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Modern Healthcare Survey of Executive Opinions on Purchasing

Welcome to Modern Healthcare's Survey of Executive Opinions on Purchasing.

Completed surveys are due by August 2. Selected results are slated to appear in the August 19 and September 2 issues of Modern Healthcare.

Questions about this survey? Contact Rebecca Mielcarski, research editor, at 312-397-5511 or rmielcarski@modernhealthcare.com.

Question Title

CONFIDENTIAL DEMOGRAPHICS
(Your identity will not be disclosed. Information is for internal use only.)

Name: *

Organization: *

Title: *

City: *

State: *

Phone number:

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Would you agree to being contacted via e-mail by a Modern Healthcare reporter about this survey?

Yes

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If yes, please provide your e-mail address.

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Please select your current healthcare organization type:

Academic Medical Center

Ambulatory Surgery Center

Hospital-Children's

Hospital-General/Acute

Hospital-Psychiatric/Behavioral

Hospital-Rehabilitation

Hospital-Specialty

Hospital-Women's/Maternity

Laboratory/Imaging Center/Dialysis

Medical Group/Medical Clinic/Solo Practice

Multihospital System/Integrated Healthcare Network

Nursing Home/Long Term Care/Hospice

Other (please specify)

PLEASE ANSWER THE FOLLOWING QUESTIONS TO THE BEST OF YOUR ABILITIES

Question Title

1. Which best represents your organization’s total annual operational expense budget in 2012?

Less than $10 million

$10 million - $50 million

$50 million - $100 million

$100 million - $500 million

$500 million - $1 billion

More than $1 billion

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2. What share of the 2012 operational expense budget was spent on outside procurement of any type? (Please list as percentage.)

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3. Of the amount spent on outside procurement, indicate what percent of the total budget was purchased through the following areas. (Should add up to 100%)

GPO contracts

Wholesale distributors

Manufacturers' sales representatives

Contracting with service providers

Other

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4. In 2013, what do you anticipate will happen with your organization's total expenses spent on outside procurement?

Increase substantially

Increase a small amount

Stay the same

Decrease a small amount

Decrease substantially

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5. In 2013, do you expect an increase or decrease for the following types of purchases?

	Increase	Decrease	About the same
GPO contracts	GPO contracts Increase	GPO contracts Decrease	GPO contracts About the same
Wholesale distributors	Wholesale distributors Increase	Wholesale distributors Decrease	Wholesale distributors About the same
Manufacturers' sales representatives	Manufacturers' sales representatives Increase	Manufacturers' sales representatives Decrease	Manufacturers' sales representatives About the same
Contracts with service providers	Contracts with service providers Increase	Contracts with service providers Decrease	Contracts with service providers About the same
Other	Other Increase	Other Decrease	Other About the same

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6. GPOs offer the following services. Please indicate whether your organization has used GPOs for these services in 2012 (yes or no) and, if yes, whether you plan to use the GPOs more, less or about the same in 2013 for each of these services.

	Yes	No	More	Less	About the same
Purchasing products on the GPO contract	Purchasing products on the GPO contract Yes	Purchasing products on the GPO contract No	Purchasing products on the GPO contract More	Purchasing products on the GPO contract Less	Purchasing products on the GPO contract About the same
Custom contracting	Custom contracting Yes	Custom contracting No	Custom contracting More	Custom contracting Less	Custom contracting About the same
Clinical evaluation and standardization	Clinical evaluation and standardization Yes	Clinical evaluation and standardization No	Clinical evaluation and standardization More	Clinical evaluation and standardization Less	Clinical evaluation and standardization About the same
Technology assessment	Technology assessment Yes	Technology assessment No	Technology assessment More	Technology assessment Less	Technology assessment About the same
E-commerce	E-commerce Yes	E-commerce No	E-commerce More	E-commerce Less	E-commerce About the same
Materials management consulting	Materials management consulting Yes	Materials management consulting No	Materials management consulting More	Materials management consulting Less	Materials management consulting About the same
Continuing medical education	Continuing medical education Yes	Continuing medical education No	Continuing medical education More	Continuing medical education Less	Continuing medical education About the same
Market research	Market research Yes	Market research No	Market research More	Market research Less	Market research About the same
Revenue-cycle management	Revenue-cycle management Yes	Revenue-cycle management No	Revenue-cycle management More	Revenue-cycle management Less	Revenue-cycle management About the same

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7. Are you currently outsourcing any of the following clinical care services to outside contractors (yes or no)? Do you plan to start or continue outsourcing these clinical care services in the future or begin performing them in-house or bring them in-house?

	Yes	No	Begin/Continue to outsource	Remain/Bring in-house
Anesthesia	Anesthesia Yes	Anesthesia No	Anesthesia Begin/Continue to outsource	Anesthesia Remain/Bring in-house
Cardiology	Cardiology Yes	Cardiology No	Cardiology Begin/Continue to outsource	Cardiology Remain/Bring in-house
Clinical integration services	Clinical integration services Yes	Clinical integration services No	Clinical integration services Begin/Continue to outsource	Clinical integration services Remain/Bring in-house
Diagnostics/Imaging	Diagnostics/Imaging Yes	Diagnostics/Imaging No	Diagnostics/Imaging Begin/Continue to outsource	Diagnostics/Imaging Remain/Bring in-house
Dialysis services	Dialysis services Yes	Dialysis services No	Dialysis services Begin/Continue to outsource	Dialysis services Remain/Bring in-house
Emergency departments	Emergency departments Yes	Emergency departments No	Emergency departments Begin/Continue to outsource	Emergency departments Remain/Bring in-house
Hospitalist services	Hospitalist services Yes	Hospitalist services No	Hospitalist services Begin/Continue to outsource	Hospitalist services Remain/Bring in-house
Laboratory services	Laboratory services Yes	Laboratory services No	Laboratory services Begin/Continue to outsource	Laboratory services Remain/Bring in-house
Laboratory staffing	Laboratory staffing Yes	Laboratory staffing No	Laboratory staffing Begin/Continue to outsource	Laboratory staffing Remain/Bring in-house
Nursing staff	Nursing staff Yes	Nursing staff No	Nursing staff Begin/Continue to outsource	Nursing staff Remain/Bring in-house
Pharmacy	Pharmacy Yes	Pharmacy No	Pharmacy Begin/Continue to outsource	Pharmacy Remain/Bring in-house
Psychiatric services	Psychiatric services Yes	Psychiatric services No	Psychiatric services Begin/Continue to outsource	Psychiatric services Remain/Bring in-house
Radiology	Radiology Yes	Radiology No	Radiology Begin/Continue to outsource	Radiology Remain/Bring in-house
Rehabilitation/physical therapy	Rehabilitation/physical therapy Yes	Rehabilitation/physical therapy No	Rehabilitation/physical therapy Begin/Continue to outsource	Rehabilitation/physical therapy Remain/Bring in-house
Respiratory therapy	Respiratory therapy Yes	Respiratory therapy No	Respiratory therapy Begin/Continue to outsource	Respiratory therapy Remain/Bring in-house
Sleep services	Sleep services Yes	Sleep services No	Sleep services Begin/Continue to outsource	Sleep services Remain/Bring in-house
Skilled-nursing/sub-acute	Skilled-nursing/sub-acute Yes	Skilled-nursing/sub-acute No	Skilled-nursing/sub-acute Begin/Continue to outsource	Skilled-nursing/sub-acute Remain/Bring in-house
Surgery	Surgery Yes	Surgery No	Surgery Begin/Continue to outsource	Surgery Remain/Bring in-house
Urgent primary care	Urgent primary care Yes	Urgent primary care No	Urgent primary care Begin/Continue to outsource	Urgent primary care Remain/Bring in-house
Other	Other Yes	Other No	Other Begin/Continue to outsource	Other Remain/Bring in-house

If Other was selected above, please specify:

Question Title

8. Are you currently outsourcing any of the following non-clinical services to outside contractors (yes or no)? Do you plan to start or continue outsourcing these non-clinical services in the future or continue to perform them in-house or bring them in-house?

	Yes	No	Begin/Continue to outsource	Remain/Bring in-house
Equipment maintenance	Equipment maintenance Yes	Equipment maintenance No	Equipment maintenance Begin/Continue to outsource	Equipment maintenance Remain/Bring in-house
Facilities/grounds	Facilities/grounds Yes	Facilities/grounds No	Facilities/grounds Begin/Continue to outsource	Facilities/grounds Remain/Bring in-house
Food service	Food service Yes	Food service No	Food service Begin/Continue to outsource	Food service Remain/Bring in-house
Foreign language services	Foreign language services Yes	Foreign language services No	Foreign language services Begin/Continue to outsource	Foreign language services Remain/Bring in-house
Hospital call center	Hospital call center Yes	Hospital call center No	Hospital call center Begin/Continue to outsource	Hospital call center Remain/Bring in-house
Housekeeping	Housekeeping Yes	Housekeeping No	Housekeeping Begin/Continue to outsource	Housekeeping Remain/Bring in-house
Human resources	Human resources Yes	Human resources No	Human resources Begin/Continue to outsource	Human resources Remain/Bring in-house
Information technology services (including data analytics)	Information technology services (including data analytics) Yes	Information technology services (including data analytics) No	Information technology services (including data analytics) Begin/Continue to outsource	Information technology services (including data analytics) Remain/Bring in-house
Laundry	Laundry Yes	Laundry No	Laundry Begin/Continue to outsource	Laundry Remain/Bring in-house
Marketing	Marketing Yes	Marketing No	Marketing Begin/Continue to outsource	Marketing Remain/Bring in-house
Medical records	Medical records Yes	Medical records No	Medical records Begin/Continue to outsource	Medical records Remain/Bring in-house
Patient engagement	Patient engagement Yes	Patient engagement No	Patient engagement Begin/Continue to outsource	Patient engagement Remain/Bring in-house
Patient transport	Patient transport Yes	Patient transport No	Patient transport Begin/Continue to outsource	Patient transport Remain/Bring in-house
Revenue cycle management	Revenue cycle management Yes	Revenue cycle management No	Revenue cycle management Begin/Continue to outsource	Revenue cycle management Remain/Bring in-house
Security	Security Yes	Security No	Security Begin/Continue to outsource	Security Remain/Bring in-house
Staffing	Staffing Yes	Staffing No	Staffing Begin/Continue to outsource	Staffing Remain/Bring in-house
Other	Other Yes	Other No	Other Begin/Continue to outsource	Other Remain/Bring in-house

If Other was selected above, please specify:

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9. Please rank the following reasons as to why your organization would outsource services (with 1 being the top reason):

Expertise of vendor

Cost savings

Adding a new service line

Revenue enhancement

Physician request

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10. Are there any other reasons why your organization outsources services? If so, please explain.

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11. Overall, how satisfied are you with your outside contractors?

Very satisfied

Satisfied

Somewhat satisfied

Not satisfied

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12. When looking for an outside contractor, how does your organization go about finding one?

Recommendation from colleagues

Recommendation from industry association

Trade shows/events

Previous contract work experience

Online research

Advertising

Other (please specify)

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13. In your opinion, how effective is your primary GPO in controlling or reducing your contract supply and custom contract costs?

Very effective

Effective

Somewhat effective

Not effective

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14. If you use a GPO for services like clinical evaluation, technology assessment, e-commerce or other consulting-like services, how satisfied are you with your GPO’s performance?

Very satisfied

Satisfied

Somewhat satisfied

Not satisfied

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15. Overall, how satisfied are you with your primary GPO’s performance?

Very satisfied

Satisfied

Somewhat satisfied

Not satisfied

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16. Do you plan to change your primary GPO in the coming year?

Yes

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17. If you do plan to change your primary GPO in the coming year, which of the following best reflects your reason why?

Other providers receive better results from their GPO.

Other GPOs provide better service on generating revenue.

Other GPOs provide better service on lowering cost.

Other GPOs offer better consulting services beyond the traditional GPO contract.

All of the above.

Other reason (please specify)

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18. How would you describe the level of transparency of prices charged by suppliers and vendors for medical and surgical supplies?

Very transparent

Transparent

Somewhat transparent

Not transparent

N/A

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19. How would you describe the level of transparency of prices charged by suppliers and vendors in the area of physician preference items?

Very transparent

Transparent

Somewhat transparent

Not transparent

N/A

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20. Do you think there should be legislative or regulatory changes to improve pricing transparency?

Yes

No opinion

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21. Do you restrict employee access to manufacturers’ representatives?

Yes

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22. Do you plan to restrict employee access to manufacturers’ representatives in the future?

Yes

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23. Are you part of an accountable care organization or have one within your organization?

Yes

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24. How will your participation in an ACO affect your use of GPOs?

More likely to use GPO

Less likely to use GPO

Use will remain about the same

Not applicable -- do not have ACO

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25. How will your participation in an ACO affect your use of outside vendors for clinical care services?

More likely to use outside vendors

Less likely to use outside vendors

Use will remain about the same

Not applicable -- do not have ACO

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26. How will your participation in an ACO affect your use of outside vendors for non-clinical services?

More likely to use outside vendors

Less likely to use outside vendors

Use will remain about the same

Not applicable -- do not have ACO

Question Title

CONFIDENTIAL DEMOGRAPHICS(Your identity will not be disclosed. Information is for internal use only.)

Question Title

Would you agree to being contacted via e-mail by a Modern Healthcare reporter about this survey?

Question Title

If yes, please provide your e-mail address.

Question Title

Please select your current healthcare organization type:

PLEASE ANSWER THE FOLLOWING QUESTIONS TO THE BEST OF YOUR ABILITIES

Question Title

1. Which best represents your organization’s total annual operational expense budget in 2012?

Question Title

2. What share of the 2012 operational expense budget was spent on outside procurement of any type? (Please list as percentage.)

Question Title

3. Of the amount spent on outside procurement, indicate what percent of the total budget was purchased through the following areas. (Should add up to 100%)

Question Title

4. In 2013, what do you anticipate will happen with your organization's total expenses spent on outside procurement?

Question Title

5. In 2013, do you expect an increase or decrease for the following types of purchases?

Question Title

6. GPOs offer the following services. Please indicate whether your organization has used GPOs for these services in 2012 (yes or no) and, if yes, whether you plan to use the GPOs more, less or about the same in 2013 for each of these services.

Question Title

7. Are you currently outsourcing any of the following clinical care services to outside contractors (yes or no)? Do you plan to start or continue outsourcing these clinical care services in the future or begin performing them in-house or bring them in-house?

Question Title

8. Are you currently outsourcing any of the following non-clinical services to outside contractors (yes or no)? Do you plan to start or continue outsourcing these non-clinical services in the future or continue to perform them in-house or bring them in-house?

Question Title

9. Please rank the following reasons as to why your organization would outsource services (with 1 being the top reason):

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10. Are there any other reasons why your organization outsources services? If so, please explain.

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11. Overall, how satisfied are you with your outside contractors?

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12. When looking for an outside contractor, how does your organization go about finding one?

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13. In your opinion, how effective is your primary GPO in controlling or reducing your contract supply and custom contract costs?

Question Title

14. If you use a GPO for services like clinical evaluation, technology assessment, e-commerce or other consulting-like services, how satisfied are you with your GPO’s performance?

Question Title

15. Overall, how satisfied are you with your primary GPO’s performance?

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16. Do you plan to change your primary GPO in the coming year?

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17. If you do plan to change your primary GPO in the coming year, which of the following best reflects your reason why?

Question Title

18. How would you describe the level of transparency of prices charged by suppliers and vendors for medical and surgical supplies?

Question Title

19. How would you describe the level of transparency of prices charged by suppliers and vendors in the area of physician preference items?

Question Title

20. Do you think there should be legislative or regulatory changes to improve pricing transparency?

Question Title

21. Do you restrict employee access to manufacturers’ representatives?

Question Title

22. Do you plan to restrict employee access to manufacturers’ representatives in the future?

Question Title

23. Are you part of an accountable care organization or have one within your organization?

Question Title

24. How will your participation in an ACO affect your use of GPOs?

Question Title

25. How will your participation in an ACO affect your use of outside vendors for clinical care services?

Question Title

26. How will your participation in an ACO affect your use of outside vendors for non-clinical services?

CONFIDENTIAL DEMOGRAPHICS
(Your identity will not be disclosed. Information is for internal use only.)