2019 Keynote Session: Collaboration and Integration for a Seamless System of Care EVALUATION FORM In order to improve the quality of our next program, we would appreciate receiving your feedback. Please feel free to make comments. We thank you for your cooperation. Question Title * 1. On a scale of 1 (poor) to 5 (excellent), how well were you able to achieve the session objectives? 1 2 3 4 5 N/A A. Relate the importance of a seamless system of care for the maternity care consumer. A. Relate the importance of a seamless system of care for the maternity care consumer. 1 A. Relate the importance of a seamless system of care for the maternity care consumer. 2 A. Relate the importance of a seamless system of care for the maternity care consumer. 3 A. Relate the importance of a seamless system of care for the maternity care consumer. 4 A. Relate the importance of a seamless system of care for the maternity care consumer. 5 A. Relate the importance of a seamless system of care for the maternity care consumer. N/A B. Discuss challenges and solutions for transfer of care from community birth to hospital. B. Discuss challenges and solutions for transfer of care from community birth to hospital. 1 B. Discuss challenges and solutions for transfer of care from community birth to hospital. 2 B. Discuss challenges and solutions for transfer of care from community birth to hospital. 3 B. Discuss challenges and solutions for transfer of care from community birth to hospital. 4 B. Discuss challenges and solutions for transfer of care from community birth to hospital. 5 B. Discuss challenges and solutions for transfer of care from community birth to hospital. N/A C. Identify how hospital midwifery practices can have a positive impact on transfer of care from birth center or home birth settings. C. Identify how hospital midwifery practices can have a positive impact on transfer of care from birth center or home birth settings. 1 C. Identify how hospital midwifery practices can have a positive impact on transfer of care from birth center or home birth settings. 2 C. Identify how hospital midwifery practices can have a positive impact on transfer of care from birth center or home birth settings. 3 C. Identify how hospital midwifery practices can have a positive impact on transfer of care from birth center or home birth settings. 4 C. Identify how hospital midwifery practices can have a positive impact on transfer of care from birth center or home birth settings. 5 C. Identify how hospital midwifery practices can have a positive impact on transfer of care from birth center or home birth settings. N/A D. Discuss how birth centers can cultivate effective relationships with collaborating physicians and hospitals. D. Discuss how birth centers can cultivate effective relationships with collaborating physicians and hospitals. 1 D. Discuss how birth centers can cultivate effective relationships with collaborating physicians and hospitals. 2 D. Discuss how birth centers can cultivate effective relationships with collaborating physicians and hospitals. 3 D. Discuss how birth centers can cultivate effective relationships with collaborating physicians and hospitals. 4 D. Discuss how birth centers can cultivate effective relationships with collaborating physicians and hospitals. 5 D. Discuss how birth centers can cultivate effective relationships with collaborating physicians and hospitals. N/A E. Explain the role of insurers in integrating innovative models of care like the birth center. E. Explain the role of insurers in integrating innovative models of care like the birth center. 1 E. Explain the role of insurers in integrating innovative models of care like the birth center. 2 E. Explain the role of insurers in integrating innovative models of care like the birth center. 3 E. Explain the role of insurers in integrating innovative models of care like the birth center. 4 E. Explain the role of insurers in integrating innovative models of care like the birth center. 5 E. Explain the role of insurers in integrating innovative models of care like the birth center. N/A Question Title * 2. On a scale of 1 (poor) to 5 (excellent), please rate the TEACHING EFFECTIVENESS of the presenter. 1 2 3 4 5 N/A A. Amber Allen, B A. Amber Allen, B 1 A. Amber Allen, B 2 A. Amber Allen, B 3 A. Amber Allen, B 4 A. Amber Allen, B 5 A. Amber Allen, B N/A B. Jennie Joseph, LM, CPM, RM(UK) B. Jennie Joseph, LM, CPM, RM(UK) 1 B. Jennie Joseph, LM, CPM, RM(UK) 2 B. Jennie Joseph, LM, CPM, RM(UK) 3 B. Jennie Joseph, LM, CPM, RM(UK) 4 B. Jennie Joseph, LM, CPM, RM(UK) 5 B. Jennie Joseph, LM, CPM, RM(UK) N/A C. Eduardo Marichal, MD C. Eduardo Marichal, MD 1 C. Eduardo Marichal, MD 2 C. Eduardo Marichal, MD 3 C. Eduardo Marichal, MD 4 C. Eduardo Marichal, MD 5 C. Eduardo Marichal, MD N/A D. Carrie Neerland, PhD, APRN, CNM, FACNM D. Carrie Neerland, PhD, APRN, CNM, FACNM 1 D. Carrie Neerland, PhD, APRN, CNM, FACNM 2 D. Carrie Neerland, PhD, APRN, CNM, FACNM 3 D. Carrie Neerland, PhD, APRN, CNM, FACNM 4 D. Carrie Neerland, PhD, APRN, CNM, FACNM 5 D. Carrie Neerland, PhD, APRN, CNM, FACNM N/A E. Juliet Nevins, MD E. Juliet Nevins, MD 1 E. Juliet Nevins, MD 2 E. Juliet Nevins, MD 3 E. Juliet Nevins, MD 4 E. Juliet Nevins, MD 5 E. Juliet Nevins, MD N/A F. Amber Price, DNP, CNM, RN F. Amber Price, DNP, CNM, RN 1 F. Amber Price, DNP, CNM, RN 2 F. Amber Price, DNP, CNM, RN 3 F. Amber Price, DNP, CNM, RN 4 F. Amber Price, DNP, CNM, RN 5 F. Amber Price, DNP, CNM, RN N/A G. Amy Johnson-Grass, ND, LN, LM, CPM (moderator) G. Amy Johnson-Grass, ND, LN, LM, CPM (moderator) 1 G. Amy Johnson-Grass, ND, LN, LM, CPM (moderator) 2 G. Amy Johnson-Grass, ND, LN, LM, CPM (moderator) 3 G. Amy Johnson-Grass, ND, LN, LM, CPM (moderator) 4 G. Amy Johnson-Grass, ND, LN, LM, CPM (moderator) 5 G. Amy Johnson-Grass, ND, LN, LM, CPM (moderator) N/A Question Title * 3. On a scale of 1 (poor) to 5 (excellent), please rate the effectiveness of the TEACHING METHODS used. 1 2 3 4 5 N/A 1 2 3 4 5 N/A Question Title * 4. On a scale of 1 (poor) to 5 (excellent), please rate how well was the PROGRAM MATERIAL ORGANIZED. 1 2 3 4 5 N/A 1 2 3 4 5 N/A Question Title * 5. On a scale of 1 (poor) to 5 (excellent), please rate the session OVERALL. 1 2 3 4 5 N/A 1 2 3 4 5 N/A Question Title * 6. What part of the program provided the most helpful information? Question Title * 7. What additional information would have been helpful? Question Title * 8. Additional comments Question Title * 9. Name (submit if applying for continuing education) Question Title * 10. Email (optional) SUBMIT
