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									             Integrated Healthcare Strategies Exclusive to Healthcare. Dedicated to People.



Integrated Healthcare Strategies
2010 Medical Director Survey Questionnaire
Deadline for completing survey: June 01, 2010
Report will be published: August 2010

INSTRUCTIONS:
Complete the order information below and then click on each tab to complete the survey
questionnaire.

Please provide one completed questionnaire for each entity that has Medical Directorships.
Please report data relatated to Medical Director duties only.

Report data effective March 1, 2010.
Email the completed questionnaire to:                    medicaldirectorsurvey@ihstrategies.com
For additional information please visit:                 www.IHStrategies.com/surveys_medicaldirector.html

Please select one of the following options and then choose PDF or Hardcopy.

Option 1
I am participating in the survey and would like to         PDF file (e-mailed)   or   Hardcopy & PDF file
order the final report.                                    Price: FREE                Price: $50




Option 2
I am NOT participating in the survey but would like to     PDF file (e-mailed) or     Hardcopy & PDF file
order the final report, which I will be billed for.        Price: $450 for            Price: $500 for
                                                           healthcare organization    healthcare organization
                                                           and $1,000 for             and $1,050 for
                                                           non-healthcare             non-healthcare



Questions? Please contact us at:
  medicaldirectorsurvey@ihstrategies.com
  (800) 327-9335, ext. 21137




2b46a3f0-de8a-4e93-8f8a-826d606732d0.xls                                                          Page 1
          Integrated Healthcare Strategies Exclusive to Healthcare. Dedicated to People.


Integrated Healthcare Strategies
2010 Medical Director Survey Questionnaire
CONTACT INFORMATION

Name of Institution
Address
City
State
Zip Code
Name of Person Completing Survey
Title
Phone
E-mail Address

             Send Survey Report to (if different than Name and Address above)

Name
Title
Phone
E-mail Address
Address
City
State
Zip Code




2b46a3f0-de8a-4e93-8f8a-826d606732d0.xls                                                   Page 2
                     Integrated Healthcare Strategies Exclusive to Healthcare. Dedicated to People.



Integrated Healthcare Strategies
2010 Medical Director Survey Questionnaire
SECTION I: ORGANIZATION DEMOGRAPHICS
Organization type

   If System, number of subsidiary hospitals

Number of licensed acute beds

Total Hospital net revenue (in millions)

Total number of paid medical director positions (should equal
the total number of positions you fill out in Section IV)

Total compensation paid to all medical directors last year
(should equal the total Annual Stipend column from Section
IV)



SECTION II: MEDICAL DIRECTOR CONTRACTS

Do all medical directors have contracts?                                                      YES     NO
         Term of contracts                                                                    1 Yr    2 Yrs      3+ Yrs
Does the medical director contract specify:
         Position qualifications                                                              YES     NO
         Job duties and responsibilities                                                      YES     NO
         Number of required hours                                                             YES     NO
         If independent contractor or employee                                                YES     NO
         Requirement for physicians to log their time                                         YES     NO
                  If yes, is log being audited?                                               YES     NO
          An incentive provision linked to performance                                        YES     NO
          Annual review:
                  Of performance                                                              YES     NO
                  Of documentation of time                                                    YES     NO
          Position is benefit-eligible (benefits provided in addition to pay)                 YES     NO




  2b46a3f0-de8a-4e93-8f8a-826d606732d0.xls                                                                    Page 3
                                        Integrated Healthcare Strategies Exclusive to Healthcare. Dedicated to People.


   Integrated Healthcare Strategies
   2010 Medical Director Survey Questionnaire

   SECTION III: MEDICAL DIRECTOR COMPENSATION

   How is the medical director position compensated? (please choose one)
             Fixed hourly rate, based on hours worked                                                            A.
             Fixed amount/stipend                                                                                B.
             Both (some are variable, some are fixed)                                                            C.
             Other (please specify):                                                                             D.




   Do you offer Medical Director performance bonus?                                                              Yes        No
             If yes, what is the maximum opportunity?                                                            Up to 5%   5-10%   10% >
             If no, are you considering implementing bonus program?                                              Yes        No
   How is the medical director compensation calculated? (please choose one)
             Estimate hours x specialty specific hourly rate                                                     A.
             Estimate hours x standard* hourly rate                                                              B.
             Negotiated annual stipend not tied to hours or a rate                                               C.
             Other (please specify):                                                                             D.




              *Standard Rate - same rate for all physicians irrespective of specialty

              If standard hourly rate is used, what is the rate?




2b46a3f0-de8a-4e93-8f8a-826d606732d0.xls                                                                                              Page 4
                                                                              Integrated Healthcare Strategies Exclusive to Healthcare. Dedicated to People.




     Integrated Healthcare Strategies
     2010 Medical Director Survey Questionnaire
     SECTION IV: MEDICAL DIRECTOR POSITIONS

     Please complete the information below for all Medical Director positions at your organization. If you need additional space, please insert rows in the questionnaire.

                                                                                                                                                                                                       Performance
                                                                                                                                                                                                       Bonus Award     Employed or
                                                                                                    Specialty of Physician in                                                                            Paid (if      Independent
        Medical Director Position           Job Title (if different)   Brief Job Description              this Position             Payment Structure          Annual Stipend   Hours/Year Hourly Rate   eligible)       Contract

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22




            2b46a3f0-de8a-4e93-8f8a-826d606732d0.xls                                                                                                                                                                 Page 4
                                                                              Integrated Healthcare Strategies Exclusive to Healthcare. Dedicated to People.




     Integrated Healthcare Strategies
     2010 Medical Director Survey Questionnaire
     SECTION IV: MEDICAL DIRECTOR POSITIONS

     Please complete the information below for all Medical Director positions at your organization. If you need additional space, please insert rows in the questionnaire.

                                                                                                                                                                                                       Performance
                                                                                                                                                                                                       Bonus Award     Employed or
                                                                                                    Specialty of Physician in                                                                            Paid (if      Independent
        Medical Director Position           Job Title (if different)   Brief Job Description              this Position             Payment Structure          Annual Stipend   Hours/Year Hourly Rate   eligible)       Contract

23

24

25

26

27

28

29

30

                                                                                                                                   TOTAL                                   $0




            2b46a3f0-de8a-4e93-8f8a-826d606732d0.xls                                                                                                                                                                 Page 4
          Integrated Healthcare Strategies Exclusive to Healthcare. Dedicated to People.


Integrated Healthcare Strategies
2010 Medical Director Survey Questionnaire
COMMENTS




2b46a3f0-de8a-4e93-8f8a-826d606732d0.xls                                                   Page 5
Integrated Healthcare Strategies
2010 Medical Director Survey Questionnaire
                                               Medical Director Positions
Ambulatory/Outpatient Services                              Neurology/Neuro Science/EEG
Anesthesiology*                                             Neurosurgery
Bariatric Surgery                                           Nuclear Medicine
Bloodless Surgery                                           Nursing Home/LTC/Hospice/Home Health
Breast Health Center                                        OBGYN/Women's Health
Burn Unit                                                   Occupational Health
Cancer Center/Oncology                                      Orthopedic Surgery, General
Cardiac Rehab                                               Orthopedic Surgery, Spine
Cardiology: Invasive/Interventional/Cath Lab                Orthopedic Surgery, Sports
Cardiology: Non-Invasive                                    Orthopedic Surgery, Trauma
Cardiology: Electrophysiology                               Orthopedic Surgery, Other (Hand, Hip, etc.)
Cardiovascular/Cardiac Surgery                              Other
Chief Medical Officer / VP Medical Affairs                  Pain Management (Anesthesiology)
Chief of Medical Staff                                      Pain Management (PMR/Non-Anesthesiology)
Vice Chief of Medical Staff                                 Palliative Care
Secretary of Medical Staff                                  Parkinson's Program/Clinic
Clinical Integration                                        Pathology*
Critical Care/Intensive Care                                Pediatric ICU
Dentistry                                                   Pediatrics
Dermatology                                                 Pediatric Surgery
Emergency Medicine                                          Perinatology/Maternal Fetal
Employee Health                                             Preoperative
Endocrinology/Diabetes                                      Psychiatry (Behavioral Science)
ENT                                                         Pulmonary Medicine/Respiratory Therapy
Family Medicine                                             Quality Management
Flight Med                                                  Radiation Therapy/Radiation Oncology
Geriatrics/Senior Clinics                                   Radiology
Gastroenterology/Endoscopy                                  Rehabilitation
Hospitalist                                                 Research
Hyperbaric                                                  Sleep Center
Infectious Disease                                          Stroke
Information Services/Medical Informatics/EMR                Surgery, Department
Intensive Care Unit                                         Transitional/Continuing Care
Internal Medicine                                           Transplant Surgery
Medical Education                                           Trauma Surgery
Medicine, Department                                        Urology
Minimally Invasive Surgery                                  Utilization Review/Case Management
Neonatology                                                 Vascular Lab

								
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