COVID-19 Recovery Survey

Please take 5 minutes to share your input on this 16 question survey.

Question Title

* 1. What is your role in your organization?

CIO

CISO

CxO

Director

Manager

Other (please specify):

Question Title

* 2. Where is your organization located?

City/Town

State/Province

Country

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* 3. Which of the following best describes your organization? Please select all that apply.

Academic Medical Center

Critical Access hospital

Multi-hospital system

Stand-alone hospital

Specialty hospital

Long-term care facility/Skilled Nursing Facility

Behavioral Health

Ambulatory/outpatient practices

Other (please specify):

Question Title

* 4. Which best describes your current situation dealing with COVID-19?

Low COVID caseload with plans to maintain current resources

Low COVID caseload but preparing for possible surge.

Surge In process – crisis management mode.

Post COVID-19 Recovery – identifying key surge learnings; developing implementation plans for post COVID-19 operations.

Post COVID-19 Recovery – Implementation of post-COVID-19 operational plans

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* 5. Have you planned for dual systems of care (treating both COVID-19 and non-COVID-19 patients)?

Yes

If Yes, please describe organizational impact:

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* 6. When do you expect your organization will return to a fully re-opened state?

Within the next 14 days

Within the next 30 days

Within the next 60 days

It has remained fully open during the COVID -19 surge

Not yet determined

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* 7. Please describe your phased approach to opening – and what considerations are part of that decision?

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* 8. What were your average daily telehealth usage #’s Pre COVID-19?

	0 – 24	25 - 50	51 - 100	101 - 250	251 - 500	501+
Virtual Visits/Appointments	Virtual Visits/Appointments 0 – 24	Virtual Visits/Appointments 25 - 50	Virtual Visits/Appointments 51 - 100	Virtual Visits/Appointments 101 - 250	Virtual Visits/Appointments 251 - 500	Virtual Visits/Appointments 501+
Remote Patient Monitoring	Remote Patient Monitoring 0 – 24	Remote Patient Monitoring 25 - 50	Remote Patient Monitoring 51 - 100	Remote Patient Monitoring 101 - 250	Remote Patient Monitoring 251 - 500	Remote Patient Monitoring 501+

Question Title

* 9. What are your current daily telehealth usage #’s?

	0 – 24	25 - 50	51 - 100	101 - 250	251 - 500	501+
Virtual Visits/Appointments	Virtual Visits/Appointments 0 – 24	Virtual Visits/Appointments 25 - 50	Virtual Visits/Appointments 51 - 100	Virtual Visits/Appointments 101 - 250	Virtual Visits/Appointments 251 - 500	Virtual Visits/Appointments 501+
Remote Patient Monitoring	Remote Patient Monitoring 0 – 24	Remote Patient Monitoring 25 - 50	Remote Patient Monitoring 51 - 100	Remote Patient Monitoring 101 - 250	Remote Patient Monitoring 251 - 500	Remote Patient Monitoring 501+