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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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