Module 4 Pre-Test OBAT Eligibility, Intake and Assessment

PRE-TEST SURVEY

Please complete the following pre-test to help us assess your knowledge of the course material prior to completing this training session.

IMPORTANT!!
Once you complete the pre-test and FINISHED, you will be able to view your test results. After viewing your results, click DONE.

If you have difficulties completing this survey, please contact Amy Wales at amy.wales@miccsi.org.

Demographics

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* 1. Personal Information

First Name

Last Name

Credential

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* 2. Please choose your organization from the choices below:

Affinia Health Network-Lakeshore (Lakeshore Health Network)

Answer Health (WMPN/POWM)

Borgess Health/Ascension

Bronson Healthcare

Blue Cross Blue Shield of Michigan or Blue Care Network

CIPA

Covenant Healthcare

Genesys

Great Lakes Bay Health

Great Lakes PHO

Henry Ford Health System

Holland PHO

Huron Valley Physicians Association (HVPA)

IHA

Lakeland Care

McLaren Health

Mercy Health Physicians Partners-Grand Rapids

Munson Healthcare

Metro Health

Northern Physician Organization (NPO)

Priority Health

Spectrum Health

Thunder Bay Health Centers

University of Michigan

Upper Peninsula Health System

Wexford PHO

Other (please specify)

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* 3. Please list the name of your practice. If not applicable, type "N/A".

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* 4. Please choose your role in your practice:

Physician

Advanced practice provider (physician assistant, nurse practitioner, etc.)

Nurse care manager/care coordinator

Social worker care manager/behavioral health specialist

Pharmacist

Leadership

Other clinical (CMA, RMA, etc.)

Other non-clinical (support staff, etc.)

Other (please specify)

Pre-Training Confidence Assessment

Please use the following scale to answer questions 5 and 6.

1: Not confident at all
2: Slightly confident
3: Somewhat confident
4: Fairly confident
5: Completely confident

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* 5. On a scale of 1-5 please rate your confidence in managing substance use disorder.

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* 6. On a scale of 1-5 please rate your confidence in processes for OBAT eligibility evaluation, intake, and assessment.

Pre-Training Knowledge Assessment

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* 7. What occurs after a patient screens positive for substance use disorder in the OBAT program?

Patients are automatically enrolled in treatment

Patients are given a menu of medications to choose from

Care proceeds as usual - screening will occur again in 6 months.

Patients are screened for eligibility for the OBAT program

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* 8. Which of the following is NOT a goal of a treatment agreement in the OBAT model?

To provide clarity and set expectations

To support patient engagement in treatment

To outline punitive action that will be taken in response to patient relapse

To provide a connection to resources

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* 9. During what stages of the OBAT model should patient education take place?

Screening for OBAT participation

OBAT intake

Initial provider assessment

All of the above

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* 10. Who is involved in the decision to enroll a patient in the OBAT program?

The provider only

The provider and the patient

The care team and the patient

The patient only