Form A Frontline staff rosters developed by AIM Team Leads

Safety Program in Perinatal Care (SPPC)-II Demonstration Project

Attachment A - ROSTER of AIM Team Leads trained in hospitals

Frontline staff rosters developed by AIM Team Leads

OMB: 0935-0246

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TIER II TRAINING ROSTER


Trainee Name

(First, Last)

Staff ID Number

Email Address

Phone Number

Provider

Type

Date(s) SPPC-II Tier II Training Attended

Received completion certificate (Y/N)

Notes

[Hospital AIM Team Lead Name]

101020x

aim@xx.com

333-333-3333

Nurse-midwife

11/01/2019

Y



















































File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorAndreea Creanga
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File Created2021-06-03

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