Form 1 DLM Stakeholder Perception Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)

DLM Stakeholder Perception Survey_ OMB Request_FINAL

Department of Laboratory Medicine Operational Review: 2020 Stakeholder Perception Survey of Services (CC)

OMB: 0925-0648

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Welcome to My Survey

OMB No.0925-0648, Expiration Date: 05/2021
Public reporting burden for this collection of information is estimated to average 2 minutes per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may
not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a current valid OMB control number.
Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to:
NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0648). Do not return the completed form to
this address.

In an effort to ensure that the Clinical Center Department of Laboratory Medicine is providing high
quality services to Institute and Clinical Center investigators, and clinical staff, we ask that you please
take a few moments to provide us with your perceptions of these services.
Thank You,
Karen M Frank MD, PhD, D(ABMM)
Chief, Department of Laboratory Medicine
1. Please indicate your institute affiliation.
Clinical Center

National Institute of Environmental Health Sciences

National Cancer Institute

National Institute on Mental Health

National Center for Complementary and Alternative Medicine

National Institute on Minority Health and Health Disparities

National Eye Institute

National Institute of Neurological Disorders and Stroke

National Heart, Lung and Blood Institute

National Institute of Nursing Research

National Human Genome Research Institute

National Institute of Biomedical Imaging and Bioengineering

National Institute of Aging

Eunice Kennedy Shriver National Institute of Child Health and
Human Development

National Institute on Alcohol Abuse and Alcoholism
National Institute of General Medical Sciences
National Institute of Allergy and Infectious Diseases
National Institute of Neurological Disorders and Stroke
National Institute of Arthritis and Musculoskeletal and Skin
Diseases

Center for Information Technology

National Institute of Child Health and Human Development

Center for Scientific Review

National Institute on Drug Abuse

Fogarty International Center

National Institute on Deafness and Other Communication
Disorders

National Center for Advancing Translational Sciences
National Center for Complementary and Integrative Health

National Institute of Dental and Craniofacial Research
Other
National Institute of Diabetes and Digestive and Kidney
Diseases

2. Please provide your professional designation:
Physician

Physician Assistant

Nurse Practitioner

Nurse

Other (please specify)

3. How frequently do you use the Department of Laboratory Medicine Services?
Daily
Weekly
Monthly
Never

4. Please rate the accuracy and reliability of clinical test results for each section below.
Excellent

Good

Adequate

Poor

N/A

Chemistry
Hematology
Immunology
Microbiology
Evening Shift (3-11PM)
Night Shift (11PM-7AM)
Weekend Shift

5. In your opinion, how often does each section below meet the DLM published stat and routine turnaround
times for clinical testing?
Always
Chemistry
Hematology
Immunology
Microbiology
Evening Shift (3-11PM)
Night Shift (11PM-7AM)
Weekend Shift

Almost Always

Sometimes

Almost Never

Never

6. Regarding the DLM Outpatient Phlebotomy Service, please rate your satisfaction with each section below.
Very satisfied

Somewhat satisfied

Neutral

Somewhat
unsatisfied

Very unsatisfied

Professionalism of the
front desk personnel
during check-in.
Professionalism of the
phlebotomists during
sample collection.
Phlebotomist collection
of all ordered samples as
indicated.
Quality and timeliness of
phlebotomist
communication with the
clinical team.

7. How often were your phone calls to the DLM areas listed below answered promptly and professionally, and
your questions answered without multiple transfers?
Always

Almost Always

Sometimes

Almost Never

Never

Chemistry
Hematology
Immunology
Microbiology
Phlebotomy
Evening Shift (3-11PM)
Night Shift (11PM-7AM)
Weekend Shift

8. Do you use the Department of Laboratory Medicine Website (http://intranet.cc.nih.gov/dlm) to access
information about specimen collection, specimen transport, and test reports?
Yes
No

9. If you answered yes to question # 8, how satisfied are you with the DLM website?
Very satisfied
Content
Ease of navigation
Accuracy of information

Somewhat satisfied

Neutral

Somewhat
unsatisfied

Very unsatisfied

10. Does the current DLM test menu meet the clinical needs of your patients?
Yes
No

11. Please rate your overall satisfaction with the Department of Laboratory Medicine.
Very satisfied

Somewhat unsatisfied

Somewhat satisfied

Very unsatisfied

Neutral

12. Please provide any additional feedback about how the Department of Laboratory Medicine can better
meet your needs.


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File TitleView Survey
File Modified2020-02-24
File Created2020-02-20

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