5 Individuals - Query experiences

5 Individuals - Query experiences.docx

Survey of Eligible Users of the National Practitioner Databank

5 Individuals - Query experiences

OMB: 0915-0366

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OMB Number: 0915-0366; Expiration date: XX/XX/202X


Self-Queriers Survey: Module 5

Number of questions: 20


Experiences of Self-Querying the NPDB



Q 5.1. How did you access the self-query interface on the NPDB website?


Using the link on the NPDB website

Using a link on a non-NPDB website

Other (please specify) _______________


Q 5.2. Please rate your level of overall satisfaction with self-query.


Rating Scale

Very Satisfied

Satisfied

Neither Satisfied Nor Dissatisfied

Dissatisfied

Very Dissatisfied


Q 5.3. How many times have you performed a self-query in the last 5 years?


1

2

3

4

5 or more


Survey Page Break


Q 5.4. In the past 5 years, whenever you have self-queried, what was/were your reason(s)? (Please select all that apply.)


I was notified that I was the subject of a report in the NPDB

To check if I have any reports in the NPDB

To provide to an employer or a potential employer

To provide to an organization (e.g., hospital, health plan, etc.) for medical staff membership, clinical privileges, and/or panel memberships

To provide to a medical malpractice/liability carrier

To provide to a State Licensing Board

To provide to a Professional Society

To provide to another State Agency

To provide to a Federal Agency

Other (Please Explain) ____________


Q 5.5. Have you ever requested multiple copies of the results from a self-query?


Yes

No Skip to Q 5.7

Other (Please Explain) ____________


Survey Page Break


Q 5.6. For each of the following items, please select the reasons that you requested multiple copies of the self-query results. (Only one answer per row.)


Rating Scale For Each Item

Yes / No


To provide to an employer or a potential employer

To provide to an organization (e.g., hospital, health plan, etc.) for medical staff membership, clinical privileges, and/or panel memberships

To provide to a medical malpractice/liability carrier

To provide to a State Licensing Board

To provide to a Professional Society

To provide to another State Agency

To provide to a Federal Agency

To retain a copy in my own records

Other (Please Explain) _____________


Survey Page Break


Q 5.7. Have you requested a response to be mailed?


Yes

No Skip to Q 5.11


Q 5.8. Were there any difficulties in receiving a mailed response?


Yes (Please Explain) _________

No

Other (Please Explain) ____________


Q 5.9. What were your reasons for requesting a copy to be mailed?


A potential employer requested a hard copy.

I was not able to print an electronic copy.

I was not able to save an electronic copy.

Other (Please Explain) ____________


Q 5.10. Would a digitally signed PDF copy of the report be sufficient instead of a mailed hard copy?


Yes

No (Please Explain) ____________

Do not know

Other (Please Explain) ____________


Survey Page Break


Q 5.11. Have you ever left the process of self-query unfinished?


Yes If yes, go to Q 5.12, otherwise skip to Q 5.13.

No

Unknown

Other (Please Explain) ____________


Q 5.12. What were your reasons for not finishing self-query? (Please select all that apply.)


I did not want to use the online automated identity verification process.

Online automated identity verification process could not identify me.

A Notary was required, which I did not have access to at the time.

The overall self-query process was too hard.

I changed my mind about self-querying in the middle of the process.

Other reason (please explain) _________________


Survey Page Break


Q 5.13. Please rate your level of satisfaction with the NPDB’s online automated identification method for completing a self-query?


Very Satisfied

Satisfied

Neither Satisfied Nor Dissatisfied

Dissatisfied

Very Dissatisfied

Not Applicable (I have never used the NPDB online automated identification) Skip to Q 5.15


Survey Page Break


Q 5.14. Please rate your agreement with each of the following statements using the scale provided.


The NPDB’s online automated identity verification method is secure.

The NPDB’s online automated identity verification method is easy to use.

The NPDB’s online automated identity verification method is convenient.


Completely Agree

Agree

Neither Agree Nor Disagree

Disagree

Completely Disagree

Not Applicable (I have never used the NPDB online automated identity verification process)


Survey Page Break


Q 5.15. Please rate your level of satisfaction with NPDB’s Notary identity verification method for completing a self-query?


Very Satisfied

Satisfied

Neither Satisfied Nor Dissatisfied

Dissatisfied

Very Dissatisfied

Not Applicable (I have never used NPDB’s Notary identity verification method) Skip to Q 5.17


Survey Page Break


Q 5.16. Using the scale provided, please rate your agreement with each of the following statements regarding the NPDB’s Notary identification method.


The NPDB’s Notary identity verification method is secure.

The NPDB’s Notary identity verification method is easy to use.

The NPDB’s Notary identity verification method is convenient.


Completely Agree

Agree

Neither Agree Nor Disagree

Disagree

Completely Disagree

Not Applicable (I have never used NPDB’s Notary identity verification method)


Survey Page Break


Q 5.17. The self-query information I received from the NPDB is accurate and complete.


Completely Agree

Agree

Neither Agree Nor Disagree

Disagree

Completely Disagree


Q 5.18. I received a response to the self-query in a timely manner.


Completely Agree

Agree

Neither Agree Nor Disagree

Disagree

Completely Disagree


Survey Page Break


Q 5.19. How would you rate the cost of self-query?


Very Expensive

Expensive

Fair Cost

Inexpensive

Very Inexpensive


Survey Page Break


Q 5.20. Please share any comments regarding your experiences with self-querying the NPDB.

Text box


Piping logic:


Survey will be directed to Module 6.



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