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Infusion Services, Provider Satisfaction Survey
This survey is specific to Jackson Health System Infusion Services department
1.
Name
*
2.
Title
(Required.)
Physician
PA
NP
Nurse
Administrator
Other
*
3.
Primary Site
(Required.)
JMH
JN
JS
JW
HCH
Other
*
4.
How often do you refer patients to JHS Infusion Services?
(Required.)
Very Often
Not Often
*
5.
Please rate your satisfaction with the Jackson Health System Infusion Services department staff in each of the following areas:
(Required.)
Very satisfied
Satisfied
Somewhat dissatisfied
Dissatisfied
Referral management turnaround time
Very satisfied
Satisfied
Somewhat dissatisfied
Dissatisfied
Referral support from staff to help with benefits investigation, prior authorization, and patient assistance?
Very satisfied
Satisfied
Somewhat dissatisfied
Dissatisfied
Ease of accessibility in speaking with a JHS Infusion Services staff?
Very satisfied
Satisfied
Somewhat dissatisfied
Dissatisfied
JHS Infusion Services staff experience
Very satisfied
Satisfied
Somewhat dissatisfied
Dissatisfied
Overall experience
Very satisfied
Satisfied
Somewhat dissatisfied
Dissatisfied
How would you rate the overall service compared to other home infusion pharmacies?
Very satisfied
Satisfied
Somewhat dissatisfied
Dissatisfied
*
6.
Please share any positive feedback on the services provided by JHS Infusion Services.
(Required.)
*
7.
Please share any suggestions/improvements on the services provided by JHS Infusion Services.
(Required.)