CRB Laboratory Information Systems Survey. Q1 How do you characterize your laboratory affiliation?

Transcription

1 Q1 How do you characterize your laboratory affiliation? Answered: 81 Skipped: 1 University-ba sed Hospitalbase d Medical Clinic or Physician... Stand Alone Other (please specify) 0% 20% 40% 60% 80% 100% University-based 19.75% 16 Hospital-based 18.52% 15 Medical Clinic or Physician Practice-based 43.21% 35 Stand Alone 14.81% 12 Other (please specify) 3.70% 3 Total 81 # Other (please specify) Date 1 outpatient VA f or US gov ernment 2 County Public Health Dept 3 Of f site Univ ersity and Priv ate clinic combination 8/7/2013 8:05 PM 8/7/ :46 AM 7/30/2013 3:30 PM 1 / 37

2 Q2 Estimate the annual volume of your lab: Answered: 79 Skipped: 3 Av erage Number Total Number IVF Cycles: , Intra-Uterine Inseminations (IUIs): , Frozen Embryo Transfers: , Total Respondents: 79 # IVF Cycles: Date /16/ :48 AM 8/16/2013 8:02 AM 8/15/2013 4:38 PM 8/15/2013 4:30 PM 8/15/ :36 PM 8/15/ :47 AM 8/15/ :43 AM 8/15/ :13 AM 8/15/ :21 AM 8/15/ :18 AM 8/15/ :14 AM 8/15/ :07 AM 8/15/ :03 AM 8/15/2013 7:28 AM 8/13/2013 6:01 PM 8/12/2013 7:32 PM 8/12/2013 9:41 AM 8/9/2013 6:34 PM 8/9/2013 5:31 PM 8/9/ :11 AM 8/9/2013 9:46 AM 8/8/2013 1:26 PM 8/7/2013 8:05 PM 8/7/2013 6:59 PM 8/7/2013 4:43 PM 8/7/2013 3:50 PM 8/7/2013 2:16 PM 8/7/2013 1:23 PM 8/7/ :41 PM 8/7/ :41 PM 8/7/ :25 PM 8/7/ :16 PM 8/7/ :14 PM 8/7/ :37 AM 2 / 37

3 /7/ :35 AM /7/ :03 AM 8/7/ :52 AM 8/7/ :52 AM 8/7/ :46 AM 8/7/ :44 AM 8/7/ :43 AM 8/7/ :40 AM 8/7/ :39 AM 8/7/ :36 AM 8/7/2013 8:41 AM 8/7/2013 5:18 AM 8/6/2013 7:06 AM 8/5/ :38 PM 8/5/ :41 AM 8/2/ :50 AM 8/1/2013 7:25 PM 8/1/2013 1:44 PM 8/1/2013 9:09 AM 7/31/2013 8:56 AM 7/31/2013 7:35 AM 7/31/2013 7:18 AM 7/31/2013 6:54 AM 7/31/2013 6:48 AM 7/31/2013 6:25 AM 7/30/2013 7:24 PM 7/30/2013 6:37 PM 7/30/2013 4:36 PM 7/30/2013 3:42 PM 7/30/2013 3:30 PM 7/30/2013 3:26 PM 7/30/2013 3:25 PM 7/30/2013 3:08 PM 7/30/2013 3:03 PM 7/30/2013 3:02 PM 7/30/2013 2:51 PM 7/30/2013 2:48 PM 7/30/2013 2:46 PM 7/30/2013 2:44 PM 7/30/2013 2:42 PM 7/30/2013 2:38 PM 7/30/2013 2:38 PM 7/30/2013 2:30 PM 7/30/2013 2:28 PM 3 / 37

4 # Intra-Uterine Inseminations (IUIs): Date /16/ :48 AM 8/16/2013 8:02 AM 8/15/2013 4:30 PM 8/15/ :36 PM 8/15/ :47 AM 8/15/ :43 AM 8/15/ :13 AM 8/15/ :21 AM 8/15/ :18 AM 8/15/ :07 AM 8/15/ :03 AM 8/13/2013 6:01 PM 8/12/2013 7:32 PM 8/12/2013 9:41 AM 8/9/2013 6:34 PM 8/9/2013 5:31 PM 8/9/ :11 AM 8/9/2013 9:46 AM 8/8/2013 1:26 PM 8/7/2013 8:05 PM 8/7/2013 6:59 PM 8/7/2013 3:50 PM 8/7/2013 2:16 PM 8/7/2013 1:23 PM 8/7/ :41 PM 8/7/ :41 PM 8/7/ :25 PM 8/7/ :16 PM 8/7/ :14 PM 8/7/ :37 AM 8/7/ :35 AM 8/7/ :08 AM 8/7/ :03 AM 8/7/ :52 AM 8/7/ :46 AM 8/7/ :44 AM 8/7/ :43 AM 8/7/ :40 AM 8/7/ :39 AM 8/7/ :36 AM 8/7/2013 8:41 AM 8/7/2013 5:18 AM 8/6/2013 7:06 AM 4 / 37

5 /5/ :38 PM 8/5/ :41 AM 8/2/ :50 AM 8/1/2013 7:25 PM 8/1/2013 1:44 PM 8/1/2013 9:09 AM 7/31/2013 8:56 AM 7/31/2013 7:35 AM 7/31/2013 7:18 AM 7/31/2013 6:54 AM 7/31/2013 6:48 AM 7/31/2013 6:25 AM 7/30/2013 7:24 PM 7/30/2013 6:37 PM 7/30/2013 4:36 PM 7/30/2013 3:42 PM 7/30/2013 3:30 PM 7/30/2013 3:26 PM 7/30/2013 3:25 PM 7/30/2013 3:08 PM 7/30/2013 3:03 PM 7/30/2013 3:02 PM 7/30/2013 2:51 PM 7/30/2013 2:48 PM 7/30/2013 2:46 PM 7/30/2013 2:44 PM 7/30/2013 2:42 PM 7/30/2013 2:38 PM 7/30/2013 2:38 PM 7/30/2013 2:30 PM 7/30/2013 2:28 PM # Frozen Embryo Transfers: Date 8/16/ :48 AM 8/16/2013 8:02 AM 8/15/2013 4:38 PM 8/15/2013 4:30 PM 8/15/ :36 PM 8/15/ :47 AM 8/15/ :43 AM 8/15/ :13 AM 8/15/ :21 AM 8/15/ :18 AM 8/15/ :07 AM 8/15/ :03 AM 5 / 37

6 /15/2013 7:28 AM /13/2013 6:01 PM 8/12/2013 7:32 PM 8/12/2013 9:41 AM 8/9/2013 6:34 PM 8/9/2013 5:31 PM 8/9/ :11 AM 8/9/2013 9:46 AM 8/8/2013 1:26 PM 8/7/2013 8:05 PM 8/7/2013 6:59 PM 8/7/2013 4:43 PM 8/7/2013 3:50 PM 8/7/2013 2:16 PM 8/7/2013 1:23 PM 8/7/ :41 PM 8/7/ :41 PM 8/7/ :25 PM 8/7/ :16 PM 8/7/ :14 PM 8/7/ :37 AM 8/7/ :35 AM 8/7/ :03 AM 8/7/ :52 AM 8/7/ :46 AM 8/7/ :44 AM 8/7/ :43 AM 8/7/ :40 AM 8/7/ :39 AM 8/7/ :36 AM 8/7/2013 8:41 AM 8/7/2013 5:18 AM 8/6/2013 7:06 AM 8/5/ :38 PM 8/5/ :41 AM 8/2/ :50 AM 8/1/2013 7:25 PM 8/1/2013 1:44 PM 8/1/2013 9:09 AM 7/31/2013 7:35 AM 7/31/2013 7:18 AM 7/31/2013 6:54 AM 7/31/2013 6:48 AM 7/31/2013 6:25 AM 6 / 37

7 /30/2013 7:24 PM /30/2013 6:37 PM 7/30/2013 4:36 PM 7/30/2013 3:42 PM 7/30/2013 3:30 PM 7/30/2013 3:26 PM 7/30/2013 3:25 PM 7/30/2013 3:08 PM 7/30/2013 3:03 PM 7/30/2013 3:02 PM 7/30/2013 2:51 PM 7/30/2013 2:48 PM 7/30/2013 2:46 PM 7/30/2013 2:44 PM 7/30/2013 2:42 PM 7/30/2013 2:38 PM 7/30/2013 2:38 PM 7/30/2013 2:30 PM 7/30/2013 2:28 PM 7 / 37

8 Q3 Is your Laboratory Information System (LIS) specialized for IVF laboratory functionality? Answered: 78 Skipped: 4 Yes No 0% 20% 40% 60% 80% 100% Yes 42.31% 33 No 57.69% 45 Total 78 8 / 37

9 Q4 Is your LIS "homegrown"? (If yes, jump to question #6) Answered: 74 Skipped: 8 Yes No 0% 20% 40% 60% 80% 100% Yes 47.30% 35 No 52.70% 39 Total 74 9 / 37

10 Q5 Describe your LIS vendor. Answered: 31 Skipped: 51 Current LIS Vendor 90.32% 28 Current LIS Vendor Website 35.48% 11 Current LIS Product Name 54.84% 17 Current LIS Version 35.48% 11 Total Respondents: 31 # Current LIS Vendor Date 1 CompuGroup Medical 2 Sunquest 3 ARTWORKS 4 EPIC 5 Practice Highway 6 Alteer 7 we do not hav e a LIS 8 Practice Fusion, Inc. 9 eivf 10 Vista 11 PracticeHwy 12 EPIC Sy stems Corporation 13 Baby sentry 14 Schuy lerhouse 15 global 16 Fisher Thermal Scientif ic 17 We do not use a LIS 18 none 19 Cerner 20 Filemaker 21 Integramed 22 Epic 23 Allscript 24 eivf 25 Practice Highway 26 Digital MD 27 Greenway 28 EPIC # Current LIS Vendor Website practicehighway.com 8/15/2013 4:30 PM 8/15/ :36 PM 8/15/ :13 AM 8/15/ :07 AM 8/13/2013 6:01 PM 8/12/2013 7:32 PM 8/9/2013 5:31 PM 8/9/ :11 AM 8/8/2013 1:26 PM 8/7/2013 8:05 PM 8/7/2013 3:50 PM 8/7/ :41 PM 8/7/ :41 PM 8/7/ :14 PM 8/7/ :37 AM 8/7/ :52 AM 8/7/ :39 AM 8/5/ :38 PM 7/31/2013 8:56 AM 7/31/2013 7:35 AM 7/31/2013 6:54 AM 7/30/2013 7:24 PM 7/30/2013 6:37 PM 7/30/2013 4:36 PM 7/30/2013 3:26 PM 7/30/2013 3:25 PM 7/30/2013 3:08 PM 7/30/2013 2:48 PM Date 8/15/2013 4:30 PM 8/15/ :07 AM 8/13/2013 6:01 PM 10 / 37

11 4 usion.com 8/9/ :11 AM 5 8/8/2013 1:26 PM 6 Vista 8/7/2013 8:05 PM 7 8/7/2013 3:50 PM 8 7/31/2013 8:56 AM 9 allscript.com 7/30/2013 6:37 PM /30/2013 4:36 PM /30/2013 3:25 PM # Current LIS Product Name Date 1 Access Database / Sy nthesis / CDM 8/15/2013 4:38 PM 2 LabDAQ 8/15/2013 4:30 PM 3 EPIC UIHC /15/ :07 AM 4 eivf 8/13/2013 6:01 PM 5 Practice Fusion 8/9/ :11 AM 6 eivf 8/8/2013 1:26 PM 7 Vista 8/7/2013 8:05 PM 8 eclinicalworks 8/7/2013 4:43 PM 9 eivf 8/7/2013 3:50 PM 10 EPIC 2010 IU 2 8/7/ :41 PM 11 Schuy lab (Schuy Net, Schuy Med) 8/7/ :14 PM 12 Cerner - Hospital Medical Record Sy stem - lab has no LIS 8/1/2013 9:09 AM 13 PowerChart 7/31/2013 8:56 AM 14 Allscript 7/30/2013 6:37 PM 15 eivf 7/30/2013 4:36 PM 16 eivf 7/30/2013 3:26 PM 17 DOC 7/30/2013 3:25 PM # Current LIS Version Date /15/2013 4:30 PM /15/ :36 PM 3 EPIC UIHC /15/ :07 AM 4 Release 4.0 build 324 8/13/2013 6:01 PM 5 unknown 8/9/ :11 AM build 315 8/8/2013 1:26 PM 7 Mum sof tware integration 8/7/2013 8:05 PM 8 Release 4.0 (Build 318) 8/7/2013 3:50 PM 9 unknown 7/31/2013 8:56 AM /30/2013 4:36 PM 11 Unknown 7/30/2013 3:25 PM 11 / 37

12 Q6 Do you plan to replace your LIS in the next 12 months? Answered: 74 Skipped: 8 Yes No 0% 20% 40% 60% 80% 100% Yes 6.76% 5 No 93.24% 69 Total / 37

13 Q7 If yes, please answer the following: Answered: 4 Skipped: 78 New LIS Vendor 100% 4 New LIS Vendor Website 25% 1 New LIS Product Name 0% 0 New LIS Version 0% 0 Total Respondents: 4 # New LIS Vendor Date 1 Epic 8/15/ :03 AM 2 Baby Sentry 8/7/ :40 AM 3 Priv ate home grown LIS being designed 8/2/ :50 AM 4 Baby Sentry 7/31/2013 7:35 AM # New LIS Vendor Website Date 1 sentry.com 8/7/ :40 AM # New LIS Product Name Date There are no responses. # New LIS Version Date There are no responses. 13 / 37

14 Q8 Please explain your reason for replacing your LIS (if applicable): Answered: 8 Skipped: 74 # Date 1 Hospital Decision 2 no single ART sy stem seems ideal y et f or both the IVF clinic as well as the Lab 3 Would lov e to replace/ impliment a true LIS, but the company isn't interested in inv esting in one. 4 It is geared f or an IVF practice v erse what is being used now. 5 We currently do not use an LIS but we are in the process of hav ing one designed 6 Forced to by administration 7 We would like to replace our existing home-grown sy stem with a commerical sy stem - cost is the issue. 8 Don't hav e an LIS 8/15/ :03 AM 8/12/2013 7:32 PM 8/7/ :43 AM 8/7/ :40 AM 8/2/ :50 AM 7/31/2013 7:35 AM 7/30/2013 3:42 PM 7/30/2013 2:51 PM 14 / 37

15 Q9 What method(s) do you currently use to deliver test results to your clients? Answered: 57 Skipped: 25 Fax Hard Copy Remote Printer Web Portal EHR Interface Mobile Devices Other (please specify) 0% 20% 40% 60% 80% 100% Fax 61.40% 35 Hard Copy 66.67% 38 Remote Printer 0% 0 Web Portal 10.53% 6 EHR Interface 28.07% 16 Mobile Devices 3.51% 2 Other (please specify) 8.77% 5 Total Respondents: 57 # Other (please specify) Date 1 phone call 8/15/ :49 AM 2 Preliminary results are f axed or uploaded to the EHR 8/15/ :11 AM 3 mail 8/7/ :46 PM 4 telephone or letter 8/5/ :44 AM 5 hand deliv ery 7/31/2013 6:50 AM 15 / 37

16 Q10 What percentage of your test result delivery use each delivery method? Answered: 54 Skipped: 28 Fax Hard Copy Remote Printer Web Portal EHR Interface Mobile Devices Other Av erage Number Total Number Fax , Hard Copy , Remote Printer Web Portal EHR Interface , Mobile Devices Other Total Respondents: 54 # Fax Date 1 5 8/16/2013 8:03 AM 2 5 8/15/ :49 AM /15/ :45 AM /15/ :15 AM 5 5 8/13/2013 6:04 PM /12/2013 9:43 AM /9/2013 6:35 PM /9/2013 5:31 PM 9 5 8/9/ :13 AM /9/2013 9:54 AM /7/2013 3:51 PM /7/2013 2:18 PM /7/2013 1:25 PM 16 / 37

17 14 0 8/7/ :46 PM /7/ :16 PM /7/ :39 AM /7/ :05 AM /7/ :57 AM /7/ :54 AM /7/ :48 AM /7/ :44 AM /7/ :40 AM /7/2013 5:20 AM /5/ :42 PM /1/2013 1:48 PM /31/2013 8:59 AM /31/2013 7:38 AM /31/2013 6:56 AM /31/2013 6:50 AM /31/2013 6:26 AM /30/2013 3:44 PM /30/2013 3:03 PM /30/2013 2:52 PM /30/2013 2:49 PM /30/2013 2:45 PM /30/2013 2:44 PM /30/2013 2:40 PM /30/2013 2:32 PM # Hard Copy Date /16/ :50 AM /16/2013 8:03 AM /15/ :38 PM /15/ :21 AM /15/ :15 AM /15/ :11 AM /15/ :04 AM 8 5 8/13/2013 6:04 PM /12/2013 9:43 AM /9/2013 6:35 PM /9/2013 5:31 PM /9/ :13 AM /9/2013 9:54 AM /7/2013 2:18 PM /7/ :46 PM /7/ :10 AM /7/ :05 AM /7/ :57 AM 17 / 37

18 /7/ :48 AM /7/ :44 AM /7/2013 5:20 AM /6/2013 7:07 AM /5/ :42 PM /1/2013 1:48 PM /31/2013 7:38 AM /31/2013 6:26 AM /30/2013 6:40 PM /30/2013 4:36 PM /30/2013 3:44 PM /30/2013 2:52 PM /30/2013 2:49 PM /30/2013 2:45 PM /30/2013 2:44 PM /30/2013 2:41 PM /30/2013 2:40 PM /30/2013 2:32 PM /30/2013 2:29 PM # Remote Printer Date 1 0 8/7/ :46 PM 2 0 7/30/2013 2:45 PM 3 0 7/30/2013 2:32 PM # Web Portal Date /13/2013 6:04 PM /7/2013 3:51 PM 3 0 8/7/ :46 PM /7/ :39 AM /7/ :54 AM /31/2013 8:59 AM /30/2013 4:36 PM /30/2013 2:49 PM 9 0 7/30/2013 2:45 PM /30/2013 2:32 PM # EHR Interface Date /15/2013 4:38 PM /15/ :38 PM /15/ :45 AM /15/ :11 AM 5 5 8/13/2013 6:04 PM /9/2013 5:31 PM /7/2013 3:51 PM /7/2013 2:18 PM 9 0 8/7/ :46 PM 18 / 37

19 /7/ :27 PM /7/ :16 PM /7/ :37 AM /31/2013 7:38 AM /31/2013 7:20 AM /31/2013 6:56 AM /30/2013 2:49 PM /30/2013 2:45 PM /30/2013 2:32 PM # Mobile Devices Date 1 2 8/9/2013 9:54 AM 2 0 8/7/ :46 PM 3 0 7/30/2013 2:45 PM 4 0 7/30/2013 2:32 PM # Other Date /15/ :49 AM /7/ :46 PM /5/ :44 AM /31/2013 6:50 AM 5 0 7/30/2013 2:45 PM 6 0 7/30/2013 2:32 PM 19 / 37

20 Q11 Does your LIS provide the capability to receive interfaced orders from a client's Electronic Health Records Systems? Answered: 53 Skipped: 29 Yes No 0% 20% 40% 60% 80% 100% Yes 37.74% 20 No 62.26% 33 Total / 37

21 Q12 Does your LIS provide the capability to send interfaced results to a client's Electronic Health Records Systems? Answered: 52 Skipped: 30 Yes No 0% 20% 40% 60% 80% 100% Yes 34.62% 18 No 65.38% 34 Total / 37

22 Q13 How are you currently providing EHR interface connectivity to your clients? Answered: 49 Skipped: 33 Directly from LIS Middleware Integrator Not Providing Other (please specify) 0% 20% 40% 60% 80% 100% Directly from LIS 22.45% 11 Middleware 6.12% 3 Integrator 0% 0 Not Providing 67.35% 33 Other (please specify) 4.08% 2 Total 49 # Other (please specify) Date 1 we're not 8/5/ :42 PM 2 not sure 7/31/2013 8:59 AM 22 / 37

23 Q14 If you are using Middleware (interface engine), please answer the following: Answered: 5 Skipped: 77 Middleware Vendor Name 100% 5 Middleware Vendor Website 80% 4 Total Respondents: 5 # Middleware Vendor Name Date 1 unknown 8/15/ :38 PM 2 Citrix 8/15/ :11 AM 3 do not know 8/7/ :57 AM 4 NA 8/7/ :48 AM 5 RESource 7/31/2013 7:20 AM # Middleware Vendor Website Date 1 8/15/ :11 AM 2 do not know 8/7/ :57 AM 3 NA 8/7/ :48 AM 4 none 7/31/2013 7:20 AM 23 / 37

24 Q15 If you are using an Integrator (Atlas, Halfpenny, etc.), please answer the following: Answered: 1 Skipped: 81 Integrator Name 100% 1 Integrator Website 100% 1 Total Respondents: 1 # Integrator Name Date 1 NA 8/7/ :48 AM # Integrator Website Date 1 NA 8/7/ :48 AM 24 / 37

25 Q16 LIS Interface Cost Model: Answered: 17 Skipped: 65 Transaction Fee License Fee Per Interface Other (please specify) 0% 20% 40% 60% 80% 100% Transaction Fee 23.53% 4 License Fee Per Interface 41.18% 7 Other (please specify) 35.29% 6 Total 17 # Other (please specify) Date 1 unknown 2 Unknown 3 none 4 we do not hav e and LIS 5 N/A 6 not sure 8/15/ :38 PM 8/7/ :27 PM 8/7/ :57 AM 8/5/ :42 PM 8/1/2013 9:11 AM 7/31/2013 8:59 AM 25 / 37

26 Q17 Number of connections currently in production: Answered: 10 Skipped: 72 # Date 1 unknown Unknown NA 6 N/A 7 unknown /15/ :11 AM 8/7/ :46 PM 8/7/ :27 PM 8/7/ :57 AM 8/7/ :48 AM 8/1/2013 9:11 AM 7/31/2013 8:59 AM 7/31/2013 7:20 AM 7/30/2013 2:49 PM 7/30/2013 2:40 PM 26 / 37

27 Q18 Average timeframe to complete a new EHR Interface (weeks): Answered: 9 Skipped: 73 # Date 1 depends on the degree of dif f iculty 8/15/ :11 AM 2 Unknown 8/7/ :27 PM 3 1 8/7/ :57 AM 4 NA 8/7/ :48 AM 5 N/A 8/1/2013 9:11 AM 6 unknown 7/31/2013 8:59 AM 7 4 7/31/2013 7:20 AM 8 3 7/30/2013 2:49 PM 9? 7/30/2013 2:40 PM 27 / 37

28 Q19 Do you have staff dedicated to Interface Development? Answered: 43 Skipped: 39 Yes No 0% 20% 40% 60% 80% 100% Yes 18.60% 8 No 81.40% 35 Total 43 # If yes, how many FTEs? Date 1 IT department, unknown 2 do not know this number /15/2013 4:38 PM 8/15/ :11 AM 8/9/ :13 AM 8/7/ :27 PM 7/31/2013 7:20 AM 28 / 37

29 Q20 Does your LIS provide the capability to map a LOINC code to the corresponding locally defined test codes? Answered: 32 Skipped: 50 Yes No 0% 20% 40% 60% 80% 100% Yes 15.63% 5 No 84.38% 27 Total / 37

30 Q21 Does your LIS provide the capability to map a SNOMED code to the corresponding test results? Answered: 31 Skipped: 51 Yes No 0% 20% 40% 60% 80% 100% Yes 12.90% 4 No 87.10% 27 Total / 37

31 Q22 Does your LIS or Middleware vendor support the Direct Messaging Protocol as a method of securely exchanging lab orders and/or results? Answered: 31 Skipped: 51 Yes No Don't know 0% 20% 40% 60% 80% 100% Yes 12.90% 4 No 32.26% 10 Don't know 54.84% 17 Total / 37

32 Q23 Are you currently connected to any state Health Information Exchanges? Answered: 45 Skipped: 37 Yes No 0% 20% 40% 60% 80% 100% Yes No 6.67% % 42 Total 45 # If yes, please specify: Date 1 STD data; HIGH BLOOD LEAD data 2 NYS 8/7/ :50 AM 7/30/2013 2:29 PM 32 / 37

33 Q24 What is your primary challenge in providing EHR connectivity to your clients? Answered: 41 Skipped: 41 EHR systems are unable to interface Insufficient information on exchange... Lack of harmonization of industry... Inability of LIS to generate/receive... Subscription rates/fees for exchange... Compliance with CLIA regulations No challenges experienced Other (please specify) 0% 20% 40% 60% 80% 100% EHR systems are unable to interface Insufficient information on exchange options available Lack of harmonization of industry accepted standards Inability of LIS to generate/receive electronic messages/transactions in structured and standardized format Subscription rates/fees for exchange service providers (including lab hub, third party middleware vendor, and Health Information Exchange providers) are too high Compliance with CLIA regulations 21.95% % % % % 6 0% 0 No challenges experienced 24.39% 10 Other (please specify) 14.63% 6 Total 41 # Other (please specify) Date 1 do not use ehr 8/15/ :50 AM 2 There is no challenge because we do not utilize electronic medical records. 8/9/2013 9:58 AM 3 Phy sicians will not implimnet an EHR 8/7/ :45 AM 4 WE ARE NOT USING THE LIS SYSTEM 8/7/ :39 AM 5 no EHR connectiv ity 8/5/ :43 PM 6 No LIS or EHR - too expensiv e to obtain one that is designed f or ART practices and traditional EHRs (Epic) don't work or hav e appropriate modules f or ART 7/30/2013 2:47 PM 33 / 37

34 Q25 Do you consent to allowing CRB/NILA to share this information with the Office of the National Coordinator for Health Information Technology (ONC)? Answered: 43 Skipped: 39 Yes No 0% 20% 40% 60% 80% 100% Yes No 76.74% % 10 Total / 37

35 Q26 Would you like to be contacted by ONC about participating in lab connectivity projects in your region? (If yes, be sure to answer #27 below) Answered: 43 Skipped: 39 Yes No 0% 20% 40% 60% 80% 100% Yes No 13.95% % 37 Total / 37