Quality Payment Program Survey

Welcome

Please fill out the brief survey below so we can improve our programs and services.

Question Title

* 1. Given that the Center for Medicare and Medicaid Services (CMS) is allowing physicians to “Pick Your Pace,” how do you plan on participating in the Quality Payment Program for 2017?

Submit one or more measure or improvement activity or base measures in advancing care information to simply avoid the penalty

Submit more than one measure for 90 days to aim for a small incentive

Aim for full participation to maximize incentive

Participate in an Advanced Alternative Payment Model (APM)

Don't know yet

I don't plan to participate in 2017 and will accept the penalty

I will be exempt

Question Title

* 2. If you plan to report under the Merit-based Incentive Payment System (MIPS), will it be as an individual or as part of a group?

Individual

As a group

I don't know at this time

Question Title

* 3. If you do not plan to participate in the Quality Payment Program, is it because:

Cost

Level of effort

Physician time

Program complexity

Other - please specify

Question Title

* 4. How does your practice plan to report data?

Claims-based

Specialty qualified clinical data registry (QCDR) or Specialty registry

CMS web interface for groups of 25 providers or more

Electronic health records (EHR)

I don't know at this time

None of the above (please specify)

Question Title

* 5. Where do you practice? (Check all that apply)

Academic Medical Center

Community Hospital

Free-standing office

Other (please specify)

Question Title

* 6. Which of the following best describes your current employment status?

University employee

Hospital employee

Physician group employee or partner

Independent contractor

Other (please specify)

Question Title

* 7. Which category below best describes your practice SIZE?

Solo

Small single specialty group (2-9 physicians)

Medium single specialty group (10-20 physicians)

Large single specialty group (more than 20 physicians)

Small multi-specialty group (2-9 physicians)

Medium multi-specialty group (10-20 physicians)

Large multi-specialty group (more than 20 physicians)

100% of survey complete.