This survey should take approximately 10-15 minutes to complete. For your time, your name will be placed in a raffle to receive a $100 AMAZON gift card. Two (2) winners will be chosen. Winners will be notified on April 25, 2017. Thank you in advance for your time and cooperation!Please note:1. We are using the following definition to describe “chronic condition”: “Conditions that last a year or more and require ongoing medical attention and/or limit activities of daily living.” 2. Questions with an asterisk (*) require a response (in order to proceed to the next question). First Name: * Last Name: * Email: * Highest degree * please check all that apply Associate's Degree Bachelor’s Degree MSN/MN DNP PhD Other (please specify) Highest degree Other (please specify) Years as a Nurse Practitioner * 0 to 5 years 6 to 10 years 11 to 15 years 15 to 20 years 20+ years N/A Are you currently practicing as a Nurse Practitioner in clinical practice? * Yes No Type of Practice * please check all that apply HMO Hospital Military Multi-Specialty Group Physician Office Primary Care Clinic/Office Private/Independent Practice Public Health/Community Clinic Retail Clinic Rural Health Center University/Academia Other (please specify) Type of Practice Other (please specify) Location of Practice Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Marianas Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming How many patients with chronic conditions does your practice care for per week? * 1 to 25 26 to 50 51 to 100 100+ Area(s) of your certification * please check all that apply Acute Care Adult Acute Care Pediatrics Adult Adult/Geriatric Family NP Geriatric Neonatal Pediatric NP Psych/Mental Health Women’s Health Other (please specify) Area(s) of your certification Other (please specify) Area(s) of specialization * please check all that apply Acute Care Cardiology Convenience/Urgent Care Dermatology Emergency Care Endocrinology Family Practice Gerontology GI Hospice/Palliative Care Internal Medicine Nursing Education OB/GYN Pain Management Pediatrics/Adolescent Psychiatry Rheumatology Women’s Health/Urogynecology Other (please specify) Area(s) of specialization Other (please specify) If your practice uses an Electronic Medical Record (EMR), which system does your practice use? * Allscripts Athenahealth Centricity Cerner eClinicalWorks* Epic Greenway iKnowMed EHR Nextgen Other (please specify) If your practice uses an Electronic Medical Record (EMR), which system does your practice use? Other (please specify) Regarding Assessment, Screening, and Diagnosis, please select all the challenges you experience in caring for patients with chronic conditions. * please check all that apply Prioritizing the “KEY” or most relevant history and exam to do in a brief visit Insufficient training Keeping current and having adequate access to clinical tools for screening and diagnosis Patient low health literacy Other (please specify) Regarding Assessment, Screening, and Diagnosis, please select all the challenges you experience in caring for patients with chronic conditions. Other (please specify) How interested are you in receiving Continuing Education (CE) in Assessment, Screening, and Diagnosis? * Not Interested A little interested Somewhat interested Interested Very Interested Regarding Treatment Methods, please select all the challenges you experience in caring for patients with chronic conditions. * please check all that apply Patients who are not ready to make lifestyle changes Patients who are unable or unwilling to adhere to their treatment plan I am not familiar with the full range of treatment options for these conditions I am not sure how to improve patient engagement and motivation Other (please specify) Regarding Treatment Methods, please select all the challenges you experience in caring for patients with chronic conditions. Other (please specify) How interested are you in receiving Continuing Education (CE) in Treatment Methods? * Not Interested A little interested Somewhat interested Interested Very Interested Regarding Shared Decision-Making with Patients, please select all the challenges you experience in caring for patients with chronic conditions. * please check all that apply Inadequate or ineffective communication skills with patients Language or cultural barriers Lack of interest or cooperation by patients, providers, or caregivers Time constraints in practice limit ability to engage patients in shared decision-making Other (please specify) Regarding Shared Decision-Making with Patients, please select all the challenges you experience in caring for patients with chronic conditions. Other (please specify) How interested are you in receiving Continuing Education (CE) in Shared Decision-Making with Patients? * Not Interested A little interested Somewhat interested Interested Very Interested Regarding Patient Education, please select all the challenges you experience in caring for patients with chronic conditions. * please check all that apply Limited knowledge of where to find high-quality patient education materials The practice does not make it a priority to keep patient education materials well-stocked and available Materials are not at the appropriate health literacy level for the patient population Materials are not culturally relevant Other (please specify) Regarding Patient Education, please select all the challenges you experience in caring for patients with chronic conditions. Other (please specify) How interested are you in receiving Continuing Education (CE) in Patient Education? * Not Interested A little interested Somewhat interested Interested Very Interested Regarding Follow-Up Care with Patients, please select all the challenges you experience in caring for patients with chronic conditions. * please check all that apply Scheduling problems Difficulties with referrals to specialists (e.g., provider availability) Limited office staff to assist in follow-up Unsure of best practice follow-up for these conditions Other (please specify) Regarding Follow-Up Care with Patients, please select all the challenges you experience in caring for patients with chronic conditions. Other (please specify) How interested are you in receiving Continuing Education (CE) in Follow-up Care with Patients? * Not Interested A little interested Somewhat interested Interested Very Interested In caring for patients with chronic conditions: What do you feel you do WELL? * What two (2) aspects of your practice would you like to improve relative to your own knowledge and skills? * How interested are you in educational programs and related materials in these specific areas: * Not interestedA little interestedSomewhat interestedInterestedVery interested Asthma Asthma - Not interested Asthma - A little interested Asthma - Somewhat interested Asthma - Interested Asthma - Very interested Cardiovascular/Metabolic Mgmt. Cardiovascular/Metabolic Mgmt. - Not interested Cardiovascular/Metabolic Mgmt. - A little interested Cardiovascular/Metabolic Mgmt. - Somewhat interested Cardiovascular/Metabolic Mgmt. - Interested Cardiovascular/Metabolic Mgmt. - Very interested COPD COPD - Not interested COPD - A little interested COPD - Somewhat interested COPD - Interested COPD - Very interested Diabetes - Type 1 Diabetes - Type 1 - Not interested Diabetes - Type 1 - A little interested Diabetes - Type 1 - Somewhat interested Diabetes - Type 1 - Interested Diabetes - Type 1 - Very interested Diabetes - Type 2 Diabetes - Type 2 - Not interested Diabetes - Type 2 - A little interested Diabetes - Type 2 - Somewhat interested Diabetes - Type 2 - Interested Diabetes - Type 2 - Very interested Hepatitis C Screening Hepatitis C Screening - Not interested Hepatitis C Screening - A little interested Hepatitis C Screening - Somewhat interested Hepatitis C Screening - Interested Hepatitis C Screening - Very interested Immunization/Vaccines Immunization/Vaccines - Not interested Immunization/Vaccines - A little interested Immunization/Vaccines - Somewhat interested Immunization/Vaccines - Interested Immunization/Vaccines - Very interested Irritable Bowel Syndrome Irritable Bowel Syndrome - Not interested Irritable Bowel Syndrome - A little interested Irritable Bowel Syndrome - Somewhat interested Irritable Bowel Syndrome - Interested Irritable Bowel Syndrome - Very interested Obesity/Weight Management Obesity/Weight Management - Not interested Obesity/Weight Management - A little interested Obesity/Weight Management - Somewhat interested Obesity/Weight Management - Interested Obesity/Weight Management - Very interested Pain Management Pain Management - Not interested Pain Management - A little interested Pain Management - Somewhat interested Pain Management - Interested Pain Management - Very interested Rheumatoid Arthritis Rheumatoid Arthritis - Not interested Rheumatoid Arthritis - A little interested Rheumatoid Arthritis - Somewhat interested Rheumatoid Arthritis - Interested Rheumatoid Arthritis - Very interested Please specify other educational programs that would interest you. Since chronic conditions often affect quality of life, what patient self-management training or resources (e.g., stress management, nutrition) would you like to provide for your patients to improve their quality of life? * From the following list, please check the top 4 educational formats that you prefer when obtaining Continuing Education (CE) credit(s)? * Audio Podcast eBook (downloadable digital book) eMail Updates Monograph (print) Monograph (electronic) Peer reviewed journal (print) Peer reviewed journal (electronic subscription) Live Webinar (online) Recorded Webcast (online) Local workshop (2 hours) National conference Newsletter (by email) Social Media Group (e.g., Twitter, Linked-in, Facebook) Please rate your level of confidence in each of the following treatment decision steps: * Not at all confidentSlightly confidentSomewhat confidentConfidentVery confident Communicating with professional disciplines outside of your practice Communicating with professional disciplines outside of your practice - Not at all confident Communicating with professional disciplines outside of your practice - Slightly confident Communicating with professional disciplines outside of your practice - Somewhat confident Communicating with professional disciplines outside of your practice - Confident Communicating with professional disciplines outside of your practice - Very confident Gathering information with the use of a standardized assessment tool Gathering information with the use of a standardized assessment tool - Not at all confident Gathering information with the use of a standardized assessment tool - Slightly confident Gathering information with the use of a standardized assessment tool - Somewhat confident Gathering information with the use of a standardized assessment tool - Confident Gathering information with the use of a standardized assessment tool - Very confident Making initial medication selections Making initial medication selections - Not at all confident Making initial medication selections - Slightly confident Making initial medication selections - Somewhat confident Making initial medication selections - Confident Making initial medication selections - Very confident Performing functional assessments of patients Performing functional assessments of patients - Not at all confident Performing functional assessments of patients - Slightly confident Performing functional assessments of patients - Somewhat confident Performing functional assessments of patients - Confident Performing functional assessments of patients - Very confident Prescribing adjuvant medications or therapies to a current regimen Prescribing adjuvant medications or therapies to a current regimen - Not at all confident Prescribing adjuvant medications or therapies to a current regimen - Slightly confident Prescribing adjuvant medications or therapies to a current regimen - Somewhat confident Prescribing adjuvant medications or therapies to a current regimen - Confident Prescribing adjuvant medications or therapies to a current regimen - Very confident Tapering medications Tapering medications - Not at all confident Tapering medications - Slightly confident Tapering medications - Somewhat confident Tapering medications - Confident Tapering medications - Very confident Writing complete referral notes to the specialist Writing complete referral notes to the specialist - Not at all confident Writing complete referral notes to the specialist - Slightly confident Writing complete referral notes to the specialist - Somewhat confident Writing complete referral notes to the specialist - Confident Writing complete referral notes to the specialist - Very confident Does your practice have adequate patient education tools for teaching patients about their chronic conditions? * Yes No Can you generate patient education materials from the Electronic Medical Record (EMR) system? * Yes No I check for understanding when I counsel and educate my patients about their treatment for chronic conditions (e.g., using the “teach back” method, etc.). * Always Very Often Sometimes Rarely Never Regarding Communicating with Specialists/Other Disciplines, is this problematic in your practice? * Yes No If Yes, please explain Would Continuing Education (CE) regarding Communicating with Specialists/Other Disciplines be helpful? * Yes No Regarding Writing Effective Referral Notes to Other Providers, is this problematic in your practice? * Yes No Would Continuing Education (CE) regarding Writing Effective Referral Notes to Other Providers be helpful? * Yes No Regarding Patients Get “Lost” in the Healthcare System, is this problematic in your practice? * Yes No Would Continuing Education (CE) regarding Patients Get “Lost” in the Healthcare System be helpful? * Yes No In addition to education related to chronic conditions, what Continuing Education (CE) programs would you like to see developed for other clinical topics? 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