This template is merely an example of elements to
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This template is merely an example of elements to include in an outcomes report. Please utilize this opportunity to highlight your insights and findings in the most impactful format you deem appropriate for any live activity. To be
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01
This template is merely an example of elements to include in an outcomes report. Please utilize this opportunity to highlight your insights and findings in the most impactful format you deem appropriate for any live activity.
To be completed 14 days after the live activity. Immediate Post-Live Outcomes Report 1<br>
To be completed 14 days after the live activity. Immediate Post-Live Outcomes Report 1<br>
02
Outcomes Report - Grant ID: [xxx] [Insert Grant Title] 2 Learner knowledge aligned to objectives (vs non-learners or vs pre-education) Insight 1
Insight 2
Insight 3 Top Insights gained for Future Education * Please include your own chart or right click to select “Edit Data”. ACTIVITY URL: To be pasted Insert provider logo and/or partner Breakdown by Learner (no.) Change 1
Change 2
Change 3 Top 3 Practice changes Please add any questions asked by learners.
Please add any qualitative feedback.
Please add educational gains
XYZ Key Highlights Barrier 1
Barrier 2
Barrier 3 Top 3 barriers to change Objective 1
Objective 2
Objective 3 Learning Objectives Potential patient impact *If more space is required, please include further information in the notes<br>
Insight 2
Insight 3 Top Insights gained for Future Education * Please include your own chart or right click to select “Edit Data”. ACTIVITY URL: To be pasted Insert provider logo and/or partner Breakdown by Learner (no.) Change 1
Change 2
Change 3 Top 3 Practice changes Please add any questions asked by learners.
Please add any qualitative feedback.
Please add educational gains
XYZ Key Highlights Barrier 1
Barrier 2
Barrier 3 Top 3 barriers to change Objective 1
Objective 2
Objective 3 Learning Objectives Potential patient impact *If more space is required, please include further information in the notes<br>
03
This template is merely an example of elements to include in an outcomes report. Please utilize this opportunity to highlight your insights and findings in the most impactful format you deem appropriate for the program (the report should cover the whole grant).
Include outcomes of the first 90 days after the start of the program and submit within 120 days. Interim Outcome Report 3<br>
Include outcomes of the first 90 days after the start of the program and submit within 120 days. Interim Outcome Report 3<br>
04
Outcomes Report - Grant ID: [xxx] [Insert Grant Title] 4 Learner knowledge aligned to objectives (vs non-learners or vs pre-education) Insight 1
Insight 2
Insight 3 Top Insights gained for Future Education * Please include your own chart or right click to select “Edit Data”. ACTIVITY URL: To be pasted Insert provider logo and/or partner Breakdown by Learner (no.) Change 1
Change 2
Change 3 Top 3 Practice changes Please add any questions asked by learners.
Please add any qualitative feedback.
Please add educational gains
XYZ Key Highlights Barrier 1
Barrier 2
Barrier 3 Top 3 barriers to change Objective 1
Objective 2
Objective 3 Learning Objectives Potential patient impact *If more space is required, please include further information in the notes<br>
Insight 2
Insight 3 Top Insights gained for Future Education * Please include your own chart or right click to select “Edit Data”. ACTIVITY URL: To be pasted Insert provider logo and/or partner Breakdown by Learner (no.) Change 1
Change 2
Change 3 Top 3 Practice changes Please add any questions asked by learners.
Please add any qualitative feedback.
Please add educational gains
XYZ Key Highlights Barrier 1
Barrier 2
Barrier 3 Top 3 barriers to change Objective 1
Objective 2
Objective 3 Learning Objectives Potential patient impact *If more space is required, please include further information in the notes<br>
05
Outcomes Report - Grant ID: [xxx] Overview 5 ACTIVITY URL: To be pasted Insert provider logo and/or partner Objective 1
Objective 2
Objective 3 Learning Objectives Please Include screenshots of the activity Please Include screenshots of the activity Please Include screenshots of the activity Please Include screenshots of the activity e.g. Neurologists/Nurses/Pharmacists Target Audience<br>
Objective 2
Objective 3 Learning Objectives Please Include screenshots of the activity Please Include screenshots of the activity Please Include screenshots of the activity Please Include screenshots of the activity e.g. Neurologists/Nurses/Pharmacists Target Audience<br>
06
Outcomes Report - Grant ID: [xxx] Learners ACTIVITY URL: To be pasted Insert provider logo and/or partner Breakdown of Learner
by Setting (no.) Geographical Spread (if applicable)<br>
by Setting (no.) Geographical Spread (if applicable)<br>
07
Outcomes Report - Grant ID: [xxx] Learner Knowledge/Competence/Performance Learning Objective 1: Insert provider logo and/or partner Please indicate the Moore’s level achieved
Please indicate the correct answer with a star
Please insert the full text of each answer, replacing [Answer 1], [Answer 2] etc.
Please insert the Question as the Graph Title
Please replicate per objective e.g. In your rationale provide information on data points, evidence to the answer Clinical Rationale:<br>
Please indicate the correct answer with a star
Please insert the full text of each answer, replacing [Answer 1], [Answer 2] etc.
Please insert the Question as the Graph Title
Please replicate per objective e.g. In your rationale provide information on data points, evidence to the answer Clinical Rationale:<br>
08
Outcomes Report - Grant ID: [xxx] Learner Knowledge/Competence/Performance Learning Objective 2: Insert provider logo and/or partner Please indicate the Moore’s level achieved
Please indicate the correct answer with a star
Please insert the full text of each answer, replacing [Answer 1], [Answer 2] etc.
Please insert the Question as the Graph Title
Please replicate per objective e.g. In your rationale provide information on data points, evidence to the answer Clinical Rationale:<br>
Please indicate the correct answer with a star
Please insert the full text of each answer, replacing [Answer 1], [Answer 2] etc.
Please insert the Question as the Graph Title
Please replicate per objective e.g. In your rationale provide information on data points, evidence to the answer Clinical Rationale:<br>
09
Outcomes Report - Grant ID: [xxx] Learner Knowledge/Competence/Performance Learning Objective 3: Insert provider logo and/or partner Please indicate the Moore’s level achieved
Please indicate the correct answer with a star
Please insert the full text of each answer, replacing [Answer 1], [Answer 2] etc.
Please insert the Question as the Graph Title
Please replicate per objective e.g. In your rationale provide information on data points, evidence to the answer Clinical Rationale:<br>
Please indicate the correct answer with a star
Please insert the full text of each answer, replacing [Answer 1], [Answer 2] etc.
Please insert the Question as the Graph Title
Please replicate per objective e.g. In your rationale provide information on data points, evidence to the answer Clinical Rationale:<br>
10
Outcomes Report - Grant ID: [xxx] Key insights Insert provider logo and/or partner Change 1
Change 2
Change 3 Top 3 Knowledge changes Change 1
Change 2
Change 3 Top Competence or Performance changes (if applicable) Barrier 1
Barrier 2
Barrier 3 Top 3 Barriers to change (if applicable) Highlight or Insight 1
Highlight or Insight 2
Highlight or Insight 3 Key Highlights and Insights<br>
Change 2
Change 3 Top 3 Knowledge changes Change 1
Change 2
Change 3 Top Competence or Performance changes (if applicable) Barrier 1
Barrier 2
Barrier 3 Top 3 Barriers to change (if applicable) Highlight or Insight 1
Highlight or Insight 2
Highlight or Insight 3 Key Highlights and Insights<br>
11
Outcomes Report - Grant ID: [xxx] Feedback, Quotes and Questions Insert provider logo and/or partner Feedback
Feedback
Feedback Feedback from learners on the activity type/format Insert any questions asked during the program
Insert any questions asked during the program
Insert any questions asked during the program Questions from the learners “Impactful quote” “Impactful quote” Include Faculty name,
title and affiliation Include Faculty name,
title and affiliation<br>
Feedback
Feedback Feedback from learners on the activity type/format Insert any questions asked during the program
Insert any questions asked during the program
Insert any questions asked during the program Questions from the learners “Impactful quote” “Impactful quote” Include Faculty name,
title and affiliation Include Faculty name,
title and affiliation<br>
12
This template is merely an example of elements to include in an outcomes report. Please utilize this opportunity to highlight your insights and findings in the most impactful format you deem appropriate for the program (the report should cover the whole grant).
To be completed 30 - 60 days after end of the program. Final Outcome Report 12<br>
To be completed 30 - 60 days after end of the program. Final Outcome Report 12<br>
13
Outcomes Report - Grant ID: [xxx] [Insert Grant Title] 13 Learner knowledge aligned to objectives (vs non-learners or vs pre-education) Insight 1
Insight 2
Insight 3 Top Insights gained for Future Education * Please include your own chart or right click to select “Edit Data”. ACTIVITY URL: To be pasted Insert provider logo and/or partner Breakdown by Learner (no.) Change 1
Change 2
Change 3 Top 3 Practice changes Please add any questions asked by learners.
Please add any qualitative feedback.
Please add educational gains
XYZ Key Highlights Barrier 1
Barrier 2
Barrier 3 Top 3 barriers to change Objective 1
Objective 2
Objective 3 Learning Objectives Potential patient impact *If more space is required, please include further information in the notes<br>
Insight 2
Insight 3 Top Insights gained for Future Education * Please include your own chart or right click to select “Edit Data”. ACTIVITY URL: To be pasted Insert provider logo and/or partner Breakdown by Learner (no.) Change 1
Change 2
Change 3 Top 3 Practice changes Please add any questions asked by learners.
Please add any qualitative feedback.
Please add educational gains
XYZ Key Highlights Barrier 1
Barrier 2
Barrier 3 Top 3 barriers to change Objective 1
Objective 2
Objective 3 Learning Objectives Potential patient impact *If more space is required, please include further information in the notes<br>
14
Outcomes Report - Grant ID: [xxx] Overview 14 ACTIVITY URL: To be pasted Insert provider logo and/or partner Objective 1
Objective 2
Objective 3 Learning Objectives Please Include screenshots of the activity Please Include screenshots of the activity Please Include screenshots of the activity Please Include screenshots of the activity e.g. Neurologists/Nurses/Pharmacists Target Audience<br>
Objective 2
Objective 3 Learning Objectives Please Include screenshots of the activity Please Include screenshots of the activity Please Include screenshots of the activity Please Include screenshots of the activity e.g. Neurologists/Nurses/Pharmacists Target Audience<br>
15
Outcomes Report - Grant ID: [xxx] Learners ACTIVITY URL: To be pasted Insert provider logo and/or partner Breakdown of Learner
by Setting (no.) Geographical Spread (if applicable)<br>
by Setting (no.) Geographical Spread (if applicable)<br>
16
Outcomes Report - Grant ID: [xxx] Learner Knowledge/Competence/Performance Learning Objective 1: Insert provider logo and/or partner Please indicate the Moore’s level achieved
Please indicate the correct answer with a star
Please insert the full text of each answer, replacing [Answer 1], [Answer 2] etc.
Please insert the Question as the Graph Title
Please replicate per objective e.g. In your rationale provide information on data points, evidence to the answer Clinical Rationale:<br>
Please indicate the correct answer with a star
Please insert the full text of each answer, replacing [Answer 1], [Answer 2] etc.
Please insert the Question as the Graph Title
Please replicate per objective e.g. In your rationale provide information on data points, evidence to the answer Clinical Rationale:<br>
17
Outcomes Report - Grant ID: [xxx] Learner Knowledge/Competence/Performance Learning Objective 2: Insert provider logo and/or partner Please indicate the Moore’s level achieved
Please indicate the correct answer with a star
Please insert the full text of each answer, replacing [Answer 1], [Answer 2] etc.
Please insert the Question as the Graph Title
Please replicate per objective e.g. In your rationale provide information on data points, evidence to the answer Clinical Rationale:<br>
Please indicate the correct answer with a star
Please insert the full text of each answer, replacing [Answer 1], [Answer 2] etc.
Please insert the Question as the Graph Title
Please replicate per objective e.g. In your rationale provide information on data points, evidence to the answer Clinical Rationale:<br>
18
Outcomes Report - Grant ID: [xxx] Learner Knowledge/Competence/Performance Learning Objective 3: Insert provider logo and/or partner Please indicate the Moore’s level achieved
Please indicate the correct answer with a star
Please insert the full text of each answer, replacing [Answer 1], [Answer 2] etc.
Please insert the Question as the Graph Title
Please replicate per objective e.g. In your rationale provide information on data points, evidence to the answer Clinical Rationale:<br>
Please indicate the correct answer with a star
Please insert the full text of each answer, replacing [Answer 1], [Answer 2] etc.
Please insert the Question as the Graph Title
Please replicate per objective e.g. In your rationale provide information on data points, evidence to the answer Clinical Rationale:<br>
19
Outcomes Report - Grant ID: [xxx] Key insights Insert provider logo and/or partner Change 1
Change 2
Change 3 Top 3 Knowledge changes Change 1
Change 2
Change 3 Top Competence or Performance changes (if applicable) Barrier 1
Barrier 2
Barrier 3 Top 3 Barriers to change (if applicable) Highlight or Insight 1
Highlight or Insight 2
Highlight or Insight 3 Key Highlights and Insights<br>
Change 2
Change 3 Top 3 Knowledge changes Change 1
Change 2
Change 3 Top Competence or Performance changes (if applicable) Barrier 1
Barrier 2
Barrier 3 Top 3 Barriers to change (if applicable) Highlight or Insight 1
Highlight or Insight 2
Highlight or Insight 3 Key Highlights and Insights<br>
20
Outcomes Report - Grant ID: [xxx] Feedback, Quotes and Questions Insert provider logo and/or partner Feedback
Feedback
Feedback Feedback from learners on the activity type/format Insert any questions asked during the program
Insert any questions asked during the program
Insert any questions asked during the program Questions from the learners “Impactful quote” “Impactful quote” Include Faculty name,
title and affiliation Include Faculty name,
title and affiliation<br>
Feedback
Feedback Feedback from learners on the activity type/format Insert any questions asked during the program
Insert any questions asked during the program
Insert any questions asked during the program Questions from the learners “Impactful quote” “Impactful quote” Include Faculty name,
title and affiliation Include Faculty name,
title and affiliation<br>