Wufoo
Evaluation – Performance Improvement CME (PI CME
EVALUATION
Rate PI CME with respect to the issues listed on the left; choose the response best representing your satisfaction.
Which Stage are you Evaluating
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Stage A
Stage B
Stage C
Overall quality of the site review
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Excellent
Good
Average
Needs Improvement
Unsatisfactory
Overall usefulness of the content provided
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Excellent
Good
Average
Needs Improvement
Unsatisfactory
OBJECTIVES
Please help us determine the quality of the PI CME with respect to these objectives; check Yes or No to indicate whether you feel PI CME met the objective. As a result of this activity, you should be better able to:
Practice Level One Guidelines relative to the provision of reasonable patient care and promote patient safety
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Yes
No
Close any Level One Guidelines gaps thereby reducing the number & severity of malpractice claims
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Yes
No
Access the list of Level One Guidelines
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Yes
No
Assess the practice’s compliance with these Level One Guidelines
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Yes
No
Correct deficiencies in meeting Level One Guidelines
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Yes
No
RESULTS
Was the content of the PI CME fair, balanced and free of industry influence? (excluding COPIC)
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Yes
No
Have you gained knowledge that will help you in your clinical practice?
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Yes
No
Has your Competence (you know the right thing to do) been reinforced or improved?
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Yes
No
Please cite one or more examples of how...
Has your performance (you do the right thing) been reinforced or improved?
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Yes
No
Please briefly describe...
COFIDENTIAL COMMENTS REGARDING PI CME
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