Module 10 Pre-Test Team Roles and Responsibilities

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 defining team roles and responsibilities for OBAT.

Pre-Training Knowledge Assessment

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* 7. Which of the following is NOT a key aspect of team-based care?

Involves two or more health care providers working together to provide care for a panel of patients.

Optimally results in coordinated high-quality care.

Always involves a care manager, pharmacist, and behavioral health specialist.

Involves shared goal setting in collaboration with the patient and caregiver.

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* 8. Role clarity provides ____________ for all members of the care team.

Comfort

Confidence

A pathway for performance correction

Both A and B

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* 9. Per the OBAT manual, which of the following is NOT a potential role for a peer recovery coach?

Proactive outreach to patients not yet ready to engage in formal treatment

Social and emotional support

Sharing of and linkage to resources

Use of specific counseling techniques

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* 10. Per the OBAT manual, which of the following is NOT a potential role for support staff?

Overdose identification and response

Scheduling appointments

Greeting patients

All of these are potential roles for support staff