
State health department
Territorial health department
Local health department
Tribal health department

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________

__________________________________
(Please estimate if you do not know the exact
number in attendance)

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Please specify the other setting types represented by
training attendees

__________________________________

Outcomes
Please fill out the following information about participants' change in knowledge, recommendation of the training,
and intent to implement information following the training.
Note: We recognize that your post-training evaluation questions may have asked about the following information
using different language and/or response options. Please enter information about change in knowledge, intent to
implement training information, and training recommendation to the best of your ability. Use the following examples
on how to recode your data, if necessary.
EX1: Likert scale of 'strongly disagree' to 'strongly agree' --> 'strongly disagree' and 'disagree' should be recoded to
'No', if there is a neutral option recode as 'Unsure', 'agree' and 'strongly agree' should be recoded to 'Yes'.
EX2: Likert scale of 'poor' to 'excellent' --> 'poor' should be recoded as 'No', and 'excellent' should be recoded as
'Yes'.
EX3: Likert scale of 'very unlikely' to 'very likely' --> 'very unlikely' and 'unlikely' should be recoded as 'No', 'likely'
and 'very likely' should be recoded as 'Yes'.
Remember that these are just examples of what your jurisdiction may have used and should be tailored as needed.
Change in Knowledge
Was information about participant change in knowledge
collected?
If no, skip to the next section.

Yes
No

Total number of participants who provided a response
about understanding of the training topic(s):

__________________________________

Total number of participants who expressed improved
understanding of training topic(s) ('Yes'):

__________________________________

Total number of participants who did not express
improved understanding of training topic(s) ('No'):

__________________________________

Total number of participants who are 'Unsure' about if
their understanding of the training topic(s) changed:

__________________________________

Recommend Training to a Colleague
Was information about recommending this training to a
colleague collected?
If no, skip to the next section.

Yes
No

Total number of participants who provided a response
about recommending the training to a colleague:

__________________________________

Total number of participants who would recommend the
training to a colleague ('Yes'):

__________________________________

Total number of participants who are 'Unsure' about
recommending the training to a colleague:

__________________________________

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Total number of participants who would not recommend
the training to a colleague ('No'):

__________________________________

Intent to Implement Training Information
Was information about intent to implement training
information collected?
If no, skip to the next section.

Yes
No

Total number of participants who provided a response
about their intent to implement training information:

__________________________________

Total number of participants who intend to implement
training information ('Yes'):

__________________________________

Total number of participants who do not intend to
implement training information ('No'):

__________________________________

Total number of participants who are 'Unsure' about
their intent to implement training information:

__________________________________

Other
Please provide any other comments about the training:

Does your jurisdiction provide continuing education
credits relevant to the healthcare workforce?

10/06/2022 9:25am

__________________________________
Yes
No

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HAI/AR Performance Measures (SHARP Project V; Project Firstline), 2022-2023
Page 14

PFL PM2 Jan 2023 to July 2023

PFL Measure 2: Number and characteristics of individuals trained, by training opportunity
(funded by Project Firstline)
One form should be completed for EACH training (e.g., this form will only ask about the details
of a single training. Please fill out another form to report on an additional training).
Information about training format and content, audience, and evaluation will be collected.
To add a new training event in REDCap click "Save and Add New Instance."
Note: Since Project Firstline allows for tailored approaches to training, we acknowledge the
types of training implemented in each jurisdiction will vary. Please include BOTH longer
training events and shorter training events (e.g., webinars or teleconference calls;
intentionally adding Project Firstline training infusions to existing meetings or site visits). For
events that span more than one day or more than one session, if the participant group largely
comprises a consistent group of people in each day or session, report each day/session as one
training event.
Q1. Did your health department hold a training event
in the reporting period (January 1- July 31, 2023)?

Yes
No

Training Event Characteristics
Q1a. Date of training event (If it's a multi-day
training, input the start date):
Q1b. Who conducted the training?

Q1c. Please specify the Grantee or Designee

Q2. Infection control topics covered in the training
event (select all that apply):

Q2(i). Please specify other topics covered

10/06/2022 9:25am

__________________________________
ELC-funded Health Department
Grantee or Designee

__________________________________
Crisis Standards of Care
Engineering Controls
Environmental Infection Control
Goal of Infection Control
Hand Hygiene
Microbiology Basics
PPE
SARS CoV-2 variants and mutations
Triage and Screening
Source Control
Spread of Infections
Vaccination and Injection Safety
Other topics covered

__________________________________

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Page 15

Q3. Total length of training in hours.
For short trainings, you may use decimals/fractions
(e.g. 30 min = 0.5 hours; 15 min = 0.25 hours; 5 min =
0.08 hours):
Q4. Type of training event:

Q4(i). Please give a brief description of the event
(e.g. train-the-trainer series that spanned across
multiple dates; interactive webinar with facilitated
discussion; live Q&A session reposted for asynchronous
viewing afterwards)
Q5. Training delivery methods used:

Q5(i). Please specify other delivery methods utilized

__________________________________
(Please estimate if you do not know the exact
number of hours administered)
Train the trainer (i.e. training individuals who
will then turn around and train batches of people
within an organization. The primary purpose of the
training should be to formally prepare individuals
to be trainers for future training sessions.)
Direct training of healthcare personnel or public
health staff

__________________________________

Live event only
Live event, recorded, and then posted for later
viewing
Asynchronous only event (e.g., self-paced video
viewing on LMS, social media, or website)
Other delivery method

__________________________________

Q5(ii) Was this a one-time event or a series?
(Consider your event a series if the event spans more
than one day or session, and the same group of people,
more or less, were intentionally invited to attend the
various sessions in the series. If the trainings were
separately planned and the same people happened to
show up, this would not be considered a series.)

One-time event
Series

Q5(iii) Which language was used in the training event?
(Select all that apply)

English
Spanish
Other

Please specify other language used:

__________________________________

Q6. Did you use Project Firstline materials developed
by the CDC in this training or to guide training
session development? (e.g., PFL training videos, PFL
facilitator's toolkit).

Yes
No

Q6(i) Please indicate the material(s) used:

PFL training videos
PFL toolkit
Other

Q6(ii) Please describe the other training materials
used.

10/06/2022 9:25am

__________________________________

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Q6(iii) Did you use non-Project Firstline materials in
this training or to guide training session
development?
Q6(iv) Please list material(s) used:

Q6(v) Please describe what training materials your
jurisdiction used:

Yes
No

__________________________________

__________________________________

Participants
Q7. What was the total attendance at the event?

Q8. Indicate professional roles in attendance,
specifying number in attendance for each provider
type.

Q8a. Total number of physicians in attendance

Q8b. Total number of physician assistants in
attendance

10/06/2022 9:25am

__________________________________
(Please estimate if you do not know the exact
number in attendance)
Physician
Physician assistant
Advanced practice nurse (e.g., nurse practitioner)
Registered nurse (RN)
Licensed practical nurse (LPN)
Nursing/medical assistant
Dentist/Dental Hygienist
Technician (e.g., radiology, surgical, pharmacy,
etc.)
Therapist (e.g., physical, occupational,
respiratory, etc.)
Pharmacist
Environmental/facility services (e.g., EVS staff,
facility managers, facility engineers)
Social services and community services (e.g.,
social workers, community health workers,
residential/outpatient mental health treatment
staff)
Healthcare administrator (e.g., clinic or hospital
directors, CEOs)
Non-clinical support staff (e.g., HR personnel,
marketing/communications staff, quality/patient
safety staff, clerical staff)
Emergency medical technician/paramedic
Laboratory staff
Public health professional
Other professional role
(If you do not know the exact attendance by
profession, please estimate.)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

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Q8c. Total number of advanced practice nurses in
attendance

Q8d. Total number of registered nurses (RN) in
attendance

Q8e. Total number of licensed practical nurses (LPN)
in attendance

Q8f. Total number of nursing/medical assistants in
attendance

Q8g. Total number of dentists/dental hygienists in
attendance

Q8h. Total number of technicians (e.g., radiology,
surgical, pharmacy, etc.) in attendance

Q8i. Total number of therapist (e.g., physical,
occupational, respiratory, etc.) in attendance

Q8j. Total number of pharmacists in attendance

Q8k. Total number of environmental/facility service
professionals in attendance

Q8l. Total number of social and community service
professionals in attendance

Q8m. Total number of healthcare administrators in
attendance

10/06/2022 9:25am

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

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Q8n. Total number of non-clinical support staff in
attendance

Q8o. Total number of emergency medical
technician/paramedic in attendance

Q8p. Total number of laboratory staff in attendance

Q8q. Type of public health professionals in attendance

Q8q(i). Total number of public health professionals in
attendance

Q8q(ii). Please specify the other type of public
health professionals in attendance
Q8r. Total number of other professional roles in
attendance

Q8r(i). Please specify the other professional roles in
attendance
Q9. Indicate workplace settings represented by
training attendees, specifying number of individuals
in attendance representing each workplace setting.
For example, if 4 physicians from an acute care
hospital setting are in attendance, enter "4" for this
category. If you do not know the exact attendance by
setting, please estimate.

Q9a. Total number of individuals in attendance from
acute care hospitals:

10/06/2022 9:25am

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)
Communications Specialist
Epidemiologist
HAI/AR Program Coordinator
Health Educator
Infection Preventionist
Public Health Nurse
Other public health professional

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
Acute care hospital
Critical access hospital
Long-term acute care hospital or inpatient
rehabilitation facility
Skilled nursing facility (nursing home)
Assisted living facility
Pharmacy
Dental facility
Home health
Health department
Outpatient dialysis facility
Outpatient/ambulatory care (e.g., medical,
surgical, behavioral health clinic)
Other setting type

__________________________________
(Please estimate if you do not know the exact
number in attendance)

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Q9b. Total number of individuals in attendance from
critical access hospitals:

Q9c. Total number of individuals in attendance from
long-term acute care hospital or inpatient
rehabilitation facilities:

Q9d. Total number of individuals in attendance from
skilled nursing facilities (nursing homes):

Q9e. Total number of individuals in attendance from
assisted living facilities:

Q9f. Total number of individuals in attendance from
pharmacies:

Q9g. Total number of individuals in attendance from
dental facilities:

Q9h. Total number of individuals in attendance from
home health facilities:

Q9i. Please specify the type of individuals in
attendance from heath department(s):

Q9i(i). Total number of individuals in attendance from
state health departments:

Q9i(ii). Total number of individuals in attendance
from territorial health departments:

Q9i(iii). Total number of individuals in attendance
from local health departments:

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__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)
State health department
Territorial health department
Local health department
Tribal health department

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

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Q9i(iv). Total number of individuals in attendance
from tribal health departments:

Q9j. Total number of individuals in attendance from
outpatient dialysis facilities:

Q9k. Total number of individuals in attendance from
outpatient/ambulatory care facilities:

Q9k(i). Please specify the outpatient/ambulatory
facilities represented by training attendees
Q9l. Total number of individuals in attendance from
other setting types:

Q9l(i). Please specify the other setting types
represented by training attendees

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________

__________________________________
(Please estimate if you do not know the exact
number in attendance)

__________________________________

Outcomes
Please fill out the following information about participants' change in knowledge, recommendation of the training,
and intent to implement information following the training.
Note: We recognize that your post-training evaluation questions may have asked about the following information
using different language and/or response options. Please enter information about change in knowledge, intent to
implement training information, and training recommendation to the best of your ability. Use the following examples
on how to recode your data, if necessary.
EX1: Likert scale of 'strongly disagree' to 'strongly agree' --> 'strongly disagree' and 'disagree' should be recoded to
'No', if there is a neutral option recode as 'Unsure', 'agree' and 'strongly agree' should be recoded to 'Yes'.
EX2: Likert scale of 'poor' to 'excellent' --> 'poor' should be recoded as 'No', and 'excellent' should be recoded as
'Yes'.
EX3: Likert scale of 'very unlikely' to 'very likely' --> 'very unlikely' and 'unlikely' should be recoded as 'No', 'likely'
and 'very likely' should be recoded as 'Yes'.
Remember that these are just examples of what your jurisdiction may have used and should be tailored as needed.
Change in Knowledge
Q10. Was information about participant change in
knowledge collected?
If no, skip to Q11.

Yes
No

Q10a. Total number of participants who provided a
response about understanding of the training topic(s):

__________________________________

Q10b. Total number of participants who expressed
improved understanding of training topic(s) ('Yes'):

__________________________________

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Q10c. Total number of participants who did not express
improved understanding of training topic(s) ('No'):
Q10d. Total number of participants who are 'Unsure'
about if their understanding of the training topic(s)
changed:

__________________________________

__________________________________

Recommend Training to a Colleague
Q11. Was information about recommending this training
to a colleague collected?
If no, skip to Q12.
Q11a. Total number of participants who provided a
response about recommending the training to a
colleague:

Yes
No

__________________________________

Q11b. Total number of participants who would recommend
the training to a colleague ('Yes'):

__________________________________

Q11c. Total number of participants who would not
recommend the training to a colleague ('No'):

__________________________________

Q11d. Total number of participants who are 'Unsure'
about recommending the training to a colleague:

__________________________________

Intent to Implement Training Information
Q12. Was information about intent to implement
training information collected?
If no, skip to Q13.
Q12a. Total number of participants who provided a
response about their intent to implement training
information:

Yes
No

__________________________________

Q12b. Total number of participants who intend to
implement training information ('Yes'):

__________________________________

Q12c. Total number of participants who do not intend
to implement training information ('No'):

__________________________________

Q12d. Total number of participants who are 'Unsure'
about their intent to implement training information:

__________________________________

Other
Q13. Please provide any other comments about the
training:

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__________________________________

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Page 22

PFL PM3 Types And Extent Of Promotional Activities
PFL Measure 3: Types and extent of promotional activities for Project Firstline

In order to better understand the marketing methods used for Project Firstline and quantify the reach of these
activities, jurisdictions are asked to provide information about the type and extent of promotional activities for
Project Firstline that occurred in the reporting period (August 1 - December 31, 2022). Promotional activities could
include social media posts, webpages, email blasts to membership, podcast, or new stories in print or on TV or radio.
Q1. Promotional activities

Social media post
Website
Email to membership/subscribers related to Project
Firstline
Podcasts
News stories related to your involvement in
Project Firstline
Other marketing/promotion methods

Q1a. Type of social media post

Facebook
Twitter
YouTube
Instagram
LinkedIn

Promotional Activity: Facebook
Q2a. Number of Facebook posts related to Project
Firstline

__________________________________

Q2a(i). Number of likes for the posts related to
Project Firstline

__________________________________

Q2a(ii). Number of shares for the posts related to
Project Firstline

__________________________________

Q2a(iii). Number of comments for the posts related to
Project Firstline

__________________________________

Q2b. Reach of Facebook posts related to Project
Firstline

__________________________________

Q2c. Impressions of Facebook posts related to Project
Firstline:

__________________________________

Promotional Activity: Twitter
Q3. Number of tweets related to Project Firstline

__________________________________

Q3(i). Number of likes for the tweets related to
Project Firstline

__________________________________

Q3(ii). Number of retweets for the tweets related to
Project Firstline

__________________________________

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Q3(iii). Number of replies for the tweets related to
Project Firstline

__________________________________

Q3(iv). Number of impressions for the tweets related
to Project Firstline

__________________________________

Promotional Activity: YouTube
Q4a. Number of Project Firstline related YouTube
videos developed by your jurisdiction:

__________________________________

Q4b. Total number of views for all Project Firstline
related videos developed by your jurisdiction:

__________________________________

Q4c. Total number of likes for all Project Firstline
related videos developed by your jurisdiction:

__________________________________

Q4d. Total number of shares for all Project Firstline
related videos developed by your jurisdiction:

__________________________________

Promotional Activity: Instagram
Q5a. Number of Instagram posts related to Project
Firstline:

__________________________________

Q5a(i). Number of likes for the Instagram posts
related to Project Firstline:

__________________________________

Q5a(ii). Number of comments for the Instagram posts
related to Project Firstline:

__________________________________

Q5b. Reach of Instagram posts related to Project
Firstline:

__________________________________

Q5c. Impressions of Instagram posts related to Project
Firstline:

__________________________________

Promotional Activity: LinkedIn
Q6a. Number of LinkedIn posts related to Project
Firstline:

__________________________________

Q6a(i). Number of reactions for the LinkedIn post
related to Project Firstline:

__________________________________

Q6a(ii). Number of shares for the LinkedIn post
related to Project Firstline:

__________________________________

Q6a(iii). Number of comments for the LinkedIn post
related to Project Firstline:

__________________________________

Q6b. Reach of LinkedIn posts related to Project
Firstline

__________________________________

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Q6c. Impressions of LinkedIn posts related to Project
Firstline:

__________________________________

Promotional Activity: Website
Q7a. Number of new webpages (developed in the
reporting period) featuring Project Firstline-related
information:

__________________________________

Q7a(i). Number of page views on new webpages featuring
Project Firstline-related information:

__________________________________

Q7b. Number of existing webpages featuring Project
Firstline-related information:

__________________________________

Q7b(i). Number of page views on all existing webpages
featuring Project Firstline-related information:

__________________________________

Promotional Activity: Email to membership/subscribers related to Project Firstline
Q8a. Number of emails sent:

Q8b. Number of people subscribed to the email list at
the end of the reporting period:
Q8c. Number of email opens:

__________________________________

__________________________________

__________________________________

Promotional Activity: Podcasts
Q9. Enter the number of downloads of episodes
featuring Project Firstline in the reporting period:

__________________________________

Promotional Activity: News stories related to your involvement in Project Firstline
Q10a. Enter the number of news stories related to
Project Firstline involvement in the reporting period
for the following medium: Print/Online

__________________________________

Q10b. Enter the number of news stories related to
Project Firstline involvement in the reporting period
for the following medium: TV

__________________________________

Q10c. Enter the number of news stories related to
Project Firstline involvement in the reporting period
for the following medium: Radio

__________________________________

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Promotional Activity: Other marketing/promotion methods
Q11a. Please specify other marketing/promotion methods
utilized:

__________________________________

Q11b. Estimated number of people reached with this
promotion method?

__________________________________

Promotional Activity: Other
Q12. Did your jurisdiction coordinate with any local
public health departments on Project Firstline
promotional activities?
(If you are a local health department, your response
should reflect coordination with other local health
departments).

Yes
No

Q13. What language(s) were used in the promotional
activities mentioned above? (Select all that apply)

English
Spanish
Other

Q13(i) Please specify what other language was used:

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__________________________________

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HAI/AR Performance Measures (SHARP Project V; Project Firstline), 2022-2023
Page 26

SHARP PM V.1 Types and extent of targeted
communication activities on local HAI/AR threats

Did your jurisdiction communicate about an HAI threat to frontline healthcare workers during this reporting period?
(Note: remember that any communications reported here should have used SHARP funding)
Yes
No
Please select the HAI threat(s) the jurisdiction communicated about. (Select all that apply)
Bloodborne pathogens (e.g., hepatitis B, hepatitis C, HIV)
Candida auris
CAUTI
CLABSI
Clostridoides difficile (i.e., C. diff)
COVID-19
General HAI Prevention
Healthcare-Associated Pneumonias (excluding respiratory viruses)
Legionella
MRSA
Respiratory viral infections, excluding COVID-19 (e.g., influenza, Respiratory Syncytial Virus)
Other
Thinking about the threat(s) selected above, how was the threat communicated to healthcare workers? (Select all
that apply)
Partners
Social Media
Town Hall
Promotional campaign
Training
Other
To which settings was the threat(s) communicated? (Select all that apply)
Acute care hospital
Critical access hospital
Long-term acute care hospital or inpatient rehabilitation facility
Skilled nursing facility (nursing home)
Assisted living facility
Dialysis facility
Dental facility
Other outpatient facility, please specify
Home health
Other
Please specify the 'Other' setting.
__________________________________

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Key message(s) of communication about HAI threat(s): (Select all that apply)
Reservoir or where the threat tends to live
How the threat spreads
Who is most susceptible to the threat
Actions healthcare workers can take to assess risk of threat
Actions healthcare workers can take to eliminate or stop the spread of threat
Other
Please describe the key message(s) of your communication.
__________________________________
As a result of information communicated, were any actions taken by the health department, facility(ies), and/or
healthcare workers?

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HAI/AR Performance Measures (SHARP Project V; Project Firstline), 2022-2023
Page 28

Project Firstline Data Quality Check

Project Firstline

Errors identified during submission:

Yes
No

Performance Measure Flagged for Follow-up Summary of Issues Please confirm that the issue has been addressed:
PM PFL 1: Number and types of staff supporting Project Firstline ______ ______ ______
PM PFL 2 (Jan 1, 2022 - July 31 2022): Number and characteristics of individuals trained, by training opportunity
(funded by Project Firstline) ______ ______ ______
PM PFL 3: Types and extent of promotional activities for Project Firstline ______ ______ ______
SHARP V.1: Types and extent of targeted communication activities on local HAI/AR threats (funded by Project
Firstline) ______ ______ ______
Notes/comments to CDC:

Thank you for submitting your Project Firstline Performance Measures. No items have been flagged for follow-up.

If you have any questions, concerns, or issues with the items indicated above please contact
[email protected] with "Project Firstline Performance Measures - Data Closeout" in the subject line.

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