<p> PROGRAM EVALUATION</p><p>TITLE: Quarterly Meeting - Nash Health Care Rocky Mount, NC</p><p>PROGRAM SPONSOR: NORTH CAROLINA ASSOCIATION MEDICAL STAFF SERVICES (NCAMSS)</p><p>The following speaker’s presentations were: </p><p>Georgia Mayo ICD = 10 Codes 1. Excellent Very Good Good Fair Poor ______</p><p>This program (please check all that apply) ___ Met stated objectives ___ Will alter my performance __ _ Will not alter my performance, but convinced me I’m doing the right thing ____ Satisfied my expectations ___ Did not meet my needs</p><p>Patrick K. Kennedy, MHA, MSL, RHIA CMS Provides Examples of Claims That Are Related *Medical Staff* 2. Excellent Very Good Good Fair Poor ______</p><p>This program (please check all that apply) ___ Met stated objectives ___ Will alter my performance __ _ Will not alter my performance, but convinced me I’m doing the right thing ____ Satisfied my expectations ___ Did not meet my needs</p><p>Page 1 of 3 3. Allison R. Manning-Williams RN, BSN, CEN & Mary Strickland, Executive-Director Women's Services</p><p>Nash County Medical Examiners: The Criminal Minds of the East</p><p>Excellent Very Good Good Fair Poor ______</p><p>This program (please check all that apply) __ Met stated objectives __ Will alter my performance _ Will not alter my performance, but convinced me I’m doing the right thing __ Satisfied my expectations ___ Did not meet my needs</p><p>Angela Smith, UNC - PN Managed Care Credentialing from the Provider Network Perspective 4. Excellent Very Good Good Fair Poor ______</p><p>This program (please check all that apply) ___ Met stated objectives ___ Will alter my performance __ _ Will not alter my performance, but convinced me I’m doing the right thing ____ Satisfied my expectations ___ Did not meet my needs</p><p>Overall Comments: ______</p><p>Page 2 of 3 ______</p><p>Future Topics: ______</p><p>______</p><p>1. The facilities were: _____ Excellent_____ Good _____ Poor</p><p>2. The illustrative materials were: _____ Appropriate Inappropriate</p><p>3. Are you currently NAMSS Certified?</p><p>CPCS: ______CPMSM: ______CPCS & CPMSM: ______</p><p>4. Facility Volunteers to Host 2016 Quarterly Meetings: </p><p>Contact Name: ______Facility: ______</p><p>Contact Number & E-mail: ______</p><p>Dates Available: a. November 13, 2015 Vidant Health – Greenville NC b. February 12, 2016 Caldwell – Lenoir NC c. May 11, 2016 Hilton Riverside – Wilmington NC d. August 12, 2016 Johnston Health – Smithfield NC e. November 4, 2016 UNC – Chapel Hill NC f. February 10, 2017 WakeMed – Raleigh NC g. May/June 2017 To Be Determined h. August 11, 2017 ______i. November 10, 2017 North Hospital of Surry County – Mount Airy NC</p><p>May 11th – 13th 2016 Annual Meeting – Hilton Wilmington Riverside Mark your calendars and plan to attend</p><p>Page 3 of 3</p>