PHYSICIAN PRACTICE ENHANCEMENT PROGRAM College of Physicians and Surgeons of British Columbia

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1 PHYSICIAN PRACTICE ENHANCEMENT PROGRAM College of Physicians and Surgeons of British Columbia Howe Street Telephone: Vancouver BC V6C 0B4 Toll Free: (in BC) Fax: PPEP Feedback Survey Thank you for your participation in the Physician Practice Enhancement Program (PPEP). We rely on your feedback to help us improve. This feedback survey is your opportunity to tell us what you thought about the assessment process: your chart review and physician interview with the assessor, multisource feedback (MSF), office assessment (OA), review of your practitioner prescription profile (PPP), PPEP Report, follow-up consultation with a PPEP Medical Advisor (if applicable), and experience with the program in general. The questionnaire is divided into short sections for each of the above topics with similar questions for each, and will take approximately five to 10 minutes to complete. All responses are submitted anonymously and will be reported at aggregate level except for excerpts of narrative responses. These will be reviewed and redacted to ensure anonymity. PPEP Components 1. In which PPEP program did you participate? General Practice Pediatrics Psychiatry Anesthesiology Diagnostic Imaging Internal Medicine 2. Please indicate your level of ment with each of the following statements about your chart review: Dis Neutral Agree PPEP Feedback Survey 1 of 5

2 3. Please indicate your level of ment with each of the following statements about your physician interview: Dis Neutral Agree 4. Please indicate your level of ment with each of the following statements about your multisource feedback (MSF): Dis Neutral Agree 5. Please indicate your level of ment with each of the following statements about your office assessment (of physician office): Dis Neutral Agree PPEP Feedback Survey 2 of 5

3 Dis Neutral Agree 6. Please indicate your level of ment with each of the following statements about the review of your practitioner prescribing profile (PPP): Dis Neutral Agree 7. Please indicate your level of ment with each of the following statements about your PPEP report and planning for professional development (Performance Review and Action Plan sent to you on a USB): Dis Neutral Agree 8. PPEP Feedback Survey 3 of 5

4 9. Please indicate your level of ment with each of the following statements about your follow-up phone consultation with a PPEP medical advisor (if applicable): Dis Neutral Agree Summary 10. Please indicate your level of ment with the following: After my assessment, I considered engaging in CPD/CME activities. I was able to follow through with my action plan to engage in quality improvements. Overall, my practice has changed as a result of undergoing a PPEP assessment. My clinical care has improved as a result of participating in PPEP. My record keeping has improved as a result of participating in PPEP. My practice management has improved as a result of participating in PPEP. My patients receive better care as a result of the changes I have made after my PPEP assessment. Overall, undergoing a PPEP assessment was a worthwhile experience. Dis Neutral Agree PPEP Feedback Survey 4 of 5

5 11. Please provide any comments that would help us understand the barriers you encountered in trying to implement practice enhancements. 12. Please provide any further comments you have regarding how the PPEP could be improved (referring to any of the components above) to facilitate ongoing practice improvement. Demographics 13. Age: 14. Gender: Male Female Other PPEP Feedback Survey 5 of 5