JCI Telehealth Standards, 1st Edition, Field Review

Survey Participate Demographics

Question Title

* 1. Which best describes you?

Employee of a JCI Accredited Organization

Employee of a non-JCI Accredited Organization

Employee of The Joint Commission Enterprise

Other

Question Title

* 2. What type of JCI Accredited healthcare organization do you belong to?

Hospital

Ambulatory Care Organization

Primary Care Center

Home Health Organization

Long Term Care Facility

Medical Transport

Laboratory

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* 3. What type of non-JCI Accredited healthcare organization do you belong to?

Hospital

Ambulatory Care Organization

Primary Care Center

Home Health Organization

Long Term Care Facility

Medical Transport

Laboratory

Other (please specify)

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* 4. Does your organization provide telehealth services?

Yes

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* 5. Please identify your main role in your healthcare organization

Chief Executive Office (CEO), Chief Operating Office (COO), or other C-Suite Member

Director, Manager, or other Leader

Clinician

Information Technologist

Facilities Manager

Other

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* 6. Please identify your main role in the telehealth or the healthcare organization

Chief Executive Officer (CEO), Chief Operating Officer, or Other C-Suite Member

Telehealth Director or Leader within a Healthcare Organization

Clinician who Uses Telehealth to Provide Care

Information Technology Expert with Experience in Telehealth

Clinical Educator who Trains Others to Use Telehealth

Other (please specify)

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* 7. Please describe your role at The Joint Commission Enterprise

TJC Central Office Staff

TJC Surveyor

TJC Consultant

JCI Central Office Staff

JCI Surveyor

JCI Consultant

TJC/JCI IT Specialist

JCR Team Member (Publications, e-Products, etc)

Other (please specify)

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* 8. If you selected "other," please describe your professional role

Member of a healthcare regulatory agency (private or public)

Member of a healthcare technology organization (e.g. HIMSS)

Member of an accrediting organization (not The Joint Commission)

Member of healthcare quality or professional group (e.g. WHO, AHRQ, etc)

Other (please specify)

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* 9. Which of the following telehealth specialties apply to your organization or are you familiar with? (Check all that apply)

General Care - such as primary care, surgical follow-up, wellness visits

Teleconsultations - such as tele-intensive care or teleradiology

Telemonitoring - including medical equipment (IV pumps, monitors) and patient wearables (glucose monitors, BP monitors)

Remote Patient Monitoring - such as safety assistants

Ancillary Telehealth Services - such as telepharmacy

Other (please specify)

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* 10. In which geographic location is your organization located?

Africa

Americas

Asia

Asia-Pacific

Carribean

Europe

Middle East/Gulf

Other (please specify)

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* 11. What is your organization's name (optional)?

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* 12. If we may contact you with follow-up questions, please provide your email below. Your email address will not be used for any other purpose and is not required to complete this survey.