• Practice Information Survey: HPSM Assessment

    Please share information specific to your practice site (since an organization may have multiple sites). Provide any data that is easy to pull. If you are not able to readily access these numbers, you may simply mark “not readily available.” Estimates are welcome. 

  • Payment Mix

  • 1. Please select all payors from which your practice accepts at least one type of insurance. HPSM is assessing payor mix to better align provider rates and incentives.*
  • 2. What is the total number of patients you have assigned for each of the following insurance types. Include assigned-not-yet-seen for any payor that assigns for primary care.  *
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  • Definition:
    Assignment: The process by which patients are attributed to an organization, site, or provider by a payor and thusly tasked with engaging and delivering care.

  • Systems

  • 3. What Electronic Health Record (EHR) are you using?*
  • 4. What population health management system(s) are you actively using? (select all that apply)*

  • Staffing

  • 5. For your practice site, please provide a breakdown of each primary care provider (PCP) and their FTE dedicated to direct patient care. Please note that filled FTE and vacant FTE are mutually exclusive. *
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  • 6. Describe your practice site’s staffing model by indicating the number of each staff member on the primary care team. Please note that filled FTE and vacant FTE are mutually exclusive. *
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  • Empanelment

    Definition: The process for ensuring that every patient has an assigned Primary Care Provider (PCP) and every PCP has a defined panel of patients. 
  • 7. How do you define active patients in your practice site?*
  • 9. Do you calculate ideal panel size? i.e., a target/optimal number of patients for each FTE of primary care provider (PCP) time*

  • Continuity

  • 10. Which if any of these metrics do you routinely use to track continuity?*

  • Definitions: 
     
    Continuity: The consistent and seamless provision of ongoing health care management to a patient over time, ensuring coordinated and high-quality treatment across providers and settings. 

    Patient-perspective continuity: A metric measuring how much patients get to see their own provider or care team. 

    Care-team perspective continuity: a metric measuring how much care teams/providers get to see their own patients.  

  • Access

    Access: The timely use of personal health services to achieve the best health outcomes. 
  • 12. Which of these metrics do you routinely use to track access at your practice site (check all that apply)?*

  • Work Experience

  • 13. Do you conduct any routine staff well-being surveys?*
  • Should be Empty: