Sign Up for The Partnership for Sepsis and Aging (TPSA) Mailing List
Complete the form below to sign up for the TPSA mailing list today. Be a part of our national coalition to grow awareness of sepsis and help protect older adults as well as people of all ages. By joining TPSA's mailing list, you will learn about the latest research, news, information sharing, resources, tools, and action items. TPSA lead organizations include Sepsis Alliance, the New York State Office for the Aging, the Association on Aging in New York, the Home Care Association of New York State and EndSepsis.
Name
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First Name
Last Name
Title
Email
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example@example.com
Organization Name
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State
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Organization url
Are you currently engaged in any work on sepsis?
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Yes
No
Type of organization (select all that applies)
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Government Agency
Local Department for Aging
Aging Services Providers
Adult Day Health Care and Social Adult Day Care
Skilled Nursing or Rehabilitation
Senior Housing
Managed Long Term Services and Supports Plans, Including PACE Plans
Adult Homes/Assisted Living Residences
Community Health Centers/FQHCs
Home Health Agency
Hospital
Primary Care
Urgent Care
EMS
Other
If you are currently engaged in work on sepsis please describe briefly.
What do you see as the greatest need in your state?
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Public Awareness and Education
Healthcare Professional (HCP) Training
Quality Improvement
Policy Initiatives
Funding
Other
What topics would you like to see covered in future meetings?
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Sepsis and Home Health
Sepsis and Long Term Care
Healthcare Professional Training Resources
Antimicrobial Resistance
Sepsis and Infection Prevention
Equity in Sepsis Care
Community Education
Sepsis Awareness Month
Policy Initiatives at the State and Federal Level
Other
How did you hear about The Partnership For Sepsis and Aging (TPSA)?
Social media
Email newsletter
In-person event or trade show
Webinar
Word of mouth
Other
Opt-in to receive information about The Partnership For Sepsis and Aging (TPSA)
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Yes
No
Opt-in to receive general information from Sepsis Alliance
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Yes
No
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