Get Quality-in-sights® Primary Care Incentive Program 2011 Program Year Survey

Completing the Quality-In-Sights® Primary Care Incentive Program 2011 Program Year Survey is essential for your participation in the program. This guide provides clear, step-by-step instructions to assist you in filling out the survey accurately online.

Follow the steps to successfully complete the survey.

1. Press the ‘Get Form’ button to access the survey document and open it in your online editor.
2. Begin with Section I, General Group Information. Fill in the required details including your group name, Tax ID, and contact information.
3. Proceed to Section II, Definitions and Support Documentation. Provide information about eligible physicians and prepare your support documentation using the specified Excel workbook.
4. In Section III, External Recognition, indicate whether at least 25% of your eligible physicians have active recognitions in the various programs listed. If yes, specify which programs.
5. Continue to Section IV, Clinical Improvement. Answer whether any physicians participated in quality improvement activities during the measurement year and provide the necessary details.
6. In Section V, Care Systems, address whether your group has implemented electronic prescribing and other technologies, providing names and implementation dates where applicable.
7. Complete the Certification of Information Provided section only after reviewing all information. Ensure you provide your name, title, and date along with your signature.
8. Review the completed survey for accuracy. Save your changes, then download or print the survey for submission.
9. Finally, choose to submit the completed survey either via secure email or mail to the provided addresses, ensuring it is sent by the deadline of January 15, 2012.

Start filling out your survey online today to contribute to the Quality-In-Sights® Program.