Practice Disrupters Spring Meeting Question Title * 1. Describe your practice setting Primary Care (Independent) Primary Care (Hospital Affiliated Independent) Hospital Employed FQHC Health Department Other (please specify) Question Title * 2. Do you offer telehealth services? Yes No Question Title * 3. If answered yes to offering tele-health services, what do you offer tele-health for? Behavioral Health Well Care Sick Reproductive Health GI Atopic Derm/Eczema Other (please specify) Question Title * 4. Do you offer language/translation services to patients? Yes No Question Title * 5. Do you offer expanded services? Lactation Behavioral Contraception Other (please specify) Question Title * 6. How do you market your telehealth services? Social media Email Portal Mail Media/commercials Text Other (please specify) Question Title * 7. How do you market your messaging on the importance of the medical home and child/adolescent well visits? Social media Email Portal Mail Media/commercials Text Other (please specify) Question Title * 8. Have you modified your hours of operation to accommodate patients outside of traditional hours? Evening hours Weekend hours Other (please specify) Question Title * 9. Do your leaders have a succession plan to transition and train younger physicians? Yes No Question Title * 10. What is your current reminder/recall strategy? Run regular reports to assess missed opportunities Phone Email EMR Text Mobile application push notification Mail Other (please specify) Question Title * 11. What percentage of Medicaid patients to do you see? Less than 25% 25-50% 50-75% Above 75% Question Title * 12. Do you use any of the following services? Online scheduling service Nurse hotline Other (please specify) Question Title * 13. If you answered yes to the above question, do you get reimbursed for it? Yes No Question Title * 14. Do you currently partner with any of the following? Managed Care Organizations Group purchasing Local hospital primary care organization Other (please specify) Question Title * 15. Do you currently use online scheduling? Yes No Working to add that feature Please share any details. Done