amawellbeingsurvey.org Open in urlscan Pro
54.215.132.45  Public Scan

Submitted URL: https://clicks.socialchorus.com/ls/click?upn=HY8he16rGTiWXYYKecmpElXXXrwPkT7PbkddB0XN8L9KCJLFl4C0VpKsEQTW7CG-2F1e3-2FT9n-2FV3hPg...
Effective URL: https://amawellbeingsurvey.org/take-survey/2456627606227
Submission: On January 31 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

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Text Content

Health care professional's well-being is important to a healthy organization.
Ochsner Health is pleased to collaborate with the American Medical Association
(AMA) to conduct this survey and advance strategies that restore joy, purpose
and meaning to our care teams. Focusing on the well-being of our teams improves
their experience of work while improving health care delivery and quality
outcomes for our patients.

Thank you in advance for completing this survey. It should only take a few
minutes of your time to provide your responses. 

TERMS AND CONDITIONS:

AMA WELL-BEING ASSESSMENT SURVEY TOOLS

TERMS AND CONDITIONS FOR RESPONDENTS

 

Thank you for your participation in the survey conducted by the American Medical
Association (“AMA”) using one or more standardized well-being assessment survey
tools (the “Survey”).  The Survey is being offered in connection with the AMA
Practice Transformation efforts: Solutions to Increase Joy in MedicineTM, a
strategic initiative that focuses on enhancement of professional satisfaction
and reduction of burnout (the “Initiative”).  The health care practice
organization identified in the Survey launch, which may be your employer (the
“Organization”), sponsors this Survey.

 

The Survey is interactive and allows you to submit responses and other content
in reply to Survey questions (“User Contributions”). The AMA treats your User
Contributions in accordance with our fidelity to stringent data privacy
standards.  The AMA and AMA-authorized designees that directly assist the AMA in
its Survey efforts, including the third party that hosts the Survey and User
Contributions (Forward Health Group, Inc. or its successor) and subject matter
experts (such as Hennepin Healthcare System, Inc. and statisticians)
(collectively, “AMA Authorized Designee(s)”), will access and use data collected
from Surveys but only in accordance with these terms and conditions (“Terms”). 
The AMA, directly or through an AMA Authorized Designee, will use the data
collected from Surveys only for research, scholarly publication and as related
to physician burnout trends, causes, interventions, and burnout reduction, in
connection with the Initiative (the “Scope”).  The AMA and the Organization
will not use, give or sell your User Contributions to any person or entity for
the purpose of selling products or services.

 

These Terms govern the Survey and your User Contributions.  Every person who
starts the Survey (hereinafter referred to as “you” or “your”) agrees to these
Terms and to the AMA’s interpretation of these Terms. If you object to these
Terms, your only remedy is to not accept the Terms below and discontinue your
participation in the Survey. 

 

1.       User Contribution Authorization.                    

 

The AMA does not request your name or email address in the Survey, therefore
User Contributions do not include your name or email address.  All User
Contributions are owned by and the property of the AMA and will be considered
non-confidential subject to the provisions of this Section 1.  User
Contributions will not be returned.  By providing User Contributions, you agree,
consent, and authorize the AMA and AMA Authorized Designees to access, receive,
collect, use, transmit, store, reproduce, modify, analyze, and disclose your
User Contributions, including any personally identifiable information, for
purposes within the Scope in accordance with the following. 

 

As used in this Section, data that is “personally identifiable” information is
defined under applicable laws as determined in the AMA’s sole discretion. 

 

a.       Information available to your Organization

.

i.        Volunteered personally identifiable information sent to your
Organization.   After the Survey, you may opt to volunteer your name and email
address in a communication directly to a designated person at your Organization
for the purpose of receiving additional outreach, information and support from
your Organization.  You are under no obligation to share your name or email
address.   

 

ii.         User Contributions shared with your Organization. User Contributions
may or may not be personally identifiable to you.  Only your aggregated and
reasonably de-identified User Contributions will be shared with or made
accessible to your Organization by the AMA or its Authorized Designees. Your
Organization has agreed that it will use any information that is collected
through the Survey only for the limited uses and purposes within the Scope, and
that it will not seek to re-identify you or other Survey respondents based on
Survey responses.

 

b.       User Contributions available to the AMA, AMA Authorized Designees, and
third parties other than your Organization. 

 

i.       In addition to the purposes stated above, the AMA and its AMA
Authorized Designees will use your User Contributions and other Survey
respondents’ contributions for the purposes of maintaining, utilizing, and
managing the AMA Data Lab and furthering Initiative.  The “AMA Data Lab” is the
AMA’s data repository of Survey and related data that helps to assess physician
and care team member burnout rates and facilitate research and initiatives
pursuant to the Initiative.  The AMA and its AMA Authorized Designees shall
adopt, implement and maintain appropriate privacy protections and security
controls as required by contract and applicable laws, as determined, with
respect to the AMA, in the AMA’s sole discretion.

 

ii.       The AMA and AMA Authorized Designees may make your User Contributions
that are aggregated and reasonably de-identified available to third parties
other than your Organization such as researchers and contractors (collectively,
“Third Party/ies”) provided that such Third Party shall agree to use such data
only for uses and purposes within the Scope.  If your Organization is offering
the Survey in collaboration with a Third Party aggregator organization, such as
a state medical association, the aggregator organization will be provided
aggregated and reasonably de-identified User Contributions and other Survey
results in accordance with this paragraph. 

 

c.     California Residents.  Survey participants who are California residents
are informed of the following means to access and change User Contributions. 
These provisions are applicable only to the extent that the AMA has your
personally identifiable User Contributions as the result of the Survey, as
determined by the AMA in its sole discretion.

 

You may contact the AMA via email at Practice.Transformation@ama-assn.org to:

·                     See and receive the User Contributions that the AMA has
about you, if any;

·                     Correct or update any User Contributions the AMA has about
you;

·                     Ask the AMA to stop using or sharing User Contributions
about you;

·                     Ask the AMA to delete any User Contributions the AMA has
about you; and/or

·                     Opt out of some or all future communications from the AMA
related to the Initiative.

 

3.     Acceptance of Risk and Arbitration.

 

You are wholly responsible for your participation in the Survey and for User
Contributions and you participate at your own risk.  You represent and warrant
that you own or control all rights in and to the User Contributions and have the
right to provide the rights above to AMA, and that all your User Contributions
comply with these Terms. 

 

You acknowledge that the AMA is not responsible for, and accepts no liability in
relation to, your participation in the Survey, any User Contribution you
transmit or post, the disclosure of any User Contribution in accordance with
these Terms, or your conduct in connection with the Survey. 

 

To the maximum extent permitted by law, the AMA excludes and disclaims all
implied representations and warranties which might apply in relation to your
participation in the Survey. Under no circumstances will the AMA be liable for
any indirect, special, punitive, consequential, or incidental loss or damages
arising from or in any way connected to the Survey or your User Contributions. 

 

Any controversy or claim arising out of or relating to these Terms shall be
resolved by a single impartial arbitrator pursuant to proceedings administered
by the American Arbitration Association (“AAA”) under its rules for resolution
of commercial disputes, except that in the event of violation of AMA’s
intellectual property rights, AMA may seek equitable (including injunctive) or
other appropriate relief in the courts of the state of Illinois and/or the
United States District Court for the Northern District of Illinois and such
courts shall have exclusive jurisdiction over any such action and you and the
AMA hereto agree to submit to the jurisdiction of said courts.  With respect to
arbitration, if you and the AMA are unable to agree upon an impartial arbitrator
within 30 days of either party requesting arbitration, either party may apply to
the AAA to make the appointment.  The impartial arbitrator shall be an attorney
or a retired judge and admitted to practice in Illinois. The arbitration shall
be held in Chicago, Illinois.  All submissions to the arbitrator, the
proceedings and the award shall be confidential. You and the AMA express their
desire that the arbitration be conducted on an expedited basis with minimal
discovery. The award shall be in writing and set forth the factual and legal
bases for the award. You and the AMA renounce recourse to litigation, to the
extent provided by law, and intend the award to be final and binding except that
judgment with respect to the award may be entered in any court having
jurisdiction over you and the AMA or their respective assets.  EACH PARTY
IRREVOCABLY WAIVES ANY AND ALL RIGHT TO TRIAL BY JURY IN ANY LEGAL PROCEEDING.
The AMA reserves all rights and remedies available to it in law or equity.
 These Terms shall be governed by the internal laws of the State of Illinois
without regards to choice of law principles.

 

4.     Releases and Disclaimers. 

 

By participating in the Survey, you, your estate and heirs, agree to: (a)
release AMA, its officers, trustees, agents, representatives and employees, as
well its successors, representatives and assigns, from any and all actions,
claims, injury, loss, damage or liability arising in any manner, in whole or in
part, directly or indirectly, from participation in this Survey or use of your
User Contributions; (b) waive all rights to claim indirect, special, punitive,
consequential, incidental, or any other damages; and (c) limit any and all
claims, judgments, and awards to actual out-of-pocket costs incurred, excluding
reasonable attorneys’ fees and arbitration costs.  

 

  




Your response below indicates that you read and understand this consent form and
the information presented and that you agree to answer survey questions.

  YES, ACCEPT THESE TERMS AND CONDITIONS. PROCEED WITH SURVEY.
  NO, I DO NOT ACCEPT THESE TERMS AND CONDITIONS. EXIT SURVEY.

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*1.   ARE YOU AN…  


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How are my scores calculated?
How are my scores calculated?

OVERALL MINI-Z SCORE


36

Rating of Optimal

Score based on a scale of 10 to 50

Compared to a National Average



AVERAGE WITHIN MEDICAL SPECIALTY:26

SUPPORTIVE WORK ENVIRONMENT


36

Rating of Optimal

Score based on a scale of 5 to 25

Compared to a National Average



AVERAGE WITHIN MEDICAL SPECIALTY:

REASONABLE WORK PACE AND MANAGEABLE EHR STRESS


36

Rating of Optimal

Score based on a scale of 5 to 25

Compared to a National Average



AVERAGE WITHIN MEDICAL SPECIALTY:

OVERALL MINI-REZ SCORE


36

Rating of Optimal

Score based on a scale of 15 to 75

Compared to a National Average



AVERAGE WITHIN MEDICAL SPECIALTY:26

SUPPORTIVE WORK ENVIRONMENT


36

Rating of Optimal

Score based on a scale of 5 to 25

Compared to a 13.8 National Average



AVERAGE WITHIN MEDICAL SPECIALTY:

REASONABLE WORK PACE AND MANAGEABLE EHR STRESS


36

Rating of Optimal

Score based on a scale of 5 to 25

Compared to a 13.8 National Average



AVERAGE WITHIN MEDICAL SPECIALTY:

WORK INTERRUPTIONS AND SUPPORT


36

Rating of Optimal

Score based on a scale of 5 to 25

Compared to a 13.8 National Average



AVERAGE WITHIN MEDICAL SPECIALTY:


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CALCULATING YOUR SCORE

×

OVERALL:

 * In the survey that you have just completed, a portion of the questions you
   answered were part of a validated survey known as the Mini-Z. Each of these
   ten questions had 5 answer options, each answer having an unseen score value
   from 1 to 5. Upon completion of the Survey all of your answers were totaled
   up to create your "overall Mini-Z Score."

SUB-SCALES:

 * The Mini-Z is made up of two “sub-scales” and these are simply a selection of
   a certain number of Mini-Z questions. The Questions in each sub-scale have
   been grouped together because they all correlate to a common theme. The
   following are the sub-scales calculated in the Mini-Z:
 * Supportive Work Environment
 * Reasonable Work Pace and Manageable EHR Stress

NATIONAL AVERAGE:

 * The overall score and the sub-scales all have what is known as a “National
   Average.” This is a national average calculated based upon an Annual
   Benchmark of Mini-Z survey data.

COLOR/CATEGORY:

 * Upon finishing the survey there are 3 scoring categories that you might fall
   into. Each of these categories are decided based upon the national average at
   the time you completed the survey.
 * If your score is over the national average by at least 20%, you fall into the
   Optimal category.
 * If your score is greater than 20% below the national average, you fall into
   the Satisfactory category.
 * If your score is below the national average by at least 20% you fall into the
   Challenging category.

CLOSE

CALCULATING YOUR SCORE

×

OVERALL:

 * In the survey that you have just completed, a portion of the questions you
   answered were part of a validated survey known as the Mini-ReZ. Each of these
   thirteen questions had 5 answer options, each answer having an unseen score
   value from 1 to 5. Upon completion of the Survey all of your answers were
   totaled up to create your "overall Mini-ReZ Score."

SUB-SCALES:

 * The Mini-ReZ is made up of three “sub-scales” and these are simply a
   selection of a certain number of Mini-ReZ questions. The questions in each
   sub-scale have been grouped together because they all correlate to a common
   theme. The following are the sub-scales calculated in the Mini-ReZ:
 * Supportive Work Environment
 * Reasonable Work Pace and Manageable EHR Stress
 * Work Interruptions and Support

NATIONAL AVERAGE:

 * The overall score and the sub-scales all have what is known as a “National
   Average.” This is a national average calculated based upon an Annual
   Benchmark of Mini-ReZ survey data.

COLOR/CATEGORY:

 * Upon finishing the survey there are 3 scoring categories that you might fall
   into. Each of these categories are decided based upon the national average at
   the time you completed the survey.
 * If your score is over the national average by at least 20%, you fall into the
   Optimal category.
 * If your score is greater than 20% below the national average, you fall into
   the Satisfactory category.
 * If your score is below the national average by at least 20% you fall into the
   Challenging category.

CLOSE


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