Montana Primary Care Provider Survey

Deadline May 10, 2016

The following short survey should take less than 5 minutes to complete.

To Montana Primary Care Providers:
The Montana Patient-Centered Medical Home Program is conducting a survey of providers not in the program to learn more about your understanding, experiences and questions regarding PCMH. Your answers to the eleven questions below will help the CSI and stakeholder council develop strategies to assist non-participating clinics. Thank you in advance for your time and participation. (Only one survey per clinic is needed)
What is a PCMH?
A patient-centered medical home is a team of healthcare professionals that transform their focus from treating illness to keeping patients healthy. A PCMH utilizes a “team” of primary care providers to coordinate all aspects of a patient’s health. The care team engages the patient as an active participant in their healthcare. PCMHs leverage technology to identify gaps in care for better disease prevention and management.
Background
In April 2013, the Montana PCMH law was passed by the Montana Legislature. A PCMH healthcare provider must apply for qualification and receive approval from the Commissioner of Securities and Insurance before promoting itself as a medical home and receiving enhanced reimbursement from insurers and Medicaid. As of April 2016, there are 64 Montana PCMH clinics.
More information is available here: http://csimt.gov/issues-reports/pcmh/

Question Title

* 1. Clinic Information

Name of Respondent

Name of Practice

Address

Address 2

City/Town

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 2. What is your level of knowledge about Patient-Centered Medical Homes?

High

Medium

Low

None

Comments

Question Title

* 3. Are you aware of the efforts of the PCMH Stakeholders Council administered by the Commissioner of Securities and Insurance?

Yes

Comments

Question Title

* 4. Have you considered how PCMH can be adopted in your practice?

Yes

Somewhat

Other (please specify)

Question Title

* 5. What resources would be helpful for pursuing Montana PCMH recognition? (check all that apply)

Webinars

Conference calls with experts

Online resources for practice transformation

Peer to peer learning with Montana PCMH providers

Other

Question Title

* 6. Please rank the top three needs for your practice and/or patients in the next three years. (1=top priority)

	1	2	3
Purchasing or upgrading an electronic medical record	Purchasing or upgrading an electronic medical record 1	Purchasing or upgrading an electronic medical record 2	Purchasing or upgrading an electronic medical record 3
Obtaining a data registry for quality improvement	Obtaining a data registry for quality improvement 1	Obtaining a data registry for quality improvement 2	Obtaining a data registry for quality improvement 3
Meeting Meaningful Use requirements	Meeting Meaningful Use requirements 1	Meeting Meaningful Use requirements 2	Meeting Meaningful Use requirements 3
Managing quality outcomes more effectively	Managing quality outcomes more effectively 1	Managing quality outcomes more effectively 2	Managing quality outcomes more effectively 3
Coordinating care with specialists	Coordinating care with specialists 1	Coordinating care with specialists 2	Coordinating care with specialists 3
Addressing revenue gaps	Addressing revenue gaps 1	Addressing revenue gaps 2	Addressing revenue gaps 3
Staffing needs and skill development	Staffing needs and skill development 1	Staffing needs and skill development 2	Staffing needs and skill development 3

Question Title

* 7. What barriers (internal or external) do you face to starting the PCMH transformation process?

Lack of reimbursement

Staffing limitations

Technology challenges

Other

Question Title

* 8. Is your practice working toward PCMH accreditation?

NCQA

AAAHC (Accreditation Association for Ambulatory Health Care)

Joint Commission

Question Title

* 9. Which best describes your location?

Mostly rural

Small town <15,000

Larger town 15,000-30,000

Small city 30,000-50,000

Metropolitan Statistical Are >50,000

Question Title

* 10. Approximately how many patients are in your total practice panel?

<1,000

1,000-2,500

2,501-4,000

4,001-8,000

8,001-10,000

10,000 +

Question Title

* 11. Would you like to be contacted with more information on The Montana PCMH Program?

Yes