Understanding the Changes to Medicaid and the Community Impact Evaluation

We are grateful for your participation and hope that you found the professional development series valuable and informative. Your feedback is essential, please take a few minutes of your time to complete the following evaluation.

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* 1. VALUE OF SESSION

	Extremely Valuable	Valuable	Satisfactory	Fair	Poor
Understanding the Changes to Medicaid and the Community Impact	Understanding the Changes to Medicaid and the Community Impact Extremely Valuable	Understanding the Changes to Medicaid and the Community Impact Valuable	Understanding the Changes to Medicaid and the Community Impact Satisfactory	Understanding the Changes to Medicaid and the Community Impact Fair	Understanding the Changes to Medicaid and the Community Impact Poor

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* 2. QUALITY OF EACH SPEAKER

	Excellent	Very Good	Satisfactory	Fair	Poor
Honorable Chiquita Brooks-LaSure	Honorable Chiquita Brooks-LaSure Excellent	Honorable Chiquita Brooks-LaSure Very Good	Honorable Chiquita Brooks-LaSure Satisfactory	Honorable Chiquita Brooks-LaSure Fair	Honorable Chiquita Brooks-LaSure Poor
B. Cameron Webb, MD, JD (Moderator)	B. Cameron Webb, MD, JD (Moderator) Excellent	B. Cameron Webb, MD, JD (Moderator) Very Good	B. Cameron Webb, MD, JD (Moderator) Satisfactory	B. Cameron Webb, MD, JD (Moderator) Fair	B. Cameron Webb, MD, JD (Moderator) Poor
Shantel Hebert-Magee, MD, MPH	Shantel Hebert-Magee, MD, MPH Excellent	Shantel Hebert-Magee, MD, MPH Very Good	Shantel Hebert-Magee, MD, MPH Satisfactory	Shantel Hebert-Magee, MD, MPH Fair	Shantel Hebert-Magee, MD, MPH Poor
Orriel Richardson, Esq.	Orriel Richardson, Esq. Excellent	Orriel Richardson, Esq. Very Good	Orriel Richardson, Esq. Satisfactory	Orriel Richardson, Esq. Fair	Orriel Richardson, Esq. Poor

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* 3. PRACTICE ENHANCEMENT

	5 - Strongly Agree	4 - Agree	3 - Not Certain	2 - Disagree	1 - Strongly Disagree
This activity will help me improve my professional effectiveness.	This activity will help me improve my professional effectiveness. 5 - Strongly Agree	This activity will help me improve my professional effectiveness. 4 - Agree	This activity will help me improve my professional effectiveness. 3 - Not Certain	This activity will help me improve my professional effectiveness. 2 - Disagree	This activity will help me improve my professional effectiveness. 1 - Strongly Disagree
I will apply the knowledge/skills I learned.	I will apply the knowledge/skills I learned. 5 - Strongly Agree	I will apply the knowledge/skills I learned. 4 - Agree	I will apply the knowledge/skills I learned. 3 - Not Certain	I will apply the knowledge/skills I learned. 2 - Disagree	I will apply the knowledge/skills I learned. 1 - Strongly Disagree

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* 4. INTENDED CHANGES TO PRACTICE

	100%	75%	50%	25%	0%
What degree of confidence do you have that you will employ these strategies in your practice?	What degree of confidence do you have that you will employ these strategies in your practice? 100%	What degree of confidence do you have that you will employ these strategies in your practice? 75%	What degree of confidence do you have that you will employ these strategies in your practice? 50%	What degree of confidence do you have that you will employ these strategies in your practice? 25%	What degree of confidence do you have that you will employ these strategies in your practice? 0%

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* 5. Based upon the information you received from this activity, please list at least two PRACTICE STRATEGIES that you will enhance or implement.

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* 6. Please identify what barriers may exist which you feel would prevent employment of these strategies.

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* 7. QUALITY OF THE ACTIVITY

	5 - Strongly Agree	4 - Agree	3 - Not Certain	2 - Disagree	1 - Strongly Disagree
This activity fulfilled my educational needs.	This activity fulfilled my educational needs. 5 - Strongly Agree	This activity fulfilled my educational needs. 4 - Agree	This activity fulfilled my educational needs. 3 - Not Certain	This activity fulfilled my educational needs. 2 - Disagree	This activity fulfilled my educational needs. 1 - Strongly Disagree
The activity content was effective in helping me achieve my learning objectives.	The activity content was effective in helping me achieve my learning objectives. 5 - Strongly Agree	The activity content was effective in helping me achieve my learning objectives. 4 - Agree	The activity content was effective in helping me achieve my learning objectives. 3 - Not Certain	The activity content was effective in helping me achieve my learning objectives. 2 - Disagree	The activity content was effective in helping me achieve my learning objectives. 1 - Strongly Disagree
The format of the activity was effective in helping me achieve my learning objectives.	The format of the activity was effective in helping me achieve my learning objectives. 5 - Strongly Agree	The format of the activity was effective in helping me achieve my learning objectives. 4 - Agree	The format of the activity was effective in helping me achieve my learning objectives. 3 - Not Certain	The format of the activity was effective in helping me achieve my learning objectives. 2 - Disagree	The format of the activity was effective in helping me achieve my learning objectives. 1 - Strongly Disagree

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* 8. Additional Comments