Sample Workflow for Patient Satisfaction Questionnaire

SAMPLE WORKFLOW FOR PATIENT SATISFACTION QUESTIONNAIRE

ANNUALLY TASK BY WHOM WHEN Review/update survey form Program Director, May Manager, Site Coordinators Translate form into Spanish and Chinese and SFGH Coordinator; May estimate numbers of each needed for each Directors, Manager clinic Order scannable forms Program Director, May Manager, Site Coordinators Determine months for survey administration Program Director, June/July and inform clinic staff and residents Manager, Site Coordinators EVALUATION MONTH TASK BY WHOM WHEN Send a reminder to the continuity clinic staff Site Coordinators Send one week prior to the (SFGH & MZ); surgical coordinator at SFGH; beginning of the survey and nurses in the gyn clinic at MZ that patient months (September and satisfaction surveys will be administered next March) month Distribute forms to clinics Site Coordinators Within one week prior to the beginning of the survey months (September and March) Present forms to all patients in continuity Medical Assistants During the two survey clinics, post-operative visits (SFGH) and gyn in continuity clinics; months clinic (MZ) surgical coordinator (September and March) at SFGH; and nurses in the MZ gyn clinic Create and place box for surveys at checkout Site Coordinators First day of each survey counters at continuity clinics, post-operative with nursing staff month visits (SFGH) and gyn clinic ((MZ) (September and March) Collect forms from boxes Site Coordinators Weekly during the month and follow-up for stragglers the following month Scan or enter surveys into database E-Value By the 15th day of the Administrator month following survey month AS NEEDED TASK BY WHOM WHEN Review performance of residents Program Directors, Periodically and prior to Advisors and semi-annual assessment Residents meetings Determine response rate and review process for Program Director, After data is entered improvement Manager, Site Coordinators