Application Review Activity Title(Required)Provider(Required)Provider/Joint ProviderLouisiana AAPWillis-Knighton Health SystemLouisiana Healthcare ConnectionsArkansas AAPLouisiana Dermatological SocietyMississippi AAPHumana Healthy HorizonsShots for TotsLDH/OPHOtherDate of Review(Required) MM slash DD slash YYYY Name of Reviewer(Required) First Last Educational need identified addresses problems in practice(Required) Yes No What changes are needed?Activity is designed to support change in practice(Required) Yes No What changes are needed?The format of the activity is appropriate for the content and objectives(Required) Yes No What changes are needed?The activity is developed with professional competencies in mind(Required) Yes No What changes are needed?Based on the included summary, this activity is aligned with current best-practice(Required) Yes No Need more information What changes are needed?What additional information is needed?Approval I approve this activity for accreditation through the Louisiana AAP Institute for Professional EducationComments/Suggestions Δ
