Feedback on Unlocking the Power of Home-Based Asthma Services:
Model health benefits packages

Question Title

* 1. Which of the following are you representing? Check all that apply:

Health plan

State Medicaid office

Hospital community benefit program

Asthma home visiting program

Medical provider/ medical organization

Philanthropy

Healthy homes program

Energy efficiency/ weatherization program

Other non-asthma home visiting programs

State or federal agency

Other (please specify)

Question Title

* 2. Which of the following describes the state of sustainable financing for home-based asthma services in your community/state ?

Starting to explore

Working group of interested stakeholders

Designing pilots or services for a limited population or area

Limited services in place, completed pilot, and/or designing policy changes at the state level

Limited services in place and/or progress advancing policy changes at the community, health plan, or state level

Services in place at state, plan, and/or community levels, and/or adopted policy changes.

Adopted policy changes fully implemented and/or new innovations or improvements are in progress or in place

Question Title

* 3. How confident do you feel about your ability to make progress on sustainable financing for home-based asthma services in your community/state?

Very confident

Confident

Not very confident

Not at all confident

Question Title

* 4. What is one step that you plan to take toward sustainable financing for home-based asthma services in your community/state in the next 6 months?

Question Title

* 5. Why did you decide to download this tool? Check all that apply:

To learn what home-based asthma services look like

To learn about the benefits of home-based asthma services

To learn about diverse models for program structure and design

To learn about opportunities to advance sustainable financing for home-based asthma services

To gather information that I can use to advance sustainable financing for home-based asthma services

Other (please specify)

Question Title

* 6. Please select one of the following:

I am taking this survey as I'm downloading the tool

I am taking this survey after I have read the tool

Feedback on Unlocking the Power of Home-Based Asthma Services: Model health benefits packages

Question Title

* 1. Which of the following are you representing? Check all that apply:

Question Title

* 2. Which of the following describes the state of sustainable financing for home-based asthma services in your community/state ?

Question Title

* 3. How confident do you feel about your ability to make progress on sustainable financing for home-based asthma services in your community/state?

Question Title

* 4. What is one step that you plan to take toward sustainable financing for home-based asthma services in your community/state in the next 6 months?

Question Title

* 5. Why did you decide to download this tool? Check all that apply:

Question Title

* 6. Please select one of the following:

Feedback on Unlocking the Power of Home-Based Asthma Services:
Model health benefits packages