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WRG - 5th Annual Disaster Planning for Hospitals
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What activities did you attend at the event?
Agreement
By completing this form, you attest that you have participated in all selected activities in thier entirety.
Please rate the following:
The program was relevant to my work.
Content matched stated objectives.
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:
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Objective 1: Identify methods to secure funding and support from governmental agencies & community resources
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
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:
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:
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:
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:
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:
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:
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:
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:
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:
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:
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:
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:
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:
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:
Objective 2: Explain how to conduct a proper hazard vulnerability analysis to identify risk and plan accordingly
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Objective 3: Establish protocols to assist vulnerable populations in a time of crisis
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
List different types of operations issues in the context of mass critical care
Discuss realistic solutions to the complexities of providing mass critical care
Summarize the Commission's emergency response and restoration capabilities
Identify broadband policy issues and initiatives expected to benefit America's first responders and hospital emergency documents
Develop methods to optimize collaboration and utilization of all disaster planning governmental services
Review the concept of risk assessment as integral to the Environment Care
Examine the Hazard Vulnerability Assessment template
Assess the best pratices and potential pitfalls in applying this template
List common performance measures and documentation requirements associated with government fund grants
Identify tools necessary when assisting in emergency preparedness planning, training and documentation
Summarize emergency preparedness partnerships and collaboration strategies
Discuss how HUMC's process integrates itself in the emergency response
Describe the benefits and limitations in providing private sector medical capacity in a disaster reponse
Communicate the importance of interagency pre-event planning
Identify methods to collectively meet patient care needs at the time of disaster
Formulate a mutual aid agreement that allows for sharing of resources
Assemble and sustain collaborative working relationships specifically related to emergency situations over time
Identify how many team members are needed to run a successful HazMat team
Discuss when it is appropriate to deploy such a plan
List effective educational methods in developing the effectiveness of the team
Identify a plan to expland critical care bed capacity and associated resource capability
List the tools necessary to expand bed capacity and maintaining essential inpatient and ambulatory procedures
Summarize delays to minimize their effects in completing plans to expand critical care bed capacity
Define processes for hospital patient identification, notification of next-of-kin, tracking, storage, and disposition or remains
Identify accommondations for religious and cultural considerations for fatality operations
Assess the need for mental health support for fatality surge staff as part of responder health safety
Identifying the lessons learned from the natural disaster
Apply mitigation measures to determine the degree of the disaster and the impact that can be sustained before a disaster becomes catastrophic
Apply medical and psychosocial planning and training as is prominent in dealing with the aftermath of disaster
Discuss the issues surrounding ethical obligations in a time of disaster
Create a checklist to use in time or crisis
Identify necessary tools to expand house wide bed capacity, sustain resource capacity, sustain resource capability and essential patient services across the hospital
Summarize the Hosptial Based Demand Scoring System (HBDSS) model and merge into facility specific surge plans
List successful strategies for attaining government funded grants supporting surge capacity, patient tracking and alternate care performance measures
Identify the need for individualized NICU and pediatric emergency preparedness plans
List the importance of safety, confidentiality and tracking when transporting patients during an emergency
Describe the effects of the pandemic flu on hospital staffing and patient acuity during the opening of a new pediatric patient tower
Identify tools to properly triage vulnerable patients when disaster strikes
Develop a system that is widely accepted so volunteers and healthcare professionals understand who to evacuate
Recognize which service providers and vendor products are best for the culture and size of your hospital
Identify how to secure funding for disaster planning initiatives
Objective 4: Develop metrics to help physicians deal with ethical and legal obligations
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Objective 5: List the tools necessary to manage the logistical and financial recover process
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
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 educational content free of commercial bias?
Was the mode of education effective to learning?
If faculty spoke about off-label or investigational uses of a product, was that information disclosed to you?
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.
How much did you learn as a result of this educational program?
What 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 problems or patient challenges do you feel you are not able to address appropriately or to your satisfaction?
What problems are your patients communicating to you that need attention or follow up?

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

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

How can this training be improved to better impact competence, performance and/or patient outcomes?

Additional comments:

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