Evaluation of the Medical Specialist Outreach Assistance Program and the Visiting Optometrists Scheme

Appendix 3.d - MSOAP service provider survey form

Page last updated: 28 February 2012

Medical specialist survey
Evaluation of MSOAP
Questionnaire for service providers to complete

Who is conducting this survey and why?
This study is being undertaken by Health Policy Analysis Pty Ltd.  The Australian Government Department of Health and Ageing (Rural Health Services and Policy Branch) has engaged Health Policy Analysis Pty Ltd to evaluate the Visiting Optometrists Scheme (VOS). The purpose of the evaluation is to analyse the efficiency, effectiveness and value of the program.

This survey is designed to collect information concerning the way in which outreach services are provided, the challenges faced by specialist and other providers in delivering these services and their assessment of aspects of the operation and effectiveness of VOS.

In addition to this survey, evidence for the evaluation is being gathered through interviews with stakeholders, community visits and analysis of other data sources.

Why have you been included in this study?
This study aims to gain a comprehensive view of the program. Therefore, it is important to get feedback from optometrists participating in the program on its effectiveness.

Who should complete the survey?
This survey should be completed by an optometrist who has participated in VOS. 

What happens with the results?
Your responses to this survey will be anonymous confidential. The data from this survey will be held by Health Policy Analysis Pty Ltd and not provided to other parties. We plan to compile and analyse the survey responses.  Results will be published in an evaluation report that will be provided to the Department of Health and Ageing. The results may also be published in a peer reviewed journal and/or presented at relevant forums for the purposes of sharing information on the provision of outreach medical services in rural and remote Australia. However, in any publication resulting from this survey, information will be provided in such a way that service providers are not identified.

How long should this survey take to complete?
On average this survey will require around 15 minutes to complete. 

Who can you contact in Health Policy Analysis if you have any questions or concerns about this study?
You may contact Jesse Silverman  on  (02) 8065 6491 or by email jsilverman@healthpolicy.com.au

Who can you contact at the Department of Health and Ageing if you have any questions or concerns about this study?
You may contact the Project Manager, Fiona Brooke, Director, Rural Outreach Services Section, Primary and Ambulatory Care Division on (02) 6289 9295 or at fiona.brooke@health.gov.au

Research Ethics Approval
This survey was approved by the Health and Medical Human Research Ethics Committee of the University of Wollongong and the Illawarra Shoalhaven Local Health District (Reference HE11/330). If you have any questions concerning the approval of this research you can contact the University of Wollongong Ethics Officer on (02) 4221 4457.
Assistance in completing the survey
For help with the survey, please contact:

Jesse Silverman
Health Policy Analysis Pty Ltd

Telephone: (02) 8065 6491
Email:
jsilverman@healthpolicy.com.au

Due date and return of completed survey
Surveys should be completed and submitted by:

Friday 2 September 2011

To participate in the survey, you can complete the survey on-line

Alternatively you can print this survey and submit a hard or scanned copy to Health Policy Analysis as follows:

By email: jsilverman@healthpolicy.com.au
By fax: (02) 8905 9151                       
By mail:  PO Box 403, St Leonards, NSW 1590




PLEASE  BEGIN THE SURVEY


Section A: Service provider details

A1   What is your medical specialty?

A2   What is your medical sub-specialty (if this applies)?

A3  Where is your main practice/hospital based?

City/town:

State/territory:

 

♰ ACT  ♰ NSW  ♰ NT     ♰ Qld

♰ SA     ♰ Tas.    ♰ Vic.    ♰ WA 

A4   Which of the following categories would best describe your main practice arrangements?

♰ Private practice specialist with no or limited involvement with a public hospital as a visiting medical office
♰ Private practice specialist with some or significant involvement with a public hospital as a visiting medical officer
♰ Staff specialist working in a public hospital with rights of private practice
♰ Other staff specialist working in a public hospital
♰ Allied health provider working in private practice
♰ Allied health provider working in a public hospital
♰ Other: ­­­­­­­­­­­­­­­­­­­­________________________________________

A5   Who helps you organise travel and accommodation for your MSOAP visits?

      You/your own practice staff
The fundholder organisation for MSOAP
Staff employed by the public hospital/health service in the region which you visit
Staff employed by the Division of General Practice in the region which you visit
Staff employed by the Aboriginal or Torres Strait Islander Health service based in the region which you visit
Other: ­­­­­­­­­­­­­­­­­­­­________________________________________

A6   In 2010-11 financial year how many discrete towns/ communities did you provides outreach services to supported by MSOAP?

Section B: Service effectiveness

B1   Were you involved in providing outreach programs to rural and remote communities prior to receiving support under the MSOAP programs?

♰ No

♰ Yes

If Yes, since receiving support under MSOAP, have you expanded your provision of outreach services?:
♰ No
♰ Yes

B2   From your perspective how effective is the MSOAP program in improving access for non-Indigenous patients to specialist services for people living in rural and remote Australia?

♰ Very effective
♰ Reasonably effective
♰ Not effective -  the current arrangements are not a good way of addressing access problems and a new approach is required

B3   From your perspective how effective is the MSOAP program in improving access for Aboriginal and Torres Strait Islander patients to specialist services for people living in rural and remote Australia?

 

♰ Very effective
♰ Reasonably effective
♰ Not effective -  the current arrangements are not a good way of addressing access problems and a new approach is required

B4   Compared with what occurs in metropolitan/ regional practice settings how would you assess the quality of clinical services supported through MSOAP?

 

♰ Superior
♰ Similar
♰ Not as good
Comment:

 

B5   In what ways could your MSOAP supported visits be more effective?

 

B6   Overall how satisfied are you with the MSOAP program?

 

♰ Very satisfied
♰ Satisfied
♰ Neither satisfied or dissatisfied
♰ Dissatisfied
If you are dissatisfied, what are the principal factors that have lead to this assessment?

 

B7   If funds were available under MSOAP to expand outreach specialist services, would you have the capacity and be willingness to expand the level of outreach services you provide?

 

♰ No
♰ Yes, number of visits could be expanded by up to 10%
♰ Yes, number of visits could be expanded by over 10%
Comment:

 

B8   How long do you intend to continue providing outreach services under the MSOAP program?

♰ Less than 12 months
♰ One to two years
♰ Three to four years
♰ Five years or more
What factors would affect your decision to discontinue?

 

B9   How old are you?

 60 years and over
50-59 years
40-49 years
30-39 years
20-29 years

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Section C: Details of services provided to two (2) locations

Using the table below, could you describe the outreach services you are involved in providing that are supported through the MSOAP program for two localities that you visit?

We understand arrangement will vary across locations you visit, so we are asking these questions about two locations you visit: 

Location 1 - the location with the largest population and
Location 2 - the location with the smallest population.

If you provide outreach services in only one location please respond using location 1.

 

Location 1 –
Largest Population

Location 2 –
Smallest population

C1 Name of town/community:

 

 

C2 State/Territory of town/community

 

 

C3 How many outreach visits did you make to this town/community in 2010-11?

 

 

C4 Can you estimate the number of outreach patient consultations you conducted in this location/town in 2010-11?

Non-Indigenous:
Indigenous:
Total:

♰♰♰
♰♰♰
♰♰♰

Non-Indigenous:
Indigenous:
Total:

♰♰♰
♰♰♰
♰♰♰

C5 Does any other service provider usually accompany you on outreach visits to this location? (e.g. another specialist, registrar, nurse,  medical student)

♰ Yes, please provide details:

 

♰ No

♰ Yes, please provide details:

 

♰ No

C5 When you visit this location who helps who helps with local coordination (e.g. ensuring patients know you are coming, ensuring patients can get to the location in which you provide you service, ensuring there is space available for you to conduct your consultations and that required equipment is available)?

♰ Local GP practice staff
♰ Local community health service staff
♰ Local Aboriginal or Torres Strait Islander Health Service staff
♰ Eye Health Coordinator
♰ Local hospital staff
♰ Other: _____________________
♰ None

♰ Local GP practice staff
♰ Local community health service staff
♰ Local Aboriginal or Torres Strait Islander Health Service staff
♰ Eye Health Coordinator
♰ Local hospital staff
♰ Other: _____________________
♰ None

C6 How well coordinated are the outreach services provided in this location?

♰ Good coordination, problems are rare
♰ Adequate coordination, there are some problems, but these do not greatly affect the services provided
♰ Poor coordination, there are regular problems, which have a detrimental effect on the services provided

 ♰ Good coordination, problems are rare
♰ Adequate coordination, there are some problems, but these do not greatly affect the services provided
♰ Poor coordination, there are regular problems, which have a detrimental effect on the services provided

 

Location 1 –
Largest Population

Location 2 –
Smallest population

C7 Where do your consultations take place in this location?

♰ Local GP practice
♰ Local Community Health Service
♰ Local Aboriginal or Torres Strait Islander Health Service
♰ Local public hospital
♰ Local multipurpose service
♰ Local private hospital
♰ General community facility
♰ Other: _____________________

♰ Local GP practice
♰ Local Community Health Service
♰ Local Aboriginal or Torres Strait Islander Health Service
♰ Local public hospital
♰ Local multipurpose service
♰ Local private hospital
♰ General community facility
♰ Other: _____________________

C8 What other functions do you undertake during the visit? (Tick more than one category if required)

♰ Upskilling of local GP
♰ Upskilling of local medical officer
♰ Upskilling of nursing staff
♰ Upskilling of Aboriginal Health Workers
♰ Upksilling of other health staff
♰ Other, please describe:

 

 

 

 

♰ Upskilling of local GP
♰ Upskilling of local medical officer
♰ Upskilling of nursing staff
♰ Upskilling of Aboriginal Health Workers
♰ Upksilling of other health staff
♰ Other, please describe:



Section D: Other aspects of service provision

D1   Is the medical equipment available in locations you visit adequate for the services you deliver?

 

 

♰ Yes

♰ No

If no, what are the major deficiencies?:

 

 

D2       How do you communicate with a patient’s GP/health service medical officer following a consultation with a patient?

 

D3    Compared with you base practice, how would you assess the quality of communication on clinical care matters between you and your patient’s GP/health service medical officer in the outreach locations?

 

♰ Better quality

♰ Similar quality

♰ Poorer quality

D4    In the outreach locations, how would you assess the effectiveness of the referral pathways for patients who require further treatment or services (e.g. surgery or a diagnostic procedure)

 

  ♰ Patients requiring further treatment typically are able to access these services in a reasonable time period.
♰ In most instances patients eventually receive treatment/services, although this might be delayed.
♰ Many patients do not receive the additional treatment/services they require.
Comments:

 

D5    In providing outreach services under MSOAP what approach do you take to patient co-payments (gap payments)

 

  ♰ No Medicare claim is made for patients seen and no patient charges are applied
♰ Patients seen are bulk billed under Medicare
♰ A proportion of patients are charged a gap payment in the same way as applies in your principal practice, and others bulk billed
♰ A proportion of patients are charged a gap payment, but more patients are likely to be bulk billed compared with your principal practice
♰ All patients are charged a gap payment
Comments:

 




Section E: Administrative processes

E1   What is your assessment of the administrative processes for the original and subsequent approval of the outreach services you provide?:

♰ Reasonable relative to funding involved

♰ Onerous relative to funding involved

♰ I am not directly involved with this administrative process

E2   What is your assessment of the administrative processes for the development and renewal of the contract with the MSOAP fundholder?:

♰ Reasonable relative to funding involved

♰ Onerous relative to funding involved

♰ I am not directly involved with this administrative process

E3   What is your assessment of the administrative processes for submitting an invoice and associated reports once services have been delivered?:

 

♰ Reasonable relative to payments

♰ Onerous relative to payments

♰ I am not directly involved with this administrative process

E4    What suggestions do you have on how the administration of the MSOAP program could be improved?

 

 

 

 

 

 




Section F: Further comments

F1    Please provide any further comments that you feel would assist us in understanding issues relating to MSOAP

 

 

 

 

 

 

 

 

 

 

 

 

 

THANK YOU FOR COMPLETING THIS SURVEY

Please return this survey to Health Policy Analysis by one of the following means:

By email: jsilverman@healthpolicy.com.au

By mail:  PO Box 403, St Leonards, NSW 1590

By Fax: (02) 8905 9151

If you need to talk to someone regarding this survey please contact:

Jesse Silverman
jsilverman@healthpolicy.com.au
Ph: (02) 8065 6491

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