Peer To Peer Learning Network

Hospital or System Name:

State:

Primary Contact Name:

Primary Contact Title:

Primary Contact Phone:

Primary Contact Email:

Peer-to-Peer Engagement:

Share a resource
Present on a webinar (or conference)
Provide peer-peer mentoring (coaching calls or site visit)
Request a resource

(Select all that apply)

Resource Topic:

Adverse Drug Events
Airway Safety
CAUTI
CLABSI
Clostridium difficile Infection
Culture
Data
Early Elective Delivery
Failure to Rescue
Healthcare Disparities
High Reliability
Iatrogenic Delirium
Injury from Falls and Immobility
OB Adverse Events
Patient Family Engagement
Pressure Ulcers
Radiation Exposure
Readmissions
SSI
VAE
VTE
Other

(Select a topic to best categorize the resource being submitted or requested)

If Other, Describe:

Resource Title:

Resource Description:

Upload File (Word, Excel, PowerPoint, PDF only):

Permission:

I am not submitting a resource at this time.
I have read the footnote and understand the attached resource may be posted on a public website.

Footnote: This resource may be shared with other hospitals and may be posted on the publicly available Illinois Health and Hospital Association (IHA), IHA-Midwest Alliance for Patient Safety, MHA Keystone Center, and MHA Community websites.

Peer To Peer Learning Network

Peer to Peer Learning Network: A Resources and Mentoring Forum