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Health IT: A Critical Enabler of Safe and Effective Health Care
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Agreement
By completing this form, you attest that you have attended the activity in its entirety.
Please rate the following:
The program was relevant to my work.
Content matched stated objectives.
Usefulness of handouts/AV.
Quality of Web Conference Platform.
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. 
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:
Explain the broader goals and objectives of meaningful use and how it relates to improved patient outcomes
I am able to meet the above objective.
In regards to this objective, my professional competence will increase because I have acquired new strategies to use in my practice.
In regards to this objective, my professional performance will improve because I should be able to implement the new strategies.
In regards to this objective, objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Describe each of the Stage 1 meaningful use criteria in relation to quality and safety
I am able to meet the above objective.
In regards to this objective, my professional competence will increase because I have acquired new strategies to use in my practice.
In regards to this objective, my professional performance will improve because I should be able to implement the new strategies.
In regards to this objective, objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Discuss the importance of interoperability as a means to inform patient care
I am able to meet the above objective.
In regards to this objective, my professional competence will increase because I have acquired new strategies to use in my practice.
In regards to this objective, my professional performance will improve because I should be able to implement the new strategies.
In regards to this objective, objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Cite examples of interoperability and its role in across a team in an institution and over time across care environments, including the home / personal health record
I am able to meet the above objective.
In regards to this objective, my professional competence will increase because I have acquired new strategies to use in my practice.
In regards to this objective, my professional performance will improve because I should be able to implement the new strategies.
In regards to this objective, 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 practice?
Was the educational content scientifically sound?
Was the educational content free from commercial bias?
Was the mode of education effective for 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 from this training?
How could this training be improved to impact your competence or performance in practice?
Additional comments regarding the speaker or session:
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