ODAC: Prior Authorization Survey

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* 1. Which of the following describes you?

Resident physician

Attending Physician

Physician Assistant

Other (please specify)

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* 2. What is your age?

20-29

30-39

40-49

50-59

60+

Prefer not to say

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* 3. In what setting do you practice in?

Solo practice

Group practice

Academic institution/VA

Community Hospital/Multispecialty Clinic

HMO

Not applicable

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* 4. Does your practice have staff designated specifically for handling prior authorizations?

Yes

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* 5. Does the burden of Prior Authorizations interfere with your education?

Yes

Not applicable

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* 6. Do you fear the burden of Prior Authorizations will lead to a lapse in treatment for a patient or patients in the next month?

Yes

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* 7. Has the burden of Prior Authorizations caused delays in other patient related tasks and or/responsibilities in the last month?

Yes

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* 8. Has the burden of Prior Authorizations contributed to burnout or decreased morale at work?

Yes

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* 9. Do you avoid prescribing certain medications in simply because of the need for Prior Authorizations?

Yes

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* 10. Do you believe Prior Authorizations serve to benefit patients in any way? Please leave a comment if you would like to supplement your answer.

Yes

Comments (please specify)

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* 11. Do insurers/PBMs allow prescribers enough time to schedule and conduct a peer-to-peer review before denying a Prior Authorization or appeal?

Yes

Not applicable

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* 12. Is the current system for performing Prior Authorizations at your office sufficient?

Yes

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* 13. Are there any tools/resources your office utilizes to assist with Prior Authorizations?

Yes (please specify)