Session #3: Evaluation: Project ECHO® Approaches to Dementia Care Survey

Evaluation results will not be linked to your name or email. If you fill out the CME/CEU request, those responses will be kept separate from your evaluation.

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* 1. What is your role?

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* 2. What is your work setting?

Primary Care setting

Community setting

Care facility / Residential facility

Senior Day Programs facility

Other (please specify)

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* 3. Was this session free from commercial bias?

Yes

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* 4. Did the session meet the stated objectives?

Yes

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* 5. Please rank your satisfaction with this ECHO session:

	Very Satisfied	Somewhat Satisfied	Somewhat Dissatisfied	Very Dissatisfied
Session 3	Session 3 Very Satisfied	Session 3 Somewhat Satisfied	Session 3 Somewhat Dissatisfied	Session 3 Very Dissatisfied	Session 3

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* 6. How valuable was each feature of this ECHO session:

	Very Valuable	Somewhat Valuable	Somewhat Valuable	Very Valuable
Subject matter expert presentation (Dr McNicoll)	Subject matter expert presentation (Dr McNicoll) Very Valuable	Subject matter expert presentation (Dr McNicoll) Somewhat Valuable	Subject matter expert presentation (Dr McNicoll) Somewhat Valuable	Subject matter expert presentation (Dr McNicoll) Very Valuable	Subject matter expert presentation (Dr McNicoll)
Case presentation	Case presentation Very Valuable	Case presentation Somewhat Valuable	Case presentation Somewhat Valuable	Case presentation Very Valuable	Case presentation
Case response and recommendations from all participants	Case response and recommendations from all participants Very Valuable	Case response and recommendations from all participants Somewhat Valuable	Case response and recommendations from all participants Somewhat Valuable	Case response and recommendations from all participants Very Valuable	Case response and recommendations from all participants

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* 7. Please rate your knowledge BEFORE Session 3: Safety concerns when caring for someone with dementia (what Matters most, Medications, Mobility, Mentation)

	Before this ECHO Session No knowledge	Before this ECHO Session Minimal knowledge	Before this ECHO Session Moderate knowledge	Before this ECHO Session High knowledge
Identify the importance of safety screening for patients with dementia	Identify the importance of safety screening for patients with dementia Before this ECHO Session No knowledge	Identify the importance of safety screening for patients with dementia Before this ECHO Session Minimal knowledge	Identify the importance of safety screening for patients with dementia Before this ECHO Session Moderate knowledge	Identify the importance of safety screening for patients with dementia Before this ECHO Session High knowledge
Identify screening tools and “best practice” / methods for performing safety screening for patients with dementia – see measure specs	Identify screening tools and “best practice” / methods for performing safety screening for patients with dementia – see measure specs Before this ECHO Session No knowledge	Identify screening tools and “best practice” / methods for performing safety screening for patients with dementia – see measure specs Before this ECHO Session Minimal knowledge	Identify screening tools and “best practice” / methods for performing safety screening for patients with dementia – see measure specs Before this ECHO Session Moderate knowledge	Identify screening tools and “best practice” / methods for performing safety screening for patients with dementia – see measure specs Before this ECHO Session High knowledge
Discuss safety screening in 5 domains – finances, driving, cooking, medication, wandering	Discuss safety screening in 5 domains – finances, driving, cooking, medication, wandering Before this ECHO Session No knowledge	Discuss safety screening in 5 domains – finances, driving, cooking, medication, wandering Before this ECHO Session Minimal knowledge	Discuss safety screening in 5 domains – finances, driving, cooking, medication, wandering Before this ECHO Session Moderate knowledge	Discuss safety screening in 5 domains – finances, driving, cooking, medication, wandering Before this ECHO Session High knowledge

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* 8. Please rate your knowledge AFTER Session 3: Safety concerns when caring for someone with dementia (what Matters most, Medications, Mobility, Mentation)

	After this ECHO Session No knowledge	After this ECHO Session Minimal knowledge	After this ECHO Session Moderate knowledge	After this ECHO Session High knowledge
Identify the importance of safety screening for patients with dementia	Identify the importance of safety screening for patients with dementia After this ECHO Session No knowledge	Identify the importance of safety screening for patients with dementia After this ECHO Session Minimal knowledge	Identify the importance of safety screening for patients with dementia After this ECHO Session Moderate knowledge	Identify the importance of safety screening for patients with dementia After this ECHO Session High knowledge
Identify screening tools and “best practice” / methods for performing safety screening for patients with dementia – see measure specs	Identify screening tools and “best practice” / methods for performing safety screening for patients with dementia – see measure specs After this ECHO Session No knowledge	Identify screening tools and “best practice” / methods for performing safety screening for patients with dementia – see measure specs After this ECHO Session Minimal knowledge	Identify screening tools and “best practice” / methods for performing safety screening for patients with dementia – see measure specs After this ECHO Session Moderate knowledge	Identify screening tools and “best practice” / methods for performing safety screening for patients with dementia – see measure specs After this ECHO Session High knowledge
Discuss safety screening in 5 domains – finances, driving, cooking, medication, wandering	Discuss safety screening in 5 domains – finances, driving, cooking, medication, wandering After this ECHO Session No knowledge	Discuss safety screening in 5 domains – finances, driving, cooking, medication, wandering After this ECHO Session Minimal knowledge	Discuss safety screening in 5 domains – finances, driving, cooking, medication, wandering After this ECHO Session Moderate knowledge	Discuss safety screening in 5 domains – finances, driving, cooking, medication, wandering After this ECHO Session High knowledge

Session #3: Evaluation: Project ECHO® Approaches to Dementia Care

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* 1. What is your role?

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* 2. What is your work setting?

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* 3. Was this session free from commercial bias?

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* 4. Did the session meet the stated objectives?

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* 5. Please rank your satisfaction with this ECHO session:

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* 6. How valuable was each feature of this ECHO session:

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* 7. Please rate your knowledge BEFORE Session 3: Safety concerns when caring for someone with dementia (what Matters most, Medications, Mobility, Mentation)

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* 8. Please rate your knowledge AFTER Session 3: Safety concerns when caring for someone with dementia (what Matters most, Medications, Mobility, Mentation)

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* 9. What information stood out to you from this session?

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* 10. What did you like most about the session?

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* 11. What did you like least about the session?

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* 12. Describe any aspects of your practice that you feel you can change based on today’s session:

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* 13. What are some barriers to making these changes?

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* 14. Would you like CME/CEU credits for this session?