FTCA University (FTCAU) Overall Evaluation - Region X-Washington Survey

Names will only be used to ensure that everyone who took the pre and post assessment surveys has also completed the overall evaluation. Names will not be used in the final report which will show all information on an aggregate level. Email will only be used if we have any follow up questions regarding your assessment of the conference.

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Strongly Disagree

Disagree

Neither Disagree Nor Agree

Agree

Strongly Agree

Strongly Disagree

Disagree

Neither Disagree Nor Agree

Agree

Strongly Agree

Strongly Disagree

Disagree

Neither Disagree Nor Agree

Agree

Strongly Agree

Strongly Disagree

Disagree

Neither Disagree Nor Agree

Agree

Strongly Agree

	Strongly Agree	Agree	Neither Agree nor Disagree	Disagree	Strongly Disagree
FTCA 101: Basic Policy and Program Procedures	FTCA 101: Basic Policy and Program Procedures Strongly Agree	FTCA 101: Basic Policy and Program Procedures Agree	FTCA 101: Basic Policy and Program Procedures Neither Agree nor Disagree	FTCA 101: Basic Policy and Program Procedures Disagree	FTCA 101: Basic Policy and Program Procedures Strongly Disagree
Risk Management 101 and 102:Risk Management and Tracking and Preventing Missed/Delayed/Incorrect Diagnosis	Risk Management 101 and 102:Risk Management and Tracking and Preventing Missed/Delayed/Incorrect Diagnosis Strongly Agree	Risk Management 101 and 102:Risk Management and Tracking and Preventing Missed/Delayed/Incorrect Diagnosis Agree	Risk Management 101 and 102:Risk Management and Tracking and Preventing Missed/Delayed/Incorrect Diagnosis Neither Agree nor Disagree	Risk Management 101 and 102:Risk Management and Tracking and Preventing Missed/Delayed/Incorrect Diagnosis Disagree	Risk Management 101 and 102:Risk Management and Tracking and Preventing Missed/Delayed/Incorrect Diagnosis Strongly Disagree
Risk Management 103: Incident Reporting/Patient Safety/Sentinel Events/RCA/Near Misses	Risk Management 103: Incident Reporting/Patient Safety/Sentinel Events/RCA/Near Misses Strongly Agree	Risk Management 103: Incident Reporting/Patient Safety/Sentinel Events/RCA/Near Misses Agree	Risk Management 103: Incident Reporting/Patient Safety/Sentinel Events/RCA/Near Misses Neither Agree nor Disagree	Risk Management 103: Incident Reporting/Patient Safety/Sentinel Events/RCA/Near Misses Disagree	Risk Management 103: Incident Reporting/Patient Safety/Sentinel Events/RCA/Near Misses Strongly Disagree
Behavioral Health and Substance Abuse Disorder Treatment and Legal Concerns	Behavioral Health and Substance Abuse Disorder Treatment and Legal Concerns Strongly Agree	Behavioral Health and Substance Abuse Disorder Treatment and Legal Concerns Agree	Behavioral Health and Substance Abuse Disorder Treatment and Legal Concerns Neither Agree nor Disagree	Behavioral Health and Substance Abuse Disorder Treatment and Legal Concerns Disagree	Behavioral Health and Substance Abuse Disorder Treatment and Legal Concerns Strongly Disagree
Medical Records Documentation and Liability	Medical Records Documentation and Liability Strongly Agree	Medical Records Documentation and Liability Agree	Medical Records Documentation and Liability Neither Agree nor Disagree	Medical Records Documentation and Liability Disagree	Medical Records Documentation and Liability Strongly Disagree
Credentialing and Privileging 101 and 102	Credentialing and Privileging 101 and 102 Strongly Agree	Credentialing and Privileging 101 and 102 Agree	Credentialing and Privileging 101 and 102 Neither Agree nor Disagree	Credentialing and Privileging 101 and 102 Disagree	Credentialing and Privileging 101 and 102 Strongly Disagree
Claims Management 102:Tort Claim Process	Claims Management 102:Tort Claim Process Strongly Agree	Claims Management 102:Tort Claim Process Agree	Claims Management 102:Tort Claim Process Neither Agree nor Disagree	Claims Management 102:Tort Claim Process Disagree	Claims Management 102:Tort Claim Process Strongly Disagree
Claims Management 103: Elements of Malpractice	Claims Management 103: Elements of Malpractice Strongly Agree	Claims Management 103: Elements of Malpractice Agree	Claims Management 103: Elements of Malpractice Neither Agree nor Disagree	Claims Management 103: Elements of Malpractice Disagree	Claims Management 103: Elements of Malpractice Strongly Disagree
Claims Management 104	Claims Management 104 Strongly Agree	Claims Management 104 Agree	Claims Management 104 Neither Agree nor Disagree	Claims Management 104 Disagree	Claims Management 104 Strongly Disagree
Dental Risk Management and Legal Concerns	Dental Risk Management and Legal Concerns Strongly Agree	Dental Risk Management and Legal Concerns Agree	Dental Risk Management and Legal Concerns Neither Agree nor Disagree	Dental Risk Management and Legal Concerns Disagree	Dental Risk Management and Legal Concerns Strongly Disagree

Agree

Neither Agree nor Disagree

Disagree

Strongly Disagree

FTCA 101: Basic Policy and Program Procedures

FTCA 101: Basic Policy and Program Procedures Strongly Agree

FTCA 101: Basic Policy and Program Procedures Agree

FTCA 101: Basic Policy and Program Procedures Neither Agree nor Disagree

FTCA 101: Basic Policy and Program Procedures Disagree

FTCA 101: Basic Policy and Program Procedures Strongly Disagree

Risk Management 101 and 102:Risk Management and Tracking and Preventing Missed/Delayed/Incorrect Diagnosis

Risk Management 101 and 102:Risk Management and Tracking and Preventing Missed/Delayed/Incorrect Diagnosis Strongly Agree

Risk Management 101 and 102:Risk Management and Tracking and Preventing Missed/Delayed/Incorrect Diagnosis Agree

Risk Management 101 and 102:Risk Management and Tracking and Preventing Missed/Delayed/Incorrect Diagnosis Neither Agree nor Disagree

Risk Management 101 and 102:Risk Management and Tracking and Preventing Missed/Delayed/Incorrect Diagnosis Disagree

Risk Management 101 and 102:Risk Management and Tracking and Preventing Missed/Delayed/Incorrect Diagnosis Strongly Disagree

Risk Management 103: Incident Reporting/Patient Safety/Sentinel Events/RCA/Near Misses

Risk Management 103: Incident Reporting/Patient Safety/Sentinel Events/RCA/Near Misses Strongly Agree

Risk Management 103: Incident Reporting/Patient Safety/Sentinel Events/RCA/Near Misses Agree

Risk Management 103: Incident Reporting/Patient Safety/Sentinel Events/RCA/Near Misses Neither Agree nor Disagree

Risk Management 103: Incident Reporting/Patient Safety/Sentinel Events/RCA/Near Misses Disagree

Risk Management 103: Incident Reporting/Patient Safety/Sentinel Events/RCA/Near Misses Strongly Disagree

Behavioral Health and Substance Abuse Disorder Treatment and Legal Concerns

Behavioral Health and Substance Abuse Disorder Treatment and Legal Concerns Strongly Agree

Behavioral Health and Substance Abuse Disorder Treatment and Legal Concerns Agree

Behavioral Health and Substance Abuse Disorder Treatment and Legal Concerns Neither Agree nor Disagree

Behavioral Health and Substance Abuse Disorder Treatment and Legal Concerns Disagree

Behavioral Health and Substance Abuse Disorder Treatment and Legal Concerns Strongly Disagree

Medical Records Documentation and Liability

Medical Records Documentation and Liability Strongly Agree

Medical Records Documentation and Liability Agree

Medical Records Documentation and Liability Neither Agree nor Disagree

Medical Records Documentation and Liability Disagree

Medical Records Documentation and Liability Strongly Disagree

Credentialing and Privileging 101 and 102

Credentialing and Privileging 101 and 102 Strongly Agree

Credentialing and Privileging 101 and 102 Agree

Credentialing and Privileging 101 and 102 Neither Agree nor Disagree

Credentialing and Privileging 101 and 102 Disagree

Credentialing and Privileging 101 and 102 Strongly Disagree

Claims Management 102:Tort Claim Process

Claims Management 102:Tort Claim Process Strongly Agree

Claims Management 102:Tort Claim Process Agree

Claims Management 102:Tort Claim Process Neither Agree nor Disagree

Claims Management 102:Tort Claim Process Disagree

Claims Management 102:Tort Claim Process Strongly Disagree

Claims Management 103: Elements of Malpractice

Claims Management 103: Elements of Malpractice Strongly Agree

Claims Management 103: Elements of Malpractice Agree

Claims Management 103: Elements of Malpractice Neither Agree nor Disagree

Claims Management 103: Elements of Malpractice Disagree

Claims Management 103: Elements of Malpractice Strongly Disagree

Claims Management 104

Claims Management 104 Strongly Agree

Claims Management 104 Agree

Claims Management 104 Neither Agree nor Disagree

Claims Management 104 Disagree

Claims Management 104 Strongly Disagree

Dental Risk Management and Legal Concerns

Dental Risk Management and Legal Concerns Strongly Agree

Dental Risk Management and Legal Concerns Agree

Dental Risk Management and Legal Concerns Neither Agree nor Disagree

Dental Risk Management and Legal Concerns Disagree

Dental Risk Management and Legal Concerns Strongly Disagree

	Strongly Agree	Agree	Neither Agree nor Disagree	Disagree	Strongly Disagree
Irene Hilton, DDS	Irene Hilton, DDS Strongly Agree	Irene Hilton, DDS Agree	Irene Hilton, DDS Neither Agree nor Disagree	Irene Hilton, DDS Disagree	Irene Hilton, DDS Strongly Disagree
Christopher Gibbs	Christopher Gibbs Strongly Agree	Christopher Gibbs Agree	Christopher Gibbs Neither Agree nor Disagree	Christopher Gibbs Disagree	Christopher Gibbs Strongly Disagree
Patricia Stahura	Patricia Stahura Strongly Agree	Patricia Stahura Agree	Patricia Stahura Neither Agree nor Disagree	Patricia Stahura Disagree	Patricia Stahura Strongly Disagree
Nancy Napolititano	Nancy Napolititano Strongly Agree	Nancy Napolititano Agree	Nancy Napolititano Neither Agree nor Disagree	Nancy Napolititano Disagree	Nancy Napolititano Strongly Disagree
Christine Boyer	Christine Boyer Strongly Agree	Christine Boyer Agree	Christine Boyer Neither Agree nor Disagree	Christine Boyer Disagree	Christine Boyer Strongly Disagree
Amy Goldberg-Alberts, MBA, CPHRM, FASHRM	Amy Goldberg-Alberts, MBA, CPHRM, FASHRM Strongly Agree	Amy Goldberg-Alberts, MBA, CPHRM, FASHRM Agree	Amy Goldberg-Alberts, MBA, CPHRM, FASHRM Neither Agree nor Disagree	Amy Goldberg-Alberts, MBA, CPHRM, FASHRM Disagree	Amy Goldberg-Alberts, MBA, CPHRM, FASHRM Strongly Disagree
Lisa Datta	Lisa Datta Strongly Agree	Lisa Datta Agree	Lisa Datta Neither Agree nor Disagree	Lisa Datta Disagree	Lisa Datta Strongly Disagree
David E. Levin	David E. Levin Strongly Agree	David E. Levin Agree	David E. Levin Neither Agree nor Disagree	David E. Levin Disagree	David E. Levin Strongly Disagree

Strongly Agree

Agree

Neither Agree nor Disagree

Disagree

Strongly Disagree

Irene Hilton, DDS

Irene Hilton, DDS Strongly Agree

Irene Hilton, DDS Agree

Irene Hilton, DDS Neither Agree nor Disagree

Irene Hilton, DDS Disagree

Irene Hilton, DDS Strongly Disagree

Christopher Gibbs

Christopher Gibbs Strongly Agree

Christopher Gibbs Agree

Christopher Gibbs Neither Agree nor Disagree

Christopher Gibbs Disagree

Christopher Gibbs Strongly Disagree

Patricia Stahura

Patricia Stahura Strongly Agree

Patricia Stahura Agree

Patricia Stahura Neither Agree nor Disagree

Patricia Stahura Disagree

Patricia Stahura Strongly Disagree

Nancy Napolititano

Nancy Napolititano Strongly Agree

Nancy Napolititano Agree

Nancy Napolititano Neither Agree nor Disagree

Nancy Napolititano Disagree

Nancy Napolititano Strongly Disagree

Christine Boyer

Christine Boyer Strongly Agree

Christine Boyer Agree

Christine Boyer Neither Agree nor Disagree

Christine Boyer Disagree

Christine Boyer Strongly Disagree

Amy Goldberg-Alberts, MBA, CPHRM, FASHRM

Amy Goldberg-Alberts, MBA, CPHRM, FASHRM Strongly Agree

Amy Goldberg-Alberts, MBA, CPHRM, FASHRM Agree

Amy Goldberg-Alberts, MBA, CPHRM, FASHRM Neither Agree nor Disagree

Amy Goldberg-Alberts, MBA, CPHRM, FASHRM Disagree

Amy Goldberg-Alberts, MBA, CPHRM, FASHRM Strongly Disagree

Lisa Datta

Lisa Datta Strongly Agree

Lisa Datta Agree

Lisa Datta Neither Agree nor Disagree

Lisa Datta Disagree

Lisa Datta Strongly Disagree

David E. Levin

David E. Levin Strongly Agree

David E. Levin Agree

David E. Levin Neither Agree nor Disagree

David E. Levin Disagree

David E. Levin Strongly Disagree

Very Good

Good

Neutral

Poor

Very Poor

Very Good

Good

Neutral

Poor

Very Poor

FTCA University (FTCAU) Overall Evaluation - Region X-Washington

1. July 17th-18th 2017

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* 1. Contact Information

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* 2. What is your position within the Health Center (Select all that apply):

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* 3. I will directly apply FTCA University knowledge to health center practices

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* 4. I have the knowledge to apply policies and other tools that can be implemented in the health center.

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* 5. My knowledge of the covered topic increased as a result of this training

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* 6. Speaker was clear and knowledgeable

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* 7. Overall Ranking of FTCA University

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* 8. Please provide any additional comments: