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SUPPLEMENTARY DIGITAL CONTENT 1

Coordination of Specialty Care – Specialist Survey Version 2.0 (CSC – Specialist 2.0)

Items and Response Options

The CSC – Specialist Version 2.0 comprises four scales and 18 items.

Response options are listed below each item. Each item includes the following seven options:

 Never (N)

 Rarely – less than 10% of the time (R)

 Occasionally – about 30% of the time (O)

 Sometimes – about 50% of the time (S)

 Frequently – about 70% of the time (F)

 Usually – about 90% of the time (U)

 Always (A)

Ten items also include Not applicable and/or Not sure options.

Additional information for the CSC – Specialist 2.0 is available by contacting Varsha Vimalananda, MD, MPH at [email protected].

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Relationships Scale (6 items)

Items Response Options

1 When it was needed, how often did you feel that you and the referring PCC worked well together in caring for patients? (Q27)

N/R/O/S/F/U/A

Not applicable; during the last 3 months the referring PCC and I never needed to work together in caring for patients

2 How often did you feel that the referring PCC valued your

contribution in caring for patients? (Q28) N/R/O/S/F/U/A Not sure 3 When you made recommendations for care to the PCC,

how often were you confident that these

recommendations would be carried through? (Q30)

N/R/O/S/F/U/A

Not applicable; during the last 3 months I rarely or never gave

recommendations to the PCC for care Not sure

4 How often did you have confidence and trust in the PCCs

that referred patients to you? (Q31) N/R/O/S/F/U/A 5 For patients that saw you more than once for the same

referral problem, how often were you clear on the division of responsibility between you and the PCC over time?

(Q32)

N/R/O/S/F/U/A

Not applicable; during the last 3 months I rarely or never saw patients for follow up visits

6 How often did you feel that you and the referring PCC had conflicting expectations of each other’s roles during the course of the specialty care you provided? (Q33)

N/R/O/S/F/U/A Not sure

Roles and Responsibilities Scale (4 items)

1 How often was the reason for the referral sufficiently clear, such that you understood what the referring PCC was asking of you? (Q13)

N/R/O/S/F/U/A

2 How often did the referral request include sufficient clinical history and other information to meet your immediate needs? (Q14)

N/R/O/S/F/U/A

3 How often did the referring PCP adequately evaluate the

patient’s condition prior to making the referral? (Q15) N/R/O/S/F/U/A 4 How often did the referral requests reflect an

understanding on the part of the PCP about what constitutes an appropriate referral to your specialty practice? (Q16)

N/R/O/S/F/U/A

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Communication Scale (4 items)

1 How often did you feel that PCCs kept you informed and up to date about relevant issues related to the reason for referral? (Q34)

N/R/O/S/F/U/A

Not applicable; during the last 3 months the PCC did not need to keep me informed about issues related to the reason for referral

2 When you tried to communicate directly with the referring PCC, how often could you reach the PCC in a timely manner? (Q35)

N/R/O/S/F/U/A

Not applicable; during the last 3 months I rarely or never tried to communicate directly with the referring PCC

3 How often was the referring PCC helpful in providing you further information or other assistance when you

requested it? (Q36)

N/R/O/S/F/U/A

Not applicable; during the last 3 months I rarely or never requested further information or other assistance from the referring PCC

Not applicable; during the last 3 months I was rarely or never able to reach the referring PCC to request further information or other

assistance) 4 When you needed help from a primary care team member

other than the referring PCC, how often were you able to get the help you needed in a timely manner? (Q37)

N/R/O/S/F/U/A

Not applicable; during the last 3 months I rarely or never needed help from a primary care team member other than the PCC

Data Transfer Scale (4 items)

1 At the time of the patient’s first visit with you, how often did you have access to the most recent relevant information from the PCC’s practice? (Q19)

N/R/O/S/F/U/A

2 When you had access to records from the referring PCC’s practice about the patient, how often were they in a format that made it easy to find the information you needed?

(Q20)

N/R/O/S/F/U/A

3 How often did you encounter difficulty receiving the results

of relevant tests ordered by the referring PCP? (Q40) N/R/O/S/F/U/A 4 At the time of the patient’s follow-up visit with you, how

often did you have access to the most recent relevant information from the PCC’s practice? (Q41)

N/R/O/S/F/U/A

Not applicable; during the last 3 months I rarely or never saw patients for follow-up visits

Not applicable; during the last 3 months I rarely or never needed information from the PCP's practice at the time of patient follow-up visits visits

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