Document
Post-Conference Event Feedback Request
ICR 202610-0938-001 · OMB 0938-1185 · Object 173843500.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Post-Conference Event Feedback Request |
| Author | Michelle Neyra |
| Last Modified By | Writer |
| File Modified | 2023-11-09 |
| File Created | 2026-10-15 |
| Conversion State | complete |
Extracted Text
Post-Event Survey
1. Please rate the 2023 CMS Conference on Optimizing Healthcare Delivery to Improve Patient Lives on the following:
a. Overall program content
i. Poor
ii. Fair
iii. Average
iv. Good
v. Excellent
Additional Comments [Open Text Box]
b. Overall event format (i.e., platform, presentation materials)
i. Poor
ii. Fair
iii. Average
iv. Good
v. Excellent
Additional Comments [Open Text Box]
c. Overall value of the event for you or your organization
i. Poor
ii. Fair
iii. Average
iv. Good
v. Excellent
Additional Comments [Open Text Box]
d. Quality of speakers
i. Poor
ii. Fair
iii. Average
iv. Good
v. Excellent
Additional Comments [Open Text Box]
2. What was the single most valuable takeaway for you from the conference? [Open Text Box]
3. Which panel did you find the most informative/valuable?
a. Reducing Burden and Optimizing Patient Care Delivery Across CMS Programs
b. The Future of the American Healthcare Workforce
c. Opportunities to Reduce Inequitable Outcomes and Improve Customer Experience
d. Connecting Patients and Care Providers Across the Healthcare Enterprise
4. Which individual presentation did you find the most informative/valuable?
a. Reducing Burden and Optimizing Patient Care Delivery - University Hospitals Cleveland Medical Center
b. The Future of the American Healthcare Workforce – Duke Health
c. Opportunities to Reduce Inequitable Outcomes and Improve Customer Experience- Centers for Medicare and Medicaid Services
d. Connecting Patients and Care Providers Across the Healthcare Enterprise - Columbia Data Science Institute
5. Please list any suggestions for future topics.
6. Please list any suggestions for future speakers. [Open Text Box]
7. How did you hear about this event?
a. Email communications/e-newsletter
b. Social media
c. Colleague/co-worker/friend
d. Other (open text box if chosen)
Session Evaluations
1. Indicate the session you are evaluating for the 2023 CMS Conference on Optimizing Healthcare Delivery. (drop down)
2. Please use the following scale (Poor, Fair, Average, Good, and Excellent) to rate the following:
a. The content of the session
i. Poor
ii. Fair
iii. Average
iv. Good
v. Excellent
Additional Comments [Open Text Box]
b. The format of the session (e.g., panel discussion, dialogue session, the number of speakers, flow, length of session)
i. Poor
ii. Fair
iii. Average
iv. Good
v. Excellent
Additional Comments [Open Text Box]
3. What was the most valuable takeaway for you from this session? [Open Text Box]
4. Please provide any other comments. [Open Text Box]
PRA Disclosure Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0938-1185 (Expires 03/31/2026). This is a voluntary information collection. The time required to complete this information collection is estimated to average 2.5 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850.