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* 1. I am confident in the ANESTHESIA STAFF'S clinical capabilities.

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* 2. The ANESTHESIA PROVIDERS are readily available, flexible and efficient.

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* 3. My patients receive excellent quality care from the physicians who are consulted to assist me in the MEDICAL MANAGEMENT of my patients.

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* 4. I am PROMPTLY NOTIFIED of any problems with my patients.

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* 5. I am confident in the clinical staff's knowledge, expertise and efficiency in PRE-ADMISSIONS.

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* 6. I am confident in the clinical staff's knowledge, expertise and efficiency in PRE-OP.

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* 7. I am confident in the clinical staff's knowledge, expertise and efficiency in PACU.

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* 8. I am confident in the clinical staff's knowledge, expertise and efficiency in INPATIENT.

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* 9. Patients requiring INPATIENT SERVICES receive care on the unit that meets or exceeds the expectations of the PATIENT.

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* 10. Patients requiring INPATIENT SERVICES receive care on the unit that meets or exceeds the expectations of MYSELF AS THE PRACTITIONER.

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* 11. I am confident in the clinical staff's knowledge, expertise and efficiency in PHYSICAL THERAPY.

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* 12. I am confident in the clinical staff's knowledge, expertise and efficiency in IMAGING.

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* 13. Scheduling a procedure or case in the IMAGING DEPARTMENT is a convenient and easy process.

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* 14. ELECTRONIC MEDICAL RECORD: The functionality of the electronic systems of the PACS (IMAGING) meet my needs.

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* 15. My Patients are ready for the OR/PROCEDURE ROOM when I arrive.

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* 16. I am confident in the clinical staff's knowledge, expertise and efficiency in the OR/PROCEDURE ROOM.

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* 17. The EQUIPMENT I need is AVAILABLE.

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* 18. The SUPPLIES I need are AVAILABLE.

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* 19. The OR is TURNED OVER quickly.

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* 20. I can obtain a TIME SLOT that fits my schedule to perform my PROCEDURES.

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* 21. My PATIENTS are satisfied with the services provided.

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* 22. My PATIENTS find the facility provides a COMFORTABLE setting.

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* 23. The facility is CLEAN.

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* 24. I am confident in the clinical staff's knowledge, expertise and efficiency in the LABORATORY.

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* 25. I am confident in the clinical staff's knowledge, expertise and efficiency in the PHARMACY.

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* 26. I am pleased with the services offered by the DIETARY DEPARTMENT.

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* 27. I am pleased with the PLANT OPS services provided.

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* 28. My PATIENTS find the BUSINESS OFFICE STAFF accommodating.

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* 29. My OFFICE STAFF find the BUSINESS OFFICE STAFF accommodating.

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* 30. My PATIENTS find the REGISTRATION PROCESS efficient.  

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* 31. My Office Staff find the SCHEDULING PROCESS responsive to their needs.

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* 32. I am confident in the knowledge, expertise and efficiency in INFORMATION TECHNOLOGY department.

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* 33. ELECTRONIC MEDICAL RECORD: The functionality of the electronic systems of MEDICAL RECORDS meet my needs.

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* 34. ELECTRONIC MEDICAL RECORD: The functionality of the electronic systems of CPOE (ORDER ENTRY) meet my needs.

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* 35. I am CONFIDENT in the helpfulness of the staff in HEALTH INFORMATION MANAGEMENT.

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* 36. The DICTATION PROCESS is easy to use.

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* 37. My OPERATIVE REPORTS are AVAILABLE to me in a timely manner.

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* 38. My LAB results are AVAILABLE to me in a timely manner.

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* 39. My IMAGING results are AVAILABLE to me in a timely manner.

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* 40. I am satisfied with the CHIEF EXECUTIVE OFFICER'S responsiveness to my needs and concerns.

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* 41. I am satisfied with the FINANCE MANAGER'S responsiveness to my needs and concerns.

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* 42. I am satisfied with the CHIEF NURSING OFFICER'S responsiveness to my needs and concerns.

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* 43. I am pleased with the OVERALL SERVICES provided at the facility.

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* 44. What is your specialty?

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* 45. Number of years you have been coming to CLSH?

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* 46. Approximate number of cases you perform at CLSH each year?

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* 47. Do you have any other comments, questions, or concerns?

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* 48. Provide your name if you would like follow up to any of your comments.

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