There are no Question(s) to answer in this category.

» Please enter your first and last name *   (Maximum 1000 characters)

» What is your current role? *   (Maximum 1000 characters)

» What is the name of your organization? *   (Maximum 1000 characters)

» Where is the location of your main office? *   (Maximum 1000 characters)

» How many office are there in your organization? * sites

» How many Care Providers (MDs, NPs, PAs) are there in your organization? *   (Maximum 1000 characters)

» Please list all the specialties represented by your organization. * (Maximum 1000 characters)

There are no Question(s) to answer in this category.

» Does your organization offer Video Office Visits to your patients? *   Yes   No

» What product does your organization use? *   (Maximum 1000 characters)

» What are the top 3 reasons for adopting this technology? (Check top 3) * Payer reimbursement Competing practices are using it Improved patient outcomes Care provider demand Retain patient population Patient demand Aditional revenue stream   Other:  (Maximum 250 characters)

» Please rank the clinical value of the solution that you have. *   Low   Medium   High

» What are the clinical benefits that you receive? (Check top 3) * Patient visit frequency Increased overall patient communication Improved health outcomes Reduced ER or Urgent Care visits Increased frequency of patient visits Increased time savings per visit Consistency of patient access to care provider, e.g. when patient travels, moves, etc.   Other:  (Maximum 250 characters)

» Please rank the financial value of the solution that you have. *   Low   Medium   High

» What are the financial benefits that you receive? (Check top 3) * Cost savings for the health system, e.g. if particpating in ACO or shared risk Increased payer reimbursement Patient retention New revenue model Time savings per patient visit Administrative cost savings for the practice, e.g. facility and staff costs   Other:  (Maximum 250 characters)

» What are the top benefits that your patients receive? (Check top 2) * Price of a CoC compared to ER/Urgent Care visit Convenience of meeting remotely Ability to be seen quickly Consistency of access to care provider, e.g. when patient travels or moves   Other:  (Maximum 250 characters)

» What % of your care providers use Video Office Visits? *   0-25 %   25-50 %   50-75 %   75-100 %

» If GE could offer comparable capabilities to the solution you are using today, what is the likelihood that you would switch solutions? *   Not likely   Somewhat likely   Highly likely

» How strongly would you like GE to develop similar capabilities to what you have today? *   Not strongly   Moderately   Strongly Explain/Comment:  (Maximum 1000 characters)

» GE is looking to partner with clients to develop a Video Office Visit solution – would you be willing to work with us? *   Yes   No

» At what level would you be interested in participating? (Check all that apply) *   Webinar   Survey   Workgroup and feedback sessions

» Contact email *   (Maximum 1000 characters)

» Have you investigated Video Office Visit (VoV) solutions in the past? *   Yes   No

» Why didn't you purchase? (Check all that apply) * Complexity of use Lack of reimbursement models Price Solution was not integrated with EMR Lack of interest from your Care Providers Lack of certified technology Lack of interest from your patients Complexity of installation   Other:  (Maximum 250 characters)

» Why not? (Check all that apply) * Lack of clarity on ROI (not clear what payers will cover) Lack of interest from Care Providers Never thought about it No solution offered by GE Lack of interest from patients No time It's not clear what it can do for me   Other:  (Maximum 250 characters)

» If true for your practice, do any of the following statements make it likely that you would consider adopting a GE VoV solution? - VoV reimbursement is comparable to in-person visits in your state Link - VoVs can reduce the cost of care by reducing ER, urgent care and primary care office visits Link - VoVs can help to reduce patient attrition (patient frequently travels, patient moves to college, etc.) - VoVs can reduce administrative overhead of in-person visits (office space, room prep, etc.) - VoVs can provide an additional revenue stream, even if not covered by insurance (patients are willing to pay out-of-pocket for the convenience) - VoVs can improve patient satisfaction  *   Not likely   Likely   Highly likely

» Which ones? (Check top 3) * VoV reimbursement is comprable to in-person visits in your state Link VoVs can reduce the cost of care by reducing ER, urgent care and primary care office visits Link VoVs can help to reduce patient attrition (patient frequently travels, patient moves to college, etc.) VoVs could reduce administrative overhead of in-person visits (office space, room prep, etc.) VoVs could provide an additional revenue stream, even if not covered by insurance (patients willing to pay out-of-pocket for convenience) VoVs can improve patient satisfaction

» Over what time frame would you consider investing in a solution like this? *   1 year or less   2 years   3 years or more   None

» Which of the following VoV benefits is most important to your organization? (Check top 3) * New patients Administrative cost reduction (compared to in-person visit) Follow up management Scheduling with patients who are far from the office Competitive advantage Chronic care management New revenue model (patients pay out of pocket) Integration with devices Cost of care reduction (reduced urgent care/emergency room visits) Payer reimbursement   Other:  (Maximum 250 characters)

» Do any of your Care Providers individually use Video Office Visits with their patients, even if not offered by your organization? *   Yes   No

» GE is looking to partner with clients to develop a Video Office Visit solution - would you be willing to work with us? *   Yes   No

» At what level would you be interested in participating? (Check all that apply) *   Webinar   Survey   Workgroup and feedback sessions

» Contact email *   (Maximum 1000 characters)

» Addition Comments (Maximum 1000 characters)