2016 Annual Provider Satisfaction Survey 2016 Annual Provider Satisfaction Survey All County Intake and Coordination of Care Agencies 1/13/2017 Page 0 of 13 July 13, 2017 2016 Annual Provider Satisfaction Survey Contents Overview................................................................................................................................................ 2 Results .................................................................................................................................................. 2 Response Outcomes ...................................................................................................................... 2 Overall Rating Outcomes ................................................................................................................ 4 Individual Rating Outcomes ............................................................................................................ 5 Summary ............................................................................................................................................. 12 Significance Score Testing ........................................................................................................... 12 Recommendations for Action ........................................................................................................ 12 Page 1 of 13 July 13, 2017 2016 Annual Provider Satisfaction Survey Overview The 2016 Annual Provider Satisfaction Survey was made available to the Chief Executive Officers, Chief Financial Officers, Chief Operating Officers, Quality Management Directors and Compliance Directors of all Intake and Coordination of Care (ICC) Agencies and Specialty Agencies throughout all counties within the Cenpatico Integrated Care (C-IC) service area. An invite to complete the survey was sent via email to all recipients and the survey was available for electronic submission during 11/07/2016-11/18/2016. Recipients also received two separate email reminders asking for their participation in the survey, prior to the survey closure date. The 2016 survey was comprised of nine categorical questions, including demographic identifiers and satisfaction scoring. The two demographic questions asked providers to identify their agency type and county location, allowing for greater drill down capabilities without compromising anonymity. The seven satisfaction scoring questions asked providers to rate their level of satisfaction with Cenpatico Integrated Care in the following areas: (A) Claims Payment, (B) Collaboration with Providers, (C) Accessibility of Training, (D) Transparency in Business Operations, (E) Notification of Changes, (F) Accessibility of Cenpatico Leadership and (G) Availability of Technical Assistance. Satisfaction ratings for questions (A) through (G) were based on a weighted Likert Scale from 1 (lowest) through 5 (highest). A “not applicable” (N/A) option was also available, however this option was not weighted and was not included in averaging ratings. A comment box was also available for each question to allow for providers to share additional information. Upon the closure of the survey, an analysis of the results was completed and the findings are detailed in this report. Results Response Outcomes The 2016 survey response count was 154, resulting in a 43% response rate. 184 recipients opened the survey, of which 154 recipients completed the survey, resulting in a completion rate of 84%. Figure 1 compares the 2015 survey response rate of 52% to the 2016 survey response rate of 43%. Figure 1 Page 2 of 13 July 13, 2017 2016 Annual Provider Satisfaction Survey Figure 2 displays response rate by agency type. This question was added to the 2016 survey. Of those that completed the survey: 49% indicated they represented a Specialty Agency, 46% indicated they represented an ICC Agency, 5% indicated “Other”. “Other” agency types included Family Health Center, FQHC, CSA/COS, Non Profit Community Program, Adult Residential and Prevention Services. Figure 2 Figure 3 displays response rate by county. This question was added to the 2016 survey. Pima County was the highest selected county for location of agency, at 70%. Pinal was the second highest selected county for location of agency, at 12%. Gila and Greenlee counties were not selected as locations for agency, both reporting at 0%. Figure 3 Page 3 of 13 July 13, 2017 2016 Annual Provider Satisfaction Survey Overall Rating Outcomes Figure 4 displays the weighted average satisfaction scores and satisfaction percent for questions (A) through (G). Question (C) Accessibility of Training, scored the highest level of satisfaction at 77% (3.84). Question (F) Accessibility of Cenpatico Leadership, scored the second highest level of satisfaction at 73% (3.67). Question (D) Transparency in Business Operations, scored the lowest level of satisfaction at 66% (3.28). Figure 4 Figure 5 compares the 2015 and 2016 satisfaction ratings for questions (A) through (G). The data illustrates that satisfaction scores for five of the seven categories increased in 2016 from 2015, including (B) Collaboration with Providers, (C) Accessibility of Training, (E) Notification of Changes, (F) Accessibility of Cenpatico Leadership and (G) Availability of Technical Assistance. For 2016, category (C) Accessibility of Training saw the biggest increase in satisfaction at 77% from 60% in 2015. The following two categories saw a slight decrease in satisfaction scores in 2016: (A) Claims Payment at 70% from 71% in 2015 and (D) Transparency in Business Operations at 66% from 67% in 2015. Figure 5 Page 4 of 13 July 13, 2017 2016 Annual Provider Satisfaction Survey Individual Rating Outcomes Figures 6-19 illustrate detailed response data for questions (A) through (G), including response counts, the Mean, Median and Mode and any additional comments. Figure 6 Figure 7 Page 5 of 13 July 13, 2017 2016 Annual Provider Satisfaction Survey Figure 86 Figure 9 Page 6 of 13 July 13, 2017 2016 Annual Provider Satisfaction Survey Figure 7 Figure 11 Page 7 of 13 July 13, 2017 2016 Annual Provider Satisfaction Survey Figure 8 Figure 13 Page 8 of 13 July 13, 2017 2016 Annual Provider Satisfaction Survey Figure 9 Figure 15 Page 9 of 13 July 13, 2017 2016 Annual Provider Satisfaction Survey Figure 10 Figure 17 Page 10 of 13 July 13, 2017 2016 Annual Provider Satisfaction Survey Figure 11 Figure 19 Page 11 of 13 July 13, 2017 2016 Annual Provider Satisfaction Survey Summary The 2016 Annual Provider Satisfaction Survey received a 43% response rate and 84% completion rate. According to SurveyMonkey (2012), a “great” response rate for online surveys is 20-30% and a conservative response rate is 10-15%. SurveyMonkey (2015) also reports that surveys with openended questions (comment boxes) have a mean completion rate of 78%. The 2016 survey exceeded the national average for both response rate and completion rate. In an attempt to determine whether the difference between the 2015 (52%) and 2016 (43%) response rates was statistically significant, a chi-squared test was completed. Using an alpha level of .05 as the significance criterion, the difference between the variables was found to not be significant, X2 (1, N = 454) = 2.39, p = 0.12. Therefore, it can be concluded that the decrease in response percentage for 2016 is not significant. Significance Score Testing Overall, the 2016 survey satisfaction scores increased from the 2015 satisfaction scores in five categories. In an attempt to determine whether the difference between the 2015 and 2016 satisfaction scores were statistically significant, unpaired two-sample t-tests were completed using an alpha level of .05 as the significance criterion and 95% confidence level. Below are the results of the three categories with the highest increase in scores for 2016: Category (C) Accessibility of Training, was the highest scoring and saw the biggest increase in satisfaction at 77% from 60% in 2015. Test results: t(199) = 4.57, p < .001. Therefore, it can be concluded that the increase in satisfaction scores for Category (C) is extremely significant with a relative increase of 28% in satisfaction. Category (G) Availability of Technical Assistance also saw an increase in satisfaction at 70% from 60% in 2015. Test result: t(199) = 2.61, p = .001. It can be concluded that the increase in satisfaction scores is very significant with a relative increase of 17% in satisfaction. Category (B) Collaboration with Providers saw an increase in satisfaction at 67% from 61% in 2015. Test result: t(199) = 1.07, p = 0.29. It can be concluded that the increase in satisfaction scores is not statistically significant. The following two categories saw a slight decrease in satisfaction scores in 2016: (A) Claims Payment at 70% from 71% in 2015 and (D) Transparency in Business Operations at 66% from 67% in 2015. Unpaired two-sample t-tests were completed and the results for Category (A) Claims Payment can be seen below: Category (A) Claims Payment test result, t(194) = 0.48, p = 0.63. It can be concluded that the decrease in score is considered to be not statistically significant. Recommendations for Action I. Response Rate While the 2016 survey response and completion rates exceeded the national average, continued efforts to increase these rates is recommended for the 2017 survey. SurveyMonkey and Qualaroo (2014) agree the amount of feedback is important and a high response rate is critical to the measurement of effects and change. The following best practices were implemented for the 2016 survey and should be continued in 2017: Page 12 of 13 July 13, 2017 2016 Annual Provider Satisfaction Survey 1. Push the survey via email: Utilization of the direct email invitation feature that SurveyMonkey offers. This allows for greater tracking abilities, sends automatic reminders to those who have not responded and allows for personalized messages. 2. Provide frequent reminders: Two separate personalized email reminders were sent to those that did not complete the survey. 3. Persuade participants that their responses will be used: The email invite sent to participants detailed the importance of the survey and how their feedback allows for growth and improvement. Consider publishing a report of the findings and any interventions used on the cenpaticointegratedcareaz.com website or the Cenpatico-IC Provider Newsletter for participants to see that their feedback is being valued. We have listed previous satisfaction ratings in the Provider Newsletter (Fall 2015) and published the 2015 report on cenpaticointegratedcareaz.com. 4. Consider using a third party survey company: This was a direct request from a participant in the 2016 survey, stating that a third party company would have enabled them to feel more confident in providing honest feedback. The National Business Research Institutes (2015) states, “by allowing a third party to conduct your survey, confidentiality and anonymity are immediately increased”. It’s impossible to generate usable data when answers are given in half-truths, for fear of being identified. Strategic Programs, Inc. (2015) reports that the use of a reputable third party survey company improves participation rates, data quality, and confidentiality, leading to better business decisions. II. Low Scoring Questions It is recommended that the two lowest scoring survey categories be reviewed: (B) Collaboration with Providers and (D) Transparency in Business Operations. Zucal (2016) states that transparency and collaboration with customers go hand in hand and leads to improved business relationships. Berg (2011) proposes that increasing transparency leads to trustworthy information sharing and enables sharing and collaboration. HealthCatalyst provides three best practices for payer-provider collaboration, including collaboration on metrics and measurements, collaboration on objectives for improvement and a plan for ensuring transparency related to performance. Page 13 of 13 July 13, 2017
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