Thank you for attending the webinar. Please complete the following attestation and polling questions to ensure credit for your attendance.

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* 1. Please enter your facility name.

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* 2. Please enter your 6-digit CMS certification facility provider number  (begins with 45 or 67).

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* 3. Please enter your first name.

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* 4. Please enter your last name.

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* 5. Please enter your email address.

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* 6. This webinar met the stated objectives.

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* 7. This webinar gave us clear instructions on how to complete any requested tasks and requirements

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* 8. I understand the project goals (Improvement of at least 3% points for both Hep B and PPV by end of July 2017). Facilities in this project will be removed the following year once both measures have reached at least 60% rates for both vaccinations.

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* 9. I understand the implementation of the CMS Watchlist

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* 10. I understand the importance of implementing and reviewing a Sustainability Plan early on to ensure long term outcomes

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* 11. Based on today's discussion and/or during this vaccination's project, what intervention(s) or information did you find most helpful? (i.e., Discussion Groups, Awareness Campaigns, Data Validation, Error Corrections, Root Cause Analysis, Sustainability Plan, any new or innovative initiatives, other). Please explain.

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* 12. Please submit any additional questions, concerns or comments?

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