HCA Midwest EMS App Survey

1. HCA MIDWEST HEALTH SYSTEM EMS SURVEY

100% of survey complete.

Question Title

HCA LOGO

Obtaining constant, and time-sensitive feedback from local EMS providers is crucial to our Health Care System, and provides the opportunity to enhance our service levels within our Emergency Departments. We would appreciate your time to complete the following short survey regarding you most recent encounter at an one of our health care hospitals.

A couple of key points regarding the survey...
It should take only two minutes to complete.
Your responses are voluntary and will remain confidential.

Thank you in advance for your feedback!

Question Title

* 1. Please select the facility which you visited on your latest encounter

Allen County Regional Hospital

Belton Regional Medical Center

Carroll County Memorial Hospital

Cass Regional Medical Center

Centerpoint Medical Center

Lafeyette Regional Health Center

Lee's Summit Medical Center

Menorah Medical Center

Overland Park Regional Medical Center

Research Medical Center

Research Medical Center - Brookside Campus

Research Psychiatric Center

Overland Park Pediatric ER

ER of Olathe

ER of Shawnee

Question Title

* 2. Please answer the following questions based on your most recent encounter.

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree	N/A
Staff received radio report in a courteous and timely manner	Staff received radio report in a courteous and timely manner Strongly Agree	Staff received radio report in a courteous and timely manner Agree	Staff received radio report in a courteous and timely manner Neutral	Staff received radio report in a courteous and timely manner Disagree	Staff received radio report in a courteous and timely manner Strongly Disagree	Staff received radio report in a courteous and timely manner N/A
Staff members were ready to accept the patient	Staff members were ready to accept the patient Strongly Agree	Staff members were ready to accept the patient Agree	Staff members were ready to accept the patient Neutral	Staff members were ready to accept the patient Disagree	Staff members were ready to accept the patient Strongly Disagree	Staff members were ready to accept the patient N/A
Nurse/physician listened to medical report from EMS	Nurse/physician listened to medical report from EMS Strongly Agree	Nurse/physician listened to medical report from EMS Agree	Nurse/physician listened to medical report from EMS Neutral	Nurse/physician listened to medical report from EMS Disagree	Nurse/physician listened to medical report from EMS Strongly Disagree	Nurse/physician listened to medical report from EMS N/A
Food/snacks/space accommodations were available for the medic crew	Food/snacks/space accommodations were available for the medic crew Strongly Agree	Food/snacks/space accommodations were available for the medic crew Agree	Food/snacks/space accommodations were available for the medic crew Neutral	Food/snacks/space accommodations were available for the medic crew Disagree	Food/snacks/space accommodations were available for the medic crew Strongly Disagree	Food/snacks/space accommodations were available for the medic crew N/A
Staff communicated the offloading plan to medic crew effectively	Staff communicated the offloading plan to medic crew effectively Strongly Agree	Staff communicated the offloading plan to medic crew effectively Agree	Staff communicated the offloading plan to medic crew effectively Neutral	Staff communicated the offloading plan to medic crew effectively Disagree	Staff communicated the offloading plan to medic crew effectively Strongly Disagree	Staff communicated the offloading plan to medic crew effectively N/A
Staff was courteous towards medic crew	Staff was courteous towards medic crew Strongly Agree	Staff was courteous towards medic crew Agree	Staff was courteous towards medic crew Neutral	Staff was courteous towards medic crew Disagree	Staff was courteous towards medic crew Strongly Disagree	Staff was courteous towards medic crew N/A

Comments:

Question Title

* 3. Please identify current month.

January

February

March

April

May

June

July

August

September

October

November

December

Question Title

* 4. Do you wish to be contacted about your responses to this trip evaluation survey?

Name:

EMS Organizations:

Email Address:

Phone Number: