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* 1. What is your job title?

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* 2. Do you manage other medical services professionals?

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* 3. If yes, please indicate how many medical services professionals report to you.

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* 4. How much of your typical workday is spent on credentialing and privileging activities?

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* 5. How much of your typical workday is spent supporting medical staff leaders?

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* 6. Please rank your interest/need in receiving more information/education/tools about the following medical staff challenges.

  Very interested Somewhat interested Not at all interested
Acquisition of/by another healthcare organization
Credentialing allied health professionals
Credentials for non-employed practitioners
Credentialing for telemedicine
Credentialing low-volume practitioners
Credentialing specialty physicians
Developing and maintaining medical staff bylaws
Disruptive and impaired physicians
Implementing and/or maintaining core privilege forms
Medical Executive Committee education
Medical staff office workload/staffing
Orientation and training for medical staff leaders
Peer review, FPPE, OPPE
Preparing for accreditation surveys
Preparing for medical staff meetings
Problems with credentialing software/electronic systems
Researching and drafting privilege forms
Researching new technology privileges
Temporary credentialing
Other (please explain):

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* 7. Which of these potential credentialing and/or medical staff leadership books would you be most likely to purchase? (Please choose all that apply.)

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* 8. Please rank your interest/need in an electronic tool that includes the following features:


  Very interested Somewhat interested Not interested
Generates physician competency reports that comply with OPPE and physician performance standards
Tracks physician-specific case reviews
Develops and assigns physician data and indicator data
Provides statistical reports on productivity
Provides peer review case outcomes

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* 9. What is your top priority/biggest challenge in 2014?

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* 10. Please indicate which of the following HCPro monthly medical staff/credentialing newsletters you currently subscribe to:

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* 11. If you currently subscribe to Credentialing Resource Center Journal, please indicate how often you access the following resources on the Credentialing Resource Center website.

  Often Sometimes Never N/A
Clinical Privilege White Paper library
Newsletter archive
Credentialing Resource Center blog
Tools and forms library
Med Staff Talk
Core Privilege forms (platinum membership only)
Credentialing Primary Source Verification Database (platinum membership only)

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* 12. Please rate your interest in receiving the following information electronically (as opposed to traditional print):

  Very interested Somewhat interested Not at all interested
Monthly news, tips, analysis (newsletter)
Policies and procedures
Sample bylaws
Privileging documents (sample forms, white papers, etc.)
Book content (ebooks)

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* 13. Please indicate your interest in an electronic, searchable library of core privilege forms and clinical privilege white papers.

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* 14. What is your preferred method of obtaining education, news, and tools related to your job? (Choose all that apply.)

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* 15. In which formats would you prefer to receive HCPro books? (Please check all that apply.)

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* 16. How do you use the content (books, newsletters, etc.) that you purchase from HCPro? (Please check all that apply.)

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* 17. Which features in a product would make you most likely to purchase it?

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* 18. Would you be interested in participating in the following with HCPro?

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* 19. If you would like to participate in a call or focus group with us, please provide your contact information.

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* 20. Thank you for participating in our survey! Please enter you contact information below for a chance to win a free HCPro credentialing e-book.

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