Patient Experience Measures

• What is your organization’s current performance on patient experience?

• What is your performance on physician/APP communication?                                                                           

• How do you improve patient experience?

• Provide patient experience performance overall and performance data related to physician communication

 

Medical Errors and Patient Harm

• How does your organization respond to medical errors, patient harm, and near misses that involve physicians/APPS?

• What training does your organization provide?

• What support is provided to individuals involved in an event?

• Provide flow charts, meeting minutes or agendas

 

Effectiveness Metrics

• How is physician/APP leadership integrated into your clinical effectiveness initiatives?

• Provide meeting minutes, agendas, presentations and other documentation

 

Quality of Care Metrics

• How do physician/APP leaders participate in quality, risk, and safety performance?

• Provide meeting minutes, agendas, presentations, flow charts

 

Physician Involvement in PI

• Describe how physicians/APPs are incorporated into the organization's QA and process improvement program.

• Provide minutes, agendas, presentations

 

Crisis Incident Management

• Describe how your organization operates during a crisis or incident.

• How are physicians/APPs involved in the process? 

 

Response to Physician Concerns·    

• How does your organization gather concerns from the broad physician/APP group, address them, and communicate plans?

• How do you respond to physician suggestions and concerns?

• Process flow chart, contact information, information shared with physicians.

• Committee structures, charters, minutes, logs, other documentation as appropriate

 

Assessment of Physician Engagement·    

• How does the organization assess physician/APP engagement and satisfaction?

• Instrument used

• Participants included and excluded Process

• Action planning and communication

 

How do you use the data to improve the environment for physicians?

• Survey results, issue tracking logs, process flow charts.

• Results of most recent three physician engagement/satisfaction surveys, response and accomplishments

 

Physicians are involved in strategic planning

• How do you involve physicians/APPs in the strategic planning process?

• Committee minutes, attendance logs, etc.

 

Physician Retention/Turnover Rate

• How do you measure physician/APP retention?

• How do physicians/APPs evaluate the clinical support at your organization?

 

How do physicians/APPs evaluate other disciplines in your organization?

• Provide instrument, meeting agendas, communication, etc.

 

Physicians/APPs have input into clinical support

• How do physicians/APPs provide input into clinical support staffing and priorities?

• Provide evidence of input and team approach. 

 

Collegiality and teamwork among physicians/APPs and clinical support are promoted by the organization.

• How does your organization promote teamwork?

• Provide evidence of actions which support teamwork

 

Financial Solvency

• How does your facility engage physicians/APPs in business/financial matters that relate to them?

• Presentations, flow charts, meeting minutes

 

Work Re-Design

• What measures have been taken to reduce “busy work”, relieve bureaucratic inefficiency and regulatory burdens, in order to free physicians for clinical activities and increase productivity?

• Issue tracking logs, presentations to medical staff, other documentation

 

Electronic Medical Record (EMR)·    

• How do you assess satisfaction with your EMR?

• How do you respond to issues with EMR that physicians/APPs raise?

• How are physicians/APPs involved in build and maintenance of your EMR?

• What have you done to reduce EMR burden on physicians/APPs?

• Process flow charts, documentation of interventions

 

Physician Compensation

• How do you determine and manage physician/APP compensation?

• Process flows, policies, other documentation