Introduction

This survey is meant for CLINICIANS who are involved in the prescription and provision of Complex Rehab Technology (CRT) to people with disabilities. The purpose is to gather information to identify the uses, benefits, and concerns regarding the utilization of remote services and telehealth in the CRT provision process. The responses will also help in the development of standards and policies relating to making this a permanent option post COVID-19. Your individual responses will not be publicly shared. All responses are due by September 4, 2020 at 5:00 PM ET. Thanks for your participation and please contact Cathy Carver, PT, ATP at cathyhcarver@gmail.com for any questions.

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* 1. Your name?

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* 2. Your organization?

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* 3. Your email address?

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* 5. Type of clinician?

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* 6. Practice setting?

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* 7. Patient mix percentage?

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* 8. What is your current level of operation/capacity to serve CRT clients as compared to Pre-COVID?

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* 9. Pre-COVID, how many CRT appointments did you (or your organization) do monthly?

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* 10. Currently, how many CRT appointments are you (or your organization) doing monthly?

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* 11. Of the current monthly CRT appointments, how many involve remote/telehealth services?

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* 12. Of all your current remote/telehealth appointments, indicate the types of formats by percentage:

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* 13. What percentage of your clients are willing to return to the facility setting for CRT needs?

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* 14. Of your clients NOT WILLING to return to the facility setting, what other options are they selecting for CRT needs?

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* 15. For those CRT appointments using remote services/telehealth, what has been the types of activity?

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* 16. Generally speaking for CRT activities, how does the time required for remote services/telehealth compare to the time required for a traditional in-person encounter?

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* 17. What do you see as the BENEFITS that having an option to use remote services/telehealth brings to the provision of CRT?

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* 18. What do you see as the ISSUES/CONCERNS that having an option to use remote services/telehealth brings to the provision of CRT?

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* 19. What issues/concerns need to be addressed post COVID-19?

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* 20. Assuming proper policies and safeguards are in place, do you see a need for remote services/telehealth to be a PERMANENT OPTION in the provision of CRT?

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* 21. Please share any other comments.

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