Medical Treatment Facility REPORT CARD

1
Medical Treatment Facility REPORT CARD
SERVICE DELIVERY ASSESSMENT (SDA) Air Force
Surgeon General weekly survey questions

• On a scale of 1 to 5, with 1 being Poor and 5
  being Outstanding, how would your rate this
  clinic on the ease of making this appointment?
• On a scale of 1 to 5, with 1 being Poor and 5
  being Outstanding, how would you rate the
  courtesy and respect extended to you by the staff
  during your check-in to the clinic?
• On a scale of 1 to 5, with 1 being Definitely
  No and 5 being Definitely Yes, based on the
  care you received at this appointment, would you
  recommend this healthcare team to others?
• Do you know how to report a patient safety
  concern or event? 1 No 2 Yes
• Did your healthcare provider review your
  medications with you? 1 No 2 Yes
• On a scale of 1 to 5, with 1 being Poor and 5
  being Outstanding, did the actual care provided
  meet your expectations?
• On a scale of 1 to 5, with 1 being Completely
  Unsatisfied and 5 being Completely Satisfied,
  how satisfied were you with the amount of time
  the Healthcare team spent with you in addressing
  your health concerns?
• 8a. How did you arrange your appointment? (By
  phone, booked online, walk-in appt, booked last
  appt, booked by clinic or someone else, other,
  dont remember)
• 8b. Were you able to schedule the appointment
  you needed during the first call? 1 No 2 Yes

59 MEDICAL WING PATIENT ADVOCATE- WALK-IN PATIENTS
2
Beneficiary Category
3
Ease of Making Appointment
4
Front Desk Check-in
5
Recommend to others
6
Patient Safety
7
Medication changes
8
Care met expectations
9
Time with Provider
10
How Appointment Was Booked
11
First Call Resolution
12
Patient Concerns
13
Customer Service Issues
14
TRICARE Issues
15
Patient Rights
16
Resolution Rates