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MQii Telehealth Survey

Thank you for taking the time to complete this survey. This survey is intended to help us understand how your care team and/or facility were using telehealth prior to the COVID-19 pandemic and how these telehealth practices may have changed over this year. The information you provide will be extremely valuable in advancing nutrition care.

For this survey, telehealth refers to team consultation and conferencing, clinical service delivery, education, patient monitoring, and follow-up. It does not refer to patient scheduling or account management processes.

Please email malnutritionquality@avalere.com if you have any questions.

1. What is your current clinical designation? *This question is required.

Please enter an 'other' value for this selection.

2. Has your hospital treated any COVID-19 patients since February 1, 2020? *This question is required.

3. If you responded "yes" to Question #2, approximately how many cases of COVID-19 has/have your nutrition department(s) treated between February 1, 2020 and today? (If "no," please continue the survey; all responses are valuable)

Telehealth and Your Institution/System

4. What is your experience with telehealth prior to and during/after COVID-19 pandemic (February 1, 2020)? Please check the appropriate box.

Space Cell	Yes	No	Don't Know
Prior to the pandemic, did your institution provide access to telehealth?	Prior to the pandemic, did your institution provide access to telehealth?: Yes	Prior to the pandemic, did your institution provide access to telehealth?: No	Prior to the pandemic, did your institution provide access to telehealth?: Don't Know
During/after the pandemic, does your institution now provide access to telehealth?	During/after the pandemic, does your institution now provide access to telehealth?: Yes	During/after the pandemic, does your institution now provide access to telehealth?: No	During/after the pandemic, does your institution now provide access to telehealth?: Don't Know
Prior to the pandemic, had nutrition care been delivered to patients via telehealth?	Prior to the pandemic, had nutrition care been delivered to patients via telehealth?: Yes	Prior to the pandemic, had nutrition care been delivered to patients via telehealth?: No	Prior to the pandemic, had nutrition care been delivered to patients via telehealth?: Don't Know
During/after the pandemic, is there now access to nutrition care for patients via telehealth?	During/after the pandemic, is there now access to nutrition care for patients via telehealth?: Yes	During/after the pandemic, is there now access to nutrition care for patients via telehealth?: No	During/after the pandemic, is there now access to nutrition care for patients via telehealth?: Don't Know
Prior to the pandemic, had you personally used a form of telehealth to deliver patient care?	Prior to the pandemic, had you personally used a form of telehealth to deliver patient care?: Yes	Prior to the pandemic, had you personally used a form of telehealth to deliver patient care?: No	Prior to the pandemic, had you personally used a form of telehealth to deliver patient care?: Don't Know
During/after the pandemic, have you personally used a form of telehealth to deliver patient care?	During/after the pandemic, have you personally used a form of telehealth to deliver patient care?: Yes	During/after the pandemic, have you personally used a form of telehealth to deliver patient care?: No	During/after the pandemic, have you personally used a form of telehealth to deliver patient care?: Don't Know

5. If you responded “yes” to Question 4, what forms of telehealth have/has your institution and/or you used for provision of clinical services? Check all that apply.

Space Cell	Institution Used Prior to COVID-19	Institution Used During/After COVID-19	You Used Prior to COVID-19	You Used During/After to COVID-19
Live video conferencing	Live video conferencing: Institution Used Prior to COVID-19	Live video conferencing: Institution Used During/After COVID-19	Live video conferencing: You Used Prior to COVID-19	Live video conferencing: You Used During/After to COVID-19
Phone calls	Phone calls: Institution Used Prior to COVID-19	Phone calls: Institution Used During/After COVID-19	Phone calls: You Used Prior to COVID-19	Phone calls: You Used During/After to COVID-19
Web-based portals	Web-based portals: Institution Used Prior to COVID-19	Web-based portals: Institution Used During/After COVID-19	Web-based portals: You Used Prior to COVID-19	Web-based portals: You Used During/After to COVID-19
Remote patient monitoring	Remote patient monitoring: Institution Used Prior to COVID-19	Remote patient monitoring: Institution Used During/After COVID-19	Remote patient monitoring: You Used Prior to COVID-19	Remote patient monitoring: You Used During/After to COVID-19
Not applicable	Not applicable: Institution Used Prior to COVID-19	Not applicable: Institution Used During/After COVID-19	Not applicable: You Used Prior to COVID-19	Not applicable: You Used During/After to COVID-19
Enter another option	Other: Institution Used Prior to COVID-19	Other: Institution Used During/After COVID-19	Other: You Used Prior to COVID-19	Other: You Used During/After to COVID-19

6. Have your telehealth platforms/technologies changed over time since the start of the pandemic (February 1, 2020)?

7. If you answered "yes" to Question 6, what are your prior and current forms of telehealth technology?

Prior technology (eg, FaceTime)
Current technology (eg, Zoom)

8. Is telehealth allowing you to perform your job duties effectively? Why or why not?

9. What were patients/families’ reactions to telehealth prior to and during/after the COVID-19 pandemic? Please check the appropriate boxes to indicate your answer.

Space Cell	They like it and use it	They are indifferent toward it	They do not like it or want to use it	Don’t know
Prior to COVID-19	Prior to COVID-19: They like it and use it	Prior to COVID-19: They are indifferent toward it	Prior to COVID-19: They do not like it or want to use it	Prior to COVID-19: Don’t know
During/after COVID-19	During/after COVID-19: They like it and use it	During/after COVID-19: They are indifferent toward it	During/after COVID-19: They do not like it or want to use it	During/after COVID-19: Don’t know

10. Do you anticipate that your institution/system might permanently adopt the changes in telehealth it has implemented after the pandemic has resolved?

11. Why or why not might your institution/system permanently adopt the changes in telehealth that it has implemented?

Telehealth and Nutrition Care

12. What types of nutrition care have your team and/or you been able to provide via telehealth? Check all that apply.

Space Cell	Team Provides Via Telehealth	You Provide Via Telehealth
Nutrition screening	Nutrition screening: Team Provides Via Telehealth	Nutrition screening: You Provide Via Telehealth
Nutrition assessment	Nutrition assessment: Team Provides Via Telehealth	Nutrition assessment: You Provide Via Telehealth
Nutrition care plan development	Nutrition care plan development: Team Provides Via Telehealth	Nutrition care plan development: You Provide Via Telehealth
Nutrition counseling	Nutrition counseling: Team Provides Via Telehealth	Nutrition counseling: You Provide Via Telehealth
Nutrition education	Nutrition education: Team Provides Via Telehealth	Nutrition education: You Provide Via Telehealth
Nutrition discharge planning	Nutrition discharge planning: Team Provides Via Telehealth	Nutrition discharge planning: You Provide Via Telehealth
Nutrition supplementation recommendation	Nutrition supplementation recommendation: Team Provides Via Telehealth	Nutrition supplementation recommendation: You Provide Via Telehealth
Not applicable	Not applicable: Team Provides Via Telehealth	Not applicable: You Provide Via Telehealth
Enter another option	Other: Team Provides Via Telehealth	Other: You Provide Via Telehealth

13. Has telehealth impacted the overall nutrition care provided to COVID-19 patients and non-COVID-19 patients in your institution?

14. If you answered "yes" to Question 13, how has telehealth impacted overall nutrition care?

15. What are some positive effects nutrition care via telehealth is having on you, your colleagues, and/or patients/families?

16. What are the most important challenges/negative effects that you have frequently encountered in providing quality nutrition care via telehealth to your patients via?

17. What workarounds or alternative care approaches have you and/or your team implemented in response to those challenges?

18. What improvements could be made to increase the effectiveness of nutrition care delivered via telehealth?

General Information

19. Please describe your healthcare institution.

Academic teaching institution (yes/no)
Size/number of patient beds
Specialty institution (if yes, specify)
Urban or rural
Part of health system (yes/no)

20. We would appreciate any other information or observations you may have about the response of hospital nutrition departments to the COVID-19 pandemic. If you would be willing to have a short conversation with one of our team members, please check “yes” below. You may also add comments below.

Please enter an 'other' value for this selection.

21. If you responded "yes" to Question 20, please provide your name, institution, email address, and the best phone number to reach you.

Name
Institution
Phone number
Email address