COVID-19 Landscape Survey
RequiredRequired Question(s)
The Department of Health is responding to State legislators' inquiries regarding closures of private practices during the COVID-19 crisis in Hawaii. The legislators are interested in what can be done to support independent private practices and prevent closures of practices. Your cooperation, by completing the following survey may help provide information to public health advocates, legislators, local governments in assuring continued availability and access to Independent Physicians and small businesses in the healthcare community.

Looking for responses from physician-owners of practices, 1 response per practice at this time. Understanding that some of these questions are pre-mature, we will be looking to re-survey at a later time. 

Hawaii IPA is working to ensure all are aware of the current plights of independent practice & that we all work to protect the viability of independent private practice medicine in Hawaii.  
 
You & Your Practice
 
1.

Name (Not required; but preferred)

 

50 characters left.
Required 2.
Specialty Type:
Primary Care: FP, IM, GP
Primary Care: Pediatrics
Gastroenterology
OB/GYN
Opthalmology
Nephrology
Cardiology/Cardiovasc-
ular Disease
Radiology
Orthopedic Surgery
Dermatology
Physical Medicine & Rehab
Surgery
Neurology
Endocrinology
Raditation Oncology
Infectious Disease
Other  
Required 3.

Please select your credentials

MD
DO
APRN
PA
Other  
Required 4.
Zip Code
 

50 characters left.
Required 5.

Island

Oahu
Maui
Big Island
Kauai
Lanai
Molokai
Other  
Required 6.

Are you:

Owner of practice- solo owner
Owner of practice- multi- owner
Employed
Other  
Required 7.
Practice Size (# of FTE Physicians)
1
2
3
4
5+
Other  
  • Comment:

  • 500 characters left.
Required 8.
Practice Size (# of mid-levels: APRN, PA)
0
1
2
3
4
5+
Other  
  • Comment:

  • 500 characters left.
Required 9.
Practice Size (# of non-provider full-time employees)
0
1
2
3
4
5-10
11-15
16+
Other  
  • Comment:

  • 500 characters left.
COVID-Risk to Practice
 
 
Required 10.

 

Have you considered closing your practice, either temporarily or permanently, due to the impact of COVID-19? (i.e. ceasing practice altogether) If you have already closed your practice, please let us know in the comments.


Yes
No
Already Closed Until Further Notice
  • Comment:

  • 500 characters left.
11.
If yes, please select the 3 most important factors leading to your consideration of closing your practice
Lack of office and/or staff preparedness, such as COVID-19 guidelines for office operations or information relevant to independent or small practice
Lack of office and/or staff Personal Protective Equipment (PPE)
Lower revenues or reduced cash flow
Difficulty with implementing or adopting Telehealth applications, such as HMSA OnLine Care
Complexity of coding or billing changes
Changes to clinical workflows and staff re-training
Staff or patient safety
Other: please put in comments
  • Comment:

  • 500 characters left.
Required 12.

 

Are you personally aware of another practitioner who has closed their practice, permanently or temporarily, due to COVID-19?


Yes
No
  • Comment:

  • 500 characters left.
13.
If yes to the above and if known, please select the 3 most important factors leading to their consideration of closing their practice
Lack of office and/or staff preparedness, such as COVID-19 guidelines for office operations or information relevant to independent or small practice
Lack of office and/or staff Personal Protective Equipment (PPE)
Lower revenues or reduced cash flow
Difficulty with implementing or adopting Telehealth applications, such as HMSA OnLine Care
Complexity of coding or billing changes
Changes to clinical workflows and staff re-training
Staff or patient safety
Other: please put in comments
  • Comment:

  • 500 characters left.
Required 14.

If you have remained open, have you successfully implemented telemedicine? 

Yes
No
  • Comment:

  • 500 characters left.
15.

If so, what % of your visits are now telemedicine rather than in-person?

25% or less
26-50%
51-75%
76-100%
  • Comment:

  • 500 characters left.
Required 16.

What is your anticipated % loss of monthly revenue due to COVID-19?

25% or less
26-50%
51-75%
76-100%
  • Comment:

  • 500 characters left.
Required 17.

Have you applied for the SBA Payroll Protection Program Loan or other SBA loans? If yes, please indicate in the comments if you have received a disbursement of funds. 

Yes
No
  • Comment:

  • 500 characters left.
Required 18.
At this present time, how would you rank the likelihood of a permanent closure of your office?
Very Unlikely Unlikely LIkely Very Likely        
       
  • Comment:

  • 500 characters left.
Required 19.

Do you feel like you are more likely to move to an employed model rather than remain in private practice due to COVID-19?  If so, please explain:

Yes
No
N/A: I am retiring soon
Other  
  • Comment:

  • 500 characters left.
20.

If you are within 5 years of retirement, has COVID-19 changed your retirement timeline? If so, please explain:

Yes
No
  • Comment:

  • 500 characters left.
21.

Please let us know anything you would like your elected officials to know about private practice physicians' experience during this time

 

1000 characters left.
On behalf of Hawaii IPA, thank you so much for your tireless dedication to your patients. We know this is an extremely difficult time. Please let us know anything we can do or communicate on your behalf to ensure the viability of independent private practice on the islands.