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Questions marked with an * are required Exit Survey
 
 
Emergency Provision and Modification of Benefits and Service to Members
 
 
26. Are there contingencies in place to expand the following services to accommodate a surge in calls in the event of a disaster?
Yes No
* Nurse call lines
* Case management services
 
 
 
* 27. Do you have a process in place for provisional/emergency credentialing of providers?
 
Yes
 
No
 
Other
 
 
 
 
Emergency Provision and Modification of Benefits and Service to Members
 
 
28. In your experience, are there legal or regulatory barriers in place that hinder making changes in your business practices and policies during or after a disaster?
Yes No
* Federal legal or regulatory barriers
* State legal or regulatory barriers
* Local legal or regulatory barriers
 
 
 
Relationship with Other Health Care Stakeholders and Public Health Entities - National, State and Local
 
 
 
* 29. Do you share with emergency officials (e.g. state or local public health officials) any information on your contingency plans?
 
Yes
 
No
 
Other
 
 
 
30. Is it clear to you whom to call or notify within regulatory agencies in the event of a disaster or a public health emergency?
Yes No
* Federal agencies
* State agencies
* Local government
 
 
 
Relationship with Other Health Care Stakeholders and Public Health Entities - National, State and Local
 
 
 
* 31. How often do you update the list of emergency contacts with federal, state, local agencies and government?
 
Twice a year (or more often)
 
Annually
 
No set schedule
 
We do not maintain a formal list of emergency contacts
 
Other
 
 
 
 
* 32. Does your organization routinely participate in external (national, state or local) emergency preparedness drills and exercises?
 
Yes
 
No
 
 
 
Relationship with Other Health Care Stakeholders and Public Health Entities - National, State and Local
 
 
33. How often does your organization participate in external emergency preparedness drills and exercises?
Twice a year (or more often) Annually When available
* In national drills
* In state drills
* In local drills
 
 
 
Relationship with Other Health Care Stakeholders and Public Health Entities - National, State and Local
 
 
 
* 34. Please describe reasons for your plan's not participating in external emergency preparedness drills and exercises (Check all that apply)
 
No opportunities to participate
 
Limited resources (e.g., limited staffing etc.)
 
Other
 

 
 
 
Lessons Learned and Best Practices
 
 
 
* 35. As a second phase of the project, AHIP will do brief follow up interviews with some health plans, to gather more qualitative information regarding internal plan emergency preparedness and external multi-stakeholder emergency preparedness. Your response to these three questions would assist us in planning for Phase 2.


Is your organization interested in participating in a forum to share best practices and lessons learned?
 
Yes
 
No
 
Other
 
 
 
 
* 36. Are there are lessons learned from past experiences your organization would like to share?
 
Yes
 
No
 
Other
 
 
 
 
* 37. Are there disaster preparedness and response best practices that you would like to share? (If you want to share any documents, describing your disaster preparedness and response activities, you can send them to [email protected])
 
Yes
 
No
 
Other