Health Systems for a Tobacco-Free New York Statewide Collaborative Conference Call Evaluation for "Systems Change to Reduce Tobacco Use in Clinical Settings: The Nuts and Bolts" Survey

Presented by: Donna Warner, MBA, MA

Objectives:
1. Explain what is meant by a ‘system’ in healthcare facilities to address tobacco use
2. Identify the principles and components of real-world clinical systems that work
3. Describe how to achieve and sustain high performance on tobacco interventions and reduce patient population smoking rates

* 1. Please rate the following using a scale of 1 to 4, with 1 representing poor and 4 representing excellent

	1	2	3	4
Content of the presentation	Content of the presentation 1	Content of the presentation 2	Content of the presentation 3	Content of the presentation 4
Program accomplished the stated objectives	Program accomplished the stated objectives 1	Program accomplished the stated objectives 2	Program accomplished the stated objectives 3	Program accomplished the stated objectives 4
Teaching methods and aids were appropriate and used effectively	Teaching methods and aids were appropriate and used effectively 1	Teaching methods and aids were appropriate and used effectively 2	Teaching methods and aids were appropriate and used effectively 3	Teaching methods and aids were appropriate and used effectively 4
Overall quality of the program	Overall quality of the program 1	Overall quality of the program 2	Overall quality of the program 3	Overall quality of the program 4
The program provided me with new information and knowledge that may be pertinent to your practice and patient care	The program provided me with new information and knowledge that may be pertinent to your practice and patient care 1	The program provided me with new information and knowledge that may be pertinent to your practice and patient care 2	The program provided me with new information and knowledge that may be pertinent to your practice and patient care 3	The program provided me with new information and knowledge that may be pertinent to your practice and patient care 4
The teaching effectiveness of the presenter: Donna D. Warner	The teaching effectiveness of the presenter: Donna D. Warner 1	The teaching effectiveness of the presenter: Donna D. Warner 2	The teaching effectiveness of the presenter: Donna D. Warner 3	The teaching effectiveness of the presenter: Donna D. Warner 4

* 2. What percentage of information was new to you?

0-20%

21-40%

41-60%

61-80%

81-100%

* 3. As a result of attending this presentation:

* 4. Continuing education presentations must be “free of commercial bias for or against” any product. Was this program fair, balanced, and free of commercial bias?

Yes

If no, please explain

* 5. The provider of the activity has disclosed in writing or verbally the conflict of interest, or lack thereof, declared by the planners and presenters/content specialists.

Yes

* 6. Suggestions for future topics/improvements:

* 7. Please fill out the information below:

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

* 8. Please only chose one

CME credit

OASAS Education and clock hours

Certificate of Completion

CRCE: Please provide AARC number below

Health Systems for a Tobacco-Free New York Statewide Collaborative Conference Call Evaluation for "Systems Change to Reduce Tobacco Use in Clinical Settings: The Nuts and Bolts"

February 3rd, 2016 from 12:00pm-1:00pm (EST)