PHI Consent Tool Webinar Survey

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* 5. Did you view this webinar live or as a recording?

Live

Recording

Other (please specify)

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* 6. Since viewing the webinar, how would you rate your understanding of the various rules and regulations that govern the exchange of physical and behavioral health PHI in Michigan?

No understanding

Minimal understanding

Moderate understanding

Good understanding

Excellent understanding

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* 7. Since viewing the webinar, how would you rate your confidence in navigating the rules and regulations to determine when individual consent is needed to share Behavioral Health and Substance Use Disorder PHI?

No confidence

Minimal confidence

Moderate confidence

Good confidence

Excellent confidence

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* 8. Since viewing the webinar, how would you rate your confidence in using MDHHS 5515 in situations when consent is needed to share Behavioral Health and Substance Use Disorder PHI?

No confidence

Minimal confidence

Moderate confidence

Good confidence

Excellent confidence

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* 9. Since viewing the webinar, how would you rate your satisfaction with the tools and resources available to navigate the exchange of physical and behavioral health PHI in Michigan?

Not at all satisfied

Slightly satisfied

Moderately satisfied

Very satisfied

Extremely satisfied

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* 10. After viewing the webinar, how have your opinions or beliefs changed around the importance of:

	Less important than before	About the same level of importance as before	More important than before
Sharing behavioral health and substance use information	Sharing behavioral health and substance use information Less important than before	Sharing behavioral health and substance use information About the same level of importance as before	Sharing behavioral health and substance use information More important than before
Using the tools and resources available on MDHHS to navigate the exchange of physical and behavioral health in Michigan	Using the tools and resources available on MDHHS to navigate the exchange of physical and behavioral health in Michigan Less important than before	Using the tools and resources available on MDHHS to navigate the exchange of physical and behavioral health in Michigan About the same level of importance as before	Using the tools and resources available on MDHHS to navigate the exchange of physical and behavioral health in Michigan More important than before
Using MDHHS-5515 to obtain consent for sharing physical or behavioral health records	Using MDHHS-5515 to obtain consent for sharing physical or behavioral health records Less important than before	Using MDHHS-5515 to obtain consent for sharing physical or behavioral health records About the same level of importance as before	Using MDHHS-5515 to obtain consent for sharing physical or behavioral health records More important than before
Using technology to electronically exchange health information	Using technology to electronically exchange health information Less important than before	Using technology to electronically exchange health information About the same level of importance as before	Using technology to electronically exchange health information More important than before

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* 11. How useful did you find the resources presented in the webinar, including the PHI Consent tool?

Not at all useful

Somewhat useful

Very useful

Comments

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* 12. What types of changes related to information sharing are you pursuing, or considering pursuing?

Using or accepting MDHHS 5515 more frequently than I did before

Using the PHI Consent tool to determine when individual consent is needed to share Behavioral Health and Substance Use Disorder PHI

Leveraging health IT to exchange physical and behavioral health information

Other (please specify)

PHI Consent Tool Webinar

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* 1. Email Address

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* 2. Organization

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* 3. Zip Code

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* 4. Job Title

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* 5. Did you view this webinar live or as a recording?

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* 6. Since viewing the webinar, how would you rate your understanding of the various rules and regulations that govern the exchange of physical and behavioral health PHI in Michigan?

Question Title

* 7. Since viewing the webinar, how would you rate your confidence in navigating the rules and regulations to determine when individual consent is needed to share Behavioral Health and Substance Use Disorder PHI?

Question Title

* 8. Since viewing the webinar, how would you rate your confidence in using MDHHS 5515 in situations when consent is needed to share Behavioral Health and Substance Use Disorder PHI?

Question Title

* 9. Since viewing the webinar, how would you rate your satisfaction with the tools and resources available to navigate the exchange of physical and behavioral health PHI in Michigan?

Question Title

* 10. After viewing the webinar, how have your opinions or beliefs changed around the importance of:

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* 11. How useful did you find the resources presented in the webinar, including the PHI Consent tool?

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* 12. What types of changes related to information sharing are you pursuing, or considering pursuing?

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* 13. What was the most useful takeaway you gained from participating in the webinar?

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* 14. What additional training topics would you like to see covered in the future (if any)?

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* 15. What additional comments or feedback would you like us to consider?