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

Profession

What activities did you attend at the event?

May 1 - 9:00 am - 9:45 am

May 1 - 10:00 am - 11:30 am

May 1 - 11:30 am - 12:30 pm

May 1 - 1:30 pm - 3:00 pm

May 1 - 3:15 pm - 4:45 pm

May 2 - 9:15 am - 10:45 am

May 2 - 11:00 am - 12:00 pm

May 2 - 1:05 pm - 2:00 pm

May 2 - 2:00 pm - 3:00 pm

May 2 - 3:15 pm - 4:00 pm

May 2 - 4:00 pm - 5:00 pm

May 3 - 9:15 am - 10:15 am

May 3 - 10:30 am - 11:30 am

May 3 - 11:30 am - 12:15 pm

May 3 - 1:15 pm - 2:15 pm

May 3 - 2:15 pm - 3:15 pm

Agreement

By completing this form, you attest that you have participated in all selected activities in thier entirety.

I agree

PHARMACISTS ONLY -- Please provide the following:

NABP eProfile ID (ePID):

Date of Birth (MM/DD) - Example September 24 would be 0924:

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:

Please rate the following:

The program was relevant to my work.

Usefulness of handouts/AV.

Quality of facilities.

How well did the educational sessions give a balanced view of therapeutic options, including the use of generic names?

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, situtation):

List common issues and describe how to defend against lackadaisical compliance behaviors

Identify tips, tools and best practices for handling coverage determinations and claims handling improvements

Cite strategies and tools for investigating how your PBM is handling critical pharmacy operations to ensure they are compliant

Identify reporting mechanisms that can boost the compliance monitoring techniques and outcomes

Having completed the activity, please rate your ability to meet the following objective:

Discuss mock audit best practices that will help bolster the overall compliance monitoring program

Describe how to improve the accuracy of CDAG data universe

Identify common issues that can easily be avoided

Discuss administration universe layouts

Describe how to improve the accuracy of Formulary Administration data universe

Identify the most common issues that can easily be avoided

Discuss mock audit best practices that will help bolster the overall compliance monitoring program

Explain how to improve the accuracy of CDAG and Formulary Administration universes to avoid the most common data-centric findings

Describe how to improve analyses of root causes to more accurately forecast and avoid downstream compliance findings

Utilize information from beneficiary impact analyses to develop more effective corrective action plans

Identify communication and writing best practices, within the context of CMS' expectations and regulations, to boost the compliance of member notifications

Explain how to strengthen the compliance of Beneficiary Impact Analyses

Discuss root causes to more accurately forecast and avoid downstream compliance findings

Explain how to strengthen your ability to utilize information from beneficiary impact analyses to develop corrective action plans

List the essential components of a successful CAP

Describe how to transition from the development of a Corrective Action Plan into the implantation phase of a remediation plan

Utilize root cause analyses to build more effective correction action plans

Explain how to use the tracer sample technique in internal monitoring programs

Assess competing proposals for PBM businesses

Explain how PBM selection is critical to the compliance of downstream operations

Cite strategies to boost the compliance of downstream PBM operations

Cite strategies and implementable contracting solutions that will boost compliance monitoring over PBM operations

Collaborate with downstream PBM entities and operational components to boost compliance

Explain why a PBM oversight committee is critical to successful pharmacy compliance

Describe how you would form a PBM oversight committee

Discuss the way forward for the MTM Program

Collaborate with downstream PBM entities and operational components to boost compliance

Explain how you would improve awareness of the compliance components of an MTM program that CMS is evaluating

Identify organizational and leadership skills to help navigate a CMS audit

Cite strategies to ensure a successful audit

Discuss updated audit processes

Please rate how well each objective for the PBM Oversight for Optimal Compliance Outcomes were met.

Explain how PBM contracting and selection is critical to the compliance of downstream pharmacy operations and gain best practices to boost plan-PBM compliance

Collaborate with downstream PBM entities and operational components to boost compliance

Identify organizational and leadership skills to help prepare for a more effective team effort and successful coordination and collaboration during an audit

List tips, tools and best practices for handling coverage determinations and claims handling

Please answer the following:

Do you believe this activity was appropriate for the scope of your professional activities?

Was the educational content scientifically sound?

If faculty spoke about off-label or investigational uses of a product, was that information disclosed to you?

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):

How much did you learn as a result of this education program?

What specifically did you learn during this activity that you intend to integrate into your practice?

What questions have arisen in your practice for which you need answers/strategies that you can implement?

What patient/client problems or patient/client challenges do you feel you are not able to address appropriately or to your satisfaction?

What problems are your patients/clients communicating to you that need attention or follow up?

Are you interested in basic, intermediate or advanced level trainings?

Basic

Intermediate

Advanced

What barriers might you have that would interfere with implementation of new information learned from this training?

How can this training (the overall meeting) be improved to better impact competence, performance and/or patient/client outcomes?

Additional comments: