Program Evaluation Form

Section I: Program Evaluation

The most useful elements of the program were:

The most beneficial presentations were (select all that apply, listed chronologically):

Jason Ehrlinspiel, Assistant U.S. Attorney, Middle District of TennesseeChris Kimble and Philip Sprinkle, Partners, Balch & Bingham LLPLarry Golston, Principal, Business, Litigation & Fraud, Beasley AllenBrian Bates, Chief Compliance O cer, UAB Medicine/UAB Health SystemBob Anderson, Special Assistant Attorney General, Public Integrity Division, Mississippi Attorney General’s OfficeArchie Abrams, Associate Counsel Manager, Blue Cross & Blue Shield of AlabamaCavender C. (Chris) Kimble, Partner, Balch & Bingham LLPDawn Rock, Chief Compliance O cer, HealthSouth CorporationDerrick Jackson, Special Agent in Charge, DHHS, OIG, Atlanta, GATy Howard, Partner, Bradley Arant Boult Cummings LLPTom Anderson, VP Chief Legal & Compliance, GuideWell SourceChris Parton, Chief Information Security O cer, Blue Cross & Blue Shield of AlabamaMark Pastin, President, Health Ethics Trust

I have the following comments for presenters - your name will not be used in sharing these comments with presenters:

I would like to be provided with additional information on the following topics:

Did you like the location of the program?

YesNo

Please add any comments you may have about the location:

How did you hear about this program?

Online, via HET's websiteOnline, via non-HET websitesLinkedInFrom a Colleague or Professional AssociationE-mail directly from HETHET's Talk About Compliance List-ServeFax from HETOther

Section II: HET Opportunities

I would be willing to present at a future HET program?

YesNo

If yes, suggest a topic:

Would you be interested serving on a HET Committee(s). If yes, select the committee(s) below:

EducationBest PracticesMembership

Section III: Additional Information

Your Name (required)

Your Email (required)

Please add any additional comments you may have:

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