CMS-10614 LAN Summit Evaluation Form

Generic Clearance for the Heath Care Payment Learning and Action Network (CMS-10575)

CMS-10614 GenIC9 Instrument - LAN Summit Eval Form

LAN Documents (CMS-10612, CMS-10613 and CMS-10614)

OMB: 0938-1297

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HCP LAN Summit Overall

1. Overall, how valuable was the Summit to you?
Extremely Valuable

Definitely Valuable

Somewhat Valuable

Not at All Valuable

Definitely Satisfied

Somewhat Satisfied

Not at All Satisfied

Overall value of Summit

2. How satisfied were you with:
Extremely Satisfied
Service of meeting
organizers
Registration process
Program agenda

3. Would you recommend the Summit to others?
Yes
No

4. Did you take the opportunity to join the Brown Bag Lunch sessions?
Yes
No

5. What other topics/sessions would you like to see covered

6. Please choose from the following classifications to describe yourself.
Health Plan
Academic Health Center
Integrated Health System
Private Employer Purchaser
Health Care Provider or Clinician
Hospital
Community Clinic
Practitioner Network
Federal Agency or Department
State Agency or Department
City of Local Agency or Department
Consultant and/or IT Vendor
Patient/Consumer/Advocate
Professional Society or Association
Foundation
College/Independent Think Tank/Research Organization
Pharmaceutical Company
Medical Device/Product Manufacturer
Other
Please Specify

7. What did you find most valuable about the LAN Summit?

8. How did you find out about this event?

9. Please provide any other comments.


File Typeapplication/pdf
File TitleView Survey
File Modified0000-00-00
File Created2016-02-10

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