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55

5.d Physical Facilities & Practice Organization

Questionnaire

Dr. __________________________________ Date: _________________

BACKGROUND

: This questionnaire has been designed by the Practice

Enhancement

Program Committee as part of the PEP assessment process. It has three purposes:

First, to standardize the information collected at each assessment regarding facility

and practice organization; second, to consistently gather this information directly

from those who know it best – yourself and your staff; and third, it is intended to

minimize the disruption to your practice at the time of the office assessment.

INSTRUCTIONS

: Completion of this Facilities Questionnaire is a mandatory

requirement of your PEP assessment. A Facilities Report reflecting your

responses will be provided at the time of your assessment. The PEP Committee

may ask your assessor to confirm any or all information in the Facilities Report.

Recommendations may then be made by the PEP Committee based on the Facilities

Report.

CONTENTS:

A.

General Office Facilities

Questions 1 – 18

Page 2

B.

Communications

Questions 19 – 33

Page 3

C.

Appointment System

Questions 34 – 40

Page 4

D.

Filing System

Questions 41 – 48

Page 5

E.

Medical Instruments and

Questions 49 – 54

Page 6

Investigative Equipment

F.

Drugs and Injectibles

Questions 55 – 63

Page 8

G.

Emergency Facilities

Questions 64 – 73

Page 9

H.

Laboratory Investigations

Question 74

Page 10

I.

Personnel

Questions 75 – 77

Page 10

J. Walk-In Clinic Procedures

Questions 78 – 88

Page 11

K.

Miscellaneous Office Policies

Questions 89 – 100

Page 13

L. Health Information Protection Act

Questions 101 – 114 Page 15

Q - 4

P.E.P.

for

Saskatchewan

Physicians

P

R

A

C

T

I

C

E

E

N

H

A

N

C

E

M

E

N

T

P

R

O

G

R

A

M