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

* 1. Please enter your facility name.

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

* 3. Please enter your first name.

* 4. Please enter your last name.

* 5. Please enter your email address.

* 6. This webinar met the stated objectives.

* 7. This webinar gave us clear instructions on how to implement the Updated Home Referral Data Collection Tool.

* 8. This webinar gave us clear instructions on how to implement the requested Root Cause Analysis on barriers to Home Referrals

* 9. This webinar gave us clear instructions on how to implement a Cause and Effect Diagram

* 10. I understand the CMS Watchlist (slide 4 on this webinar)

* 11. Do you have any additional questions, concerns or comments?

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