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* 1. What is the current nature of your practice?

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* 2. If not part of an ACO, are you currently looking at options to do so, and in what time frame?

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* 3. What percentage of strategic business decisions, suchas joining an ACO, in your practice are made by:

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* 4. As a practice administrator, have you observed surgeries to determine the value of new techniques & technologies?

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* 5. Have hospital administrators observed surgeries for the same reason?

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* 6. Have you invited them?

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* 7. How would you rate the perception of the competitive relationship between the practice and the hospital (1- completely complementary, 10- completely competitive)

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* 8. Is your practice actively involved with hospitals in the following:

  Yes No
Mapping clinical pathways?
Improving clinical outcomes?
Cost reduction initiatives?
Managing the orthopedic service line?
Consumer marketing?
Physician referrals?

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* 9. Are there formal processes committees, or meetings to foster collaboration between your practice and the hospital?

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* 10. Do your physicians have direct access to the hospital’s:

  Yes No
EMR?
Surgery Scheduling System?
PACS?

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* 11. Can your physicians access images/plans from your practice while in the hospitals?

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* 12. Would you be willing to be interviewed regarding this survey to provide more detail?

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* 13. If yes to #12, please provide your name, phone number, and email address below.

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