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VA Integrated Smoking Cessation Care Learning Collaborative - Learning Session 1
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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. 
Objective 1: List techniques for overcoming the challenges to everyday practice of providing MI.
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:
Objective 2: Discuss the issues in implementing Brief Interventions.
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.
Having completed the activity, please rate your ability to meet each of the following objectives:
Describe structure and content of learning session and how session will prepare teams to implement Integrate Smoking Cessation Care.
Identify strengths and resources of teams participating in the Learning Collaborative vis a vis implementing Integrated Care.
Define Integrated Care and its evidence base.
Discuss key components of the Integrated Care treatment model.
Assess patients readiness to engage in smoking cessation using the Stages of Change model.
Apply motivational interviewing to facilitate patients’ engagement in smoking cessation.
Describe benefits of regular participation in Clinical Cluster (Consultation) Calls during Action Period 1 with respect to implementing Integrated Care.
Identify three topics that should be addressed in calls to address anticipated implementation and clinical challenges.
Identify key elements of a Learning Collaborative.
Describe 3 benefits of the using the Learning Collaborative methodology to implement evidence-based care.
Discuss the mission and goals of the Learning Collaborative and how the Collaborative Change Framework guides efforts to achieve the mission of full and sustained use of Integrated Care.
Apply the Integrated Smoking Cessation Care manual to a course of individual treatment.
Modify the structure of individual treatment sessions to meet patients’ needs.
Identify key components of the Integrated Care model and their application.
Discuss strategies for motivating patients to stop smoking.
Recognize pharmacological properties of Nicotine Replacement Therapies.
Identify guidelines for prescribing nicotine replacement therapies to veterans with PTSD, including use of combination medications and side effects.
Use the note templates which will provide data for the metrics Define monthly metrics as it relates to Learning Collaboratives.
Identify at least one use of metrics to support their team’s implementation of Integrated Care.
Define implementation barriers and challenges.
Prepare strategies (clinical and administrative) for addressing barriers and challenges.
Utilize Learning Collaborative components in order to support implementation of Integrated Care during Action Period 1.
Create an implementation plan for Integrated Smoking Cessation Care during Action Period 1.
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.
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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