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Step 1 of 6

16%

Organization Details

For health systems, urgent care and occupational health services may roll up to one executive, or may be distinct/separate. Please use your discretion to handle as appropriate - if you have two "sides of the house," we encourage sending 2 responses. Joint venture operators with health systems are also included in this study; these should be split by health system if their policies, systems, or business models vary.
Name of company or top-level organization, e.g. Concentra, HCA, Atrium Health, CareWell, Optum, etc.
If reporting entity is a component of a larger entity, like Urgent Care and Occ Health service line at a health system, CareNow, MedExpress, or a subsidiary of a larger portfolio Company like Urgent Care Group, add that here; otherwise Blank
Primary headquarters of the top-level entity
Primary headquarters of the top-level entity
Website of top-level entity

Total Organization Employees

- FTE = Full Time Equivalents, e.g. 5 employees full time and 4 half-time is 7 FTE
- FTE is roughly 2000 hours/year/FTE; rounded figures ideal

Total number of all employees.

Entity Employees

***If Top-Level = Entity, adding these together = Total FTE; if a service line, this will be a percent of the Total FTE

Key Contact

Name
Hidden

Organization Ownership

Joint Ventures with Health Systems should consider reporting each JV separately, as if wholly owned/operated by health system; OR, if combining, select non-health system based

If Health System/Hospital operated, what percent of visits are health system employees and dependents?

Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.

Business Focus (# Units)

(Typical urgent, seeing a mix of patient and employer business)
Typical Open Days per Week 2021
Please enter a number from 1 to 7.
Typical Open Hours per Week 2021
Typical Holidays Closed per year 2021
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
(Annualize based on most current)
UC only like a ZoomCare or other operation that sees zero occ health
Typical Open Days per Week 2021
Please enter a number from 1 to 7.
Typical Open Hours per Week 2021
Typical Holidays Closed per year 2021
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
(Annualize based on most current)
OH only are typically in-house occ health services like with KP's Occ Health or specialized clinics
Typical Open Days per Week 2021
Please enter a number from 1 to 7.
Typical Open Hours per Week 2021
Typical Holidays Closed per year 2021
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
(Annualize based on most current)
These are licensed clinics regularly staffed, not flu shot one-day events, like Concentra or MedExpress employer on-sites
Typical Open Days per Week 2021
Please enter a number from 1 to 7.
Typical Open Hours per Week 2021
Typical Holidays Closed per year 2021
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
(Annualize based on most current)
These are clinics without x-ray and higher acuity, like MinuteClinic, Express/Prompt Care type examples
Typical Open Days per Week 2021
Please enter a number from 1 to 7.
Typical Open Hours per Week 2021
Typical Holidays Closed per year 2021
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
(Annualize based on most current)
PT is operated next to centers in many cases, like Concentra, Doctors Care, Zoom, etc.
Typical Open Days per Week 2021
Please enter a number from 1 to 7.
Typical Open Hours per Week 2021
Typical Holidays Closed per year 2021
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
(Annualize based on most current)
Infrequent, but if occ health includes ED
Typical Open Days per Week 2021
Please enter a number from 1 to 7.
Typical Open Hours per Week 2021
Typical Holidays Closed per year 2021
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
(Annualize based on most current)
Organization Also Provides Primary Care (Typical/Mostly)
This is for the entity in question, not the total health system or other affiliates not under this leadership.

Customer Satisfaction

Patient Satisfaction/Experience

Patient Satisfaction / Experience (Use the most common/typical score; like if 30 UC and 2 OH, go with UC)

Format (Solicited via)
Check all that apply
Collected by
Check all that apply
Please enter a number from 0 to 100.

Organization Score

*Note: we will convert these various responses to an index #

Dedicated Executive for CX/PX
Team member(s) assigned to manage online reviews and ratings

Is Patient Satisfaction measured at:

Check-in/Registration
Following Consult
Post-Discharge
Post-Billing Completion
Sentiment/Non-Visit Related

Is Patient Satisfaction a compensation driver for:

Providers
Center Team
Organization Leadership

Third-parties requiring measurement of Patient / Customer Satisfaction

Employer Contracts
Insurance Companies
Affiliates/Partners

Employer Satisfaction/Experience

Format (Solicited via)
Check all that apply
Survey Model
Please enter a number from 0 to 100.

Organization Score

*Note: we will convert these various responses to an index #

Employee Feedback

Format (Solicited via)
Survey Model

Clinical Quality

Organization accreditation through
Organization certifications
Board-Certified Occupational Medicine Physician Leader?

Organization incentivizes clinical quality measures

Leadership
Staff Providers
Center Team
Clinical quality measures include

Employer (as customer) stewardship

*These are tracked Y/N by organization to show to employers

OSHA Recordable Cases
Cases to RN Non-Recordable
Return to Work Metrics

Number of Hours for Quarterly Internal Quality Training and Review

Please enter a number from 0 to 100.

Percent of patients getting

Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.

What percent of visits, generally:

Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.

What percentage are referred out

Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.

Organization tracks referrals for appropriateness of

ED
Please enter a number from 0 to 100.
PCP
Please enter a number from 0 to 100.
Other Specialist
Please enter a number from 0 to 100.
Imaging
Please enter a number from 0 to 100.
PT
Please enter a number from 0 to 100.
Organization sends chart or clinical note to PCP or other clinical wherever possible

Operational

Our organization provides

COVID testing
COVID vaccinations

Does organization allow patient to

Reserve Next-Available
See Wait Times
Book Appointment
Book / Start Video Session

Does your organization participate in third-party TPA services (e.g. where TPA directs volume)

eScreen / Abbott
Other Networks
Please enter a number from 0 to 100.
Do you have a formal Marketing Plan
Do you use sales tools to track and manage prospects/pipeline, like a Saleforce or other CRM tool
Do you have specific sales/revenue goals
Does your organization offer a drug consortium program for clients
What services does your organization currently offer  (Check all that apply)
If your organization provides onsite services, what services are offered (Check all that apply)
Have your referral rates increased, decreased or stayed the same over the last 2 years
Do you have a dedicated network of specialists; please check all that apply

What EMR(s) does the Organization utilize; please check all that apply

UC
OH
PT
DOT
Does your organization currently provide access to an Employer Portal with your operating software system
Does your organization currently provide access to a Patient Portal with your operating software system
Does your Organization currently utilize some type of Electronic Health Record
Does your organization currently utilize some type of electronic (E) bill

Financial

Key Compensation (Estimated/Average Annual Total) in 2021

Dollars, rounded to the nearest

If part of a Health System/Hospital or larger corporation, are you self-funded for

Workers Compensation
Medical Benefits (Health Insurance)

Final survey results will include comparative measures for Medicare

Please enter a number from 0 to 100.
E&M Coding

Final survey results will include comparative measures for Medicare

Expected 1.0 to 5.0
Expected 1.0 to 5.0
Please enter a number from 0 to 100.

Average Net Collected Rate in 2021 (the "average" across payers, net of contractual adjustments, uncompensated and bad debt)

Dollars, rounded to nearest
Dollars, rounded to nearest
Dollars, rounded to nearest
Dollars, rounded to nearest
Please enter a number from -100 to 100.
Typically 25-45 or more days from claim submitted to remit for patient visits; much longer for workers comp

Pricing: Does your organization do the following

Post Self-Pay Prices online
Have a standard price sheet
Accept cash as payment at front desk

Are you able to bill using credit card-on-file

Employers
Patients

On average what do you charge for in 2021

Please annualize for 2021
Dollars, rounded to nearest
Dollars, rounded to nearest
Dollars, rounded to nearest
Dollars, rounded to nearest

On average what do you charge for in 2021

Dollars, rounded to nearest
Dollars, rounded to nearest
Dollars, rounded to nearest
Dollars, rounded to nearest
Dollars, rounded to nearest
Dollars, rounded to nearest

On Average what do you charge for in 2021

Dollars, rounded to nearest
Dollars, rounded to nearest
Dollars, rounded to nearest
Dollars, rounded to nearest
Dollars, rounded to nearest
What place of service (POS) codes are used for the majority of locations? (Medicare licensing setup)
For the majority of centers in question, do you accept:

Outlook

Looking ahead to 2022, what does your organization anticipate on growth (positive or negative percent)

Please enter a number from -100 to 100.
Please enter a number from -100 to 100.
Please enter a number from -100 to 100.
What technology investments are planned for 2022
If your organization operates dedicated occupational medicine clinics, does it plan to incorporate urgent care and/or primary care within the next 12 months
Many operators are incorporating health risk assessments, biometrics, health education and other wellness services into their product lines. Which of the following best describes your Organization’s attitude toward providing these types of services? Please check all that apply

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