Exit this survey Bridging the Communication Gap Date: May 24, 2016Time: 1:00 PM - 2:00 PM Evaluation MUST be completed and submitted no later than June 7, 2016 Question Title * Factors that may affect effective communication and change: a) Patient's readiness to listen b) Structural barriers: housing, income, social support c) Personal Vulnerabilities: mental disorders, education, substance use d) All of the above Question Title * Which of the following are open-ended questions? a) How can I help you? b) The next thing you should do is........... c) What do you want to do next? d) "a" and "c" None of the above Question Title * According to the Conditions for Coverage the default modality for new patients should be. a) In-center hemodialysis b) Home dialysis (home hemodialysis or peritoneal dialysis) Question Title * Research reveals that the major cause of grievances is found to be related to communication issues. True False Question Title * Information and communication are the same concepts. True False Question Title * Your feedback is important. Please answer the following general questions below as it relates to the Webinar activity. Excellent Satisfactory Poor The educational activity was well organized: The educational activity was well organized: Excellent The educational activity was well organized: Satisfactory The educational activity was well organized: Poor The subject matter presented was relevant to my current practice: The subject matter presented was relevant to my current practice: Excellent The subject matter presented was relevant to my current practice: Satisfactory The subject matter presented was relevant to my current practice: Poor The activity was consistent with what had been advertised: The activity was consistent with what had been advertised: Excellent The activity was consistent with what had been advertised: Satisfactory The activity was consistent with what had been advertised: Poor The teaching methods met the needs for the education: The teaching methods met the needs for the education: Excellent The teaching methods met the needs for the education: Satisfactory The teaching methods met the needs for the education: Poor Question Title * Evaluate speaker: Craig Fisher Excellent Satisfactory Poor Met stated objectives: Met stated objectives: Excellent Met stated objectives: Satisfactory Met stated objectives: Poor Met personal objectives: Met personal objectives: Excellent Met personal objectives: Satisfactory Met personal objectives: Poor Effectiveness of training methods: Effectiveness of training methods: Excellent Effectiveness of training methods: Satisfactory Effectiveness of training methods: Poor Teaching methods meet the needs for the education Teaching methods meet the needs for the education Excellent Teaching methods meet the needs for the education Satisfactory Teaching methods meet the needs for the education Poor Question Title * Comments: Question Title * What CE credit do you need? RN or PCT Social Worker No CEs needed Question Title * Once finalized, the "Bridging the Communication Gap Training Handbook" will be available electronically for download. However, would you like to have a bound hard copy of the handbook when it is ready? Yes No If so, please indicate how many you would like: Question Title * Thank you for evaluating our Webinar.In order to provide you with a CEU Certificate, we need your contact information. We will *email* your certificate to the address provided below. This also serves as our attendance log for the learning session, so make sure that EACH individual who attended the Webinar completes this section accurately: First Name:* * Last Name:* * Dialysis Facility Name: Mailing Address:* * City:* * State:* * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP:* * Medicare Provider #(CCN): Your Email Address:* * Done
