HHQI Feedback

We want to know what you think about the 2010-2011 HHQI National Campaign. Please fill out the 6 spaces below to let us know what you think we did well, what we could improve upon, and give us your general comments.

Thank you for participating in the HHQI National Campaign. Together we can reduce avoidable hospitalizations and improve the management of oral medications. 

By clicking submit, you hereby grant permission to WVMI, the Centers for Medicare & Medicaid Services, and its agents, including Web site-related contractors and partners in quality improvement to use and/or publish this information in whole or in part at the state, national, and/or international levels regarding this organization's quality improvement efforts, including interventions, literature, documents, images, graphs, or other materials for the purpose of furthering the advancement of health care quality. This is to include print, electronic, visual, verbal, Web and/or various media for an indefinite period of time. Reasonable adjustments may be made to materials and formats for purposes of editorial, layout and delivery need. This permission extends to any materials listed above that may be copyrighted. By clicking submit, you agree to have the authority to grant this permission on behalf of this organization and all parties who contributed to this material. Permission is granted, although not obligated, to identify my organization and/or myself as a credit in connection with this information.



  1. Name
  2. E-mail Address
  3. Phone Number Area Code First
  4. In your opinion, what is the most valuable component of the campaign? Please tell us what you think is the most valuable part of the campaign.
  5. What would you like to see improved in this campaign? What do you think we could do better?
  6. What comments do you have for the HHQI Campaign leadership?