1 Start 2 Complete

Is your organization Recognized, Accredited or Certified with NCQA? *

Recognized

Accredited

Certified

Not Applicable

Other...

Is your organization Recognized, Accredited or Certified with NCQA? Other...

To what extent do you agree that this course accomplishes each learning objective? *

	Completely Disagree	Strongly Disagree	Somewhat Disagree	Neither Agree or Disagree	Somewhat Agree	Strongly Agree	Completely Agree
Identify best practice use of EHR functionality that supports standardized review and capture of key patient quality and safety data.	Identify best practice use of EHR functionality that supports standardized review and capture of key patient quality and safety data. - Completely Disagree	Identify best practice use of EHR functionality that supports standardized review and capture of key patient quality and safety data. - Strongly Disagree	Identify best practice use of EHR functionality that supports standardized review and capture of key patient quality and safety data. - Somewhat Disagree	Identify best practice use of EHR functionality that supports standardized review and capture of key patient quality and safety data. - Neither Agree or Disagree	Identify best practice use of EHR functionality that supports standardized review and capture of key patient quality and safety data. - Somewhat Agree	Identify best practice use of EHR functionality that supports standardized review and capture of key patient quality and safety data. - Strongly Agree	Identify best practice use of EHR functionality that supports standardized review and capture of key patient quality and safety data. - Completely Agree
Define critical components to include in a standardized quality report and corresponding data entry form.	Define critical components to include in a standardized quality report and corresponding data entry form. - Completely Disagree	Define critical components to include in a standardized quality report and corresponding data entry form. - Strongly Disagree	Define critical components to include in a standardized quality report and corresponding data entry form. - Somewhat Disagree	Define critical components to include in a standardized quality report and corresponding data entry form. - Neither Agree or Disagree	Define critical components to include in a standardized quality report and corresponding data entry form. - Somewhat Agree	Define critical components to include in a standardized quality report and corresponding data entry form. - Strongly Agree	Define critical components to include in a standardized quality report and corresponding data entry form. - Completely Agree
Recognize the potential of EHR functionality to improve patient safety and quality of care while simultaneously improving provider efficiency and mitigating burnout.	Recognize the potential of EHR functionality to improve patient safety and quality of care while simultaneously improving provider efficiency and mitigating burnout. - Completely Disagree	Recognize the potential of EHR functionality to improve patient safety and quality of care while simultaneously improving provider efficiency and mitigating burnout. - Strongly Disagree	Recognize the potential of EHR functionality to improve patient safety and quality of care while simultaneously improving provider efficiency and mitigating burnout. - Somewhat Disagree	Recognize the potential of EHR functionality to improve patient safety and quality of care while simultaneously improving provider efficiency and mitigating burnout. - Neither Agree or Disagree	Recognize the potential of EHR functionality to improve patient safety and quality of care while simultaneously improving provider efficiency and mitigating burnout. - Somewhat Agree	Recognize the potential of EHR functionality to improve patient safety and quality of care while simultaneously improving provider efficiency and mitigating burnout. - Strongly Agree	Recognize the potential of EHR functionality to improve patient safety and quality of care while simultaneously improving provider efficiency and mitigating burnout. - Completely Agree

To what extent do you agree with the following statements regarding the program's content? *

	Completely Disagree	Strongly Disagree	Somewhat Disagree	Neither Agree or Disagree	Somewhat Agree	Strongly Agree	Completely Agree	N/A
The program materials were appropriate for the program content.	The program materials were appropriate for the program content. - Completely Disagree	The program materials were appropriate for the program content. - Strongly Disagree	The program materials were appropriate for the program content. - Somewhat Disagree	The program materials were appropriate for the program content. - Neither Agree or Disagree	The program materials were appropriate for the program content. - Somewhat Agree	The program materials were appropriate for the program content. - Strongly Agree	The program materials were appropriate for the program content. - Completely Agree	The program materials were appropriate for the program content. - N/A
I gained new knowledge or insights by participating in this program.	I gained new knowledge or insights by participating in this program. - Completely Disagree	I gained new knowledge or insights by participating in this program. - Strongly Disagree	I gained new knowledge or insights by participating in this program. - Somewhat Disagree	I gained new knowledge or insights by participating in this program. - Neither Agree or Disagree	I gained new knowledge or insights by participating in this program. - Somewhat Agree	I gained new knowledge or insights by participating in this program. - Strongly Agree	I gained new knowledge or insights by participating in this program. - Completely Agree	I gained new knowledge or insights by participating in this program. - N/A
The content presented was relevant and timely.	The content presented was relevant and timely. - Completely Disagree	The content presented was relevant and timely. - Strongly Disagree	The content presented was relevant and timely. - Somewhat Disagree	The content presented was relevant and timely. - Neither Agree or Disagree	The content presented was relevant and timely. - Somewhat Agree	The content presented was relevant and timely. - Strongly Agree	The content presented was relevant and timely. - Completely Agree	The content presented was relevant and timely. - N/A
The content provided examples of best practices that I can implement in my organization.	The content provided examples of best practices that I can implement in my organization. - Completely Disagree	The content provided examples of best practices that I can implement in my organization. - Strongly Disagree	The content provided examples of best practices that I can implement in my organization. - Somewhat Disagree	The content provided examples of best practices that I can implement in my organization. - Neither Agree or Disagree	The content provided examples of best practices that I can implement in my organization. - Somewhat Agree	The content provided examples of best practices that I can implement in my organization. - Strongly Agree	The content provided examples of best practices that I can implement in my organization. - Completely Agree	The content provided examples of best practices that I can implement in my organization. - N/A
The session provided new insight and new information for me.	The session provided new insight and new information for me. - Completely Disagree	The session provided new insight and new information for me. - Strongly Disagree	The session provided new insight and new information for me. - Somewhat Disagree	The session provided new insight and new information for me. - Neither Agree or Disagree	The session provided new insight and new information for me. - Somewhat Agree	The session provided new insight and new information for me. - Strongly Agree	The session provided new insight and new information for me. - Completely Agree	The session provided new insight and new information for me. - N/A
The content of this program was fair, balanced, and free from commercial bias.	The content of this program was fair, balanced, and free from commercial bias. - Completely Disagree	The content of this program was fair, balanced, and free from commercial bias. - Strongly Disagree	The content of this program was fair, balanced, and free from commercial bias. - Somewhat Disagree	The content of this program was fair, balanced, and free from commercial bias. - Neither Agree or Disagree	The content of this program was fair, balanced, and free from commercial bias. - Somewhat Agree	The content of this program was fair, balanced, and free from commercial bias. - Strongly Agree	The content of this program was fair, balanced, and free from commercial bias. - Completely Agree	The content of this program was fair, balanced, and free from commercial bias. - N/A

Please rate Balakrishna Mudavath on the following questions: *

	Completely Disagree	Strongly Disagree	Somewhat Disagree	Neither Agree or Disagree	Somewhat Agree	Strongly Agree	Completely Agree	N/A
Demonstrates advanced knowledge in the content presented.	Demonstrates advanced knowledge in the content presented. - Completely Disagree	Demonstrates advanced knowledge in the content presented. - Strongly Disagree	Demonstrates advanced knowledge in the content presented. - Somewhat Disagree	Demonstrates advanced knowledge in the content presented. - Neither Agree or Disagree	Demonstrates advanced knowledge in the content presented. - Somewhat Agree	Demonstrates advanced knowledge in the content presented. - Strongly Agree	Demonstrates advanced knowledge in the content presented. - Completely Agree	Demonstrates advanced knowledge in the content presented. - N/A
Demonstrates quality in presentation skills.	Demonstrates quality in presentation skills. - Completely Disagree	Demonstrates quality in presentation skills. - Strongly Disagree	Demonstrates quality in presentation skills. - Somewhat Disagree	Demonstrates quality in presentation skills. - Neither Agree or Disagree	Demonstrates quality in presentation skills. - Somewhat Agree	Demonstrates quality in presentation skills. - Strongly Agree	Demonstrates quality in presentation skills. - Completely Agree	Demonstrates quality in presentation skills. - N/A
Responds to questions in a clear manner.	Responds to questions in a clear manner. - Completely Disagree	Responds to questions in a clear manner. - Strongly Disagree	Responds to questions in a clear manner. - Somewhat Disagree	Responds to questions in a clear manner. - Neither Agree or Disagree	Responds to questions in a clear manner. - Somewhat Agree	Responds to questions in a clear manner. - Strongly Agree	Responds to questions in a clear manner. - Completely Agree	Responds to questions in a clear manner. - N/A

Comments regarding Balakrishna Mudava:

Please rate Steven Shook on the following questions: *

	Completely Disagree	Strongly Disagree	Somewhat Disagree	Neither Agree or Disagree	Somewhat Agree	Strongly Agree	Completely Agree	N/A
Demonstrates advanced knowledge in the content presented.	Demonstrates advanced knowledge in the content presented. - Completely Disagree	Demonstrates advanced knowledge in the content presented. - Strongly Disagree	Demonstrates advanced knowledge in the content presented. - Somewhat Disagree	Demonstrates advanced knowledge in the content presented. - Neither Agree or Disagree	Demonstrates advanced knowledge in the content presented. - Somewhat Agree	Demonstrates advanced knowledge in the content presented. - Strongly Agree	Demonstrates advanced knowledge in the content presented. - Completely Agree	Demonstrates advanced knowledge in the content presented. - N/A
Demonstrates quality in presentation skills.	Demonstrates quality in presentation skills. - Completely Disagree	Demonstrates quality in presentation skills. - Strongly Disagree	Demonstrates quality in presentation skills. - Somewhat Disagree	Demonstrates quality in presentation skills. - Neither Agree or Disagree	Demonstrates quality in presentation skills. - Somewhat Agree	Demonstrates quality in presentation skills. - Strongly Agree	Demonstrates quality in presentation skills. - Completely Agree	Demonstrates quality in presentation skills. - N/A
Responds to questions in a clear manner.	Responds to questions in a clear manner. - Completely Disagree	Responds to questions in a clear manner. - Strongly Disagree	Responds to questions in a clear manner. - Somewhat Disagree	Responds to questions in a clear manner. - Neither Agree or Disagree	Responds to questions in a clear manner. - Somewhat Agree	Responds to questions in a clear manner. - Strongly Agree	Responds to questions in a clear manner. - Completely Agree	Responds to questions in a clear manner. - N/A

Comments regarding Steven Shook:

Please rate Allison Weathers on the following questions: *

	Completely Disagree	Strongly Disagree	Somewhat Disagree	Neither Agree or Disagree	Somewhat Agree	Strongly Agree	Completely Agree	N/A
Demonstrates advanced knowledge in the content presented.	Demonstrates advanced knowledge in the content presented. - Completely Disagree	Demonstrates advanced knowledge in the content presented. - Strongly Disagree	Demonstrates advanced knowledge in the content presented. - Somewhat Disagree	Demonstrates advanced knowledge in the content presented. - Neither Agree or Disagree	Demonstrates advanced knowledge in the content presented. - Somewhat Agree	Demonstrates advanced knowledge in the content presented. - Strongly Agree	Demonstrates advanced knowledge in the content presented. - Completely Agree	Demonstrates advanced knowledge in the content presented. - N/A
Demonstrates quality in presentation skills.	Demonstrates quality in presentation skills. - Completely Disagree	Demonstrates quality in presentation skills. - Strongly Disagree	Demonstrates quality in presentation skills. - Somewhat Disagree	Demonstrates quality in presentation skills. - Neither Agree or Disagree	Demonstrates quality in presentation skills. - Somewhat Agree	Demonstrates quality in presentation skills. - Strongly Agree	Demonstrates quality in presentation skills. - Completely Agree	Demonstrates quality in presentation skills. - N/A
Responds to questions in a clear manner.	Responds to questions in a clear manner. - Completely Disagree	Responds to questions in a clear manner. - Strongly Disagree	Responds to questions in a clear manner. - Somewhat Disagree	Responds to questions in a clear manner. - Neither Agree or Disagree	Responds to questions in a clear manner. - Somewhat Agree	Responds to questions in a clear manner. - Strongly Agree	Responds to questions in a clear manner. - Completely Agree	Responds to questions in a clear manner. - N/A

Comments regarding Allison Weathers:

To what extent do you agree with the following statements regarding your learning experience? *

	Completely Disagree	Strongly Disagree	Somewhat Disagree	Neither Agree or Disagree	Somewhat Agree	Strongly Agree	Completely Agree	N/A
The program's technology was easy to use.	The program's technology was easy to use. - Completely Disagree	The program's technology was easy to use. - Strongly Disagree	The program's technology was easy to use. - Somewhat Disagree	The program's technology was easy to use. - Neither Agree or Disagree	The program's technology was easy to use. - Somewhat Agree	The program's technology was easy to use. - Strongly Agree	The program's technology was easy to use. - Completely Agree	The program's technology was easy to use. - N/A
The program's instructional design was appropriate.	The program's instructional design was appropriate. - Completely Disagree	The program's instructional design was appropriate. - Strongly Disagree	The program's instructional design was appropriate. - Somewhat Disagree	The program's instructional design was appropriate. - Neither Agree or Disagree	The program's instructional design was appropriate. - Somewhat Agree	The program's instructional design was appropriate. - Strongly Agree	The program's instructional design was appropriate. - Completely Agree	The program's instructional design was appropriate. - N/A

Overall, how satisfied are you with this Education program? *

Completely Unsatisfied

Strongly Unsatisfied

Somewhat Unsatisfied

Neither Satisfied nor Unsatisfied

Somewhat Satisfied

Strongly Satisfied

Completely Satisfied

To what extent do you agree with the following statements pertaining to the knowledge and competencies presented through this program? *

	Completely Disagree	Strongly Disagree	Somewhat Disagree	Neither Agree or Disagree	Somewhat Agree	Strongly Agree	Completely Agree	N/A
This course will help me advanced health care quality at my organization.	This course will help me advanced health care quality at my organization. - Completely Disagree	This course will help me advanced health care quality at my organization. - Strongly Disagree	This course will help me advanced health care quality at my organization. - Somewhat Disagree	This course will help me advanced health care quality at my organization. - Neither Agree or Disagree	This course will help me advanced health care quality at my organization. - Somewhat Agree	This course will help me advanced health care quality at my organization. - Strongly Agree	This course will help me advanced health care quality at my organization. - Completely Agree	This course will help me advanced health care quality at my organization. - N/A
This course accomplished the identified learning objectives.	This course accomplished the identified learning objectives. - Completely Disagree	This course accomplished the identified learning objectives. - Strongly Disagree	This course accomplished the identified learning objectives. - Somewhat Disagree	This course accomplished the identified learning objectives. - Neither Agree or Disagree	This course accomplished the identified learning objectives. - Somewhat Agree	This course accomplished the identified learning objectives. - Strongly Agree	This course accomplished the identified learning objectives. - Completely Agree	This course accomplished the identified learning objectives. - N/A
The information presented will enhance my professional performance.	The information presented will enhance my professional performance. - Completely Disagree	The information presented will enhance my professional performance. - Strongly Disagree	The information presented will enhance my professional performance. - Somewhat Disagree	The information presented will enhance my professional performance. - Neither Agree or Disagree	The information presented will enhance my professional performance. - Somewhat Agree	The information presented will enhance my professional performance. - Strongly Agree	The information presented will enhance my professional performance. - Completely Agree	The information presented will enhance my professional performance. - N/A
The information presented will be applied within my organization.	The information presented will be applied within my organization. - Completely Disagree	The information presented will be applied within my organization. - Strongly Disagree	The information presented will be applied within my organization. - Somewhat Disagree	The information presented will be applied within my organization. - Neither Agree or Disagree	The information presented will be applied within my organization. - Somewhat Agree	The information presented will be applied within my organization. - Strongly Agree	The information presented will be applied within my organization. - Completely Agree	The information presented will be applied within my organization. - N/A
Application of the information presented will add value to my organization.	Application of the information presented will add value to my organization. - Completely Disagree	Application of the information presented will add value to my organization. - Strongly Disagree	Application of the information presented will add value to my organization. - Somewhat Disagree	Application of the information presented will add value to my organization. - Neither Agree or Disagree	Application of the information presented will add value to my organization. - Somewhat Agree	Application of the information presented will add value to my organization. - Strongly Agree	Application of the information presented will add value to my organization. - Completely Agree	Application of the information presented will add value to my organization. - N/A

Please describe how you intend to use any competencies developed through this program within your organization.

Please share any final comments regarding this program and your experience.

Please share any topics you would like to see in a future educational session presented by NCQA.

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