SURVEY OF PROVIDERS OF HEALTH SERVICES TO DVA ENTITLED VETERANS AND WAR WIDOWS IN CONFIDENCE The Department of Veterans’ Affairs (DVA) wishes, through this survey, to identify ways that it can improve its partnership with health care providers and hence the overall health outcomes for veterans and war widows. The questions in this survey relate only to health services funded by DVA. Please note that the term “veterans and war widows” used in this questionnaire refers to holders of Repatriation health and pharmaceutical cards, including Gold, White and Orange card holders. The survey covers a sample of general practitioners, medical specialists, dentists, optometrists, community nurses, pharmacists, allied health professionals, public hospitals, private hospitals and Veterans’ Home Care assessment and service provider organisations who provide health care services to veterans and war widows under DVA arrangements. Newton Wayman Chong (NWC) has been contracted by DVA to conduct the survey. Your answers are completely confidential and no individual respondent will be identified to DVA staff or anybody else other than NWC staff working on the survey. Once the survey data is compiled, your form will be destroyed. Where you are responding on behalf of an organisation, please consult with the relevant persons in your organisation who deal with veterans and war widows / DVA. Please note that the survey may take about 15 minutes to complete and that participation is voluntary. If you want to know more about this survey, or have any difficulties in completing the form, please ring NWC’s toll free number 1800 505 185 between 9am and 5pm, Monday to Friday. How do I complete this form? Answer each question by placing a tick () in the answer box which applies to you. Some questions allow more than one box to be ticked, and are clearly marked, otherwise tick one box only. Sometimes you will be asked to write your answer on the lines provided. Arrows like this () tell you if you have to skip questions. DK/NA refers to Don’t Know/Not Applicable responses. Where do I send the form? Please place the completed form in the Reply Paid envelope provided and post it back to NWC, Skipping Girl Place, 651 Victoria Street, Abbotsford, Victoria, 3067, no later than Friday, 5th September, 2003. Thank you for your help in this survey. Please start with Q1 below. 1. Approximately, what percentage of your clients are veterans and war widows? Tick Box <1% 1-9% 10-19% 20-49% 50-100% 1 2 3 4 5 2. Would you say you spend more, about the same OR less professional time with veterans and war widows, compared with other people of similar ages? More time About the same Less time Don’t know 02474.QRE.V2 1 2 3 9 Page 1 3a. Would you say you spend more, about the same OR less administrative time with veterans and war widows, compared with other people of similar ages? More time About the same Less time Don’t know 1 2 3 9 3b. Why is that? ...................................................................................................................................................................................... ...................................................................................................................................................................................... ...................................................................................................................................................................................... 4. Overall, how would you rate your level of knowledge of …? (Tick one box for each statement) Very Good (a) Veterans & war widows entitlements under the DVA health system (b) The entitlement differences between DVA Gold &White card holders Good Fair Very Poor Poor DK/NA 1 2 3 4 5 9 1 2 3 4 5 9 COMMUNICATION BY PROVIDER WITH DVA 5. Based on your dealings with DVA medical/dental/health professional advisers over the last 12 months, to what extent do you agree or disagree with the following statements? (Tick one box for each statement below) Strongly Agree (a) (b) (c) (d) (e) (f) They are easy to contact They understand my needs They respond in a timely fashion They understand the needs of veterans & war widows Their decisions/advice are appropriate They are consistent in providing feedback Agree Neither Agree Nor Disagree Disagree Strongly Disagree DK/NA 1 2 3 4 5 9 1 2 3 4 5 9 1 2 3 4 5 9 1 2 3 4 5 9 1 2 3 4 5 9 1 2 3 4 5 9 6. In your dealings with DVA administrative staff over the last 12 months, to what extent do you agree or disagree with the following statements? (Tick one box for each statement below) Strongly Agree (a) (b) (c) (d) (e) (f) They are easy to contact They understand my needs They respond in a timely fashion They understand the needs of veterans & war widows Their decisions/advice are appropriate They are consistent in providing feedback 02474.QRE.V2 Agree Neither Agree Nor Disagree Disagree Strongly Disagree DK/NA 1 2 3 4 5 9 1 2 3 4 5 9 1 2 3 4 5 9 1 2 3 4 5 9 1 2 3 4 5 9 1 2 3 4 5 9 Page 2 COMMUNICATION BY DVA WITH PROVIDERS 7a. How satisfied are you that your information needs from DVA are being met? Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied 1 2 3 4 5 7b. Why do you say that? ...................................................................................................................................................................................... ...................................................................................................................................................................................... ...................................................................................................................................................................................... 8. To what extent do you read the DVA magazine Veterans’ Health? Read it thoroughly Read sections of interest only Skim read only Don’t receive it Receive it, but don’t read it 1 2 3 (GO TO Q11) 4 (GO TO Q11) 5 9. Do you find the magazine ….? Very informative Quite informative Neither informative nor uninformative Not very informative Not at all informative 1 2 3 4 5 11. How often do you access the DVA website? About once a week Every two to three weeks About once a month Less than once a month Not at all/never Not aware of DVA website 1 2 3 4 (GO TO Q13) 5 (GO TO Q13) 5 12. Do you find the information on the DVA’s website to be …? Very informative Quite informative Neither informative, nor uninformative Very informative Not at all informative 02474.QRE.V2 1 2 3 4 5 Page 3 13. If available, would you use E-Commerce technology (e.g. electronic claims/billing etc) to conduct business with DVA? Yes Possibly No Already conduct business with DVA using E-Commerce 1 2 3 4 14. What is your most preferred method of receiving information from DVA? (Tick only box only) Mail Telephone Fax Email In person 1 2 3 4 5 15. Based on your experience with DVA over the last 12 months, to what extent do you agree or disagree with the following statements? (Tick one box for each statement below. For those statements that may not apply, please tick “Not Applicable”). Strongly Agree (a) DVA forms are easy to complete ............................................... (b) DVA administrative procedures are too complicated ................. (c) DVA administrative procedures result in unnecessary delays in the provision of treatment .......................................................... (d) DVA administrative procedures impact adversely on the efficient running of my business ................................................. (e) There is too much paper work associated with treating DVA veterans & war widows .............................................................. (f) DVA are prompt in their payment for services for DVA veterans & war widows ............................................................................. (g) DVA administrative procedures have improved over the last 12 months ....................................................................................... (h) DVA forms could be shorter and more to the point .................... (i) The introduction of GST on DVA services has increased workloads significantly ............................................................... (j) DVA programs encourage veterans & war widows to lead a healthy lifestyle .......................................................................... (k) DVA arrangements for admission to hospital improve the health outcomes for veterans & war widows .............................. (l) I am very satisfied with the current referral arrangements ......... 02474.QRE.V2 Agree Neither Agree Nor Disagree Disagree Strongly Disagree Don’t know NA 1 2 3 4 5 6 9 1 2 3 4 5 6 9 1 2 3 4 5 6 9 1 2 3 4 5 6 9 1 2 3 4 5 6 9 1 2 3 4 5 6 9 1 2 3 4 5 6 9 1 2 3 4 5 6 9 1 2 3 4 5 6 9 1 2 3 4 5 6 9 1 2 3 4 5 6 9 9 Page 4 DISCHARGE PLANNING Discharge planning processes ensure that arrangements for care and support are in place when the veteran is discharged from hospital. 16. Have you participated in the hospital discharge planning process for veterans and war widows in the last 12 months? Yes No (but could potentially be involved) Not applicable (to me at all) (GO TO Q17a) 1 (GO TO Q17b) 2 (GO TO Q20) 9 17a. At what stage were you involved in the discharge planning process? (Tick any boxes that apply). At the pre-admission stage During the hospital stay At the discharge stage Post discharge (GO TO Q18a) 1 (GO TO Q18a) 2 (GO TO Q18a) 3 (GO TO Q18a) 4 17b. Why haven’t you participated in any of the hospital discharge planning processes? ...................................................................................................................................................................................... ...................................................................................................................................................................................... ...................................................................................................................................................................................... 18a. Do you think that discharge planning arrangements are having a positive impact on the health outcomes of DVA veterans and war widows? Yes Somewhat No Don’t know (GO TO Q19) 1 (GO TO Q18b) 2 (GO TO Q18b) 3 (GO TO Q19) 4 18b. What changes do you think DVA could make to improve the arrangements ? .................................................................................................................................................................................... .................................................................................................................................................................................... .................................................................................................................................................................................... 19. Do you use the DVA discharge planning manual? Yes, all or most of the time Yes, sometimes Rarely Never Wasn’t aware of it 02474.QRE.V2 1 2 3 4 5 Page 5 DVA SPONSORED EDUCATION ON MENTAL HEALTH ISSUES 20. Have you attended a DVA sponsored education workshop on the mental health issues of veterans? Yes No 1 (GO TO Q22) 2 21. In terms of meeting the needs of your veteran clients, how useful did you find the workshop? Very useful Quite useful Neither useful, nor not very useful Not very useful Not at all useful 1 2 3 4 5 DVA TRANSPORT ENTITLEMENTS 22. Are you involved in arranging transport under DVA transport entitlements for veterans or war widows? Yes No Not applicable 1 (GO TO Q27a) 2 (GO TO Q27a) 9 23. How often do you get involved in arranging transport for veterans or war widows? Very often Quite often Occasionally Not very often Never 1 2 3 4 5 24. How frequently do you complete a “Claim for Travelling Expenses” (D800) form to certify attendance by a veteran or war widow? Never Less than one per week Between 1 and 5 per week Between 6 and 10 per week Between 11 and 20 per week More than 20 per week 1 2 3 4 5 6 25. Based on your experience with DVA over the last 12 months, how satisfied are you with the level of information that DVA provides to you in relation to travel? Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied 02474.QRE.V2 1 2 3 4 5 Page 6 26. Based on your experience with DVA over the last 12 months, how satisfied are you with the information you are required to provide on the D800 form? Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied Not Applicable 1 2 3 4 5 9 GENERAL 27a. To what extent do you agree or disagree that DVA service arrangements are having a positive impact on the health outcomes of veterans and war widows? Strongly agree Agree Neither agree, nor disagree Disagree Strongly disagree 1 2 3 4 5 27b. Why do you say that? .................................................................................................................................................................................... .................................................................................................................................................................................... .................................................................................................................................................................................... 28a. Overall, how satisfied are you with the service provided to you by DVA? Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied 1 2 3 4 5 28b. Why do you say that? .................................................................................................................................................................................... .................................................................................................................................................................................... .................................................................................................................................................................................... 29. Has this service provided by DVA improved, deteriorated or not changed over the last 12 months? Improved Deteriorated Remained about the same/no change 02474.QRE.V2 1 2 3 Page 7 30. Compared with other funding bodies (e.g. private health funds), how would you rate DVA’s overall performance in its dealings with you? Much better Slightly better Neither better, nor worse Worse Much worse Not applicable 1 2 3 4 5 9 31. Based on your experience with DVA over the last 12 months, to what extent do you agree or disagree that DVA fee levels are appropriate? Strongly agree Agree Neither agree, nor disagree Disagree Strongly disagree 1 2 3 4 5 32. Aside from fees, what is the main change that DVA could make in order to build a better business relationship with you? .................................................................................................................................................................................... .................................................................................................................................................................................... .................................................................................................................................................................................... 33. What is the main change that DVA should make in order to improve the health outcomes for veterans and war widows? .................................................................................................................................................................................... .................................................................................................................................................................................... .................................................................................................................................................................................... 02474.QRE.V2 Page 8 34. Which of the following best describes you? Tick one box below. LMO/GP Medical Specialist Hospital Discharge planner Hospital Accounts Manager Dentist Dental Prosthetist Community nurse Pharmacist Optometrist Occupational Therapist Podiatrist Other Allied Health provider Veteran’s Home Care Service Assessor Veteran’s Home Care Service Provider Other (please write in) ........................................................................................................................................................................... 1 2 3 4 5 6 7 8 9 10 11 12 13 14 35. Which of the following best describes your hospital/clinic? Public Teaching Hospital Other Public Hospital Private Hospital Private Day Procedure Centre Not Applicable 1 2 3 4 9 36. And where are you located? Sydney Other NSW Melbourne Other Victoria Brisbane Other Queensland Adelaide Other SA/ 1 2 3 4 5 6 7 Perth Other WA Hobart Other Tasmania Darwin Other NT ACT 9 10 11 12 13 14 15 8 THANK YOU FOR COMPLETING THIS SURVEY Approximately how long did it take you to complete this questionnaire? Write in box Minutes Please place your completed survey form in the Reply Paid envelope provided and post it back to NWC: Skipping Girl Place, 651 Victoria Street, Abbotsford, Melbourne VIC 3067 By Friday, 5th September, 2003 02474.QRE.V2 Page 9 PHARMACY QUESTIONS 37. Do you counsel your veteran clients personally when they collect their medication? Always Often Seldom Never (GO TO Q39) 1 (GO TO Q39) 2 (GO TO Q38) 3 (GO TO Q38) 4 38. What are the main barriers to you providing a personalised counselling service to veterans and war widows? (Please tick any that apply) Don’t have the time Lack of remuneration for the service Not enough qualified staff Lack of an appropriate counselling area Clients are not interested or would be resistant to the service Other (write in) 1 2 3 4 5 ............................................................................................................................................................................................................. 39. Are you aware of the following services and information resources? (Please tick any that apply) DVA State Office Pharmacy advisors MediWise-Wise use of Medicines presentation MediList Medication Record Card DVA sponsored PSA Fact Sheets So You’re Going to Hospital Brochure None of the above 1 2 3 4 5 6 40. Have you accessed any of the following DVA services and information resources? (Please tick any that apply) DVA State Office Pharmacy advisors MediWise-Wise use of Medicines presentation MediList Medication Record Card DVA sponsored PSA Fact Sheets So You’re Going to Hospital Brochure None of the above 1 2 3 4 5 6 41. What services would you like to see initiated by DVA to assist you in providing veterans and war widows with personalised pharmaceutical care? .................................................................................................................................................................................. .................................................................................................................................................................................. THANK YOU FOR COMPLETING THIS SURVEY Approximately how long did it take you to complete this questionnaire? Write in box Minutes Please place your completed survey form in the Reply Paid envelope provided and post it back to NWC: Skipping Girl Place, 651 Victoria Street, Abbotsford, Melbourne VIC 3067 By Friday, 5th September, 2003 02474.QRE.V2 Page 10 VETERANS HOME CARE QUESTIONS 42. Do you think that the introduction of the Veterans’ Home Care (VHC) program has resulted in overall benefits to DVA clients? Yes 1 No 2 Don’t know 9 43. Based on your experience with VHC over the last 12 months, to what extent do you agree or disagree with the following statements. (Tick one box for each statement below) (a) The VHC program has had a positive impact on client access to care Strongly Agree Agree Neither Agree Nor Disagree Disagree Strongly Disagree Don’t know 1 2 3 4 5 9 1 2 3 4 5 9 1 2 3 4 5 9 (d) DVA has provided adequate administrative and management support 1 2 3 4 5 9 (e) DVA’s policy guidelines and system manuals are short and to the point 1 2 3 4 5 9 1 2 3 4 5 9 (g) DVA’s policy guidelines and system manuals are very useful 1 2 3 4 5 9 (h) DVA’s policy guidelines and system manuals are easy to understand 1 2 3 4 5 9 1 2 3 4 5 9 1 2 3 4 5 9 (b) The VHC program has had a positive impact on the health/well-being of VHC clients (c) (f) (i) (j) The VHC program has had a positive impact on carers’ access to support Performance of the VHC information technology (IT) system has improved through the year It is frustrating dealing with DVA regarding VHC system issues Participating in the VHC program has been financially worthwhile for you/your organisation THANK YOU FOR COMPLETING THIS SURVEY Approximately how long did it take you to complete this questionnaire? Write in box Minutes Please place your completed survey form in the Reply Paid envelope provided and post it back to NWC: Skipping Girl Place, 651 Victoria Street, Abbotsford, Melbourne VIC 3067 By Friday, 5th September, 2003 02474.QRE.V2 Page 11 COMMUNITY NURSING QUESTIONS 44. In terms of helping you provide community nursing services to veterans and war widows, please rate the usefulness for each of the section of the Community Nursing Guidelines. (Tick one box for each section below) Of Some Use Useful (a) (b) (c) (d) (e) (f) (g) (h) (i) (j) The Deed Selection of a community nursing provider Eligibility for service Standards and Quality Client Classification System Exceptional Case System Claims and payments Data and reporting Best practice Other DVA Services No Use At All DK/NA 1 2 3 9 1 2 3 9 1 2 3 9 1 2 3 9 1 2 3 9 1 2 3 9 1 2 3 9 1 2 3 9 1 2 3 9 1 2 3 9 45. What else would you like to see included in the Guidelines? .................................................................................................................................................................................... .................................................................................................................................................................................... .................................................................................................................................................................................... 46. Do you find the Community Nursing Circular valuable? Yes No Don’t receive it 1 2 3 47. How satisfied are you with each of the following elements of the DVA Community Nursing Program? Tick one box for each element below. Very Satisfied (a) (b) (c) (d) (e) (f) (g) Referral for service Classification system 28 day payment period Claim and minimum data set information Claiming mechanisms Audit processes Exceptional Case claims Neither Satisfied Nor Dissatisfied Satisfied Dissatisfied Very Dissatisfied DK/NA 1 2 3 4 5 9 1 2 3 4 5 9 1 2 3 4 5 9 1 2 3 4 5 9 1 2 3 4 5 9 1 2 3 4 5 9 1 2 3 4 5 9 48. For any elements that you are “Dissatisfied” with, please write in the reasons for this dissatisfaction. .................................................................................................................................................................................... .................................................................................................................................................................................... .................................................................................................................................................................................... 02474.QRE.V2 Page 12 49. How useful have you found the following sources to be when you have needed information about the DVA Community Nursing Program requirements? Tick one box for each source below. Very Useful (a) (b) (c) (d) (e) (f) (g) (h) (i) (j) Community nursing advisors DVA State office administrative staff Community nursing guidelines DVA Internet site DVA National Office Nursing Services Package (NSP) help desk Other community nursing providers The Community Nursing Circular Referral agencies Other (please write in) Neither Useful, Nor Not Very Useful Quite Useful Not Very Useful Not at all useful Don’t know/ Can’t Say 1 2 3 4 5 9 1 2 3 4 5 9 1 2 3 4 5 9 1 2 3 4 5 9 1 2 3 4 5 9 1 2 3 4 5 9 1 2 3 4 5 9 1 2 3 4 5 9 1 2 3 4 5 9 ...................................................................................... ...................................................................................... THANK YOU FOR COMPLETING THIS SURVEY Approximately how long did it take you to complete this questionnaire? Write in box Minutes Please place your completed survey form in the Reply Paid envelope provided and post it back to NWC: Skipping Girl Place, 651 Victoria Street, Abbotsford, Melbourne VIC 3067 By Friday, 5th September, 2003 02474.QRE.V2 Page 13