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Community Involvement and Patient Satisfaction
3.
Community Involvement and Patient Satisfaction
1.
Facility Name:
2.
Does your facility support, sponsor, or organize any
community service projects
?
Yes
No
If Yes, Please describe
3.
Do you have a
strategy
for helping your community learn about your facility and the services it offers? If so, please briefly describe your strategy (brochures, newspaper advertisements, word of mouth, etc.)?
Yes
No
If Yes, please describe
4.
How many of your patients understand a need for
preventative medical imaging
in the following areas?
None
Less than 10%
10%-33%
34%-66%
67%-99%
All
Breast cancer (mammography)
None
Less than 10%
10%-33%
34%-66%
67%-99%
All
Osteoporosis (DEXA)
None
Less than 10%
10%-33%
34%-66%
67%-99%
All
Pregnancy (ultrasound)
None
Less than 10%
10%-33%
34%-66%
67%-99%
All
Tuberculosis and other lung disease (chest radiography)
None
Less than 10%
10%-33%
34%-66%
67%-99%
All
5.
On average, how long must a
patient wait
before getting the following services performed on an
outpatient/ambulatory
basis (Please leave the row(s) blank if your facility does not have that imaging modality or does not offer outpatient service).
Within 24 hours
2-3 days
Within 1 week
Within 1 month
More than 1 month
See a physician
Within 24 hours
2-3 days
Within 1 week
Within 1 month
More than 1 month
CT
Within 24 hours
2-3 days
Within 1 week
Within 1 month
More than 1 month
Plain Film Radiography
Within 24 hours
2-3 days
Within 1 week
Within 1 month
More than 1 month
Ultrasound
Within 24 hours
2-3 days
Within 1 week
Within 1 month
More than 1 month
MRI
Within 24 hours
2-3 days
Within 1 week
Within 1 month
More than 1 month
Mammography
Within 24 hours
2-3 days
Within 1 week
Within 1 month
More than 1 month
Nuclear Medicine
Within 24 hours
2-3 days
Within 1 week
Within 1 month
More than 1 month
Interventional Radiology
Within 24 hours
2-3 days
Within 1 week
Within 1 month
More than 1 month
GI Fluoroscopy
Within 24 hours
2-3 days
Within 1 week
Within 1 month
More than 1 month
6.
How long do patients typically wait to see a physician for
emergent care
?
Less than 30 minutes
30 minutes to 1 hour
1 hour to 2 hours
2 hours to 6 hours
6 hours to 10 hours
More than 10 hours
7.
What methods do you use to assess
patient satisfaction
?
Please select all that apply.
Survey or questionnaire filled by patient
Phone call to patient
In-person discussion with patient
Other
If Other, please specify
8.
What are
your goals
for improving patient service?
9.
Comments?
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