Referring Provider Survey

We value your partnership and appreciate your referrals.

As part of our commitment to continually improve our referral process and better serve your needs, we would appreciate your feedback to a few questions.

The purpose of this survey is to assess our referral process and identify areas where we can improve.

The survey should take no more than 5 minutes to complete.

Which title best describes your position?

Physician

Nurse

Physician Assistant

Registered nurse

Medical assistant

Front desk staff

Referral coordinator

Case manager

Social worker

What is your medical specialty?

To which areas do you typically refer a patient to?

Select all that apply

Lab

Imaging

Medical Specialty

Surgery

Which referral pathways do you currently use?

Select all that apply

Fax

Email

Phone

Health Connect

Online Referral Form

EMR to EMR

Please select your top three preferred referral pathways

(1 is most preferred)

-

Fax

-

Email

-

Phone

-

Health Connect

-

Online Referral Form

-

EMR to EMR

-

Please select your top three preferred referral pathways:

How often do you refer patients to Vanderbilt Health?

Always (daily or multiple times a week)

Often (a few times a week)

Sometimes (a few times a month)

Rarely (1 a month or less)

Never (no referrals in 6+ months)

How would you rate your experience referring a patient to us?

Excellent

Good

Neutral

Needs Improvement

Very Poor

How satisfied are you with the communication regarding your referred patients?

Very satisfied

Somewhat satisfied

Neutral

Somewhat dissatisfied

Very dissatisfied

Are there specific areas where you believe we could improve the referral process?

Select all that apply

Finding appropriate provider to refer patient to

Scheduling of patient

Verification that patient has been scheduled

Provider-to-Provider communication regarding patient

Is there anything else you would like to share about your referral experience?

Would you be interested in joining an online advisory council where you will have an opportunity to provide feedback and receive regular updates on improvements to our processes, including how you refer your patients to us?

If yes, please provide your email address / NPI #

Email Address

NPI Number

Thank you again for your participation in this survey. We are committed to using your feedback to improve our referral process and strengthen our partnership with you. We appreciate your continued trust and look forward to our ongoing collaboration.