OMMPA Care

OMMPA Care Survey

The Ohio Medical Marijuana Physicians Association (OMMPA) is striving to create an improved patient-focused care system that will be more informative, efficient and effective for physicians. Your input will be highly valuable as the specifications for this system are finalized. Note: it may be necessary to access this survey from a computer versus other devices.

Question Title

* 1. Please indicate the extent to which you agree with the following statements:

	Strongly Disagree	Disagree	Agree	Strongly Agree
I have an open line of communications with each of my local dispensaries and know how they operate	I have an open line of communications with each of my local dispensaries and know how they operate Strongly Disagree	I have an open line of communications with each of my local dispensaries and know how they operate Disagree	I have an open line of communications with each of my local dispensaries and know how they operate Agree	I have an open line of communications with each of my local dispensaries and know how they operate Strongly Agree
Please add any clarifying comments
I am knowledgeable about the cannabis medication options that are available to my patients	I am knowledgeable about the cannabis medication options that are available to my patients Strongly Disagree	I am knowledgeable about the cannabis medication options that are available to my patients Disagree	I am knowledgeable about the cannabis medication options that are available to my patients Agree	I am knowledgeable about the cannabis medication options that are available to my patients Strongly Agree
Please add any clarifying comments
My staff and I have the capacity and knowledge to address patient needs and questions after they register for medical marijuana	My staff and I have the capacity and knowledge to address patient needs and questions after they register for medical marijuana Strongly Disagree	My staff and I have the capacity and knowledge to address patient needs and questions after they register for medical marijuana Disagree	My staff and I have the capacity and knowledge to address patient needs and questions after they register for medical marijuana Agree	My staff and I have the capacity and knowledge to address patient needs and questions after they register for medical marijuana Strongly Agree
Please add any clarifying comments
The Ohio State regulations enable me to provide a consistently high standard of care for my patients	The Ohio State regulations enable me to provide a consistently high standard of care for my patients Strongly Disagree	The Ohio State regulations enable me to provide a consistently high standard of care for my patients Disagree	The Ohio State regulations enable me to provide a consistently high standard of care for my patients Agree	The Ohio State regulations enable me to provide a consistently high standard of care for my patients Strongly Agree
Please add any clarifying comments

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* 2. Please rate the features below on the basis of importance to you...

	Not Important	Marginally Important	Somewhat Important	Important	Highly Important
Telemedicine-Live Video	Telemedicine-Live Video Not Important	Telemedicine-Live Video Marginally Important	Telemedicine-Live Video Somewhat Important	Telemedicine-Live Video Important	Telemedicine-Live Video Highly Important
Please indicate if you use this feature currently and any other clarifying information
Telemedicine-Chat Feature	Telemedicine-Chat Feature Not Important	Telemedicine-Chat Feature Marginally Important	Telemedicine-Chat Feature Somewhat Important	Telemedicine-Chat Feature Important	Telemedicine-Chat Feature Highly Important
Please indicate if you use this feature currently and any other clarifying information
Electronic Document Sharing with Patients, including medical records, treatment plans, and release of information	Electronic Document Sharing with Patients, including medical records, treatment plans, and release of information Not Important	Electronic Document Sharing with Patients, including medical records, treatment plans, and release of information Marginally Important	Electronic Document Sharing with Patients, including medical records, treatment plans, and release of information Somewhat Important	Electronic Document Sharing with Patients, including medical records, treatment plans, and release of information Important	Electronic Document Sharing with Patients, including medical records, treatment plans, and release of information Highly Important
Please indicate if you use this feature currently and any other clarifying information
Electronic Library of Ohio Products/Testing	Electronic Library of Ohio Products/Testing Not Important	Electronic Library of Ohio Products/Testing Marginally Important	Electronic Library of Ohio Products/Testing Somewhat Important	Electronic Library of Ohio Products/Testing Important	Electronic Library of Ohio Products/Testing Highly Important
Please indicate if you use this feature currently and any other clarifying information
Electronic Library of Expert Tutorials for Physicians/Medical Staff from Industry Experts	Electronic Library of Expert Tutorials for Physicians/Medical Staff from Industry Experts Not Important	Electronic Library of Expert Tutorials for Physicians/Medical Staff from Industry Experts Marginally Important	Electronic Library of Expert Tutorials for Physicians/Medical Staff from Industry Experts Somewhat Important	Electronic Library of Expert Tutorials for Physicians/Medical Staff from Industry Experts Important	Electronic Library of Expert Tutorials for Physicians/Medical Staff from Industry Experts Highly Important
Please indicate if you use this feature currently and any other clarifying information
Electronic Library of Training Tutorials for Patients	Electronic Library of Training Tutorials for Patients Not Important	Electronic Library of Training Tutorials for Patients Marginally Important	Electronic Library of Training Tutorials for Patients Somewhat Important	Electronic Library of Training Tutorials for Patients Important	Electronic Library of Training Tutorials for Patients Highly Important
Please indicate if you use this feature currently and any other clarifying information
Patient Waiver Form	Patient Waiver Form Not Important	Patient Waiver Form Marginally Important	Patient Waiver Form Somewhat Important	Patient Waiver Form Important	Patient Waiver Form Highly Important
Please indicate if you use this feature currently and any other clarifying information
Patient Intake Form	Patient Intake Form Not Important	Patient Intake Form Marginally Important	Patient Intake Form Somewhat Important	Patient Intake Form Important	Patient Intake Form Highly Important
Please indicate if you use this feature currently and any other clarifying information
Patient Evaluation Form	Patient Evaluation Form Not Important	Patient Evaluation Form Marginally Important	Patient Evaluation Form Somewhat Important	Patient Evaluation Form Important	Patient Evaluation Form Highly Important
Please indicate if you use this feature currently and any other clarifying information
Clear guidance on how to comply with State requirements, updated regularly, including managing patients with special status (e.g. indigent, veterans)	Clear guidance on how to comply with State requirements, updated regularly, including managing patients with special status (e.g. indigent, veterans) Not Important	Clear guidance on how to comply with State requirements, updated regularly, including managing patients with special status (e.g. indigent, veterans) Marginally Important	Clear guidance on how to comply with State requirements, updated regularly, including managing patients with special status (e.g. indigent, veterans) Somewhat Important	Clear guidance on how to comply with State requirements, updated regularly, including managing patients with special status (e.g. indigent, veterans) Important	Clear guidance on how to comply with State requirements, updated regularly, including managing patients with special status (e.g. indigent, veterans) Highly Important
Please indicate if you use this feature currently and any other clarifying information
State-of-the-art Payment Processing that enables Patient Payments via all major credit cards and ACH, with emailed receipts and recurring billing options	State-of-the-art Payment Processing that enables Patient Payments via all major credit cards and ACH, with emailed receipts and recurring billing options Not Important	State-of-the-art Payment Processing that enables Patient Payments via all major credit cards and ACH, with emailed receipts and recurring billing options Marginally Important	State-of-the-art Payment Processing that enables Patient Payments via all major credit cards and ACH, with emailed receipts and recurring billing options Somewhat Important	State-of-the-art Payment Processing that enables Patient Payments via all major credit cards and ACH, with emailed receipts and recurring billing options Important	State-of-the-art Payment Processing that enables Patient Payments via all major credit cards and ACH, with emailed receipts and recurring billing options Highly Important
Please indicate if you use this feature currently and any other clarifying information
Malpractice Insurance checklist for Physicians to reduce risks/costs	Malpractice Insurance checklist for Physicians to reduce risks/costs Not Important	Malpractice Insurance checklist for Physicians to reduce risks/costs Marginally Important	Malpractice Insurance checklist for Physicians to reduce risks/costs Somewhat Important	Malpractice Insurance checklist for Physicians to reduce risks/costs Important	Malpractice Insurance checklist for Physicians to reduce risks/costs Highly Important
Please indicate if you use this feature currently and any other clarifying information
Electronic Patient Appointment Scheduling and automatic reminders	Electronic Patient Appointment Scheduling and automatic reminders Not Important	Electronic Patient Appointment Scheduling and automatic reminders Marginally Important	Electronic Patient Appointment Scheduling and automatic reminders Somewhat Important	Electronic Patient Appointment Scheduling and automatic reminders Important	Electronic Patient Appointment Scheduling and automatic reminders Highly Important
Please indicate if you use this feature currently and any other clarifying information
Direct connections to Patient Care Coordinators to support Patients who have questions about medication options, dispensary processes, and how to manage as a user of medical cannabis	Direct connections to Patient Care Coordinators to support Patients who have questions about medication options, dispensary processes, and how to manage as a user of medical cannabis Not Important	Direct connections to Patient Care Coordinators to support Patients who have questions about medication options, dispensary processes, and how to manage as a user of medical cannabis Marginally Important	Direct connections to Patient Care Coordinators to support Patients who have questions about medication options, dispensary processes, and how to manage as a user of medical cannabis Somewhat Important	Direct connections to Patient Care Coordinators to support Patients who have questions about medication options, dispensary processes, and how to manage as a user of medical cannabis Important	Direct connections to Patient Care Coordinators to support Patients who have questions about medication options, dispensary processes, and how to manage as a user of medical cannabis Highly Important
Please indicate if you use this feature currently and any other clarifying information
Direct connections to Dispensaries for Consultation on Patient Care	Direct connections to Dispensaries for Consultation on Patient Care Not Important	Direct connections to Dispensaries for Consultation on Patient Care Marginally Important	Direct connections to Dispensaries for Consultation on Patient Care Somewhat Important	Direct connections to Dispensaries for Consultation on Patient Care Important	Direct connections to Dispensaries for Consultation on Patient Care Highly Important
Please indicate if you use this feature currently and any other clarifying information
Searchable access to Dispensary Product Menus	Searchable access to Dispensary Product Menus Not Important	Searchable access to Dispensary Product Menus Marginally Important	Searchable access to Dispensary Product Menus Somewhat Important	Searchable access to Dispensary Product Menus Important	Searchable access to Dispensary Product Menus Highly Important
Please indicate if you use this feature currently and any other clarifying information
Statewide data on Medical Cannabis Product Ratings for each Qualifying Condition	Statewide data on Medical Cannabis Product Ratings for each Qualifying Condition Not Important	Statewide data on Medical Cannabis Product Ratings for each Qualifying Condition Marginally Important	Statewide data on Medical Cannabis Product Ratings for each Qualifying Condition Somewhat Important	Statewide data on Medical Cannabis Product Ratings for each Qualifying Condition Important	Statewide data on Medical Cannabis Product Ratings for each Qualifying Condition Highly Important
Please indicate if you use this feature currently and any other clarifying information

Question Title

* 3. A system with the above capabilities is in development. Once available, it will be offered at no cost for a trial period, then available for a monthly subscription rate. The price will cover the costs of ongoing development and support, content enhancements and updates, and customer service.

If this system were available with all of the above features, what would be a fair monthly subscription cost for physicians?

Question Title

* 4. Alternatively, each Physician would be able to select the feature packages that appeal to them. Please indicate your level of interest in each of these packages:

	Not Interested	Somewhat Interested	Interested	Highly Interested
Telemedicine—via live video and chat; document sharing	Telemedicine—via live video and chat; document sharing Not Interested	Telemedicine—via live video and chat; document sharing Somewhat Interested	Telemedicine—via live video and chat; document sharing Interested	Telemedicine—via live video and chat; document sharing Highly Interested
Please provide any clarifying comments
Forms and information—electronic library, tutorials, standard forms	Forms and information—electronic library, tutorials, standard forms Not Interested	Forms and information—electronic library, tutorials, standard forms Somewhat Interested	Forms and information—electronic library, tutorials, standard forms Interested	Forms and information—electronic library, tutorials, standard forms Highly Interested
Please provide any clarifying comments
Product data-dispensary menus, product testing, product ratings per condition	Product data-dispensary menus, product testing, product ratings per condition Not Interested	Product data-dispensary menus, product testing, product ratings per condition Somewhat Interested	Product data-dispensary menus, product testing, product ratings per condition Interested	Product data-dispensary menus, product testing, product ratings per condition Highly Interested
Please provide any clarifying comments
Billing and scheduling—credit card and ACH payments, scheduling, receipts, reminders	Billing and scheduling—credit card and ACH payments, scheduling, receipts, reminders Not Interested	Billing and scheduling—credit card and ACH payments, scheduling, receipts, reminders Somewhat Interested	Billing and scheduling—credit card and ACH payments, scheduling, receipts, reminders Interested	Billing and scheduling—credit card and ACH payments, scheduling, receipts, reminders Highly Interested
Please provide any clarifying comments
Connectivity to Dispensaries and Patient Care Coordinators	Connectivity to Dispensaries and Patient Care Coordinators Not Interested	Connectivity to Dispensaries and Patient Care Coordinators Somewhat Interested	Connectivity to Dispensaries and Patient Care Coordinators Interested	Connectivity to Dispensaries and Patient Care Coordinators Highly Interested
Please provide any clarifying comments

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* 5. Please provide your name (for tracking purposes only)

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* 6. May the OMMPA Care Development Team follow up with you regarding your answers?

Yes, you may call me if needed

Yes, you may email me if needed

Please add any clarifying information

OMMPA Care

OMMPA Care Survey

Question Title

* 1. Please indicate the extent to which you agree with the following statements:

Question Title

* 2. Please rate the features below on the basis of importance to you...

Question Title

Question Title

* 4. Alternatively, each Physician would be able to select the feature packages that appeal to them. Please indicate your level of interest in each of these packages:

Question Title

* 5. Please provide your name (for tracking purposes only)

Question Title

* 6. May the OMMPA Care Development Team follow up with you regarding your answers?

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* 7. Thank you for your time and perspectives! Feel free to add any comments below.