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* 1. Address

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* 2. We collect, analyze, and use patient/family experience data to develop our financial plans.

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* 3. We benchmark our patient experience data against our competition for best-in-market performance.

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* 4. We use scientifically tested tools to measure, report, and improve on how well we deliver culturally competent care based on CLAS standards.

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* 5. We have plans to create an organizational culture where all employees are committed to health equity as a Patient-Centered Medical Home.

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* 6. We provide training on what we expect from staff and leadership for transforming our practice to a best-in-market Patient-Centered Medical Home.

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* 7. We use data to determine healthcare literacy and consumer skills among our patients to enhance communications and patient-centered care.

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* 8. We have a same-day access policy and monitor our performance regularly.

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* 9. We have a policy for timely communication with our patients during and after business hours.

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* 10. We regularly collect performance data on response times for patient phone calls or messages.

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* 11. We collect and separate performance data based on preventive and chronic illnesses.

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* 12. We provide team-based care to customize visits based on each patient's needs, values, and beliefs.          

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* 13. We provide culturally competent educational resources and self-management tools for our patients.

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* 14. We have a policy and tracking procedure for referrals to specialists and hospital admissions for our patients.

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* 15. We have a policy and tracking procedure for obtaining timely test results for our patients.

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* 16. We have a procedure to collect and analyze demographic information for our patients to ensure health equity.

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* 17. We reward our staff for continuous quality improvement and innovation.

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* 18. We have strategies to improve our Pay for Value performance and grow our market share.

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* 19. We measure the willingness of our patients to recommend us to members of their social networks

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* 20. We measure and benchmark our communication skills and patient trust in our practice.

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* 21. Our Health Information Technology includes Electronic Prescription and Medication Tracking

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