Comprehensive Unit Based Safety Program (CUSP) for Healthcare Associated Infections (HAI's) Question Title * 1. Role: Physician Nurse Infection Prevention QI Other (please specify) Question Title * 2. Objectives: Please fill in the circle that you feel best indicates the extent the learning session objectives were met. Participants will be able to... Not Met Partially Met Met 1. Participants will be able to explain CUSPs impact on safety 1. Participants will be able to explain CUSPs impact on safety Not Met 1. Participants will be able to explain CUSPs impact on safety Partially Met 1. Participants will be able to explain CUSPs impact on safety Met 2. Participants will be able to list CUSP components 2. Participants will be able to list CUSP components Not Met 2. Participants will be able to list CUSP components Partially Met 2. Participants will be able to list CUSP components Met 3. Participants will be able to describe how a regional organization (NE QIN-QIO) can support Hospital CUSP efforts 3. Participants will be able to describe how a regional organization (NE QIN-QIO) can support Hospital CUSP efforts Not Met 3. Participants will be able to describe how a regional organization (NE QIN-QIO) can support Hospital CUSP efforts Partially Met 3. Participants will be able to describe how a regional organization (NE QIN-QIO) can support Hospital CUSP efforts Met Question Title * 3. Presenter Performance: Please fill in the circle that you feel best indicates the extent each presenter gave an effective talk and demonstrated thorough knowledge of the subject matter. Ineffective and/or Incomplete Partially Effective and/or Complete Effective/Complete Lynn McNicoll, MDCM, FRCPC, AGSF: Presentation Style Lynn McNicoll, MDCM, FRCPC, AGSF: Presentation Style Ineffective and/or Incomplete Lynn McNicoll, MDCM, FRCPC, AGSF: Presentation Style Partially Effective and/or Complete Lynn McNicoll, MDCM, FRCPC, AGSF: Presentation Style Effective/Complete Lynn McNicoll, MDCM, FRCPC, AGSF: Knowledge of Subject Lynn McNicoll, MDCM, FRCPC, AGSF: Knowledge of Subject Ineffective and/or Incomplete Lynn McNicoll, MDCM, FRCPC, AGSF: Knowledge of Subject Partially Effective and/or Complete Lynn McNicoll, MDCM, FRCPC, AGSF: Knowledge of Subject Effective/Complete Question Title * 4. Please rate the following: Very Disatisfied Disatisfied Satisfied Very Satisfied Presentations and shared learning Presentations and shared learning Very Disatisfied Presentations and shared learning Disatisfied Presentations and shared learning Satisfied Presentations and shared learning Very Satisfied Convenience of webinar time and date, webinar and phone Convenience of webinar time and date, webinar and phone Very Disatisfied Convenience of webinar time and date, webinar and phone Disatisfied Convenience of webinar time and date, webinar and phone Satisfied Convenience of webinar time and date, webinar and phone Very Satisfied Question Title * 5. Overall Satisfaction Strongly Disagree Disagree Agree Stongly Agree This learning session was a valuable use of my time This learning session was a valuable use of my time Strongly Disagree This learning session was a valuable use of my time Disagree This learning session was a valuable use of my time Agree This learning session was a valuable use of my time Stongly Agree Question Title * 6. Please share what else would be useful to you and your team to help you be successful with your program: Question Title * 7. Was the audience informed of any conflict of interest? Yes No Question Title * 8. Submission of this evaluation is required to receive your continuing education credits for this activity. If you are a nurse seeking CEU credit, please provide your name as you would like it to appear on your certificate and an e-mail to which it can be sent. Name Email Address Done
