Wufoo

  • 1. Describe the frequency of problems you experience in ordering HME for your Medicare patients. (1= Always Problems, 5= Never Problems)
      Always Problems Often Problems Sometime Problems Seldom Problems Never Problems
  • 2. On a scale of 1-5, rank your difficulty obtaining the following types of HME for your Medicare patients (1 = Very Difficult, 5 = Very Easy)
      Very Difficult Difficult Neutral Easy Very Easy
  • 4. If your position includes discharging patients from a facility, have you experienced delays in discharging patients due to not being able to obtain HME and supplies since July 1?
  • If you answered "yes" to #4, how freqently does this occur?
  • If you answered "yes" to #4, how long does the delay generally last?
  • 5. Have you experienced an increase in patient complaints about their access to home medical equipment and/or an increase in them having to pay out of pocket to get HME since July 1? *
  • 6. Are you aware of any patients who have developed medical complications, received emergency care, or have been re-admitted to the hospital due to issues relating to obtaining proper and/or timely HME? *
  • Respondent Information
    The following information is required to categorize problem areas; personal & company identifiable information will not be shared without permission.