NYeC BHIT Training Evaluation

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* 1. Date of Training

Date / Time

Date

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* 2. Name of Provider Organization

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* 3. Name of Vendor(s)

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* 4. Name of Instructor

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* 5. Which version of training did you have?

In-Person

Webinar

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* 6. Training Impression

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree	N/A
The training you received was sufficient.	The training you received was sufficient. Strongly Agree	The training you received was sufficient. Agree	The training you received was sufficient. Neutral	The training you received was sufficient. Disagree	The training you received was sufficient. Strongly Disagree	The training you received was sufficient. N/A
You would recommend this training to other providers.	You would recommend this training to other providers. Strongly Agree	You would recommend this training to other providers. Agree	You would recommend this training to other providers. Neutral	You would recommend this training to other providers. Disagree	You would recommend this training to other providers. Strongly Disagree	You would recommend this training to other providers. N/A

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* 7. HCBS Functionalities

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree	N/A
You learned case documentation functionalities related to HCBS from the training.	You learned case documentation functionalities related to HCBS from the training. Strongly Agree	You learned case documentation functionalities related to HCBS from the training. Agree	You learned case documentation functionalities related to HCBS from the training. Neutral	You learned case documentation functionalities related to HCBS from the training. Disagree	You learned case documentation functionalities related to HCBS from the training. Strongly Disagree	You learned case documentation functionalities related to HCBS from the training. N/A
You learned how to successfully bill your managed care organization for HCBS Services from the training.	You learned how to successfully bill your managed care organization for HCBS Services from the training. Strongly Agree	You learned how to successfully bill your managed care organization for HCBS Services from the training. Agree	You learned how to successfully bill your managed care organization for HCBS Services from the training. Neutral	You learned how to successfully bill your managed care organization for HCBS Services from the training. Disagree	You learned how to successfully bill your managed care organization for HCBS Services from the training. Strongly Disagree	You learned how to successfully bill your managed care organization for HCBS Services from the training. N/A
HCBS forms were clearly demonstrated during this training.	HCBS forms were clearly demonstrated during this training. Strongly Agree	HCBS forms were clearly demonstrated during this training. Agree	HCBS forms were clearly demonstrated during this training. Neutral	HCBS forms were clearly demonstrated during this training. Disagree	HCBS forms were clearly demonstrated during this training. Strongly Disagree	HCBS forms were clearly demonstrated during this training. N/A
You expect added HCBS functionalities to improve your workflow.	You expect added HCBS functionalities to improve your workflow. Strongly Agree	You expect added HCBS functionalities to improve your workflow. Agree	You expect added HCBS functionalities to improve your workflow. Neutral	You expect added HCBS functionalities to improve your workflow. Disagree	You expect added HCBS functionalities to improve your workflow. Strongly Disagree	You expect added HCBS functionalities to improve your workflow. N/A
After this training you could complete sample case documentations and/or screenshots using a test patient.	After this training you could complete sample case documentations and/or screenshots using a test patient. Strongly Agree	After this training you could complete sample case documentations and/or screenshots using a test patient. Agree	After this training you could complete sample case documentations and/or screenshots using a test patient. Neutral	After this training you could complete sample case documentations and/or screenshots using a test patient. Disagree	After this training you could complete sample case documentations and/or screenshots using a test patient. Strongly Disagree	After this training you could complete sample case documentations and/or screenshots using a test patient. N/A

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* 8. Trainer Evaluation

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree	N/A
Your trainer had a through grasp of the subject.	Your trainer had a through grasp of the subject. Strongly Agree	Your trainer had a through grasp of the subject. Agree	Your trainer had a through grasp of the subject. Neutral	Your trainer had a through grasp of the subject. Disagree	Your trainer had a through grasp of the subject. Strongly Disagree	Your trainer had a through grasp of the subject. N/A
Your trainer actively invited questions.	Your trainer actively invited questions. Strongly Agree	Your trainer actively invited questions. Agree	Your trainer actively invited questions. Neutral	Your trainer actively invited questions. Disagree	Your trainer actively invited questions. Strongly Disagree	Your trainer actively invited questions. N/A
You trainer answered the questions poised.	You trainer answered the questions poised. Strongly Agree	You trainer answered the questions poised. Agree	You trainer answered the questions poised. Neutral	You trainer answered the questions poised. Disagree	You trainer answered the questions poised. Strongly Disagree	You trainer answered the questions poised. N/A
Individual help was provided when needed.	Individual help was provided when needed. Strongly Agree	Individual help was provided when needed. Agree	Individual help was provided when needed. Neutral	Individual help was provided when needed. Disagree	Individual help was provided when needed. Strongly Disagree	Individual help was provided when needed. N/A
Your trainer was prepared for class.	Your trainer was prepared for class. Strongly Agree	Your trainer was prepared for class. Agree	Your trainer was prepared for class. Neutral	Your trainer was prepared for class. Disagree	Your trainer was prepared for class. Strongly Disagree	Your trainer was prepared for class. N/A
Your trainer gave attendees an opportunity to work with HCBS forms.	Your trainer gave attendees an opportunity to work with HCBS forms. Strongly Agree	Your trainer gave attendees an opportunity to work with HCBS forms. Agree	Your trainer gave attendees an opportunity to work with HCBS forms. Neutral	Your trainer gave attendees an opportunity to work with HCBS forms. Disagree	Your trainer gave attendees an opportunity to work with HCBS forms. Strongly Disagree	Your trainer gave attendees an opportunity to work with HCBS forms. N/A

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* 9. Any additional comments or feedback about your training?