|
|
Please type responses here: |
|
First Name:
|
|
|
Last Name:
|
|
|
Email Address:
|
|
|
Retype Email Address:
|
|
|
Institution:
|
|
|
Title:
|
|
|
Phone Number:
|
|
|
Address:
|
|
|
City:
|
|
|
State:
|
|
|
Zip/Postal Code:
|
|
|
Country:
|
|
|
Overall, how would you rate your satisfaction with this Webinar?
|
Extremely satisfied
Very satisfied
Somewhat satisfied
Dissatisfied
|
|
Does your facility currently purchase products, services, and/or supplies from Cardinal Health?
|
Yes
No
I don't know
|
|
What is your laboratory’s annual test volume?
|
< 100 thousand tests
100 – 250 thousand tests
250 – 500 thousand tests
500 thousand – 1 million tests
1 – 10 million tests
> 10 million tests
|
|
Which products and services available at Cardinal Health would you like to learn more about? Select all that apply:
|
Cardinal Health Brand laboratory products
Custom laboratory kits
Capital equipment leasing services
Logistics/distribution services
Lab specimen shipping support
Product standardization programs
Other
|
|
If you chose Cardinal Health Brand laboratory products in the question above, which Cardinal Health brand products and services would you like to learn more about?
|
Anatomic Pathology
Microbiology
Point-of-Care
Urinalysis
Clinical Chemistry
Laboratory Equipment
Consumables
|
|
What is the biggest challenge facing your laboratory today?
|
Budget/Reimbursement pressures
Labor shortages
Operational efficiencies
Changing quality requirements
Regulatory/compliance
Shift from fee-for-service to fee-for-value
Other
|
|
If you chose ‘other’ above, please tell us what you consider to be the biggest challenge facing your laboratory today:
|
|
|
Would you like to receive EITHER ASCLS PACE credit for this session, program number 373-006-23, OR Florida CE credit OR a general certificate of attendance? (If no, you do not need to complete the following questions.)
|
Yes
No
|
|
Which continuing education credit would you like to receive for this session?
|
PACE
Florida CE Credit
General certificate of attendance
I would not like continuing education credit for this session
|
|
If you are planning to submit this session for Florida CE Credit, please provide your Florida license number:
|
|
|
To receive ASCLS PACE credit (PACE Program number 373-006-23) OR Florida CE Credit OR a general certificate of attendance for "The Life Cycle of a New Test Request for Point of Care" presented on June 13, 2023, you will be required to complete the following program evaluation.
|
|
If the following is true, please answer "Yes": I have attended the full instructional time for this program. I understand that completion of the program is necessary to receive the contact hours awarded for the program.
|
Yes
No
|
|
SPEAKER RATING
|
|
To what extent was the speaker knowledgeable, organized and effective during the presentation? (Rate on scale from 1 - 5 with 1 being the lowest and 5 being the highest)
|
1
2
3
4
5
|
|
To what extent did the speaker clarify and focus on the stated objectives? (Rate on scale from 1 - 5 with 1 being the lowest and 5 being the highest)
|
1
2
3
4
5
|
|
To what extent were the speaker's teaching methods & aids appropriate & effective? (Rate on scale from 1 - 5 with 1 being the lowest and 5 being the highest)
|
1
2
3
4
5
|
|
OBJECTIVES RATING:
To what extent was each objective achieved?
|
|
Identify key components in developing a formal approval structure for new test requests. (Rate on scale from 1 - 5 with 1 being the lowest and 5 being the highest)
|
1
2
3
4
5
|
|
Recognize and overcome common IT issues when interfacing point of care devices and tests. (Rate on scale from 1 - 5 with 1 being the lowest and 5 being the highest)
|
1
2
3
4
5
|
|
Learn how to integrate new tests into your point of care program. (Rate on scale from 1 - 5 with 1 being the lowest and 5 being the highest)
|
1
2
3
4
5
|
|
PROGRAM CONTENT RATING
|
|
To what extent did the program content relate to the program's objectives? (Rate on scale from 1 - 5 with 1 being the lowest and 5 being the highest)
|
1
2
3
4
5
|
|
Rate the contribution of this session to your overall knowledge of this subject. (Rate on scale from 1 - 5 with 1 being the lowest and 5 being the highest)
|
1
2
3
4
5
|
|
Rate your overall degree of satisfaction with this session. (Rate on scale from 1 - 5 with 1 being the lowest and 5 being the highest)
|
1
2
3
4
5
|
|
Comments:
|
|
|
Thank you for attending this PACE approved program and completing this evaluation. Other comments and concerns may be addressed to: P.A.C.E., c/o ASCLS, 1861 International Dr, Suite 200, Tysons Corner, VA 22102. Questions? Call Whitehat Communications at 434 202 8365.
|
|
|
