Attachment R- Dental Network Provider Satisfaction Survey- Dental Network.xlsx
XLSX spreadsheet 28 KB Posted
- Attached to
- Q503--CCN Next Gen - Dental Network
- Solicitation number
- 36C10G26R0004
About this file
This file is a detailed Dental Network Provider Satisfaction Survey template for the Department of Veterans Affairs (VA) Community Care program. The survey consists of 48 comprehensive questions across six primary categories: About Your Practice, Communication, Coordination Mechanisms, Data Transfer, Relationships, and Roles & Responsibilities. The survey is designed to collect feedback from dental providers who serve Veterans through the VA's Community Care program, focusing on areas such as communication effectiveness, care coordination, information transfer, professional relationships, and overall experience with the VA referral process.
Key survey aspects include measuring provider satisfaction through five-point scales addressing topics like referral clarity, information accessibility, timeliness of administrative processes, ease of communication with VA staff, and willingness to continue accepting VA referrals. The survey aims to gather insights on providers' experiences with clinical coordination, administrative support, and their likelihood of recommending the VA Community Care program to colleagues. The survey is part of the VA's Q503--CCN Next Gen - Dental Network solicitation (36C10G26R0004), which seeks to improve community care dental network operations and provider engagement.
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UPDATED QUESTIONS
| Provider Satisfaction Survey | ||||
| Question # | Measure | Revised and Final Question | Response Scale (If Applicable) | Notes |
| 1 | About your practice | Are you (the person responding to this survey) a clinician in one of the following specialties who provides care to VA patients through the VA’s Community Care program? | Non Scale (List of specialties) | |
| Create a second survey for dental and coordinate with Dr. Lamar | ||||
| 2 | About your practice | On average during the last 3 months, about how many Veterans have you seen under the VA’s Community Care program? | Less than 1-3 per month |
1-3 per month 1-2 per week 3-5 per week 6-10 per week More than 10 per week 3 About your practice On average, how many VA referrals does your practice accept? Less than 1-3 per month 1-3 per month 1-2 per week 3-5 per week 6-10 per week
| More than 10 per week | Only for the admin side of the survey | ||||
| 4 | About your practice | What is your professional discipline? | Non Scale | ||
| 5 | About your practice | What is your gender? | Non Scale | ||
| 6 | About your practice | What is your age? | Non Scale | ||
| 7 | Communication | How often was the referring VA provider helpful in providing you further information or other assistance when you requested it? | Never, Rarely (About 25% of the time), Sometimes (about 50% of the time), Often (About 75% of the time), Always | ||
| 8 | Communication | When you needed help from a primary care team member other than the referring provider, how often were you able to get the help you needed in a timely manner? | Never, Rarely (About 25% of the time), Sometimes (about 50% of the time), Often (About 75% of the time), Always | ||
| 9 | Communication | How often did you feel that referring providers kept you informed and up-to-date about relevant issues related to the reason for referral? | Never, Rarely (About 25% of the time), Sometimes (about 50% of the time), Often (About 75% of the time), Always | ||
| 10 | Communication | When you tried to communicate directly with the referring provider, how often could you reach the referring provider in a timely manner? | Never, Rarely (About 25% of the time), Sometimes (about 50% of the time), Often (About 75% of the time), Always | ||
| 11 | Communication | In the last 3 months, have you attempted to communicate with someone in VA (other than through your visit note) about an issue related to clinical care? | Non Scale | ||
| 12 | Communication | How often were you able to get your needs met when you tried to communicate with someone in VA (other than through your visit note) about an issue related to clinical care? | Never, Rarely (About 25% of the time), Sometimes (about 50% of the time), Often (About 75% of the time), Always | Updated all occasion response scales to five point scale in this question | |
| 13 | Communication | Who did you work with when you needed to communicate with someone in VA (other than through your visit note) about an issue related to clinical care? | Non Scale | ||
| 14 | Communication | When you tried to communicate directly with the referring office for Community Care, how often could you reach someone in the office in a timely manner? | Never, Rarely (About 25% of the time), Sometimes (about 50% of the time), Often (About 75% of the time), Always | ||
| 15 | Communication | How often was the referring office of Community Care helpful in providing you further information or other assistance when you requested it? | Never, Rarely (About 25% of the time), Sometimes (about 50% of the time), Often (About 75% of the time), Always | ||
| 16 | Communication | How often are requests for additional services (RFS) processed in a timely manner? | Never, Rarely (About 25% of the time), Sometimes (about 50% of the time), Often (About 75% of the time), Always | Potential new item for discussion: When you need help from VA to coordinate care, do you know how to get that help? | |
| 17 | Communication | How do delays in administrative processing impact your willingness to see Veterans? | Not at all, somewhat, a great deal, N/A (I have not experienced delays in administrative processing) | ||
| 18 | Coordination Mechanisms | If you used any of the methods listed below to coordinate care with VA for Veterans in the last 3 months, how helpful were they? Phone | Not at all, somewhat, a great deal, N/A | ||
| 19 | Coordination Mechanisms | If you used any of the methods listed below to coordinate care with VA for Veterans in the last 3 months, how helpful were they? Fax | Not at all, somewhat, a great deal, N/A | ||
| 20 | Coordination Mechanisms | If you used any of the methods listed below to coordinate care with VA for Veterans in the last 3 months, how helpful were they? HealthShare Referral Manager | Not at all, somewhat, a great deal, N/A | ||
| 21 | Coordination Mechanisms | If you used any of the methods listed below to coordinate care with VA for Veterans in the last 3 months, how helpful were they? Community Viewer with HealthShare Referral Manager (HSRM) | Not at all, somewhat, a great deal, N/A | ||
| 22 | Coordination Mechanisms | If you used any of the methods listed below to coordinate care with VA for Veterans in the last 3 months, how helpful were they? Veterans Health Information Exchange (VHIE) | Not at all, somewhat, a great deal, N/A | ||
| 23 | Coordination Mechanisms | If you used any of the methods listed below to coordinate care with VA for Veterans in the last 3 months, how helpful were they? Encrypted email | Not at all, somewhat, a great deal, N/A | ||
| 24 | Coordination Mechanisms | If you used any of the methods listed below to coordinate care with VA for Veterans in the last 3 months, how helpful were they? Community Image Exchange System (CIES) | Not at all, somewhat, a great deal, N/A | ||
| 25 | Data Transfer | How easy was it for you to transfer clinical information (such as your consult note or test results) to the VA? | Very easy, easy, difficult, very difficult | ||
| 26 | Data Transfer | At the time of the patient’s first visit with you, how often did you have access to the most recent relevant information from the referring provider's practice? | Never, Rarely (About 25% of the time), Sometimes (about 50% of the time), Often (About 75% of the time), Always | ||
| 27 | Data Transfer | At the time of the patient’s follow-up visit with you, how often did you have access to the most recent relevant information from the referring provider’s practice? | Never, Rarely (About 25% of the time), Sometimes (about 50% of the time), Often (About 75% of the time), Always | ||
| 28 | Data Transfer | When you had access to records from the referring provider’s practice about the patient, how often were they in a format that made it easy to find the information you needed? | Never, Rarely (About 25% of the time), Sometimes (about 50% of the time), Often (About 75% of the time), Always | ||
| 29 | Data Transfer | How often did you encounter difficulty receiving the results of relevant tests ordered by the referring provider? | Never, Rarely (About 25% of the time), Sometimes (about 50% of the time), Often (About 75% of the time), Always | ||
| 30 | Data Transfer | How often did delays in receiving clinical information from VA impact your ability to provide timely care to patients? | |||
| Never, Rarely (About 25% of the time), Sometimes (about 50% of the time), Often (About 75% of the time), Always | |||||
| 31 | Data Transfer | How often did you need to repeat tests or evaluations due to unavailable or incomplete records from the VA? | Never, Rarely (About 25% of the time), Sometimes (about 50% of the time), Often (About 75% of the time), Always | Solutions are also in progress | |
| 32 | Relationships | When you made recommendations for care to the referring provider, how often were you confident that these recommendations would be carried through? | Never, Rarely (About 25% of the time), Sometimes (about 50% of the time), Often (About 75% of the time), Always | ||
| 33 | Relationships | For patients that saw you more than once for the same referral problem, how often were you clear on the division of responsibility between you and the referring provider over time? | Never, Rarely (About 25% of the time), Sometimes (about 50% of the time), Often (About 75% of the time), Always | ||
| 34 | Relationships | How often did you feel that the referring provider valued your contribution in caring for patients? | Never, Rarely (About 25% of the time), Sometimes (about 50% of the time), Often (About 75% of the time), Always | ||
| 35 | Relationships | How often did you have confidence and trust in the referring providers that referred patients to you? | Never, Rarely (About 25% of the time), Sometimes (about 50% of the time), Often (About 75% of the time), Always | ||
| 36 | Relationships | How often did you feel that you and the referring provider had conflicting expectations of each other’s roles during the course of the specialty care you provided? | Never, Rarely (About 25% of the time), Sometimes (about 50% of the time), Often (About 75% of the time), Always | ||
| 37 | Relationships | When it was needed, how often did you feel that you and the referring provider worked well together in caring for patients? | Never, Rarely (About 25% of the time), Sometimes (about 50% of the time), Often (About 75% of the time), Always | ||
| 38 | Relationships | Do you have a consistent Point of Contact (POC) in VA for questions and/or coordination? | Yes/No | Potential to revise or remove after further review. No question number was provided | |
| 39 | Roles & Responsibilities | How often was the reason for the referral sufficiently clear, such that you understood what the referring provider was asking of you? | Never, Rarely (About 25% of the time), Sometimes (about 50% of the time), Often (About 75% of the time), Always | ||
| 40 | Roles & Responsibilities | How often did the referral request include sufficient clinical history and other information to meet your immediate needs? | Never, Rarely (About 25% of the time), Sometimes (about 50% of the time), Often (About 75% of the time), Always | ||
| 41 | Roles & Responsibilities | How often are the referrals you receive from the VA clinically appropriate for your specialty? | Never, Rarely (About 25% of the time), Sometimes (about 50% of the time), Often (About 75% of the time), Always | Updated, review on 7/15 | |
| 42 | Roles & Responsibilities | How often did you need to rely on patients to transfer important information between you and the VA referring provider, because you were not confident in being able to achieve this with other mechanisms (e.g. Community Care Referral and Authorization [CCRA])? | Never, Rarely (About 25% of the time), Sometimes (about 50% of the time), Often (About 75% of the time), Always | Should we spell out CCRA? is this the main mechanism we expect clinicians to be using? | |
| 43 | Roles & Responsibilities | When you suggested that the VA referring provider place a referral to another specialty, how confident were you that this recommendation would be carried through? | Non Scale | ||
| 44 | Roles & Responsibilities | How easy is it to determine which medications are on the VA formulary when prescribing for a Veteran? | Recommended Scale: |
Very difficult Somewhat difficult Neither difficult or easy Somewhat easy Very easy 45 Roles & Responsibilities How often do you clearly understand whether medications should be prescribed through VA or filled externally? Recommended Scale:
Never Rarely Sometimes Often Always 46 Experience How satisfied are you overall with your experience participating in VA community care program? Recommended Scale:
Very dissatisfied Dissatisfied Neutural Satisfied Very Satisfied New Section. No question numbers have been provided
Recommended Scale:
Very dissatisfied Dissatisfied Neutural Satisfied Very Satisfied 47 Experience How likely are you to continue accepting VA referrals in the next year? Recommended Scale:
Very Unlikely Somewhat Unlikely Neither Unlikely or Likely Somewhat Likely Very Likely New Section. No question numbers have been provided
Recommended Scale:
Very Unlikely Somewhat Unlikely Neither Unlikely or Likely Somewhat Likely Very Likely 48 Experience How likely are you to refer your colleagues to participate in the VA community care program? Recommended Scale:
Very Unlikely Somewhat Unlikely Neither Unlikely or Likely Somewhat Likely Very Likely New Section. No question numbers have been provided
Recommended Scale:
Very Unlikely Somewhat Unlikely Neither Unlikely or Likely Somewhat Likely Very Likely
File details come from the government source that posted it. Updated .