Pre Training Survey

Hello!

This 5 minute survey is part of the pre-work in preparation for the virtual training on May 6, 2021. The questions in this survey will be discussed during the session. Please complete the pre-work and then the survey by April 22nd.

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* 1. Name

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* 2. Title

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* 3. Organization

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* 4. What is one thing you learned from the pre-work that you would like to put into practice. 

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* 5. Do you have examples of value-based care components currently   implemented in your dental program to share? (If yes, please describe in the comment box)

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* 6. Please list any questions about value-based care that you would like the presenters to address during the virtual session. 

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* 7. Please rate your level of agreement with the following statement: I am confident in my knowledge about alternative payment models.

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* 8. Please rate your level of agreement with the following statement: I am confident in my knowledge about oral health value-based care.

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* 9. Which of the following do you think is the biggest enabler to the growth of value-based care in oral health?

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* 10. Are you seeing patients via telehealth or virtual platforms?

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* 11. If no, what has been preventing you from seeing patients via telehealth or virtual platforms?

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* 12. If yes, what services are your providing via telehealth or virtual platforms? (Check all that apply)

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* 13. Is there a bi-directional referral process in place between medical and dental (patient with identified oral health needs are referred to dental and patients with identified primary care needs are referred to dental)?

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* 14. How frequently does your dental practice integrate care with clinicians outside of dentistry?

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* 15. Do dental providers routinely screen patients for the following (Check all that apply):

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* 16. Do dental providers routinely screen patients for the following (Check all that apply):

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* 17. What do you hope to obtain by attending this virtual training workshop?

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