Logo1
CMI - Case Management 101: The Fundamentals - Feb 26
Mr pencil

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



Agreement
By completing this form, you attest that you have attended the activity in its entirety.
Please rate the following:
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question.
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
The program was relevant to my work.
Content matched stated objectives.
Usefulness of handouts/AV.
Quality of facilities.
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):
Please answer the following:
Do you believe this activity was appropriate for the scope of your professional activities?
Was the educational content scientifically sound?
Was the mode of education effective to learning?
If you answered "No" to any of the above questions, please explain.
Did you perceive any product/service/company/commercial bias in any educational session you attended or materials you received?
If you answered 'Yes' to the above question, please detail the situation below (e.g. session title, speaker name):
Were you solicited by sales personnel in an educational room (other areas do not matter) while you attended this educational activity?
If you answered "yes" to the above question, please explain in detail (e.g. who, when, where):
Having completed the activity, please rate how well you are able to meet each of the following objectives
Define the role of a rural hospital case manager in managing the utilization of resources in the setting of improved quality of patient care
Explain the processes and logistics for effective and compliant patient flow from presentation through claim denial appeals
Explore the options for and use of the support tools available to rural hospital case managers
Explain effective work and communication for rural hospital case managers
What specifically did you learn during this activity that you intend to integrate into your practice?

What do you "need" to learn (versus "want" to learn) that should be addressed in future meetings that will result in improved competence, performance and/or patient/client outcomes in your practice?

Are you interested in basic, intermediate or advanced level trainings?
What barriers might you have that would interfere with implementation of new information from this training?
How could this training (the overall meeting) be improved to impact your competence, performance and/or patient/client outcomes?
Additional comments:
Mr question