EMR_HIE_Survey_DuvalCounty
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- Jasper Newton
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1 EMR_HIE_Survey_DuvalCunty Q1 Infrmed Cnsent Thank yu fr participating in this research study n physician perceptins f electrnic health recrds, health infrmatin exchange and current private and gvernmental effrts t supprt these initiatives. This research will nt prvide any direct benefit t yu; hwever, we will prvide yu with a brief cpy f the results f this survey if yu s desire. Yur participatin is entirely vluntary and we appreciate yur time and willingness t participate. Pre-tests f the survey established the time cmmitment t be between 5 and 15 minutes. We d nt fresee any risks r discmfrts t yu based n yur participatin in this nline survey develped by researchers at Flrida Internatinal University. All infrmatin prvided will remain annymus. We will present the results as a grup. In cncert with ur assurance f annymity, we will prvide a separate URL at the end f the survey which will allw yu t submit yur address t receive a summary f the results. The purpse f this research has been explained t me and my participatin is entirely vluntary. I understand that the research entails n risks and that my respnses are nt being recrded in any individually identifiable frm. By cmpleting the survey, I am cnsenting t participate in the study and have my data used by the researchers. By clicking YES belw yu are prviding yur infrmed cnsent and may begin the survey. N If N Is Selected, Then Skip T End f Survey - If Yes Is Selected, Then Skip T Hw wuld yu characterize yur pract...
2 Q2 Hw wuld yu characterize yur practice? Sl practitiner - primary care Sl practitiner- specialty care Primary grup practice 49 prviders Primary grup practice 50 prviders Single specialty practice 49 prviders Single specialty practice 50 prviders Multi-specialty grup r partnership (including staff r grup mdel HMO) Emplyed by hspital r health system Q3 Please indicate the number f years yu have been practicing medicine < 5 years 5-9 years years years years > 30 years Cmment [TJ1]: Prbably need t determine if ne prvider is answering fr many. Cmment [GJD2]: The answer depends n hw the survey is sent usually t individual physicians t represent persnal views/experience. If send t a practice, wuld prbably identify practice managent Q4 What type(s) f medical recrd systems d yu use in yur main practice? Paper recrds nly Electrnic recrds nly. Please identify EMR system: Bth paper and electrnic recrds. Please identify EMR system: Q5 Were yu aware that the Reginal Extensin Centers (RECs) were available t assist small physician practices adpt Electrnic Medical Recrds (EMRs)? N Cmment [GJD3]: Need t change t past tense r remve questin Q6 Did yu wrk with a REC t implement electrnic medical recrds in yur practice? N Answer If What type(s) f medical recrd systems d yu use in yur... Paper recrds nly Is Nt Selected Q7 Hw lng has the EMR system been implemented in yur main practice? Within 6 mnths 12 mnths Between 1-2 years Between 2-3 years Between 3-4 years Mre than 4 years Planning t implement Cmment [TJ4]: I assume the break/wrding will be smething like If yu are cnsidering f have an EMR, please answer Q7-12. Cmment [GJD5]: There will be n break/wrding. The Qualtrics survey will autmatically g t apprpriate next questin based n respnses.
3 Q8 Which f the fllwing features des yur EMR include? (Check all that apply) Open t suggestins n change features t crrespnd t questin n Duval Cunty Medical Sciety assisting members with EMR Scheduling tests and prcedures with lcal hspitals Cmmunicating inpatient care with lcal hspitals Obtaining infrmatin n current patients frm lcal hspitals Obtaining infrmatin n new patients with lcal hspitals Prvides secure encrypted system Enable yu t access the Flrida Health Infrmatin Exchange t share data with remte prviders Cmmunicate securely and with full HIPPA cmpliance with any ther prvider, nt just thse in yur lcal r hspital netwrk Cmment [GJD6]: The features belw are ttally up t what yu want t include and match in alignment with experience f yur members. Please make sure we capture what yu think is imprtant. Q9 T what extent are yu satisfied with the implementatin f EMRs in yur practice? Very Dissatisfied (1) Dissatisfied (2) Neutral (3) Satisfied (4) Very Satisfied (5) Q10 Please estimate the initial implementatin csts yur EMR system? OR Please estimate the mnthly nging csts f yur EMR system Estimated cst, if yu knw it,r Abut what we expected Mre than expected Mre than expected and still an unpredictable financial burden. Cst is t high and will mandate dwnsizing r replacement. Q11 T what extent d yu agree the fllwing are a benefit t implementatin f an EMR in yur main practice? Strngly Disagree (1) Disagree (2) Neither Agree nr Disagree (3) Agree (4) Strngly Agree (5) Imprved wrkflw and prductivity Ability t participate in electrn health infrmatin exchange Imprved clinical data at pint f care Imprving quality f patient care Ability t meet meaningful use Other Cmment [TJ7]: These will be radi buttn grids? Cmment [GJD8]: Yes, again, this is autmatic by Qualtrics. We will send yu a link after editing. Q12 T what extent is each f the fllwing a barrier t implementatin f an EMR in yur main practice? Strngly Disagree (1) Disagree (2) Neither Agree nr Disagree (3) Agree (4) Strngly Agree (5)
4 Cmputer skills f yurself, clleagues and staff Lack f time t acquire knwledge abut systems Start-up/implementatin financial csts Lss f prductivity during start-up Onging financial csts Privacy r security cncerns Lack f unifrm standards within industry Other ALL Respndents rejin questins at this pint Q13 D yu supprt the Duval Cunty Medical Sciety assisting members in assessing current and future EMR issues? N I'd rather nt answer Q15 D yu currently exchange health infrmatin thrugh a secured (encrypted) system that prtects health care data? N Answer If D yu currently exchange health infrmatin thrug... Yes Is Selected Q16 des yur secured (encrypted) system allw exchange within yur practice/rganizatin r EMR vendr system nly with physicians and ther health prviders that are bth internal and external t yur practice/rganizatin r EMR vendr system ALL Respndents rejin questins at this pint Q17 Are yu aware that the State f Flrida has launched an initiative t exchange health infrmatin thrugh secure (Direct Secure Messaging)? Cmment [TJ9]: See q 13 abve. They have all rejined already, crrect? Cmment [GJD10]: The survey will autmatically rute each tree and return N Q18 What is the likelihd f yur participatin in the State f Flrida s Direct Secure Messaging (DSM) Service? Very Unlikely (1) Unlikely (2) Smewhat Unlikely (3) Undecided (4) Smewhat Likely (5)
5 Likely (6) Very Likely (7) Currently participate (8) Answer If What is likelihd Currently participate Q What is yu level f satisfactin with DSM? Very Dissatisfied (1) Dissatisfied (2) Neutral (3) Satisfied (4) Very Satisfied (5) Answer If What is likelihd Very t smewhat unlikely Q T what extent d each f the fllwing cntribute t yur unlikelihd f participating in DSM?. Need t list ptential reasns ALL Respndents rejin questins at this pint
6 Q20 Are yu aware that the State f Flrida has launched an initiative fr a state-wide Health Infrmatin Exchange fr patient data (Patient Lk-up Service) that enables an authrized health care prvider t search fr and retrieve a patient s clinical data frm a cnnected netwrk? N ) Q21 Des yur practice participate in an rganized health infrmatin exchange (HIE) that prvides direct access t patient clinical recrds, i.e., a patient lk-up system? (1) N (2) Unfamiliar with cncept Answer If Des yur practice participate in an rganized health inf... Yes Is Nt Selected Q22 Wuld yu like t receive mre infrmatin Cntact infrmatin (1) Nt interested (2) Shuld we ask if participate in FL HIE? Shands is n the system.. ALL Respndents rejin questins at this pint Cmment [TJ11]: I think we shuld ask, hwever there appear t be as many pathways fr participatin as there are stars in the sky! Q23 T what extent d yu agree the fllwing strategies encurage participatin in an HIE assciatin? Strngly Disagree (1) Disagree (2) Neither Agree nr Disagree (3) Agree (4) Strngly Agree (5) Ability t pull patient recrds at Pint f care Assurances n reliability and respnsiveness f netwrk Clear plicies and prtcls n access & use f data, including tracking and audit trails Recmmendatin frm respected clleague Requests frm patients fr participatin Assurance f nn-cmpetitive use f data Q24 T what extent is each f the fllwing a barrier t yur participatin in an rganized health infrmatin exchange? Strngly Disagree (1) Disagree (2) Neither Agree nr Disagree (3) Agree (4) Strngly Agree (5) Insufficient infrmatin Csts t much t jin/implement exchange Csts t much t maintain and perate Cncern regarding malpractice Cnsent requirements Security/Privacy/ HIPAA cncerns
7 Lack f trust in data exchange plicies and prtcls Cmpetitive envirnment discurages sharing f data Uncertain f value-added fr my practice Technical cncerns regarding reliability f netwrk/interface Cncern regarding hw data will be used and by whm Q25 What effect d yu think electrnic health infrmatin exchange (HIE) wuld (will) have in relatin t the fllwing? Very Negative (1) Negative (2) Neutral (3) Psitive (4) Very Psitive (5) Healthcare csts Access t patient infrmatin at pint f care Quality f practice life Chrnic care crdinatin Quality f patient care Physician prductivity Staff time in btaining results (e.g., lab, radilgy, pathlgy Unnecessary duplicatin f tests and prcedures Q26 What is the likelihd f yur participatin in the State f Flrida s Patient Lk-up Service? Very Unlikely (1) Unlikely (2) Smewhat Unlikely (3) Undecided (4) Smewhat Likely (5) Likely (6) Very Likely (7) Q29 D yu supprt the Duval Cunty Medical Sciety develping a clearinghuse t facilitate secure infrmatin exchange amng prviders? N I'd rather nt answer Finally, please lk ver the scenari belw and share yur thughts! y/ female with atrial fib in lcal PCP practice. 2. Presents t ED, PCP data nt knwn 3. Underges emergent clectmy/clstmy fr diverticulitis 4. Transfers pstperatively t nursing facility 5. Discharged with instructins t fllw up with PCP.
8 As the PCP which f the steps wuld include yu being infrmed f the patient s admissin: Frm which f the pints f care wuld yu be able t access clinical infrmatin necessary t manage the patient? Pint f care Via fax Via web prtal f facility Via private r public health infrmatin exchange Wuld have t send specific request Q30 Please prvide any cmments yu wuld like t share regarding EMRs and/r Health Infrmatin Exchange
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