PVS Post Collaborative Survey (2020) PVS 2020 Post-Collaborative Survey Site Name * Team Member Name Team Member Role Rate you current confidence in your knowledge and skills in the following areas: Forming a QI Team * Not At All Confident Somewhat Confident Confident Very Confident N/A Crafting an aim statement * Not At All Confident Somewhat Confident Confident Very Confident N/A Developing PDSA Cycles * Not At All Confident Somewhat Confident Confident Very Confident N/A Scaling up PDSA cycle learning * Not At All Confident Somewhat Confident Confident Very Confident N/A Process Mapping (Office workflow) * Not At All Confident Somewhat Confident Confident Very Confident N/A Interpreting run charts * Not At All Confident Somewhat Confident Confident Very Confident N/A Using data to drive improvement * Not At All Confident Somewhat Confident Confident Very Confident N/A Reporting on practice improvement efforts and outcomes * Not At All Confident Somewhat Confident Confident Very Confident N/A Please rate the degree to which your practice now does the following items for patients age 3-6 years old: Review patient's vision and medical hx for vision concerns * Never Rarely Sometimes Most of the Time Unsure N/A All the time Observe the patient for possible vision disorder through appearance * Never Rarely Sometimes Most of the Time Unsure N/A All the time Observe the patient for possible vision disorder based on behavior concerns * Never Rarely Sometimes Most of the Time Unsure N/A All the time Ask the patient's caregiver regarding vision concerns/complaints * Never Rarely Sometimes Most of the Time Unsure All the time Attempt vision screening for DVA * Never Rarely Sometimes Most of the Time Unsure N/A All the time Schedule re-screening for patients that do not complete initial screening * Never Rarely Sometimes Most of the Time Unsure N/A All the time Refer patients who are untestable to a vision specialist (optometrist or ophthalmologist) * Never Rarely Sometimes Most of the Time Unsure N/A All the time Refer patients who do not pass screening to a vision specialist (optometrist or ophthalmologist) * Never Rarely Sometimes Most of the Time Unsure N/A All the time Codes/bills for vision screening with unbundled code 99173 * Never Rarely Sometimes Most of the Time Unsure N/A All the time How has billing and reimbursement been going? Any impact from unbundled code? Do you feel the changes made as a result of the PVS project improved well care for pre-school age patients? * If yes - please elaborate on specific improvements you experienced during the project. Do you plan to sustain any changes in practice made as a result of the PVS project following the end of the learning collaborative? How often do you expect to use the changes made in the practice (select all that apply): * Daily Weekly Occasionally (about monthly) Infrequently (less than monthly) Other (open ended) What has your team done to ensure that the changes made from the PVS project can be sustained? If No - why does your practice plan to stop any changes made during the PVS project? If no, are there any resources that could help sustain changes made during the PVS project? How did COVID-19 impact this program's implementation - did you test any new strategies, pause the program, or have other lessons learned? What was the most helpful part of this project for improving your practice? How helpful were the monthly action period calls in implementing the PVS project? Not Helpful Somewhat Helpful Helpful Very Helpful Extremely Helpful Unsure N/A Which components of the monthly APC were most helpful? clinical topics, QI topics, Data feedback, Site Sharing, Other What most motivated your practice to join the PVS project? What if any feedback did families provide on their experiences with this project? Did this project change the way you address vision screening with other patient populations? Text Would you recommend the PVS project to other practice sites or colleagues? Yes No Unsure Would your practice be interested in participating or receiving information on other QI programs? If so what areas of improvement are you most interested in? What are your suggestions to improve the PVS project for future waves? What other resources or information that you hoped to have/learn from the project that wasn't covered? Other Comments? Submit If you are human, leave this field blank.
