Skip to Main Content

HRSA Electronic Handbooks

Nurse Education, Practice, Quality and Retention Interprofessional Collaborative Practice (IPCP)

pdf
  • Health Resources and Services Administration
  • Academic Year: 2022-2023
  • Bureau of Health Workforce
  • OMB Number: 0915-0061
  • Annual Performance Report
  • OMB Expiration Date: 01/31/2025

EXP-3: Experiential Characteristics - Team Based Care

The EXP-3 subform collects information about the profession and discipline of individuals trained at each site that was entered in the EXP-1 Setup form. Please complete this subform for each site listed below. If you have any questions about how to complete this subform, please refer to the instruction manual and/or contact your Government Project Officer. If you wish to view data that were submitted in the prior reporting period, click on the ‘View Prior Period Data’ link and a read-only version of your most recent prior performance report will pop-up in a new screen.



Type of Training Program
(1)		Site Name
(2)
Block 1		Select Team Number
(3)
Block 7b		Select Profession of Team Members
(4)		Select Discipline/Specialty of Team Members
(4a)		Enter # of Team Members in this Profession and Discipline
(5)
Block 7b		Select Type of Site Used
(6)		Select Type of Setting Where the Site was Located
(7)

Scroll to top