2020 CHIME Public Policy Virtual Care Survey Discussion Questions 1. Which of the following best describes your organization? (select all that apply)* Academic Medical Center Critical Access hospital Multi-hospital system Stand-alone hospital Specialty hospital Long-term care facility/Skilled Nursing Facility Other acute care facility Ambulatory/outpatient practices (including behavioral/mental health, orthopedics) Other 2. Where is your employer located? (select all that apply)* Rural Urban Suburban Near state border Multiple states 3. Which population makes up the largest piece of your patient census?*MedicareMedicaidCommercialSplit between public and privateOther mix4. How many patient visits do you do per month?*5. How many telehealth visits per month were you doing pre-COVID-19?*Did not provide telehealth1-5050-100100-150More than 150Unsure6. How many telehealth visits did you do last month?*0-100101-200201-300301-400401-500Over 500Not sure7. What percentage of your telehealth visits are currently being conducted using audio only?*None1-10%11-20%21-30%31-40%41-50%51-60%61-70%71-80%81-90%91-100%Not sure8. Has your state loosened restrictions related to telehealth licensure?*YesNoNot sure9. Since parts of the country have started to re-open are you seeing a decrease in telehealth visits?*YesNoNot sure10. Are you interested in continuing to provide expanded telehealth services after the end of the public health emergency?*YesNoDependent on continued flexibilities11. What technology tools are you using to enable your virtual health visits? (select all that apply)* HIPAA compliant audio/video software Non-HIPAA compliant conferencing software such as "free" Zoom, Google Meet, Skype, etc. Other audio/video tool provided through OCR flexibilities such as FaceTime Audio/video provided through your electronic health record (EHR) Telephone communication Asynchronous audio/video communication Other 12. Of the below flexibilities granted under the public health emergency, which flexibilities are vital to keep telehealth sustainable for your organization moving forward? (select all that apply)* Availability beyond rural areas Removal of originating site requirement Removal of the established Medicare patient requirement Removal of the state licensure requirment Increase in the types of clinicians who can provide telehealth services Removal of restrictions on the types of devices/technology over which the telehealth visit can occur Continue allowing use of audio (phone) visits Payment parity 13. Contrastingly, which flexibilities are not required to maintain a sustainable telehealth program? (select all that apply)* Availability beyond rural areas Removal of originating site requirement Removal of the established Medicare patient requirement Removal of the state licensure requirement Increase in the types of clinicians who can provide telehealth services Removal of restrictions on the types of devices/technology over which the telehealth visit can occur Continue allowing use of audio (phone) visits Payment parity 14. Have you received money from the Federal Communications Commission (FCC) to assist with the provision of telehealth services?*YesApplied but haven't heard backDid not apply15. What factors will determine whether you will continue to offer telehealth services after the end of the public health emergency? (select all that apply)* Payment parity between in-person and telehealth visits License requirements Payer reimbursement Government and payer restrictions Coding and billing complexity Staffing needs Clinician contracts IT/Technology Infrastructure Clinician interest Patient interest Cost of providing and supporting telehealth versus reimbursement
