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Fields
Please choose one that best describes you:
Intermountain Health Provider/Caregiver
Non-Intermountain Health Provider/Caregiver
Please indicate your department/role:
ED Provider
Urgent Care Provider
Hospitalist
Primary Care Clinic
Specialty Clinic
Hospital Caregiver/CM
Walk-In Clinic
Overall, how would you rate your overall experience using SCLHealth/IH First Call patient transfer center?
Excellent
Above Average
Average
Below Average
Poor
Please rank your interactions with SCLHealth/IH First Call in the following categories
Please rank your interactions with SCLHealth/IH First Call in the following categories
Excellent
Above Average
Average
Below Average
Poor
Efficiency during the referral intake process.
Please rank your interactions with SCLHealth/IH First Call in the following categories: Efficiency during the referral intake process. (Excellent)
Efficiency during the referral intake process. (Above Average)
Efficiency during the referral intake process. (Average)
Efficiency during the referral intake process. (Below Average)
Efficiency during the referral intake process. (Poor)
Timeliness of patient acceptance.
Timeliness of patient acceptance. (Excellent)
Timeliness of patient acceptance. (Above Average)
Timeliness of patient acceptance. (Average)
Timeliness of patient acceptance. (Below Average)
Timeliness of patient acceptance. (Poor)
Communication with transfer status updates.
Communication with transfer status updates. (Excellent)
Communication with transfer status updates. (Above Average)
Communication with transfer status updates. (Average)
Communication with transfer status updates. (Below Average)
Communication with transfer status updates. (Poor)
Courteousness and professionalism of call center caregiver.
Courteousness and professionalism of call center caregiver. (Excellent)
Courteousness and professionalism of call center caregiver. (Above Average)
Courteousness and professionalism of call center caregiver. (Average)
Courteousness and professionalism of call center caregiver. (Below Average)
Courteousness and professionalism of call center caregiver. (Poor)
If you are a referring provider, how satisfied are you with the overall process and the accepting/consulting physician experience?
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Very dissatisfied
N/A
If you are an accepting/consulting provider, how satisfied are you with the overall process and with connecting with the referring provider and facility
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Very dissatisfied
N/A
Please share your feedback about your overall experience with our transfer service.
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