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"There is much more discriminatory power in staff SAQ’s [and AHRQ] than simply patient satifactions, which are what most only do."

Real-Time Health Questionnaires

Patients Self-Assess pre-visit: unlimited respondents per data upload location, one hand-held tablet and data-upload- station, web hosting, tech support, reporting software. included. [ View PDF ]

Instant reports improve patient flow by graphing patient’s trended total-severity score and listing question-items with patient responses for providers. These real-time “lab reports” are instantly ready for the chart and for scanning. Choose any four questionnaires per tablet. Some instruments are licensed and others have no fee. Instant Excel-files, for reporting, are online.

Pain

Alcohol Abuse

Depression

Diabetic Monitoring

PTSD, Depression, Bipolar, Suicide

Pain Disability Questionnaire
[ view PDF ]

No License

PHQ-15 Somatic
[ view PDF ]

Symptom Severity

CAGE

No License

Beck Depression Inventory II
License Required
[ view PDF ]

DUKE - Eleven intake dimensions
[ view PDF ]

Diabetes Impact Measurement Scale

No License

Quick PsychoDiagnostics Panel - Specific DSM-IV diagnoses with diagnosis codes
[ view PDF ] - License Required

Wellness [ view PDF ]
Wellness Now!

PAR-Q - Physical Activity Readiness Questionnaire [ view PDF ]

Reimbursable using CPT: 96101, 96103

McGill Short Form

Quadruple Visual Analogue Scale QVA

Bournemouth Neck Questionnaire

Qswestry Neck and
Back pain
[ view PDF ]

The AUDIT

No License

PHQ-9 [ view PDF ]
No License

CES_D Center
[ view PDF ]

for Epidemiologic Studies

Diabetes Care Profile (Michigan Diabetes Research and Training Center)

No License

Proven in primary-care settings

Plastic Surgery
Geriatric
Depression, Drugs, Eating
Anxiety
Sleep Apnea

Plastic Surgery Report [ view PDF ]

RAND VES-13
[ view PDF ]

GDS - Geriatric Depression Scale
[ view PDF ]

Functional Status Quest FSQ

Functional Activities Quest

FAQ

PHQ-A - depression and mood fear and anxiety - No License

Alcohol & cigarettes, Depression  and mood, Fear and anxiety, Drug use, Eating [ view PDF ]

Zung Anxiety Report
[ view PDF ] - No License

  • Kaiser Permanente’s Sleep Apnea -
    No License
Patient Navigators
RAND Health
  • Patient satisfaction surveys for Community Health Centers (CHC) and oncology settings
  • AHRQ Hospital Survey on Patient Safety Culture / Medical Office Survey on Patient Safety Culture
  • AHRQ Nursing Home Safety Culture

Patient Satisfaction Research Service

Includes initial programming each site’s patient satisfaction survey with provider names. Rotate tablets through your network and upload data for instant patient-satisfaction-dashboard reports. Office managers may login and printout online reports from their office.

Instant Online Dashboard reports:

Access, Courtesy, Relationship, Nurses, Phones,  Clinicians

Individual Physician Satisfaction Report Opinions of each physician’s patients for the visit questions

Clinic Patient Satisfaction Report quarterly or at completion of survey period

Clinic Priority Report
Patients’ perception of strengths and weaknesses

  • Ranks areas for improvement based on dissatisfaction. and satisfaction with the care-overall question.