Network Survey 1

Anesthesia Business Consultants, LLC has proposed to organize a network of client anesthesia practices that will collaborate on improving quality and service and on lowering costs.

Please complete this short survey to help us determine your level of interest in participating in the network and in services that you would like to obtain at a discount through group purchasing.

This survey should only take about 5 minutes of your valuable time. Your answers will be completely anonymous unless you choose to provide your name or the name of your anesthesia group or your contact information.

1. Are you currently participating in a group purchasing program?

Are you currently participating in a group purchasing program? Yes

2. If you answered Yes to Question #1, please list the services you are already buying through a group purchasing program:

If you answered Yes to Question #1, please list the services you are already buying through a group purchasing program:

3. Are you interested in participating in a new group purchasing program for anesthesia practice services?

Are you interested in participating in a new group purchasing program for anesthesia practice services? Extremely interested

Interested

Willing to learn more

Not very interested

Definitely not interested

4. Please indicate the importance of each of the following group purchasing services for your group:

	Extremely important	Important	Somewhat important	Not very important	Of no interest
Group health insurance	Please indicate the importance of each of the following group purchasing services for your group: Group health insurance Extremely important	Group health insurance Important	Group health insurance Somewhat important	Group health insurance Not very important	Group health insurance Of no interest
Malpractice insurance	Malpractice insurance Extremely important	Malpractice insurance Important	Malpractice insurance Somewhat important	Malpractice insurance Not very important	Malpractice insurance Of no interest
Legal services	Legal services Extremely important	Legal services Important	Legal services Somewhat important	Legal services Not very important	Legal services Of no interest
Tax advisory services	Tax advisory services Extremely important	Tax advisory services Important	Tax advisory services Somewhat important	Tax advisory services Not very important	Tax advisory services Of no interest
Business line of credit	Business line of credit Extremely important	Business line of credit Important	Business line of credit Somewhat important	Business line of credit Not very important	Business line of credit Of no interest
Investment services	Investment services Extremely important	Investment services Important	Investment services Somewhat important	Investment services Not very important	Investment services Of no interest
Human Resources services	Human Resources services Extremely important	Human Resources services Important	Human Resources services Somewhat important	Human Resources services Not very important	Human Resources services Of no interest
Payroll	Payroll Extremely important	Payroll Important	Payroll Somewhat important	Payroll Not very important	Payroll Of no interest

5. Please list any other services that you would like to obtain through a group purchasing program:

Please list any other services that you would like to obtain through a group purchasing program:

6. Please indicate your level of interest in joining a network of ABC client anesthesia practices that would offer cross-coverage (locums services) of anesthesiologists and/or CRNAs:

Please indicate your level of interest in joining a network of ABC client anesthesia practices that would offer cross-coverage (locums services) of anesthesiologists and/or CRNAs: Extremely interested

Interested

Somewhat interested

Not very interested

Definitely not interested

7. Please indicate your level of interest in joining a network of anesthesia practices organized to integrate clinical quality improvement endeavors, e.g. by pooling quality/performance data:

Please indicate your level of interest in joining a network of anesthesia practices organized to integrate clinical quality improvement endeavors, e.g. by pooling quality/performance data: Extremely interested

Interested

Somewhat interested

Not very interested

Definitely not interested

8. Would you be willing to serve on a volunteer Physician Advisory Committee that would guide the network in developing quality measures, performance assessment tools and related activities?

Would you be willing to serve on a volunteer Physician Advisory Committee that would guide the network in developing quality measures, performance assessment tools and related activities? Yes

Maybe

9. If you answered "YES" or "MAYBE" to Question 7, how much time would you be willing to spend on Physician Advisory Committee work (plus preparation and follow-up)? You may choose more than one answer.

If you answered "YES" or "MAYBE" to Question 7, how much time would you be willing to spend on Physician Advisory Committee work (plus preparation and follow-up)? You may choose more than one answer. Monthly conference call

Bimonthly conference call

Quarterly conference call

Annual face-to-face meeting, e.g. at ASA Annual Meeting

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