2021 ACPA Physician Advisor Survey Part I. Professional Work Question Title * What is your gender? Female Male Other Question Title * What state do you work in? Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Question Title * What is your clinical background? Emergency Medicine Adult Hospitalist Pediatric Hospitalist Med-Peds Hospitalist Medical Subspecialist OB/GYN Pediatrics- Outpatient Internal Medicine- Outpatient Family Medicine- Outpatient General Surgery Surgery Subspecialty Other Question Title * What other non-clinical credentials do you have? Select all that apply. CHCQM or CHCQM-PHYADV MBA, MHA, MMM, MPH CDI - CCDS, CDIP Coding- CPC, CCA, CCS, CCS-P Accredited Case Manager (ACM) FACPE, MACPE Informatics credential JD None Other Question Title * What title reflects your role as Physician Advisor in your organization? Chief Med Officer/Associate CMO Medical Director/Director Physician Advisor Vice President Other Question Title * To whom do you report? CEO/President Vice President (ie, VMPA) CMO CFO Clinical Department Chair Hospital Department Director (Case Mgmt, HIM, etc.) No defined reporting structure Other Question Title * How many Physician Advisors work at your organization (including yourself)? Only 1- yourself Less then 5 in total Between 5-10 in total >10 Question Title * Do you still practice clinically? Yes, mostly or full-time ( ≥0.5 FTE) Yes , part-time ( <0.5 FTE) PRN- occasional coverage only No longer practice clinically Question Title * If you still practice clinically, are you? Paid the same for clinical and PA duties Paid differently for clinical and PA duties Not applicable: do not practice clinically Other Question Title * How long have you been performing Physican Advisor duties? New: <1 year 1 - 5 years 6 - 10 years > 10 years Question Title * What is your work setting as a Physician Advisor? Onsite at a single hospital Remote to a single hospital Onsite- covering a part of, or the entire hospital system Remote- covering a part of, or the entire hospital system Combination of local and system duties Question Title * Has your work setting changed as a result of COVID impact? Yes- became mostly or entirely remote No- remained onsite or same remote work Question Title * What is the size of the patient population you cover as a Physician Advisor? < 100 staffed beds/census 100 - 299 staffed beds/census 300 - 499 staffed beds/census 500 - 1,000 staffed beds/census > 1,000 staffed beds/census Question Title * What is your current employement arragement as a Physician Advisor? Full-time, salaried employee Full-time, externally contracted Part-time employee Part-time externally contracted PA duties are part of another role (e.g. CMO, COO) PA duties are part of my admin duties as a full-time clinician Other Question Title * If you are part-time, how many hours per week do you perform Physician Advisor duties? <10 hours 10 - 20 hours 20- 40 hours Variable time commitment N/A Question Title * If you are a full-time salaried employee, what is your annual salary? < $150,000 $150,000- $200,000 $200,000- $250,000 $250,000- $300,000 > $300,000 N/A Question Title * If you are a part-time Physician Advisor, what is your hourly salary? <$80 $80- $100 $100- $120 $120- $140 $140- $160 > $160 Case-based rate N/A Question Title * What employment benefits do you receive? Select all that apply. Disability Insurance Health Insurance Life Insurance Retirement 403(b) or 401 (k) w/o employer matching contribution Retirement 403(b) or 401 (k) with employer matching contribution Tuition Reimbursement CME None Other Question Title * If you receive a bonus, what is it based on? Physician Advisor's individual metrics Hospital/system metrics Combination of above I receive no bonus Question Title * If you do receive a bonus, what % of your salary is it? <5% 5-10% 11-15% >15% N/A Question Title * What is your annual CME budget? <$1,000 $1,000 - $3,000 > $3,000 None Other Question Title * Which of these are your routine activities? Select all that apply. Second level UR status reviews Leading/supporting Care Management Department Peer-to-peer discussionss Participating in UR appeal process (appeal writing, ALJ hearings) Clinical Validation Denials CDI query escalation process Generation of primary CDI queries Leading/supporting Compliance (e.g. Chief Med Compliance Officer) Leading/supporting Quality (e.g. mortality review, HAC/PSI work) Leading/supporting Utilization Management (e.g. Chair of UM Committee) Other hospital committees- Med Records, Quality, IT Governance Participate in contracting with payers Physician education CM/UR staff education CDI/Coding staff education Readmission prevention Transitions of care Mortality reduction Full-risk population management Participting in the multidisciplinary rounds QI projects- opioid/antimicrobial stewardship, transfusion safety IT support- logistics, EMR template creation Manage PA Program, System policy, Question Title * How is your performance measured? Financial targets Key performance indicators or quality metrics Subjectively Completion of Special Projects Other Question Title * What do you see as the primary benefits of your ACPA membership? Select all that apply Career/job opportunities Certification Contracting/Physician Advisor hiring assistance Physician Advisor Education- The Learning Center Committees information/tools- Observation, CDI, Gov't Affairs, Peds Physician Advisors Networking/peer interaction Newsletter, regulatory updates Assistance in developing internal Physician Advisor program Other Question Title * Which resources listed below are you likely to use to reach your goals? Select all that apply. ACPA’s The Learning Center (TLC) modules Email blasts In-person conferences Newsletter/blog Online webcasts Posting on ACPA website Resource library Other Question Title * Which of these medical organizations are you an active member of? American College of Physicians (ACP) Society of Hospital Medicine (SHM) American Medical Association (AMA) American Academy of Family Physicians (AAFP) American Academey of Pediatrics (AAP) American College of Emergency Physicians American College of Surgeons (ACS) N/A Question Title * Are you a member of American Board of Quality Assurance & Utilization Review Physicians (ABQAURP)? Yes No Question Title * Are you an American College of Physician Advisors (ACPA) member? Yes No Question Title * Is your hospital/health system a member of the American Hospital Association (AHA)? Yes No I'm not sure Part II. Wellness/Social Media Survey*This portion of survey includes questions from the Mini Z survey. The Mini Z was developed by Dr. Mark Linzer and team at Hennepin County Medical Center, Minneapolis. For more information please contact mark.linzer@hcmed.org Question Title * Overall, I am satisfied with my current job: Strongly disagree Disagree Neutral Agree Strongly Agree Question Title * I feel a great deal of stress because of my job: Strongly disagree Disagree Neutral Agree Strongly Agree Question Title * Using your own definition of “burnout,” please select one of the answers below I enjoy my work. I have no symptoms of burnout. I am under stress, and don’t always have as much energy as I did, but I don’t feel burned out. I am definitely burning out and have one or more symptoms of burnout, e.g., emotional exhaustion The symptoms of burnout that I am experiencing won’t go away. I think about work frustrations a lot I feel completely burned out. I am at the point where I may need to seek help. Question Title * My control over my workload is: Poor Marginal Satisfactory Good Optimal Question Title * My professional values are well aligned with those of my department leaders: Strongly disagree Disagree Neither agree nor disagree Agree Strongly Agree Question Title * What contributes the most to your feelings of burnout? Insufficient compensation Lack of respect from colleagues Lack of respect from the Administration Lack of respect from Payors Spending too much time at work Inconsistent guidelines between Payors Other Question Title * What social media do you use for professional activities (education, networking, etc)? Select all that apply. LinkedIn Facebook Twitter Instagram Clubhouse TikTok None Other Done
