BCMTMS™ Grandfathering Survey | National Board of Medication Therapy Management

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Follow Up Certification Survey Form
Thank you for taking the time to participate in this survey. Feedback is an important part of ensuring the continuing quality of our certification program. Please be as specific as you can when leaving comments so we can better implement changes based on your comments and suggestions.

1. Which of the following reflect your current job responsibilities? (select all that apply)*
- Community
- Hospital
- Academia
- Regulatory
- Short-and long-term Care
- Home Health Care
- Mail Service
- PBM / HMO

2. Which of the following categories best describes your employment status?*
- Employed, working 40 or more hours per week
- Employed, working 1-39 hours per week
- Not employed, looking for work
- Not employed, NOT looking for work

3. Do you provide Medication Therapy Management or Care Management to patients via telephone or other telehealth technologies (such as video conference).
- Yes
- No

4. How would you rate your overall experience using the application portal?*
- Very positive
- Positive
- Neutral
- Negative
- Very negative

5. Do you have any other comments about how we can improve our board certification program?*

6. Do you speak more than one language?*
- Yes
- No
Select your second language*

7. How do you measure the impact of MTM certification?*

	Unsignificant	Somewhat significant	Significant	Very Significant
Provides a respected credential that can be incorporated into your career ladder and professional enhancement
Leads to increased earning potential
Enhances your confidence and validates your expertise and clinical decision-making
Gives priority to job applicants in hiring certified pharmacists
Leads to positive impact in clinical outcomes (i.e. patient outcomes and patient satisfaction)
Allows opportunity to manage patients with more complex conditions

8. How do you rate your knowledge and skills needed to successfully fulfill your job?*

	Strongly disagree	Disagree	Neutral	Agree	Strongly agree
Providing clinical recommendations pertaining to gaps in care, high risk medications, compliance and adherence, and drug interactions.
Keeping current with new and emerging evidence-based medicine and therapeutic recommendations.
Utilizing clinical recommendations according to Medication Therapy Management and Retrospective Drug Utilization Review.
Maintaining proper documentation of MTM activities.
Possessing knowledge of clinical standards of care, preventive health, Stars and HEDIS measures
Displaying sensitive, empathetic, and effective communication with patients.

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