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. OK Demographics OK Question Title * 1. Personal Information First Name Last Name Credential Email OK Question Title * 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) OK Question Title * 3. Please list the name of your practice. If not applicable, type "N/A". OK Question Title * 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) OK Pre-Training Confidence AssessmentPlease use the following scale to answer questions 5 and 6.1: Not confident at all2: Slightly confident3: Somewhat confident4: Fairly confident5: Completely confident OK Question Title * 5. On a scale of 1-5 please rate your confidence in managing substance use disorder. 1 2 3 4 5 1 2 3 4 5 OK Question Title * 6. On a scale of 1-5 please rate your confidence in processes for OBAT eligibility evaluation, intake, and assessment. 1 2 3 4 5 1 2 3 4 5 OK Pre-Training Knowledge Assessment OK Question Title * 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 OK Question Title * 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 OK Question Title * 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 OK Question Title * 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 OK FINISHED