ACEs Awareness- Training and Attestation

From the months of November 2020 until August 2021, we focused on creating 100% ACEs aware training and attestation on the ACEs Aware Website to have Saint Agnes Medical Center (SAMC) be ACEs Aware and so we could meet our deadline of beginning ACEs Screenings in clinic during the 2021-2022 academic year.

Pre-Training Questionnaire

ACEs Pre-Questionairre

  1.     Position:
    1.     Staff
    2.     Attending
    3.     MA
    4.     PGY-1
    5.     PGY-2
    6.     PGY-3

  2.     Have you started/completed the ACE’s Aware training?
    1.     Yes
    2.     No

  3.     What does ACE’s stand for in the medical field?
    1.     Angiotensin-Converting Enzyme
    2.     Adult Continuing Education
    3.     Adverse Childhood Experiences
    4.     Abstinence Commitment Effect
    5.     Advocates for Children's Education

  4.     Which question is not a part of the ACE’s screening questionnaire?
    1.     Did you live with anyone who went to jail or prison? 
    2.     Did you ever have thoughts of running away from home?
    3.     Did you feel that no one in your family loved you or thought you were special? 
    4.     Did you live with anyone who was depressed, mentally ill, or attempted suicide? 

  5.     Ace’s screening can only be applied to adults.
    1.     True
    2.     False
  6.     What is the age cut off for someone to experience ACE’s. 
    1.     21
    2.     No cut off
    3.     18
    4.     20

  7.     Medi-Cal providers can be reimbursed for ACEs screening in Medi-Cal patients?
    1.     True
    2.     False

  8.     ACE’s Awareness Training in California is free of charge.
    1.     True
    2.     False

  9.     Data shows that __________ of Californian residents have experienced at least one ACE and _________ having experienced four or more ACEs. 
    1.     27%, 8%
    2.     62%, 16%
    3.     78%, 23%
    4.     7%, 3%

  10. Which of the following is a false statement? People with four or more ACEs are:
    1.     3.2 x as likely to have chronic low respiratory disease
    2.     37.5 x as likely to attempt suicide
    3.     1.4 x as likely to have diabetes
    4.     2 to 2.3 x as likely to have a stroke, cancer, or heart disease
    5.     All of these are true

  11. Having a high ACEs score will determine your future health regardless of any protective factor:
    1.     True
    2.     False
  12. Which of these are considered protective factors for the toxic stress physiology associated with ACEs?
    1.     Supportive relationships, including peers, caregivers, and other family members. 
    2.     Taking preventative medicine. 
    3.     Being aware of ACEs and accepting their impact on one’s life. 
    4.     There are no protective factors for toxic stress. 

  13. Question about learning opportunities- “How do you best learn about health care topix at work?”
    1.     HealthStream
    2.     Live (in-person/virtual) education series
    3.     DocTalk
    4.     Brochures/Handouts
    5.     Short videos such as (soundbites)
    6.     Podcasts
    7.     Other- Please describe

Post Training Questionnaire

ACEs Post-Questionairre

  1.     What does ACE’s stand for in the medical field?
    1.     Angiotensin-Converting Enzyme
    2.     Adult Continuing Education
    3.     Adverse Childhood Experiences
    4.     Abstinence Commitment Effect
    5.     Advocates for Children's Education

  2.     Which question is not a part of the ACE’s screening questionnaire?
    1.     Did you live with anyone who went to jail or prison? 
    2.     Did you ever have thoughts of running away from home?
    3.     Did you feel that no one in your family loved you or thought you were special? 
    4.     Did you live with anyone who was depressed, mentally ill, or attempted suicide? 

  3.     Ace’s screening can only be applied to adults.
    1.     True
    2.     False

  4.     What is the age cut off for someone to experience ACE’s. 
    1.     21
    2.     No cut off
    3.     18
    4.     20

  5.     Medi-Cal providers can be reimbursed for ACEs screening in Medi-Cal patients?
    1.     True
    2.     False

  6.     ACE’s Awareness Training in California is free of charge.
    1.     True
    2.     False

  7.     Data shows that ______ of Californian residents have experienced at least one ACE and _____ having experienced four or more ACEs. 
    1.     27%, 8%
    2.     62%, 16%
    3.     78%, 23%
    4.     7%, 3%
  8. Which of the following is a false statement? People with four or more ACEs are:
    1.     3.2 x as likely to have chronic low respiratory disease
    2.     37.5 x as likely to attempt suicide
    3.     1.4 x as likely to have diabetes
    4.     2 to 2.3 x as likely to have a stroke, cancer, or heart disease
    5.     All of these are true

  9. Having a high ACEs score will determine your future health regardless of any protective factor:
    1.     True
    2.     False

  10. Which of these are considered protective factors for the toxic stress physiology associated with ACEs?
    1.     Supportive relationships, including peers, caregivers, and other family members. 
    2.     Taking preventative medicine. 
    3.     Being aware of ACEs and accepting their impact on one’s life. 
    4.     There are no protective factors for toxic stress. 

  11.     The information provided in this presentation:
    1.     Was too detailed. 
    2.     Was the perfect amount. 
    3.     Was not enough information.

  12.     Please provide your name: _____________________________________

Pre-Training Data

 

What does ACE’s stand for in the medical field?

ANSWER CHOICES

RESPONSES
a. Angiotensin-Converting Enzyme

8.11%

3
b. Adult Continuing Education

2.70%

1
c. Adverse Childhood Experiences

83.78%

31
d. Abstinence Commitment Effect

2.70%

1
e. Advocates for Children's Education

2.70%

1

TOTAL

37

Which question is not a part of the ACE’s screening questionnaire?

ANSWER CHOICES

RESPONSES
a. Did you live with anyone who went to jail or prison?

43.24%

16
b. Did you ever have thoughts of running away from home?

16.22%

6
c. Did you feel that no one in your family loved you or thought you were special?

29.73%

11
d. Did you live with anyone who was depressed, mentally ill, or attempted suicide?

10.81%

4

TOTAL

37

 

ACE’s screening can only be applied to adults.

ANSWER CHOICES

RESPONSES
a. True

13.51%

5
b. False

86.49%

32

TOTAL

37

What is the age cut off for someone to experience ACEs?

ANSWER CHOICES

RESPONSES
a. 21

2.70%

1
b. No cut off

70.27%

26
c. 18

27.03%

10
d. 20

0.00%

0

TOTAL

37

Medi-Cal providers can be reimbursed for ACEs screening in Medi-Cal patients?

ANSWER CHOICES

RESPONSES
a. True

94.59%

35
b. False

5.41%

2

TOTAL

37

ACE’s Awareness Training in California is free of charge.

ANSWER CHOICES

RESPONSES
a. True

97.30%

36
b. False

2.70%

1

TOTAL

37

 

Data shows that ___ of Californian residents have experienced at least one ACE and ___ have experienced four or more ACEs.

ANSWER CHOICES

RESPONSES
a. 27%, 8%

27.03%

10
b. 62%, 16%

35.14%

13
c. 78%, 23%

32.43%

12
d. 7%, 3%

5.41%

2

TOTAL

37

Which of the following is a false statement?People with four or more ACEs are: 

ANSWER CHOICES

RESPONSES
a. 3.2 x as likely to have chronic low respiratory disease

2.70%

1
b. 37.5 x as likely to attempt suicide

8.11%

3
c. 1.4 x as likely to have diabetes

5.41%

2
d. 2 to 2.3 x as likely to have a stroke, cancer, or heart disease

5.41%

2
e. All of these are true

78.38%

29

TOTAL

37

Having a high ACEs score will determine your future health regardless of any protective factor

ANSWER CHOICES

RESPONSES
a. True

64.86%

24
b. False

35.14%

13

TOTAL

37

Which of these are considered protective favors for the toxic stress physiology associated with ACEs?

ANSWER CHOICES

RESPONSES
a. Supportive relationships, including peers, caregivers and other family members.

67.57%

25
b. Taking preventative medicine.

10.81%

4
c. Being aware of ACEs and accepting their impact on one's life.

18.92%

7
d. There are no protective factors for toxic stress.

2.70%

1

TOTAL

37

Post Training Questionairre Data

To interpret the data below, please see the numbered questions below corresponding to Q1...Q10. The answers have been truncated to fit onto the table. Please see the preceding Post Training Questionairre for the full responses as well as the answers (bolded). 

Questions: 
1. What does ACE’s stand for in the medical field?
2. Which question is not part of the ACE’s screening questionnaire?
3. ACE’s screening can only be applied to adults.
4. What is the age cut off for someone to experience ACEs?
5. Medi-Cal providers can be reimbursed for ACEs screening in Medi-Cal patients?
6. Are you aware that ACE’s Aware Training in California is free of charge?
7. Data shows that ___ of Californian residents have experienced at least one ACE and ___ have experienced four or more ACEs.
8. Which of the following is a false statement?
9. People with four or more ACEs are: Having a high ACEs score will determine your future health regardless of any protective factor
10. Which of these are considered protective favors for the toxic stress physiology associated with ACEs?

  Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Q9 Q10

Response 1

Adverse Childhood Expereiances

 Thoughts of running away.  F No Cut off  T Y 62%, 16% All are true T Supportive relationships...

Response 2

Adverse Childhood Expereiances

 Thoughts of running away.  F No Cut off  T Y 62%, 16% All are true T Supportive relationships...

Response 3

Adverse Childhood Expereiances

 Thoughts of running away.  F 18 T Y 62%, 16% All are true T Being aware of ACEs.....

Response 4

Adverse Childhood Expereiances

 Thoughts of running away.  F No Cut off  T Y 27%, 8% All are true T Being aware of ACEs....

Response 5

Adverse Childhood Expereiances

 Thoughts of running away.  F No Cut off  T N 62%, 16% All are true 5 Supportive relationships...

Response 6

Adverse Childhood Expereiances

 Feel that no one loved you F No Cut off  F Y 78%, 23% All are true T Supportive relationships...

Response 7

Adverse Childhood Expereiances

 Feel that no one loved you F No Cut off  T Y 27%, 8% All are true T Supportive relationships...

Response 8

Adverse Childhood Expereiances

 Thoughts of running away.  F No Cut off  T Y 62%, 16% All are true F Being aware of ACEs....

Response 9

Adverse Childhood Expereiances

 Thoughts of running away.  F No Cut off  T Y 62%, 16% All are true T Supportive relationships...

Response 10

Adverse Childhood Expereiances

 Thoughts of running away.  F No Cut off  T Y 62%, 16% All are true T Supportive relationships...

Response 11

Adverse Childhood Expereiances

 Thoughts of running away.  F 21 T Y 78%, 23% All are true T Supportive relationships...

Response 12

Adverse Childhood Expereiances

 Thoughts of running away.  T 18 T N 62%, 16% All are true T Supportive relationships...

Response 13

Adverse Childhood Expereiances

 Thoughts of running away.  F No Cut off  T Y 27%, 8% All are true T Supportive relationships...

Response 14

Adverse Childhood Expereiances

 Feel that no one loved you F 21 T Y 78%, 23% All are true T Supportive relationships...

ACEs Aware PowerPoint

https://docs.google.com/presentation/d/13Op55PKSH0PH8cTiWY1G1UnZ7vNlOdJl/edit?usp=sharing&ouid=101540590564494398620&rtpof=true&sd=true

 

 

 

ACEs Aware Training

Please see the following link to be transferred to the ACEs Aware Training. 

https://training.acesaware.org/

 

ACEs Aware Attestation

Please follow the below link to arrive at the online ACE Aware Provider Attestation page that was required for all provider (physicians, PAs, NPs) to be self-attested after July 1, 2020 to screen for ACEs in their clinics. 

https://www.medi-cal.ca.gov/TSTA/TSTAattest.aspx

 

ACEs Aware Website Resources- Questionnaires for Clinic Screening

PEARLS Questionaire 
https://www.acesaware.org/wp-content/uploads/2019/12/PEARLS-Tool-Child-Parent-Caregiver-Report-De-Identified-English.pdf

Adverse Childhood Exeprience for Adults Questionaire
https://www.acesaware.org/wp-content/uploads/2020/02/ACE-Questionnaire-for-Adults-Identified-English.pdf