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  2. 2015
  3. December
  4. E
  5. ED Benchmarking Alliance Data Survey
0%
Exit Survey
 
 
Facility Name
   
 
 
 
Facility Street Address
   
 
 
 
Facility City
   
 
 
 
Patient Volume
   
 
 
 
Type of Hospital
 
 
 
Urban\Suburban\Rural
 
 
 
Academic

 
 
 
Trauma Level
 
 
 
% Visits Under 2 Yrs Old
 
Necessary
 
Advisable
 
Can be measured
 
Can not be mwasured

 
 
 
% Visits Peds (2-18 Yrs Old)
 
Necessary
 
Advisable
 
Can be measured
 
Can not be mwasured