Form CMS-10437: GenIC#2 CMS-10437: GenIC#2 2015 Online Provider Assessment Survey

2015 Online Provider Survey
REV 1/29/21
BACKGROUND
The 2015 Online Provider Survey is an online survey of primary care physicians, specialists and practice managers in the offices of primary care and specialist private practices.
TOPICS
Technology
Health system change
Provider Communications
Method and Sample quotas
Participant Types and Counts: Primary Care physicians in small practices with 1-5 physicians (n=200) Primary Care physicians in larger practices with over 5 physicians (n=200) Specialist physicians in small practices with 1-5 physicians (n=200) Specialist physicians in larger practices with over 5 physicians (n=200) Practice managers in small practices with 1-5 physicians (n=200) Practice managers larger practices with over 5 physicians (n=200)
Practice Characteristics: specialty (mix); years in practice =3+; Percent of time direct patient care = 75%+; percent revenue from Medicare=cap of no more than 20% of the sample can have Medicare revenues of less than 20%
[Within each participant type:] Minimum of 10% in ACO or Patient Centered Medical Home
PRIMARY CARE:
QUOTA: fixed, weight proportional to universe
MONITOR: GET A MIX
SPECIALISTS:
QUOTA: fixed, weight proportional to universe
MEDICAL SPECIALTIES
50%, MONITOR: GET A MIX.
SURGERY AND SURGICAL SPECIALTIES
50%, MONITOR: GET A MIX
Outcome Measures: Medicare awareness and knowledge; awareness and participation in CMS programs and initiatives; usage of CMS and non-CMS communications, social media and other channels
Segmentation of physicians and physician practices
Consider separate segmentations for physicians as individuals and physician practices as entities.
Segment by social media use, CMS website use
Segment by awareness and use of CMS initiatives
Analysis: Compare subsamples on variables such as years in practice; practice size; region; respondent type; primary/specialist; urban density; practice ownership and derived segment. Also, identify key questions to be answered by this dataset and design analysis accordingly.
See practice structure list. AMA 2012

2015 PROVIDER SURVEY

SCREENING QUESTIONS

We are conducting a survey for the Center for Medicare and Medicaid Services (CMS) to better understand what medical professionals and their patients need to know about Medicare, and to learn how to best meet these needs.

Your input is very important. The information collected will be used for research purposes only. At no time will we attempt to sell you anything. Your participation in this survey is anonymous and voluntary. Your individual answers will remain confidential and reported only in the aggregate. Click here to view our Privacy Policy.

Thank you very much for your time.

S1. Which of these best describes your role? [DO NOT ACCEPT MULTIPLES]

Primary Care Physician		Refer to quotas above
Specialist
Practice Manager/Office Manager
None of the above		TERMINATE
Don’t know		TERMINATE

DP2

S2. [If Primary Care Physician or Specialist] Are you board certified or eligible for board certification?

Yes
No		TERMINATE

S3. [If Primary Care Physician or Specialist] Including yourself, how many physicians are in your primary practice (the place where you spend the most time seeing patients)?

[If Practice Manager/Office Manager] How many physicians are in your primary practice (the place where you spend the most time as a Practice Manager/Office Manager)?

• Number of physicians: [RECORD NUMBER 1–9999]

DP2

S4. [If Primary Care Physician or Specialist] Is your primary practice (the place where you spend the most time seeing patients) part of a larger group practice with multiple locations?

[If Practice Manager/Office Manager] Is your primary practice (the place where you spend the most time as a Practice Manager/Office Manager) part of a larger group practice with multiple locations?

Yes
No

S5. [If S4=Yes and Primary Care Physician or Specialist] Including yourself, how many physicians are in the overall group practice, including all offices?

[If S4=Yes and Practice Manager/Office Manager] How many physicians are in the overall group practice, including all offices?

• Number of physicians: [RECORD NUMBER 1–9999]

DP2

S6. Which of the following best describes the ownership arrangement of your practice?

DP2

Sole proprietorship
Physician partnership
3rd-party owned (e.g. Health System, Hospital, Insurer)
Government owned		TERMINATE
Other (please specify)
Don’t know

S7. [If Primary Care Physician or Specialist] How many years have you been in practice (excluding residency or fellowship training)?

• ______________ Years [TERMINATE IF <3 YRS]

SB04

(Weight to AMA Master List proportions for years in practice)

S8. [If Primary Care Physician or Specialist] What is your primary medical specialty? [DO NOT ACCEPT MULTIPLES]	DP2
See AMA 2012 Specialties
[Hitech SURVEY SPECIALIST PRECODES] (ALPHABETIZE CODES IN SURVEY PROGRAM; ONLY SHOW CODES 01-04, 99 FOR S1=PRIMARY CARE PHYSICIAN AND SHOW CODES 10-99 FOR S1=SPECIALIST)
PRIMARY CARE: QUOTA: SEE ABOVE Internal medicine……………. 01 Family medicine and general practice 02 Obstetrics and gynecology (Ob/Gyn) 03 Pediatrics 04 SPECIALTIES: QUOTA: SEE ABOVE Allergy and immunology 10 Cardiology and cardiac surgery 11 Chiropractor 12 Colon and rectal surgery 13 Dermatology …………………………………………………………………………………………….16 Endocrinology …………………………………………………………………………………………….17 Gastroenterology …………………………………………………………………………………………….18 General surgery …………………………………………………………………………………………….19 Hematology/oncology 20 Infectious disease 21 Nephrology …………………………………………………………………………………………….22 Neurology …………………………………………………………………………………………….23 Ophthalmology …………………………………………………………………………………………….24 Optometrist 25 Orthopedic surgery 26 Otolaryngology (ENT) 27 Plastic and reconstructive surgery 28 Podiatry …………………………………………………………………………………………….29 Psychiatry …………………………………………………………………………………………….30 Pulmonary disease/pulmonary and critical care 31 Rheumatology …………………………………………………………………………………………….32 Surgery …………………………………………………………………………………………….33 Urology …………………………………………………………………………………………….34 Anesthesiology……………………………………………………………………………………………..…37 Radiology…………………………………………………………………………..………………………….…38 Rehabilitation……………………………………………………………………………………..…………..39 ER/trauma/critical care…………………………………………..…………………………………….…40 Geriatrics……………………………………………………….…………………………………….………….41 Other Specialist (specify):__________________________.................................98 Don’t know/Refused (VOL.) ……………………………………………………….……………..…….99 TERMINATE

S9. In which state is your primary practice located? __________

DG11

(Use drop down box. Limit to 50 US states and other. Terminate if other.)

(Stratify to AMA Master List proportions)?

S10. [If Primary Care Physician or Specialist] What percentage of your time is spent in clinical practice (i.e., direct patient care) as opposed to teaching or research?

SP1

Zero to 24% of your working time	0%	TERMINATE
25% to 49% of your working time	0%
50% to 74% of your working time	0%
75% or more of your working time	100%
Don’t know	0	TERMINATE

S11. Approximately what percent of your primary practice’s revenues would you say come from Medicare?

Zero to 19%	Cap	Monitor and cap at 20% of any subgroup from Quota Group on Page 1.
20% to 39%		Mix
40% to 59%
60% to 79%
80% or more
Don’t know

S12. About what percent of your primary practice’s revenues come from Medicaid, the state insurance program?

SP2

Zero to 19%
20% to 39%
40% to 59%
60% to 79%
80% or more
Don’t know

SP2

S13. Does your primary practice currently accept new Medicare patients?

SP3

Yes
No
Don’t know

S14. Does your primary practice currently accept new Medicaid patients?

Yes
No
Don’t know

SP3

[S15. [If Primary Care Physician or Specialist] Are you personally part of an Accountable Care Organization (ACO)?

[If Practice Manager/Office Manager] Are the physicians in your practice part of an Accountable Care Organization (ACO)?

BP1

Yes	Count toward target (see first page. Continue asking question)
No

S16. [If Primary Care Physician or Specialist] Are you personally part of a Patient Centered Medical Home (PCMH)?

[If Practice Manager/Office Manager] Are the physicians in your practice part of a Patient Centered Medical Home (PCMH)?

Yes	Count toward target (see first page. Continue asking question)
No

BP1

IF PASSED -- Congratulations – you are eligible to take this important survey regarding the Centers for Medicare and Medicaid Services (CMS). Your responses will help the Department of Health and Human Services improve services to you and your patients.

IF TERMINATED – Thank you. Based on your responses you aren’t eligible for this survey.

2015 PROVIDER SURVEY

QUESTIONNAIRE

TECHNOLOGY

Please answer the following questions about your use of technology.

1. In general, how quickly do you adopt new technologies, such as new electronics, software, or apps?

DMG4A

Very late to adopt new technology
Wait and see how it works for other people
In the middle, neither early nor late adopting
Slightly ahead of the curve in trying new technology
One of the first to adopt new technology

2. Which of the following devices do you use in your practice? (Select all that apply.)

BP1

A smart phone like iPhone, Blackberry, or Android
iPad or other tablet computer
None of the above

3. Does your primary practice provide TeleHealth or mHealth, meaning that you provide professional medical advice over the phone, smart phone, or computer?

BP1

Yes
No
Don’t know

4. Does your practice have a website?

BP1

Yes
No
Don’t know

5. [If practice has a website] Which of the following best describes the practice’s website? (Select all that apply.)

K1

Provides general information (hours, location, etc.)
Provides interactive features to patients (schedule appointments, pay bills, etc.)
Allows for secure two-way communication between patients and providers, such as e-mail
Includes access to a secure online patient portal
None of the above

6. Thinking about Electronic Health Records (EHR), which of the following statements BEST describes your primary practice’s current position? (Select only one response.)

DMG4A

Have not considered acquiring an electronic health record at all
Have considered and decided not to acquire an electronic health record system at all
Have considered possibly acquiring an electronic health record at some point in the future
Have thoroughly investigated the factors involved in acquiring an electronic health record, for implementation in the near future
Have already acquired an electronic health record and are now in the implementation stage
Have completed training and fully implemented our electronic health record and are now maintaining and improving our use of it

7. [If have completed training and fully implemented (6=F)]

ING7

How does your primary practice share data electronically through the EHR (not including Fax)? [ROTATE] (Select all that apply.) We share data…

… with a local or state Health Information Exchange (HIE)			DK
…within your own practice site
…among different sites within your medical group*
…with pharmacies outside your medical organization
…with hospitals outside your medical organization
…with labs outside your medical organization
…with specialists outside your medical group
…with patients and caregivers using an online Personal Health Record (PHR)

* asked of non-solo practices (S4=Yes)

NEW PROGRAMS AND INITIATIVES

The next series of questions focus on some new CMS initiatives.

8. Typically, which of the following best describes when you prepare for upcoming changes to the U.S. healthcare system? (select one)

DMG4A

Well in advance of the change taking effect
Immediately prior to the change taking effect
When the change takes effect
After the change takes effect

9. When you are considering adopting new programs or practices, which of the following is the MOST important factor? Which is the LEAST important factor? (randomize)

• Check one as MOST important

• Check one as LEAST important

PG11

MOST IMPORTANT

LEAST IMPORTANT

1. Adherence to sound business practices

2. Well supported evidence in peer-reviewed journals

3. Potential for improving patients’ health outcomes

10. How favorable is your opinion of each of the following programs (randomize a-f; show g-k not randomized at the end of the series)

Very favorable

Somewhat favorable

Somewhat unfavorable

Very unfavorable

I am not familiar with this program

ATG7

AWG2

1. Accountable Care Organization (e.g., New Generation ACOs, Pioneer ACO, Medicare Shared Savings Program, or Advance Payment ACO Model) or any program in which providers are compensated partly based on measurable quality

2. Patient Centered Medical Home: A primary care practice in which providers are compensated for coordinating all of the patient’s health care

3. Open Payments, also known as the Physician Payments Sunshine Act: Reporting of compensation to providers by pharmaceutical companies to CMS

4. The Health Insurance Marketplace: Offering consumers the ability to shop for affordable coverage and subsidies (also known as health insurance exchanges)

5. Medicare durable medical equipment supplier program: Known as the Competitive Bidding Program for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS)

6. Medicare Part D Prescriber Enrollment Rule 4159: Part of the Medicare Part D Fraud Prevention Program

7. Physician Quality Reporting System (PQRS)

8. ICD-10: The new coding system to replace ICD-9

9. Medicare e-Prescribing Incentive Program

10. The Medicare and Medicaid Fraud Prevention Program

11. Other quality reporting requirements (e.g., state, local, insurer)

11. [If aware of Open Payments/Sunshine Act and Primary Care Physician or Specialist] Regarding Open Payments/the Sunshine Act, have you registered through CMS to review your information before it is made public?

[If aware of Open Payments/Sunshine Act and Practice Manager/Office Manager] Regarding Open Payments/the Sunshine Act, have the physicians in your practice registered through CMS to review their information before it is made public?

BP1

Yes
No

12. [If registered to review information and Primary Care Physician or Specialist] Did you look up your name to see what was reported about you on the public website?

[If registered to review information and Practice Manager/Office Manager] Did you or the physicians in your practice look up their names to see what was reported about them on the public website?

BP1

Yes
No

13. [If aware of Health Insurance Marketplace and Primary Care Physician or Specialist]: Do you tell patients about the Health Insurance Marketplace as a place to shop for affordable health insurance?

Yes
No

[If aware of the Medicare durable medical equipment supplier program] Regarding your patients who require durable medical equipment or supplies…

14A. How often can you readily obtain DMEPOS items covered by the Competitive Bidding Program?

BG3

• Always

• Usually

• Sometimes

• Never

14B. Has the quality of the medical equipment or supplies since the DMEPOS Competitive Bidding Program started…

BG3

• Improved

• Remained about the same

• Worsened

• Don’t know

14C. Has the quality of service provided by the Competitive Bidding Program contract suppliers…

BG3

• Improved

• Remained about the same

• Worsened

• Don’t know

15. [If aware of Part D Prescriber Enrollment rule 4159, part of the Medicare Part D Fraud Prevention program and Primary Care Physician or Specialist] Are you currently enrolled as a Medicare Part D prescriber (under Part D Prescriber Enrollment Rule 4159)?

[If aware of Part D Prescriber Enrollment rule 4159, part of the Medicare Part D Fraud Prevention program and Practice Manager/Office Manager] Are the physicians in your practice currently enrolled as Medicare Part D prescribers (under Part D Prescriber Enrollment Rule 4159)?

BP1/SP3

Yes
No
Don’t know

16. In your opinion, which of the new initiatives are most likely to improve health outcomes for the United States as a whole? (Select up to 3)

PG10

• Accountable Care Organization (e.g., New Generation ACOs, Pioneer ACO, Medicare Shared Savings Program, or Advance Payment ACO Model) or any program in which providers are compensated partly based on measurable quality

• Patient Centered Medical Home: A primary care practice in which providers are compensated for coordinating all of the patient’s health care

• Open Payments, also known as the Physician Payments Sunshine Act: Reporting of compensation to providers by pharmaceutical companies to CMS

• The Health Insurance Marketplace: Offering consumers the ability to shop for affordable coverage and subsidies (also known as health insurance exchanges)

• Medicare durable medical equipment supplier program: Known as the Competitive Bidding Program for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS)

• Medicare Part D Prescriber Enrollment Rule 4159: Part of the Medicare Part D Fraud Prevention Program

• Physician Quality Reporting System (PQRS)

• ICD-10: The new coding system to replace ICD-9

• Medicare e-Prescribing Incentive Program

• The Medicare and Medicaid Fraud Prevention Program

• Other quality reporting requirements (e.g., state, local, insurer)

• Other (please specify)

• None

• Don’t know

QUALITY PROGRAMS

17. [If Primary Care Physician or Specialist] When you admit a Medicare patient to the hospital for a non-emergency issue, which statement best describes the decision process? [ROTATE] [select only one response]

DMG4A

• My patient requests a particular hospital and I try to accommodate their preference

• I provide written material or online information to review with the patient and the patient decides

• I offer options for discussion, and the patient and I decide together

• I recommend the hospital I feel is best, which the patient generally accepts

18. [If Primary Care Physician or Specialist] When you must admit a Medicare patient to the hospital on a non-emergency basis, how often do you discuss hospital quality with them?

BG3

Always
Usually
Sometimes
Never

19. Please indicate how favorable you are towards the following interactive tools available for consumers on Medicare.gov.

OMB

Very favorable

Somewhat favorable

Somewhat unfavorable

Very unfavorable

I am not familiar with it

ATG7

AWG2

1. Hospital Compare: An interactive tool on Medicare.gov that provides information about how well hospitals provide care for certain conditions

2. Nursing Home Compare: The interactive tool on Medicare.gov that provides information to consumers about the quality of nursing homes

3. Plan Finder: An interactive tool on Medicare.gov that provides information to help consumers choose a Medicare Part D or Medicare Advantage plan

4. Physician Compare: A Medicare web based tool that helps patients choose doctors in their locale

5. Dialysis Compare: A Medicare web based tool that helps patients find dialysis centers in their locale

20. Please indicate how favorable you are towards the CMS Preventive Care program, offering preventive services to Medicare patients.

BG3

Very favorable
Somewhat favorable
Somewhat unfavorable
Very unfavorable
I am not familiar with it

21. [If Primary Care Physician or Specialist] When discussing preventive services with patients, which one of the following is most often true? [DO NOT ACCEPT MULTIPLES]

DMG4A

• You usually raise the topic of which preventive screenings the patient is due to have

• Patient or caregiver usually raises the topic

• You and the patient/caregiver raise the topic to about an equal extent

• You don’t typically discuss preventive services with patients or caregivers

• Someone else manages this

• Don’t know

INFORMATION FOR HEALTHCARE PROFESSIONALS

22. To your knowledge, which of the following services are offered free of charge to patients under Original Medicare (Medicare Parts A and B only, and not Medigap or any other supplemental plan)? Please check all that apply. [ACCEPT MULTIPLES]

	Check all that apply
Alcohol misuse screening/counseling
Bone mass measurement
Cancer screenings
Cardiovascular or cholesterol screening
Depression screening
Diabetes screening and management
Glaucoma test
Immunizations and shots
Obesity screening & counseling
One time “Welcome to Medicare” Preventive Care Visit
Smoking cessation counseling
None of these

KG8

23. To your knowledge, does Medicare or the Social Security Administration provide any financial help to seniors who cannot afford Part D/prescription drug coverage?

KG8

Yes
No
Don’t know

Next, please think about the information resources available to healthcare professionals like yourself.

24. Please indicate which of the following resources you have used in the past year. (Select all that apply.) [ROTATE]

Check all that apply

Never

National, state, or local medical conferences or meetings

Professional membership organizations

Professional journals (paper or online)

Providers and/or staff in your practice

Outside consultants (practice consultant, billing specialist)

www.medscape.com

Private insurance companies

Medical Group Management Association (MGMA)

Hospitals and health systems

EHR vendor

Pharmaceutical or medical device/supply reps

Training sponsored by manufacturers

Other online information sources

ISG2/ISG3

25. Please indicate which of the following CMS resources for information specifically about Medicare or other CMS programs and initiatives you have used in the past year. (Select all that apply.) [ROTATE]

	Check all that apply
www.cms.hhs.gov, the general website for the Centers for Medicare and Medicaid Services
www.hhs.gov, the website of the US Department of Health and Human Services
www.medicare.gov, the US government site for people with Medicare
Medicare Learning Network (MLN), providing email updates, education, information, and resources for health care professionals
MLN Connects, National Provider Calls for Medicare providers and suppliers
www.Healthcare.gov, the Health Insurance Marketplace website
(CMS) Open Door Forums
A newsletter from CMS

ISG2/ISG3

26. In your primary practice, who is responsible for information seeking and sharing important information about new CMS policies and initiatives? (check all that apply)

DMG1

Myself
[If Primary Care Physician or Specialist] Other clinicians [If Practice Manager/Office Manager] Clinicians
[If Primary Care Physician or Specialist] Practice Manager(s)/Office Manager(s) [If Practice Manager/Office Manager] Other Practice Manager(s)/Office Manager(s)
A central department at a hospital or medical group
A contractor or consultant
Other (specify title)
No one in particular
Don’t know

27. In general, how strongly do you agree or disagree that you have all the information needed regarding CMS programs and initiatives including Medicare?

KG2

Strongly agree
Somewhat agree
Somewhat disagree
Strongly disagree

28. In general, how strongly do you agree or disagree that CMS provides information that is…

PG9

(rotate)	Strongly agree	Somewhat agree	Somewhat Disagree	Strongly Disagree
The right level of detail
Accurate
Easy to understand
[If Primary Care Physician or Specialist] Relevant for your specialty [If Practice Manager/Office Manager] Relevant for your role
Easily accessible
Timely
Up-to-date

29. How often do you use these social media in your medical practice? (randomize)

AWG2+ ISG3

	How often used?
Social media:	Once a week or more	More than once a month	About once a month	Less than once a month	One time only	Never	I am not aware of it	Never
Facebook
Twitter
Blogs
SERMO
Doximity
YouTube
Other, specify ____________________________________________________________

30. In the future, how would you prefer that CMS communicate with you about important information about CMS programs and initiatives, including Medicare? (check all that apply)

ISG5

A CMS website
A CMS mobile app
A CMS newsletter
Blog
Email that you subscribe to
Fax
Journal article (online or print)
Letter sent by US Mail
Medicare CME training seminar
Medscape
Podcast
Regional or local meeting
Social media: Facebook
Social media: SERMO
Social media: Twitter
Webinar
Other (specify) ___________________________

ABOUT MEDICARE

31. In general, please indicate how strongly you agree or disagree with each statement about Medicare.

ISG6

(rotate)	Strongly agree	Somewhat agree	Somewhat disagree	Strongly disagree
Medicare provides access to better healthcare
Medicare provides tools to help families make better health care decisions
Medicare is your partner
Medicare is innovative
Medicare is an organization you trust
Medicare helps patients manage their health
Medicare is up-to-date
Medicare is responsive when you call
Medicare is helpful when you have a question

NA

SATISFACTION WITH PROFESSION

32. Overall, how satisfied are you with your current profession?

Very satisfied
Somewhat satisfied
Not very satisfied
Not at all satisfied

DEMOGRAPHICS

The final few questions are for classification purposes.

33. Which of the following categories best describes the size of the city where your primary practice operates?

DP2

Large city
Mid-size city
Small city

34. Which of the following categories best describes the location where your primary practice operates?

DP2

Suburban
Rural
Urban

35. Which of the following categories best describes your primary practice?

DP2

Single specialty
Multi-specialty with primary and specialty care
Multi-specialty with primary care only
Multi-specialty with specialty care only
None of the above
Don’t know

36. [If Primary Care Physician or Specialist] At what type of facility is your practice primarily based? (Even though you may treat patients at multiple locations, indicate where the majority of your practice is based.)

[If Practice Manager/Office Manager] At what type of facility is your practice primarily based? (Even though you may work as a Practice Manager/Office Manager at multiple locations, indicate where the majority of your practice is based.)

[DO NOT ACCEPT MULTIPLES]

DP2

An office-based private practice
Community/teaching hospital
Community/non-teaching hospital
University-affiliated hospital
Other (please specify)

37. Are you employed by a hospital or health system?

Yes
No
Don’t know

38. An Integrated Delivery Network (IDN) or Integrated Delivery System (IDS) is a network of

hospitals, physicians, other providers, insurers and/or community agencies that engage with each other to provide coordinated care to patients in a particular market. Is your primary practice part of an integrated delivery network or system?

Yes
No
Don’t know

39. Please indicate any particular nationality, ethnic or racial groups your primary practice specializes in serving. (Select all that apply.)

DP2

Black/African American
American Indian/Pacific Islander
Asian
Caucasian
Hispanic
Other (specify) _____________________
None

40. [If Primary Care Physician or Specialist] Which of the following best describes your role in the practice?

I see patients exclusively and am not involved in managing my practice
I have some involvement in managing my practice
I am highly involved in managing my practice
I am the sole person who manages my practice

41. [If Primary Care Physician or Specialist] Approximately how many patients do you see in an average week?

• Patients in a typical week: [RECORD NUMBER 1–999]

42. Please indicate your gender.

DG1

Male
Female

43. What is your age?

DG2

[Record age and code into census age bands]

45. May we contact you to conduct additional research studies in the future? Whether you choose to participate in those studies is up to you. We will not share your information with anyone for marketing purposes.

BG8

Yes
No

Thank you very much for your time.

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