Physician Satisfaction Survey December 2019 Question Title Question Title * 1. I am confident in the ANESTHESIA STAFF'S clinical capabilities. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 2. The ANESTHESIA PROVIDERS are readily available, flexible and efficient. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 3. My patients receive excellent quality care from the physicians who are consulted to assist me in the MEDICAL MANAGEMENT of my patients. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 4. I am PROMPTLY NOTIFIED of any problems with my patients. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 5. I am confident in the clinical staff's knowledge, expertise and efficiency in PRE-ADMISSIONS. Strong Agree Agree Disagree Strongly Disagree N/A Strong Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 6. I am confident in the clinical staff's knowledge, expertise and efficiency in PRE-OP. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 7. I am confident in the clinical staff's knowledge, expertise and efficiency in PACU. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 8. I am confident in the clinical staff's knowledge, expertise and efficiency in INPATIENT. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 9. I am confident in the clinical staff's knowledge, expertise and efficiency in QUALITY MANAGEMENT DEPARTMENT. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 10. Patients requiring INPATIENT SERVICES receive care on the unit that meets or exceeds the expectations of the PATIENT. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 11. Patients requiring INPATIENT SERVICES receive care on the unit that meets or exceeds the expectations of MYSELF AS THE PRACTITIONER. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 12. I am confident in the clinical staff's knowledge, expertise and efficiency in PHYSICAL THERAPY. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 13. I am confident in the clinical staff's knowledge, expertise and efficiency in IMAGING. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 14. Scheduling a procedure or case in the IMAGING DEPARTMENT is a convenient and easy process. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 15. ELECTRONIC MEDICAL RECORD: The functionality of the electronic systems of the PACS (IMAGING) meet my needs. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 16. My Patients are ready for the OR/PROCEDURE ROOM when I arrive. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 17. I am confident in the clinical staff's knowledge, expertise and efficiency in the OR/PROCEDURE ROOM. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 18. The EQUIPMENT I need is AVAILABLE. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 19. The SUPPLIES I need are AVAILABLE. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 20. The OR is TURNED OVER quickly. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 21. I can obtain a TIME SLOT that fits my schedule to perform my PROCEDURES. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 22. My PATIENTS are satisfied with the services provided. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 23. My PATIENTS find the facility provides a COMFORTABLE setting. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 24. The facility is CLEAN. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 25. I am confident in the clinical staff's knowledge, expertise and efficiency in the LABORATORY. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 26. I am confident in the clinical staff's knowledge, expertise and efficiency in the PHARMACY. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 27. I am pleased with the services offered by the DIETARY DEPARTMENT. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 28. I am pleased with the PLANT OPS services provided. Strongly Agree Agree Disagree Strongly Agree N/A Strongly Agree Agree Disagree Strongly Agree N/A Other (please specify) Question Title * 29. My PATIENTS find the BUSINESS OFFICE STAFF accommodating. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 30. My OFFICE STAFF find the BUSINESS OFFICE STAFF accommodating. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 31. My PATIENTS find the REGISTRATION PROCESS efficient. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 32. My Office Staff find the SCHEDULING PROCESS responsive to their needs. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 33. I am confident in the knowledge, expertise and efficiency in INFORMATION TECHNOLOGY department. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 34. ELECTRONIC MEDICAL RECORD: The functionality of the electronic systems of MEDICAL RECORDS meet my needs. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 35. ELECTRONIC MEDICAL RECORD: The functionality of the electronic systems of CPOE (ORDER ENTRY) meet my needs. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 36. I am CONFIDENT in the helpfulness of the staff in HEALTH INFORMATION MANAGEMENT. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 37. The DICTATION PROCESS is easy to use. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 38. My OPERATIVE REPORTS are AVAILABLE to me in a timely manner. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 39. My LAB results are AVAILABLE to me in a timely manner. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 40. My IMAGING results are AVAILABLE to me in a timely manner. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 41. I am satisfied with the CHIEF EXECUTIVE OFFICER'S responsiveness to my needs and concerns. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 42. I am satisfied with the FINANCE MANAGER'S responsiveness to my needs and concerns. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 43. I am satisfied with the CHIEF NURSING OFFICER'S responsiveness to my needs and concerns. Strongly Agree Agree Disagree Strongly Disagree N/A Strongly Agree Agree Disagree Strongly Disagree N/A Other (please specify) Question Title * 44. I am pleased with the OVERALL SERVICES provided at the facility. Strongly Agree Agree Disagree Strongly Disagree Strongly Agree Agree Disagree Strongly Disagree Other (please specify) Question Title * 45. What is your specialty? Question Title * 46. Number of years you have been coming to CLSH? 0-1 yr 1-3 yrs 3-5 yrs 5+ yrs Question Title * 47. Approximate number of cases you perform at CLSH each year? <50 50-100 100-150 150-200 Question Title * 48. Do you have any other comments, questions, or concerns? Question Title * 49. Provide your name if you would like follow up to any of your comments. Done