Understanding Hospital Board and Medical Staff Responsibilities under Medicare Conditions of Participation

Continuing Education Attestation Form - Nursing Home Administrator

I hereby certify that I have met all the requirements of the course(s) for awarding applicable continuing education credits. Participants should retain the email confirming the completion of this course for their records.

Are you submitting attestation for Nursing Home Administrator hours?*

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Date of Event*

First Name*

Last Name*

Facility Type*

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Assisted Living

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Home Health

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Hospitals

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Long Term Care

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System

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Address*

City/State*

Email*

The speaker(s) presentations were clear and well organized.*

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The topic of today's session is applicable to my work and will help me improve my performance.*

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The program objectives/outcomes were addressed.*

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Did this presentation increase your knowledge of the topic?*

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Comments about overall presentation?

Describe any "pearl" or takeaway messages.

Given the scope your practice, what educational needs do you have?

Send me a copy of my responses

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