Event Evaluation and CME Form

Transcription

1 Meaningful Use for CHCs: From Visionary Concept to Actualized Practice CHAMPS Live and Archived Webcast Live Broadcast on May 18, 2011 Presented by Christopher Tonozzi, MD and Heather Stocker Event Evaluation and CME Form CHAMPS Meaningful Use Webcast Evaluation/CME Questions Please complete the following evaluation questions, so we can review our goals, objectives, and topics for future events. If you complete the Evaluation Questions and provide your contact information, you will receive a Certificate of Participation for this event within six weeks. Application for CME credit for this activity has been filed with the American Academy of Family Physicians. Determination of credit is pending. Participants interested in receiving Continuing Medical Education (CME) credit must complete the CME questions following the evaluation questions (page 5). If you complete the Evaluation and CME questions and provide your contact information, you will receive a Continuing Medical Education Certificate for 1.5 credit hours pending approval and within six weeks of submitting your form. Viewers of the Live Event: Please complete and submit this Evaluation/CME form no later than Wednesday, May 25, Alternatively, you may complete an online version of this survey by May 25, 2011: Fax your completed form to Shealyn Feil at CHAMPS, (303) Questions? Call (303) EVALUATION QUESTIONS 1) Please provide your contact information. This information is required if you would like to receive a Certificate of Participation or CME Credit for this event. Name, credentials: Title: Organization: Address: City/State: ZIP: Address: Phone Number: Community Health Association of Mountain/Plains States 1

2 2) Are you requesting Continuing Medical Education (CME) credit for this event? (A $15 per person fees applies for persons working at organizations that are not current CHAMPS Organizational members.) Yes No 3) Which version of this event ( Meaningful Use for CHCs: From Visionary Concept to Actualized Practice ) did you watch in advance of completing this Evaluation/CME questionnaire? Live Online Event (broadcast on 05/18/11) Online Archive CD Archive 4) Please rate your overall satisfaction with this webcast on a scale of 1-10 (1 being the worst possible rating and 10 being the best possible rating): (Worst Possible Rating) (Best Possible Rating) ) I feel this presentation addressed Educational Objective #1: Demonstrate a general understanding of Meaningful Use intent, requirements, and key components. 6) I feel this presentation addressed Educational Objective #2: Identify Medicaid and Medicare defined Eligible Professionals who qualify for Meaningful Use Incentives. 7) I feel this presentation addressed Educational Objective #3: Understand Meaningful Use registration, payment, and timeline including potentially problematic areas. 8) I feel this presentation addressed Educational Objective #4: Recognize gaps between current and prospective practice related to Meaningful Use. Community Health Association of Mountain/Plains States 2

3 9) I feel this presentation addressed Educational Objective #5: Activate solutions to achieve Meaningful Use. 10) The speakers were knowledgeable on the topic: 11) The speakers were interesting to listen to: 12) The speakers fostered active participation in learning: 13) The content was presented in a balanced manner: 14) Rate your experience registering for, logging on to, and participating in this webcast: Very Easy Easy Neither Easy nor Difficult Difficult Very Difficult 15) The educational materials (handouts, learning activities, etc.) promoted my understanding of the material: Community Health Association of Mountain/Plains States 3

4 16) This webcast gave me practical tools I can use while working: 17) How did you hear about this event? Announcement CHAMPS Website CHAMPS Newsletter Event Flyer Other (please specify): 18) How likely are you to attend another CHAMPS distance learning event (teleconference or webcast)? Very Likely Likely Somewhat Likely Not Very Likely Not at All Likely 19) Briefly describe the best aspects of this webcast: 20) Please describe how this webcast could be improved: 21) As a follow-up to this event, CHAMPS is considering offering one-hour conference calls on the following topics. Please check those that you might be interested in attending: Alignment of MU/ACO/PCMH efforts Clinical Quality Measures: Identification, Workflow, and Reporting Meaningful Use Stages 2 & 3 None Other/Comments (Please specify below): 22) What additional types of follow-up activities addressing the theme of Meaningful Use for CHCs might you be interested in (to allow us to provide additional training and/or assistance in this area)? Additional Webcast Fall Conference Session Listserv None Other/Comments (Please specify below): Community Health Association of Mountain/Plains States 4

5 23) List other training topics that would meet the needs of your job: 24) Other Comments: Thank you for your responses. If you are not applying for CME credit, please fax these responses to Shealyn Feil at CHAMPS, (303) Otherwise, continue to the CME Credit questions on the following page. CONTINUING MEDICAL EDUCATION (CME) CREDIT QUESTIONS You must attend the entire webcast and complete the following post-test in order to qualify for CME credit. Failure to complete all CME questions will result in no CME credit awarded. 25) Achieving Meaningful Use Stage 1 includes the following, except: Adoption and implementation of a certified EHR Capacity and use of eprescribing Meeting all of the 10 Core Objectives Knowledge of the clinical measures an EHR can track 26) One intent of Meaningful Use is to: Add one more thing to clinics /providers plates Encourage more senior providers to retire and open up the field to new providers Improve care coordination, population based health, and public health efforts Support the economic growth in the EHR industry 27) A Medicaid Eligible Professional means that a provider is one of the following: Physician, Dentist, Certified Nurse Midwife, Nurse Practitioner, Physician Assistant (that meets rule requirements) Physician, Certified Nurse Midwife, Registered Nurse, Medical Assistant Physician, Certified Nurse Midwife, Nurse Practitioner, Psychologist Physician, Certified Nurse Midwife, Nurse Practitioner, Medical Assistant 28) As Meaningful Use incentives continue through 2021, the last year to start participation is: ) Adopt/Implement/Upgrade is: An EHR Vendor A requirement for Stage 2 of Meaningful Use A Medicaid alternative to Meaningful Use attestation for Year 1 Part of the EHR Certification process Thank you for applying for Continuing Medical Education Credit. Please fax your responses to Shealyn Feil at CHAMPS, (303) Community Health Association of Mountain/Plains States 5