How would you like your name to appear on your certificate?

Profession

How many credit hours did you complete?

Credit Hours (maximum: 1.5)

Agreement

By completing this form, you attest that you have attended the number of hours you have indicated above.

I agree

Please rate your satisfaction with the content and quality of the program:

Was the educational content scientifically sound?

Yes

No

If no, please explain...

Did you perceive any commercial bias or influence in the educational content?

Yes

No

If yes, what...

Did this program improve your competence or performance?

Yes

No

If yes, how...

If no, please explain...

What did you learn that will help you in your practice?

The program was up-to-date and relevant to my professional practiceÂ

Were the following objectives met?

Discuss the importance of the role of the state Medicaid agency and other state authorities in the administration Pre-Admission Screening and Resident Review (PASRR) program.

Were the following objectives met?

Identify PASRR stakeholders and their role in maximizing the effectiveness of the state's PASRR program.

Were the following objectives met?

Reflect on the importance of a collaborative PASRR system that can ensure adherence to PASRR regulations regarding the timely screenings and evaluation s, identification and coordination of needed specialized servies, responsive resident reviews, out of state placement, successful use of PASRR for nursing facility (NF) diversion and transition, and program quality.

Yes

No

Was the location suitable?

Yes

No

The facilities were conducive to learning

Yes

No

Not sure

What questions are you having in your practice that you would like to see addressed in an educational activity?

Were questions, concerns and accommodations were addressed efficiently and in a timely manner?

Additional comments, questions or concerns