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PSA - Organ Donation and Transplantation Breakthrough Collaborative Transplant Growth & Management Collaborative: Fourth Annual National Congress
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Agreement
By completing this form, you attest that you have participated in all selected activities in thier entirety.
Objective 1: Identify two examples of the best practice presented and explain how they can be used to generate increases in the number of organs donated and transplanted.

The above objective has increased my professional knowledge.

The above objective will increase my professional competence.
The above objective will result in changes to performance in my professional practice.
The speakers, Virginia McBride, John Scanlon, Christopher Hughes & Danielle Cornell, were knowledgeable of their subject.
The speakers, Helen Bottenfield, Christopher Hughes & Danielle Cornell, were knowledgeable of their subject.
The speakers, Kevin O’Connor & Frank Delmonico, were knowledgeable of their subject.
The speakers, Amy Peele & Anthony Dawson, were knowledgeable of their subject.
The speaker, Tina LeVert, was knowledgeable of her subject.
The speaker, Dorie Dils, was knowledgeable of her subject.
The speakers, Katherine Hadley & Tom Nakagawa , were knowledgeable of their subject.
The speaker, Bruce Meyers , was knowledgeable of his subject.
The speaker, Bill Reitsma, was knowledgeable of his subject.
The speaker, Kevin O’Connor, was knowledgeable of his subject.
The speaker, Susan Gunderson, was knowledgeable of her subject.
The speaker, Eve Wenger, was knowledgeable of her subject.
The speaker, Harry Wilkins, was knowledgeable of his subject.
The speaker, Chuck Rosen, was knowledgeable of his subject.
The speakers, Art Thompson & Marianne Beach, were knowledgeable of their subject.
The speakers, Lori Coleman & Diane Brochmeier, were knowledgeable of their subject.
The speakers, John Rosendale & Lin McGaw, were knowledgeable of their subject.
The speakers, Danielle Cornell & Christopher Hughes, were knowledgeable of their subject.
The speaker, Kelly McCutcheon-Adams, was knowledgeable of her subject.
The speaker, Dorrie Dils, was knowledgeable of her subject.
The speaker, Brenda Welch, was knowledgeable of her subject.
The speaker, Bill Reitsma, was knowledgeable of his subject.
The speaker, Lin McGaw, was knowledgeable of his subject.
The speakers, Kim Johnson & Jeff Orlowski, were knowledgeable of their subject.
The speakers, Shannon Dowell & Dense Kinder, were knowledgeable of their subject.
The speakers, Michael Goldstein & Kim Johnson, were knowledgeable of their subject.
The speaker, Danielle Cornell, was knowledgeable of her subject.
The speakers, Katherine Hadley & Tom Nakagawa, were knowledgeable of their subject.
The speakers, Kathy Schwab & Debbie Duffy, were knowledgeable of their subject.
The speaker, Christopher Hughes, was knowledgeable of his subject.
The speaker, Christopher Hughes, was knowledgeable of his subject.
The speaker, Roxanne Cauwels, was knowledgeable of her subject.
The speaker, Dina Steinberger, was knowledgeable of her subject.
The speaker, Julie Schneider, was knowledgeable of her subject.
The speakers, Lorrie Mitchell & Karen Libs, were knowledgeable of their subject.
The speaker, Cindy Herrington, was knowledgeable of her subject.
The speaker, Maryl Johnson, was knowledgeable of her subject.
The speaker, Mike Hudson, was knowledgeable of his subject.
The speaker, Harry Wilkins, was knowledgeable of his subject.
The speaker, Mike Moncure, was knowledgeable of his subject.
The speaker, Helen Christensen, was knowledgeable of her subject.
The speaker, Helen Bottenfield, was knowledgeable of her subject.
The speakers, Tom Nakagawa & Katherine Hadley, were knowledgeable of their subject.
The speakers, Denise Kinder & Shannon Dowell, were knowledgeable of their subject.
The speakers, Ruthanne Hanto & Bill Retisma, were knowledgeable of their subject.
The speakers, Bill Bry & Theresa Daly, were knowledgeable of their subject.
The speakers, Michael Goldstein & Renee Bennet, were knowledgeable of their subject.
The speakers, Nancy Blumenthal & Lori Coleman, were knowledgeable of their subject.
The speakers, Betsy Tuttle-Newhall & Anthony Dawson, were knowledgeable of their subject.
The speaker, Ruthanne Hanto, was knowledgeable of her subject.
The speaker, Bill Reitsma, was knowledgeable of his subject.
The speaker, Cliff McClenney, was knowledgeable of his subject.
The speaker, Shannon Edwards, was knowledgeable of his subject.
The speaker, Jim Trisch, was knowledgeable of his subject.
The speaker, Andrea Vandomelen, was knowledgeable of her subject.
The speaker, Kathy Schwab, was knowledgeable of her subject.
The speaker, Julie Schneider, was knowledgeable of her subject.
The speaker, David Bekofsky, was knowledgeable of his subject.
The speaker, Renee Bennett, was knowledgeable of her subject.
The speaker, Cynthia Willis, was knowledgeable of her subject.
The speaker, Roxanne Cauwels, was knowledgeable of her subject.
The speaker, Kelly McCutcheon-Adams, was knowledgeable of her subject.
The speaker, Brenda Welch, was knowledgeable of her subject.
The speaker, Tina LeVert, was knowledgeable of her subject.
The speaker, Jan Finn, was knowledgeable of her subject.
The speakers, Karen Mock & Lee Bolton, were knowledgeable of their subject.
The speaker, Julie Schneider, was knowledgeable of her subject.
The speaker, Mike Hudson, was knowledgeable of his subject.
The speaker, Tom Nakagawa, was knowledgeable of his subject.
The speaker, Tony Dalessandro, was knowledgeable of his subject.
The speaker, Danielle Cornell, was knowledgeable of her subject.
The speakers, Tom Schwab & Kathy Schwab, were knowledgeable of their subject.
The speaker, Marianne Beach, was knowledgeable of her subject.
The speakers, Betsy Tuttle-Newhall & Amy Peele, were knowledgeable of their subject.
The speakers, Virginia McBride & John Scanlon, were knowledgeable of their subject.
Objective 2: Identify mechanisms to ensure that every organ donation opportunity is part of standard, excellent and collaborative end-of-life care.

The above objective has increased my professional knowledge.

The above objective will increase my professional competence.
The above objective will result in changes to performance in my professional practice.
Objective 3: Identify mechanisms to ensure that every organ donation meets exceptional quality standards and that donated organs are held in the highest regard and appropriately safeguarded for transplantation.

The above objective has increased my professional knowledge.

The above objective will increase my professional competence.
The above objective will result in changes to performance in my professional practice.
The speakers provided relevant and useful information.
The speakers provided relevant and useful information.
The speakers provided relevant and useful information.
The speakers provided relevant and useful information.
The speakers provided relevant and useful information.
The speakers provided relevant and useful information.
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The speakers provided relevant and useful information.
The speakers provided relevant and useful information.
The speakers provided relevant and useful information.
The speakers provided relevant and useful information.
The speakers provided relevant and useful information.
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The speakers provided relevant and useful information.
The speakers provided relevant and useful information.
The speakers provided relevant and useful information.
The speakers provided relevant and useful information.
The speakers provided relevant and useful information.
The speakers provided relevant and useful information.
The speakers provided relevant and useful information.
The speakers provided relevant and useful information.
Objective 4: Identify mechanisms in developing collaborative teams and programs that will tap the full potential and uncap the capacity.

The above objective has increased my professional knowledge.

The above objective will increase my professional competence.
The above objective will result in changes to performance in my professional practice.
The speakers communicated in an effective manner.
The speakers communicated in an effective manner.
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Objective: Describe the participant expectations and actions to be taken by teams in this collaborative.

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Please answer the following:
The educational sessions gave a balanced view of therapeutic options, including the use of generic names.
The activity was appropriate for the scope of your professional activities.
This activity will result in your ability to improve your practice.
The educational content was scientifically sound.
The educational content was free from commercial bias.
If, during the educational session, faculty spoke about off-label uses or an investigational use for a product, was that information disclosed to the audience?
The mode of education effective to learning?
If you answered "No" to any of the above questions, please explain:
Were you solicited by sales personnel in an educational room while you attended this educational activity?
If you answered "Yes" to the above question, please explain:
What did you learn during this activity that you intend to integrate into your practice?
What barriers might you have that would interfere with implementation of new information learned from this training?
How can this training be improved to impact your competence or practice?
List any perceived practice "gaps" which you would like addressed in future trainings.
Are you interested in basic, intermediate or advanced level trainings?
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