VIT - Managing the Dual Eligible Population 8.30.13
How would you like your name to appear on your certificate?
Profession
Select Your Profession
Case Manager
Nurse
Other
Physician
Next
Agreement
By completing this form, you attest that you have attended the activity in its entirety.
I agree
Previous
Next
Objective 1: Describe the typical features of a Dual Eligible patient
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
Previous
Next
Objective 2: Comprehend the challenges providers face in integrating care for Dual Eligible patients
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
Previous
Next
Objective 3: Articulate how appropriate utilization of hospice care can have a significant impact on improving the care of Dual Eligible patients
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
Previous
Next
Objective 4: Delineate how proper utilization of palliative care services in appropriate settings can improve the care of Dual Eligible patients
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
Previous
Next
Please rate the following:
The program was relevant to my work.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
Content matched stated objectives.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
Usefulness of handouts/AV.
Excellent
Very good
Good
Fair
Poor
Quality of facilities.
Excellent
Very good
Good
Fair
Poor
How well did the educational sessions give a balanced view of therapeutic options, including the use of generic names?
Excellent
Very good
Good
Fair
Poor
If you rated any of the above questions with 'fair,' 'poor,' 'disagree,' or 'strongly disagree' please explain in detail (e.g. session title, speaker name, situation):
Previous
Next
What specifically did you learn during this activity that you intend to integrate into your practice?
Previous
Next
What questions have arisen in your practice for which you need answers/strategies that you can implement?
Previous
Next
What patient/client problems or patient/client challenges do you feel you are not able to address appropriately or to your satisfaction?
Previous
Next
Are you interested in basic, intermediate or advanced level trainings?
Basic
Intermediate
Advanced
Previous
Next
What barriers might you have that would interfere with implementation of new information learned from this training?
Previous
Next
How could this training (the overall meeting) be improved to better impact competence, performance and/or patient/client outcomes?
Previous
Next
Additional comments:
Previous