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SATIS-PHI/CRC Preintervention Informal Interview Protocol

Name (Interviewee):

• Location:
• Address
• Telephone No.:
• Fax No.:
• E-Mail:
• Date:
• Interviewer:

Note to interviewer: The purpose of these informal interviews is to gather additional information or to provide clarification and followup to issues that were discussed (or not discussed) during a previous practice focus group. The interview script below includes questions that may or may not be asked, as it will serve as a guide rather than a script for the interviews.

[INSERT HERE: EXPLAIN WHY YOU ARE CONDUCTING THIS INTERVIEW]

Your decision to participate in this interview is voluntary. You may refuse to take part, or choose to stop, at any time. A decision to refuse to take part or to stop being a part of our discussion will not have a negative impact on you in any way. All information discussed today will be held in our confidence. Information you provide will be summarized and reported with the responses of others and will not be linked to you or any individual. There is no direct benefit from being interviewed; however, taking part may help identify strategies to improve colorectal cancer screening and followup in the future.

Do you have any questions about your participation in this interview? If you do not want to participate, please let me know at this time.

QUESTIONS

Note: Questions with an asterisk are higher priority.

Practice Perceptions

1. Does the practice have a mechanism to regularly schedule time to discuss medical processes and procedures?
2. Does the practice have an office policy toward the following (and please describe):
   • Colorectal cancer (CRC) screening?
   • CRC followup?
   • Reminding patients to get screened?
   • Patient chart audits?
   • Patient education?
3. * How is new information, such as new colorectal cancer screening guidelines, disseminated throughout the practice?
4. * Tell me about what kind of bottlenecks and/or challenges, if any, you experience in your colorectal cancer screening process?
5. • In your CRC tracking process?
6. Describe to me how your practice identifies patients who are eligible for screening?

If not already disclosed in #2 and if time permits

6. Can you walk me through the process in your practice for colorectal cancer screening?
   • Can you describe to me what is done at each step and who is responsible?
7. Can you walk me through the process in your practice for tracking colorectal cancer screening results?
8. Describe to me what happens if someone responsible for a step in the process is not available?
9. How are lab results communicated within the practice?

Fact-Based Questions (if not obtained elsewhere)

10. How would you characterize your practice?
    • Probe: Would you say it is: a solo practice, a practice with one other physician, a single-specialty group practice, a multispecialty group practice?
11. How many providers do you have in your practice?
    • How many support staff?
    • What types of facilities do you have available in your practice (e.g., exam rooms, x-rays)?
12. Can you describe to me the general patient population you serve (e.g., patient demographics)?
    • Are there providers at your practice who can communicate with patients whose first language is not English?
    • What are some of the main secondary languages spoken by patients and providers?
    • Are translator services available to patients?
13. What types of insurance do you accept?
14. If electronic medical records are used in your practice, describe to me how they are used.
15. What percentage of your patients are insured and uninsured?
16. What percentage of your patients are covered by managed care plans, such as an HMO or PPO?
17. What percentage of your patients are over 50 years of age?

Conclusion

18. Before we end are there any issues or topics that I have not brought up today that you would like to address?

*** Thank you very much for taking the time to talk with me today.***

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