Patient-Centered Medical Home Survey-Community Physicians Survey 2013

1.

Patient Centered Medical Home Survey

Completely fill in the circle that best describes your answer.

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* 1. Which of the following best describe your position?

Family Physician

General Internist

General Pediatrician

Sub-specialist*

Resident physician

Medical student Year I

Medical student Year II

Medical student Year III

Medical student Year IV

Nurse practitioner

Nurse

Pharmacist

Care coordinator

Nursing student

Other*

(*please specify)

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* 1a. Which best describes your practice setting?

My practice is in a rural community

My practice is in an urban setting

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* 2. Please indicate the hospital at which you work

Penn State Milton Hershey Medical Center

Other

Other (please specify)

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* 3. Are you involved with medical student education?

Yes

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* 4. Are you involved with teaching the Medical Home Longitudinal Curriculum course for medical students?

Yes

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* 5. Are you involved with resident education?

Yes

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* 6. Have you attended educational events on Patient-Centered Medical Home (PCMH)?

Yes

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* 7. If yes, please indicate how many events you have attended.

1-2

3-5

6-10

more than 10

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* 8. Were you familiar with the PCMH concepts before completing this survey?

Yes

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* 9. How much do you know about PCMH?

Not at all

I have heard about it, but don’t know the details

I have some understanding of it

I know fair amount about it

I completely understand this model of care

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* 10. Is the practice you are working in (or doing a rotation as a student) seeking National Committee for Quality Assurance (NCQA) recognition as a PCMH?

No, there is no plan to seek NCQA recognition as a PCMH

The practice I work in is seeking NCQA recognition as a PCMH

The practice I work in is a NCQA certified PCMH

I don’t know

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* 11. If you are working in a PCMH, how many years has your practice been a PCMH?

1-2 years

3-5 years

more than 5 years

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* 12. Please indicate the degree you agree with the following statements

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
a) Patients who receive continuity of care with a personal practitioner have better health outcomes.	a) Patients who receive continuity of care with a personal practitioner have better health outcomes. Strongly Agree	a) Patients who receive continuity of care with a personal practitioner have better health outcomes. Agree	a) Patients who receive continuity of care with a personal practitioner have better health outcomes. Neutral	a) Patients who receive continuity of care with a personal practitioner have better health outcomes. Disagree	a) Patients who receive continuity of care with a personal practitioner have better health outcomes. Strongly Disagree
b) Comprehensive care (providing or arranging for all of the patient’s health care needs) would improve patient’s overall health.	b) Comprehensive care (providing or arranging for all of the patient’s health care needs) would improve patient’s overall health. Strongly Agree	b) Comprehensive care (providing or arranging for all of the patient’s health care needs) would improve patient’s overall health. Agree	b) Comprehensive care (providing or arranging for all of the patient’s health care needs) would improve patient’s overall health. Neutral	b) Comprehensive care (providing or arranging for all of the patient’s health care needs) would improve patient’s overall health. Disagree	b) Comprehensive care (providing or arranging for all of the patient’s health care needs) would improve patient’s overall health. Strongly Disagree
c) Team based care is important and will improve the health of patients.	c) Team based care is important and will improve the health of patients. Strongly Agree	c) Team based care is important and will improve the health of patients. Agree	c) Team based care is important and will improve the health of patients. Neutral	c) Team based care is important and will improve the health of patients. Disagree	c) Team based care is important and will improve the health of patients. Strongly Disagree
d) Team based care will decrease the quality of care since it will limit patient’s ability to see their physicians.	d) Team based care will decrease the quality of care since it will limit patient’s ability to see their physicians. Strongly Agree	d) Team based care will decrease the quality of care since it will limit patient’s ability to see their physicians. Agree	d) Team based care will decrease the quality of care since it will limit patient’s ability to see their physicians. Neutral	d) Team based care will decrease the quality of care since it will limit patient’s ability to see their physicians. Disagree	d) Team based care will decrease the quality of care since it will limit patient’s ability to see their physicians. Strongly Disagree
e) Care coordination (staff arrange for and follow-up on treatment plans)takes too much time and is too expensive.	e) Care coordination (staff arrange for and follow-up on treatment plans)takes too much time and is too expensive. Strongly Agree	e) Care coordination (staff arrange for and follow-up on treatment plans)takes too much time and is too expensive. Agree	e) Care coordination (staff arrange for and follow-up on treatment plans)takes too much time and is too expensive. Neutral	e) Care coordination (staff arrange for and follow-up on treatment plans)takes too much time and is too expensive. Disagree	e) Care coordination (staff arrange for and follow-up on treatment plans)takes too much time and is too expensive. Strongly Disagree
f) In a PCMH model, medical care is standardized and follows evidence-based guidelines.	f) In a PCMH model, medical care is standardized and follows evidence-based guidelines. Strongly Agree	f) In a PCMH model, medical care is standardized and follows evidence-based guidelines. Agree	f) In a PCMH model, medical care is standardized and follows evidence-based guidelines. Neutral	f) In a PCMH model, medical care is standardized and follows evidence-based guidelines. Disagree	f) In a PCMH model, medical care is standardized and follows evidence-based guidelines. Strongly Disagree
g) Disease registries are tools that will improve treatment of patients with chronic condition.	g) Disease registries are tools that will improve treatment of patients with chronic condition. Strongly Agree	g) Disease registries are tools that will improve treatment of patients with chronic condition. Agree	g) Disease registries are tools that will improve treatment of patients with chronic condition. Neutral	g) Disease registries are tools that will improve treatment of patients with chronic condition. Disagree	g) Disease registries are tools that will improve treatment of patients with chronic condition. Strongly Disagree
h) In a PCMH, the physician takes responsibility to ensure that all patients with chronic condition in his/her practice are receiving appropriate care.	h) In a PCMH, the physician takes responsibility to ensure that all patients with chronic condition in his/her practice are receiving appropriate care. Strongly Agree	h) In a PCMH, the physician takes responsibility to ensure that all patients with chronic condition in his/her practice are receiving appropriate care. Agree	h) In a PCMH, the physician takes responsibility to ensure that all patients with chronic condition in his/her practice are receiving appropriate care. Neutral	h) In a PCMH, the physician takes responsibility to ensure that all patients with chronic condition in his/her practice are receiving appropriate care. Disagree	h) In a PCMH, the physician takes responsibility to ensure that all patients with chronic condition in his/her practice are receiving appropriate care. Strongly Disagree
i) In a PCMH, tests and consultations are tracked and follow-up care is made after patients are treated at the emergency department and hospital.	i) In a PCMH, tests and consultations are tracked and follow-up care is made after patients are treated at the emergency department and hospital. Strongly Agree	i) In a PCMH, tests and consultations are tracked and follow-up care is made after patients are treated at the emergency department and hospital. Agree	i) In a PCMH, tests and consultations are tracked and follow-up care is made after patients are treated at the emergency department and hospital. Neutral	i) In a PCMH, tests and consultations are tracked and follow-up care is made after patients are treated at the emergency department and hospital. Disagree	i) In a PCMH, tests and consultations are tracked and follow-up care is made after patients are treated at the emergency department and hospital. Strongly Disagree
j) It is the patient’s responsibility to seek care for their medical condition.	j) It is the patient’s responsibility to seek care for their medical condition. Strongly Agree	j) It is the patient’s responsibility to seek care for their medical condition. Agree	j) It is the patient’s responsibility to seek care for their medical condition. Neutral	j) It is the patient’s responsibility to seek care for their medical condition. Disagree	j) It is the patient’s responsibility to seek care for their medical condition. Strongly Disagree
k) Medication reconciliation is an important step toward safe medical care.	k) Medication reconciliation is an important step toward safe medical care. Strongly Agree	k) Medication reconciliation is an important step toward safe medical care. Agree	k) Medication reconciliation is an important step toward safe medical care. Neutral	k) Medication reconciliation is an important step toward safe medical care. Disagree	k) Medication reconciliation is an important step toward safe medical care. Strongly Disagree
l) Medication reconciliation should be performed by pharmacist or nursing staff, not by physician.	l) Medication reconciliation should be performed by pharmacist or nursing staff, not by physician. Strongly Agree	l) Medication reconciliation should be performed by pharmacist or nursing staff, not by physician. Agree	l) Medication reconciliation should be performed by pharmacist or nursing staff, not by physician. Neutral	l) Medication reconciliation should be performed by pharmacist or nursing staff, not by physician. Disagree	l) Medication reconciliation should be performed by pharmacist or nursing staff, not by physician. Strongly Disagree
m) In a PCMH, an interprofessional team works at the top of their licenses to serve the patients.	m) In a PCMH, an interprofessional team works at the top of their licenses to serve the patients. Strongly Agree	m) In a PCMH, an interprofessional team works at the top of their licenses to serve the patients. Agree	m) In a PCMH, an interprofessional team works at the top of their licenses to serve the patients. Neutral	m) In a PCMH, an interprofessional team works at the top of their licenses to serve the patients. Disagree	m) In a PCMH, an interprofessional team works at the top of their licenses to serve the patients. Strongly Disagree
n) Health information technologies (electronic health records, disease registries, clinical decision support tools) are used for management of populations of patients in the PCMH.	n) Health information technologies (electronic health records, disease registries, clinical decision support tools) are used for management of populations of patients in the PCMH. Strongly Agree	n) Health information technologies (electronic health records, disease registries, clinical decision support tools) are used for management of populations of patients in the PCMH. Agree	n) Health information technologies (electronic health records, disease registries, clinical decision support tools) are used for management of populations of patients in the PCMH. Neutral	n) Health information technologies (electronic health records, disease registries, clinical decision support tools) are used for management of populations of patients in the PCMH. Disagree	n) Health information technologies (electronic health records, disease registries, clinical decision support tools) are used for management of populations of patients in the PCMH. Strongly Disagree
o) It is the patients’ responsibility to manage their chronic condition.	o) It is the patients’ responsibility to manage their chronic condition. Strongly Agree	o) It is the patients’ responsibility to manage their chronic condition. Agree	o) It is the patients’ responsibility to manage their chronic condition. Neutral	o) It is the patients’ responsibility to manage their chronic condition. Disagree	o) It is the patients’ responsibility to manage their chronic condition. Strongly Disagree
p) Most practices cannot afford health information technologies.	p) Most practices cannot afford health information technologies. Strongly Agree	p) Most practices cannot afford health information technologies. Agree	p) Most practices cannot afford health information technologies. Neutral	p) Most practices cannot afford health information technologies. Disagree	p) Most practices cannot afford health information technologies. Strongly Disagree
q) The PCMH pilot projects showed that this model of healthcare delivery improved health outcomes of patients and reduced cost.	q) The PCMH pilot projects showed that this model of healthcare delivery improved health outcomes of patients and reduced cost. Strongly Agree	q) The PCMH pilot projects showed that this model of healthcare delivery improved health outcomes of patients and reduced cost. Agree	q) The PCMH pilot projects showed that this model of healthcare delivery improved health outcomes of patients and reduced cost. Neutral	q) The PCMH pilot projects showed that this model of healthcare delivery improved health outcomes of patients and reduced cost. Disagree	q) The PCMH pilot projects showed that this model of healthcare delivery improved health outcomes of patients and reduced cost. Strongly Disagree
r) The PCMH model of healthcare delivery will make the life of primary care physicians worse.	r) The PCMH model of healthcare delivery will make the life of primary care physicians worse. Strongly Agree	r) The PCMH model of healthcare delivery will make the life of primary care physicians worse. Agree	r) The PCMH model of healthcare delivery will make the life of primary care physicians worse. Neutral	r) The PCMH model of healthcare delivery will make the life of primary care physicians worse. Disagree	r) The PCMH model of healthcare delivery will make the life of primary care physicians worse. Strongly Disagree
s) Reimbursement of clinician services should be linked to patients’ health outcomes.	s) Reimbursement of clinician services should be linked to patients’ health outcomes. Strongly Agree	s) Reimbursement of clinician services should be linked to patients’ health outcomes. Agree	s) Reimbursement of clinician services should be linked to patients’ health outcomes. Neutral	s) Reimbursement of clinician services should be linked to patients’ health outcomes. Disagree	s) Reimbursement of clinician services should be linked to patients’ health outcomes. Strongly Disagree
t) PCMH is a good healthcare delivery system.	t) PCMH is a good healthcare delivery system. Strongly Agree	t) PCMH is a good healthcare delivery system. Agree	t) PCMH is a good healthcare delivery system. Neutral	t) PCMH is a good healthcare delivery system. Disagree	t) PCMH is a good healthcare delivery system. Strongly Disagree

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* 13. How important is it for you to learn about the PCMH model of healthcare delivery? Rate on a scale of 1 to 4

1 = not at all

2 = somewhat important

3 = important

4 = very important

N/A = no opinion

Thank you very much for your participation!