LiveOnNY Referral Process Feedback Questionnaire

LiveOnNY Referral Process Feedback Questionnaire

 

Please answer this short survey based on your personal experience with LiveOnNY.

yes
no
Yes
No
Weekly - At least a few times in a month
Monthly - At least six times in a year
Rarely - less than six times in a year
Never - I have never received nor made a call to LiveOnNY
always professional on calls
Mostly professional on calls
Somewhat professional on calls
seldom professional on calls
never professional on calls
I have never spoken with the LiveOnNY Donor Center
always responds timely
usually responds timely
sometimes responds timely
rarely responds timely
never responds timely
n/a
I almost never identify patients meeting clinical triggers
I rarely have patients who meet clinical triggers
The number of patients meeting clinical triggers that I have is average for my unit
I sometimes note more patients meeting clinical triggers than is average for my unit
I note patients meeting clinical triggers significantly more frequently than other clinical staff
No - I would prefer if someone else was involved in telephonic interaction with LiveOnNY
No - I don't mind doing it but I prefer not to if I don't have to
Yes - I prefer to make the initial call so I know it's been done
Yes - I prefer to provide patient information on the return triage call from LiveOnNY
Yes - I prefer to both call in consultations and provide information on the return call
Very inadequate - They make immediate decisions about patients without enough information
Somewhat inadequate - They should probably get more information before making a decision about a patient
Adequate - They ask for the information they need when deciding whether to follow my patient
Somewhat excessive - They don't need all the information they ask for when deciding if they're going to follow my patient
Very excessive - The number of questions they ask is unnecessary to triage a patient
Very inadequate - They don't get enough information about my patient
Somewhat inadequate - They should probably get more information
Adequate - I feel that they triage appropriately
Somewhat excessive - They don't need all of the information they ask for
Very excessive - They keep me from my patients for unnecessary questions
Less than 5 minutes
5-10 minutes
More than 10 minutes
Less than 5 minutes
5-10 minutes
More than 10 minutes
Strongly Disagree
Somewhat Disagree
Neither Agree nor Disagree
Somewhat Agree
Strongly Agree
Yes
No
No - It is not always charted at all
No - The consultation is not always charted in the same place
Somewhat - There are a few places it might be charted if you know where to look
Yes - It is always in the same place, ONLY in the paper chart
Yes - It is always in the same place ONLY in the electronic chart
Yes - It is always in the same place in BOTH the paper AND electronic chart
Strongly Disagree
Somewhat Disagree
Neither Agree nor Disagree
Somewhat Agree
Strongly Agree
No - They almost always use the computers and chart for their information
Somewhat - They ask for clarification when things are not clear
Yes - When they are done with their initial charting they ask for more basic information
Very much - They often require significant interaction with the patient's nurse
Too much - They ask for huddles with the entire care team which distracts them from other patients
very clear
mostly clear
somewhat clear
rarely clear
not clear at all
n/a
very clear
mostly clear
somewhat clear
rarely clear
not clear at all
n/a
very adequate
mostly adequate
somewhat adequate
rarely adequate
not adequate at all
n/a
always professional onsite
mostly professional onsite
somewhat professional onsite
seldom professional onsite
never professional onsite
n/a

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