Attachment S Medical Network Provider Satisfaction Survey.xlsx
XLSX spreadsheet 22 KB Posted
- Attached to
- Q201--CCN-Next Gen Medical
- Solicitation number
- 36C10G26R0003
About this file
The file is a Medical Network Provider Satisfaction Survey spreadsheet designed to evaluate community care providers' experiences with the VA's Community Care program. The comprehensive survey contains 48 questions across multiple categories including communication, data transfer, roles and responsibilities, relationships, and overall satisfaction. Questions assess providers' experiences with referral processes, information sharing, timeliness of care, administrative interactions, and willingness to continue participating in the VA community care program.
The survey captures detailed feedback on key performance areas such as communication effectiveness with VA offices, data transfer efficiency, clarity of referral reasons, coordination mechanisms, and professional relationships between community providers and VA referring providers. Providers are asked to rate their experiences on scales ranging from "Never" to "Always" or satisfaction levels from "Very Dissatisfied" to "Very Satisfied", with additional demographic and practice-specific questions to provide context for the responses. The survey is directly related to the VA's solicitation (36C10G26R0003) for the Community Care Network (CCN) Next Generation Medical program, aimed at improving community care provider engagement and service quality.
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Text version
QUESTIONS
| Provider Satisfaction Survey | |||
| Question # | Measure | Question | Response Scale (If Applicable) |
| 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) |
| 2 | About your practice | What is your professional discipline? | Non Scale |
| 3 | 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 |
| 4 | 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 |
| 5 | 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 |
| 6 | 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 |
| 7 | 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 |
| 8 | 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 |
| 9 | 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 |
| 10 | 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 |
| 11 | 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 |
| 12 | 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 |
| 13 | 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 |
| 14 | 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 |
| 15 | 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 |
| 16 | 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 |
| 17 | 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 |
| 18 | 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 |
| 19 | 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 |
| 20 | 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 |
| 21 | 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 |
| 22 | 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 |
| 23 | 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 |
| 24 | 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 |
| 25 | 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 |
| 26 | 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 |
| 27 | 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 |
| 28 | About your practice | What is your gender? | Non Scale |
| 29 | About your practice | What is your age? | Non Scale |
| 30 | 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 |
| 31 | 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) |
| 32 | 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 | |||
| 33 | 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 |
| 34 | Relationships | Do you have a consistent Point of Contact (POC) in VA for questions and/or coordination? | Yes/No |
| 35 | Experience | How satisfied are you overall with your experience participating in VA community care program? | Recommended Scale: |
Very dissatisfied Dissatisfied Neutral Satisfied Very Satisfied 36 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 37 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 38 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 39 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
| 40 | 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 |
| 41 | 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 |
| 42 | 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 |
| 43 | 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 |
| 44 | 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 |
| 45 | 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 |
| 46 | 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 |
| 47 | 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 48 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
File details come from the government source that posted it. Updated .