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We are pleased that you participated in one of our SOWEGA-AHEC educational programs. Please take the time to fill out this evaluation survey, so that we can improve future programs.

For continuing education certificate, completion and submission of evaluation is required. Continuing education certificates will be mailed to the participants.

Pharmacist and Pharmacy Tech attendees will be emailed a specific link to the UGA College of Pharmacy evaluation to obtain their specific online evaluation tool.

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* 1. Please provide your name and email address so that we may identify registrants that complete the evaluation survey for continuing education certificates. We will send reminder emails to those that do not complete the evaluation survey.

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* 2. Please indicate your professional degree.

Pharmacist

Pharmacy Tech

Student

Other

Other (please specify)

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* 3. Did you participate in the SOWEGA-AHEC CURE activity from your organization's facilities?

Yes

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* 4. If yes, were there other individuals who viewed the presentation with you?

Yes

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* 5. If yes, and they were not pre-registered, please provide their names and email addresses, so we may have a complete record of participants and be able to forward evaluation link to them.

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* 6. At the end of this presentation, the participant should be able to:

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Identify three main drivers of excessive health care costs in US.	Identify three main drivers of excessive health care costs in US. Strongly Agree	Identify three main drivers of excessive health care costs in US. Agree	Identify three main drivers of excessive health care costs in US. Neutral	Identify three main drivers of excessive health care costs in US. Disagree	Identify three main drivers of excessive health care costs in US. Strongly Disagree
Describe delivery system reforms in the Patient Protection and Affordable Care Act related to bending the health care cost curve.	Describe delivery system reforms in the Patient Protection and Affordable Care Act related to bending the health care cost curve. Strongly Agree	Describe delivery system reforms in the Patient Protection and Affordable Care Act related to bending the health care cost curve. Agree	Describe delivery system reforms in the Patient Protection and Affordable Care Act related to bending the health care cost curve. Neutral	Describe delivery system reforms in the Patient Protection and Affordable Care Act related to bending the health care cost curve. Disagree	Describe delivery system reforms in the Patient Protection and Affordable Care Act related to bending the health care cost curve. Strongly Disagree
Describe two payment delivery reforms designed to improve quality and reduce costs.	Describe two payment delivery reforms designed to improve quality and reduce costs. Strongly Agree	Describe two payment delivery reforms designed to improve quality and reduce costs. Agree	Describe two payment delivery reforms designed to improve quality and reduce costs. Neutral	Describe two payment delivery reforms designed to improve quality and reduce costs. Disagree	Describe two payment delivery reforms designed to improve quality and reduce costs. Strongly Disagree

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* 7. Please rate the following aspects of the program content:

	Excellent	Good	Fair	Poor
Overall Content	Overall Content Excellent	Overall Content Good	Overall Content Fair	Overall Content Poor
Clinical Applications & Objectives Achieved	Clinical Applications & Objectives Achieved Excellent	Clinical Applications & Objectives Achieved Good	Clinical Applications & Objectives Achieved Fair	Clinical Applications & Objectives Achieved Poor
Presentation Style & Visual Aids	Presentation Style & Visual Aids Excellent	Presentation Style & Visual Aids Good	Presentation Style & Visual Aids Fair	Presentation Style & Visual Aids Poor

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* 8. How would you rate the quality of instruction?

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Instructional materials were well organized.	Instructional materials were well organized. Strongly Agree	Instructional materials were well organized. Agree	Instructional materials were well organized. Neutral	Instructional materials were well organized. Disagree	Instructional materials were well organized. Strongly Disagree
Instructional methods illustrated the concepts well.	Instructional methods illustrated the concepts well. Strongly Agree	Instructional methods illustrated the concepts well. Agree	Instructional methods illustrated the concepts well. Neutral	Instructional methods illustrated the concepts well. Disagree	Instructional methods illustrated the concepts well. Strongly Disagree
If slides were presented,they will be useful reference.	If slides were presented,they will be useful reference. Strongly Agree	If slides were presented,they will be useful reference. Agree	If slides were presented,they will be useful reference. Neutral	If slides were presented,they will be useful reference. Disagree	If slides were presented,they will be useful reference. Strongly Disagree
References and resources provided will assist me.	References and resources provided will assist me. Strongly Agree	References and resources provided will assist me. Agree	References and resources provided will assist me. Neutral	References and resources provided will assist me. Disagree	References and resources provided will assist me. Strongly Disagree

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* 9. How would you rate the quality of the presentation?

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Presenter was clear and to the point.	Presenter was clear and to the point. Strongly Agree	Presenter was clear and to the point. Agree	Presenter was clear and to the point. Neutral	Presenter was clear and to the point. Disagree	Presenter was clear and to the point. Strongly Disagree
Presenter demonstrated mastery of the topic.	Presenter demonstrated mastery of the topic. Strongly Agree	Presenter demonstrated mastery of the topic. Agree	Presenter demonstrated mastery of the topic. Neutral	Presenter demonstrated mastery of the topic. Disagree	Presenter demonstrated mastery of the topic. Strongly Disagree
Methods used to present the materials held my attentions.	Methods used to present the materials held my attentions. Strongly Agree	Methods used to present the materials held my attentions. Agree	Methods used to present the materials held my attentions. Neutral	Methods used to present the materials held my attentions. Disagree	Methods used to present the materials held my attentions. Strongly Disagree
Presenter was responsive to questions.	Presenter was responsive to questions. Strongly Agree	Presenter was responsive to questions. Agree	Presenter was responsive to questions. Neutral	Presenter was responsive to questions. Disagree	Presenter was responsive to questions. Strongly Disagree

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* 10. Do you intend to make changes or apply what you learned to your practice as a result of this program within the next 6 months?

Yes, I plan to make changes.

I am not sure, but considering changes.

No, I already practice this recommendation.

No, this does not apply to my practice.

If yes, describe one thing you intend to try to do differently as a result of this program.

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* 11. Compared to other online activities that you have participated in over the past year, I would rate this program as on a scale from 5 (Great Program) to 1(Needs Improvement):

5 Great Program

3 Somewhat Useful

1 Needs Improvement

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* 12. Where did you hear about this specific activity? (Multiple responses allowed.)

SOWEGA-AHEC

HealthTecDL

Employer

Colleague

Activity Flyer

Other Regional AHEC

Newspaper

Friend

Instructor

Website (please specify)

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* 13. Please rate the following aspects of the distance-based network.

	Very satisfied	Satisfied	Neutral	Dissatisfied	Very Dissatisfied
Ease of access to program.	Ease of access to program. Very satisfied	Ease of access to program. Satisfied	Ease of access to program. Neutral	Ease of access to program. Dissatisfied	Ease of access to program. Very Dissatisfied
Quality of the video/slides.	Quality of the video/slides. Very satisfied	Quality of the video/slides. Satisfied	Quality of the video/slides. Neutral	Quality of the video/slides. Dissatisfied	Quality of the video/slides. Very Dissatisfied
Quality of the audio.	Quality of the audio. Very satisfied	Quality of the audio. Satisfied	Quality of the audio. Neutral	Quality of the audio. Dissatisfied	Quality of the audio. Very Dissatisfied
Degree of interactivity.	Degree of interactivity. Very satisfied	Degree of interactivity. Satisfied	Degree of interactivity. Neutral	Degree of interactivity. Dissatisfied	Degree of interactivity. Very Dissatisfied

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* 14. Where did you hear about this specific activity? (Multiple responses allowed.)

SOWEGA-AHEC

HealthTecDL

Employer

Colleague

Activity Flyer

Other Regional AHEC

Newspaper

Friend

Instructor

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* 15. Please describe difficulties if any that you encountered in participating in the activity from your location.

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* 16. What one suggestion if any would you recommend to the distance based aspect of the activity?

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* 17. Practice-based learning & improvement CME Needs: Do you have a question in your practice that needs to be answered?

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* 18. Post Test Question #1

Which of the following would be considered as a main driver of excessive health care costs in the US?

Lack of enough primary care physicians.

Regional variation within our country in terms of cost and quality.

US fee-for-service system of reimbursement.

None of the above.

All of the above.

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* 19. Post Test Question #2

The Patient Centered Medical Home and the Accountable Care Organization are two payment delivery reform models that are designed to improve health care quality and reduce costs.

True

False

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* 20. If you are a student viewing the activity as part of your academic pursuit within a specific course, the following additional responses are required.

School Name

Course Name

Course Instructor Name

Course Instructor Email Address

Question Title

* 1. Please provide your name and email address so that we may identify registrants that complete the evaluation survey for continuing education certificates. We will send reminder emails to those that do not complete the evaluation survey.

Question Title

* 2. Please indicate your professional degree.

Question Title

* 3. Did you participate in the SOWEGA-AHEC CURE activity from your organization's facilities?

Question Title

* 4. If yes, were there other individuals who viewed the presentation with you?

Question Title

* 5. If yes, and they were not pre-registered, please provide their names and email addresses, so we may have a complete record of participants and be able to forward evaluation link to them.

Question Title

* 6. At the end of this presentation, the participant should be able to:

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* 7. Please rate the following aspects of the program content:

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* 8. How would you rate the quality of instruction?

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* 9. How would you rate the quality of the presentation?

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* 10. Do you intend to make changes or apply what you learned to your practice as a result of this program within the next 6 months?

Question Title

* 11. Compared to other online activities that you have participated in over the past year, I would rate this program as on a scale from 5 (Great Program) to 1(Needs Improvement):

Question Title

* 12. Where did you hear about this specific activity? (Multiple responses allowed.)

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* 13. Please rate the following aspects of the distance-based network.

Question Title

* 14. Where did you hear about this specific activity? (Multiple responses allowed.)

Question Title

* 15. Please describe difficulties if any that you encountered in participating in the activity from your location.

Question Title

* 16. What one suggestion if any would you recommend to the distance based aspect of the activity?

Question Title

* 17. Practice-based learning & improvement CME Needs: Do you have a question in your practice that needs to be answered?

Question Title

* 18. Post Test Question #1Which of the following would be considered as a main driver of excessive health care costs in the US?

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* 19. Post Test Question #2The Patient Centered Medical Home and the Accountable Care Organization are two payment delivery reform models that are designed to improve health care quality and reduce costs.

Question Title

* 20. If you are a student viewing the activity as part of your academic pursuit within a specific course, the following additional responses are required.

* 18. Post Test Question #1

Which of the following would be considered as a main driver of excessive health care costs in the US?

* 19. Post Test Question #2

The Patient Centered Medical Home and the Accountable Care Organization are two payment delivery reform models that are designed to improve health care quality and reduce costs.