NH Medical Society NH Physician Survey September 11, 2013 UNH - - PowerPoint PPT Presentation
NH Medical Society NH Physician Survey September 11, 2013 UNH Survey Center Methodology UNH Survey Center conducted a web survey of New Hampshire physicians for the New Hampshire Medical Society (NHMS). Email invitations were sent to
email address.
66% members of NHMS
72% male
13% under 40 21% 40-49 49% 50-64 17% 65 and Older
52% hospital or health system 21% individual group practice 15% self-employed.
19% internal medicine
14% surgery 13% family medicine
14% in solo practice 21% 2 – 4 physicians 23% 5 – 10 physicians 13% 11 – 20 physicians 29% more than 20 physicians
35% Democrats 18% Independents – lean Democrat
16% Independent 13% Independent – lean Republican 18% Republican
31% 53%
High support but low importance for NHMS to take a position
– Gun violence – Improving education – Developing disabilities in education – Taxes on alcohol and tobacco – Other environmental health concerns
High support and high importance for NHMS to take a position
– Malpractice/tort reform – Mental health services – A no fault medical liability system – Health Information Technology – Medicaid expansion – Scope of practice issues
Plots the importance of NHMS taking a position on an issue with the position of physicians on the same issue. Low support and low importance for NHMS to take a position
– Restrictive or selective networks – Drug testing healthcare workers – Addressing health effects of climate change – Integrating alternative medicine Low support but high importance for NHMS to take a position
– Medicaid managed care
Malpractice/tort reform No fault medical liability system Health Information Technology Restrictive or selective networks Medicaid Managed Care Medicaid Expansion Mental health services Improving education Developmental disabilities Addressing gun violence Health effects of climate change Other environmental health concerns Drug testing of healthcare workers Integrating alternative medicine Practice issues with non-physician providers Taxes on alcohol and tobacco 2 3 4 2 3.5 5
Importance NHMS Position Support
Developmental disabilities 2 3 4 2 3.5 5
Importance NHMS Position Support Non-members are more likely to feel it is very important that NHMS focuses on addressing developmental disabilities (and other disabilities) in education.
Malpractice/tort reform Medicaid Expansion Taxes on alcohol and tobacco 2 3 4 2 3.5 5
Importance NHMS Position Support
2% 1% 3% 3% 2% 3% 7% 10% 9% 14% 45% 1% 1% 1% 2% 2% 4% 5% 4% 8% 7% 12% 22% 17% 14% 2% 2% 1% 1% 1% 3% 5% 5% 6% 8% 9% 11% 11% 8% 16% 8%
0% 20% 40% 60% 80% 100% Raising Awareness of Health Effects to Climate Change Integrating Alternative Medicine With Traditional… Random Drug Testing of Healthcare Workers Addressing Developmental Disabilities in Education Addressing Other Environmental Concerns Improving the Overall Quality of Primary and Secondary… Taxes on Alcohol or Tobacco Addressing Gun Violence as a Public Health Issue Restrictive or selective networks Addressing Scope of Practice Issues With Respect to… Medicaid Managed Care The use of Health Information Technology Medicaid Expansion The development of a no fault medical liability system Improving Access to Mental Health Services Malpractice issues/tort reform Most Important Second Third
High support but low importance for NHMS to take a position – Empty High support and high importance for NHMS to take a position – Physician engagement in end of life care – More regulations on the possession of firearms including universal background checks
Plots the importance of NHMS taking a position on a particular issue against the position of physicians on the same issue.
Low support and low importance for NHMS to take a position – Therapeutic cannabis – Physician assisted suicide – Recreational marijuana – Death penalty – Legalized gambling Low support but high importance for NHMS to take a position – State-based single-payor system in NH
More gun regulations Engagement in end
Physician assisted suicide Medical Marijuana Marijuana decriminalization Legalized gambling Life in prison instead of death penalty State-based single payor system in NH 1.5 2.75 4 2 3.5 5
Importance NHMS Taking a Position
Physician Support
How prepared are you to implement the Affordable Care Act in 2014?
14% 39% 12% 9% 26% 15% 41% 14% 10% 21% 11% 35% 10% 8% 36%
0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% Very Prepared Somewhat Prepared Not Very Prepared Not At All Prepared Don't Know Overall Members Non-members
Do you have access to all of the information you need to navigate the changing healthcare regulation associated with the Affordable Care Act?
26% 29% 45% 29% 29% 42% 20% 29% 51%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Yes No Don't Know Overall Members Non-members
Support/Oppose
9% 10% 13% 16% 10% 16% 33% 30% 40% 43% 47% 18% 18% 16% 15% 26% 25% 24% 30% 21% 23% 20% 18% 16% 10% 13% 18% 18% 14% 14% 10% 8% 7% 13% 22% 7% 3% 15% 11% 6% 6% 9% 7% 6% 9% 12% 17% 3% 13% 12% 11% 5% 13% 13% 6% 33% 22% 37% 50% 18% 18% 12% 15% 7% 6% 14% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Physician compare Hospital acquired infection payment policy IPAB – Independent Payment Advisory Board Prevention Fund Physician value modifier ACOs – Accountable Care Organizations Sunshine policy Insurance Marketplace (Exchanges) Medicaid expansion Individual Mandate Regulation of health plans
Strongly Support Somewhat Support Neutral Somewhat Oppose Strongly Oppose Not Familiar With Provision
Blue=Democrats, Red=Republicans
Support/Oppose
9% 10% 13% 16% 10% 16% 33% 30% 40% 43% 47% 18% 18% 16% 15% 26% 25% 24% 30% 21% 23% 20% 18% 16% 10% 13% 18% 18% 14% 14% 10% 8% 7% 13% 22% 7% 3% 15% 11% 6% 6% 9% 7% 6% 9% 12% 17% 3% 13% 12% 11% 5% 13% 13% 6% 33% 22% 37% 50% 18% 18% 12% 15% 7% 6% 14% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Physician compare Hospital acquired infection payment policy IPAB – Independent Payment Advisory Board Prevention Fund Physician value modifier ACOs – Accountable Care Organizations Sunshine policy Insurance Marketplace (Exchanges) Medicaid expansion Individual Mandate Regulation of health plans
Strongly Support Somewhat Support Neutral Somewhat Oppose Strongly Oppose Not Familiar With Provision
Blue=Members, Red=Non-members
Support/Oppose
9% 10% 13% 16% 10% 16% 33% 30% 40% 43% 47% 18% 18% 16% 15% 26% 25% 24% 30% 21% 23% 20% 18% 16% 10% 13% 18% 18% 14% 14% 10% 8% 7% 13% 22% 7% 3% 15% 11% 6% 6% 9% 7% 6% 9% 12% 17% 3% 13% 12% 11% 5% 13% 13% 6% 33% 22% 37% 50% 18% 18% 12% 15% 7% 6% 14% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Physician compare Hospital acquired infection payment policy IPAB – Independent Payment Advisory Board Prevention Fund Physician value modifier ACOs – Accountable Care Organizations Sunshine policy Insurance Marketplace (Exchanges) Medicaid expansion Individual Mandate Regulation of health plans
Strongly Support Somewhat Support Neutral Somewhat Oppose Strongly Oppose Not Familiar With Provision
How familiar are you with New Hampshire’s medical malpractice screening panel system?
18% 39% 19% 24% 24% 45% 16% 14% 7% 25% 24% 44%
0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% Very Familiar Somewhat Familiar Not Very Familiar Not At All Familiar Overall Members Non-members
Do you support or oppose the current medical malpractice screening panel system?
52% 29% 18% 2% 0% 59% 28% 12% 1% 0% 33% 28% 37% 2% 0%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Strongly Support Somewhat Support Neutral Somewhat Oppose Strongly Oppose Overall Members Non-members
Does your practice have an Electronic Health Record system?
84% 16% 83% 17% 86% 14%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Yes No Overall Members Non-members
Do you agree or disagree with statements about EHR? 11% 25% 13% 21% 45% 24% 23% 28% 24% 41% 42% 41% 26% 32% 27% 23% 10% 22% 39% 14% 36% 15% 3% 13%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90%100%
Over 40 (n=508) Under 40 (n=71) Electronic Health Records help physicians be timely and efficient Over 40 (n=507) Under 40 (n=71) Electronic Health Records improve patient care
Strongly Agree Agree Somewhat Disagree Somewhat Strongly Disagree
4% 16% 17% 22% 26% 35% 43% 54% 21% 36% 39% 35% 36% 43% 36% 37% 34% 27% 26% 26% 26% 16% 15% 7% 41% 21% 18% 17% 12% 6% 6% 2% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90%100% I find my administrative care activities deeply satisfying My practice EHR allows me to better manage my
My practice EHR improves patient care/quality My work schedule leaves me enough time for my personal/family life EHR related work interferes with my ability to serve patients well. I find the practice of medicine deeply satisfying. Paperwork and other administrative issues interfere with my ability to serve patients well. I find my direct patient care activities deeply satisfying Strongly Agree Agree Somewhat Disagree Somewhat Strongly Disagree
How Satisfied Are You With Your Practice?
35% 43% 16% 6% 37% 41% 15% 7% 28% 46% 20% 6%
0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%
Very Satisfied Somewhat Satisfied Somewhat Dissatisfied Very Dissatisfied Overall Member Non-member
What percentage of your work time is spent in (average percentages)
1% 2% 1% 5% 11% 72% 1% 1% 2% 4% 11% 77% 2% 1% 1% 4% 11% 76%
0% 10%20%30%40%50%60%70%80%90% 100% Other Research Policy and Advocacy Work Teaching Formal Administrative Position Clinical Practice Overall Member Non-Member