Att M - 2012 EHR item modifications

ATTACHMENT M: Item modifications to 2012 NEHRS
Changes between the 2011 survey and the 2012 NAMCS EHR survey
Electronic Medical Record (EMR)/Electronic Health Record (EHR) mail supplement to NAMCS was renamed to
be the National Electronic Health Records Survey 2012.
The words “a supplement to” were replaced with “affiliated with” in the introduction. “The National Electronic
Health Records Survey is affiliated with the National Ambulatory Medical Care Survey (NAMCS).”

Questions deleted
During your last normal week of practice, about how many encounters of the following type did you make with
patients?
1. Nursing home visits

__________

2. Other home visits

__________

3. Hospital visits

__________

4. Telephone consults

__________

5. Internet/e-mail consults

__________

Please indicate whether the reporting location has each of the computerized capabilities listed below and how
often these capabilities are used. CHECK NO MORE THAN ONE BOX PER ROW.
If yes to viewing lab results, are results incorporated into EMR/EHR?
Public health reporting
If yes to public health reporting, are notifiable diseases sent electronically?

At the reporting location, what percent of your current patients have Medicaid/CHIP?

_________%

Questions modified (questions in 2011 survey are in red)
What is the name of your current EMR/EHR system? CHECK ONLY ONE BOX. IF OTHER IS CHECKED,
PLEASE SPECIFY THE NAME.

□1 Allscripts
□4 eClinicalWorks □7 GE/Centricity
□10 NextGen
□2 Cerner
□5 Epic
□8 Greenway Medical □11 Sage
□3 CHARTCARE □6 eMDs
□9 MED3000
□12 SOAPware

□13 Practice Fusion
□14 Other________
□15 Unknown

What is the name of your current EHR/EMR system? CHECK ONLY ONE BOX. IF OTHER IS CHECKED, PLEASE
SPECIFY THE NAME.

□1 Allscripts
□4 Epic
□7 McKesson/

□2 Cerner
□3 eClinicalWorks
□5 GE/Centricity □6 Greenway Medical
□8 NextGen
□9 Sage

Practice Partner

□10 Other_________________

□11 Unknown
1

ATTACHMENT M: Item modifications to 2012 NEHRS
************************************************************************************************************
Beginning in 2011, Medicare and Medicaid will offer incentives to practices that demonstrate “meaningful use of
Health IT”. At the reporting location, are there plans to apply for Medicare or Medicaid incentive payments for
meaningful use of Health IT?

□1
□2
□3

Yes, we intend to
apply
Uncertain whether
we will apply
No, we will not
apply

Go to Question 22a.

}

Skip to Question 23.

In which year do you expect to apply for the meaningful use payments?

□1
□2
□3
□4

2011
2012
After 2012
Unknown

Medicare and Medicaid offer incentives to practices that demonstrate “meaningful use of health IT”. At the
reporting location, are there plans to apply for these incentive payments?

□1 Yes, we already applied
When did you first apply?

□1

2011

□2

2012

□2 Yes, we intend to apply
When do you intend to first apply?

□1

2012

□2

2013 or later

□3

Unknown

□3 Uncertain if we will apply
□4 No, we will not apply
************************************************************************************************************
Please indicate whether the reporting location has each of the computerized capabilities listed below.
CHECK NO MORE THAN ONE BOX PER ROW. Does the reporting location have a computerized system for:
The “yes” response category did not have frequency associated with it.
Please indicate whether the reporting location has each of the computerized capabilities listed below and how
often these capabilities are used. CHECK NO MORE THAN ONE BOX PER ROW.
The response categories were modified to have “yes, used routinely” and “yes, but not used routinely”.

***********************************************************************************************************
Do you exchange patient clinical summaries electronically with any other providers?

□1
□2
□3

Yes, receive summaries only

□4

No

Yes, send summaries only
Yes, send and receive
summaries

}

Go to
Question
21a.

2

ATTACHMENT M: Item modifications to 2012 NEHRS

□5

Unknown

}

Skip to Question 22.

How do you electronically send or receive patient clinical summaries? CHECK ALL THAT APPLY.

□1
□2
□3
□4
□5

Through EMR/EHR vendor
Through hospital-based system
Through Health Information Organization or state exchange
Through secure email attachment
Other/Unknown

Do you share any patient health information electronically (not fax) with other providers, including hospitals,
ambulatory providers, or labs?

□1
□2

Yes  Go to Question 19a
No  Skip to Question 21

19a. How do you electronically share patient health information? CHECK ALL THAT APPLY.

□1
□2
□3

EHR/EMR
Web portal (separate from EHR/EMR)
Other electronic method: ___________________

************************************************************************************************************
This change only applies to the mail survey.
At the reporting location, what percent of your patient care revenue comes from the following?
1. Medicare
%
1. Medicaid/CHIP

%

2. Private insurance

%

3. Patient payments

%

4. Other
(including charity, research, CHAMPUS,
VA, etc.)

TOTAL

%
100%

Roughly, what percent of your patient care revenue at the reporting location comes from the following?
1. Medicare
2. Medicaid/CHIP

%
%

3. Private insurance

%

4. All other sources

%

Roughly, the total should sum to:

100 %

3

ATTACHMENT M: Item modifications on the National EHR Survey 2012 from the 2011 NAMCS EMRS
Questions added
Please indicate whether the reporting location has each of the computerized capabilities listed below and how
often these capabilities are used. CHECK NO MORE THAN ONE BOX PER ROW.
Recording and charting vital signs?
Recording patient smoking status?
Reporting clinical quality measures to federal or state agencies (such as CMS or Medicaid)?
Generating lists of patients with particular health conditions?
If yes to viewing lab results, can the EMR/EHR automatically graph a specific patient’s lab results over time?
If yes to electronic reporting to immunization registries, reported in standards specified by Meaningful Use criteria?
Providing patients with an electronic copy of their health information?
20. Please indicate which types of health data you share
electronically (not fax) with the health care providers
listed to the right. CHECK ALL THAT APPLY.

Hospitals
with which
you are
affiliated

20a. Lab results
20b. Imaging reports
20c. Patient problem lists
20d. Medication lists
20e. Medication allergy lists

Ambulatory
providers
inside your
office/ group

□
1□
1□
1□
1□

Hospitals
with which
you are
not affiliated

□
2□
2□
2□
2□

1

Ambulatory
providers
outside your
office/ group

□
3□
3□
3□
3□

2

□
4□
4□
4□
4□

3

4

20f. Do you share any of the above types of information using a “Summary Care Record”? [A Summary Care Record is an

□

electronic file that contains the above health data in a standardized format.] 1

Yes,
routinely

□

Yes

2

□

No

Yes, but not
routinely

3

Unknown

No

Does not
apply

21. When you refer your patient to a provider outside of your office or group:
21a. Do you receive a report back from the other provider with results of
the consultation?
21b. Do you receive it electronically (not fax)?

□
1□
1

□
2□
2

□
3□
3

□
4□
4

22. When you see a patient referred to you by a provider outside of your office or group:
22a. Do you receive notification of both the patient’s history and reason
for consultation?
22b. Do you receive them electronically (not fax)?

□

2

□

2

□

2

1
1

□

3

□

4

□

3

□

3

□

□

4

□

4

□

23. When your patient is discharged from an inpatient setting:
23a. Do you receive all of the information you need to continue
managing the patient?

1

23b. Is the information timely, available when needed?

1

23c. Do you receive it electronically (not fax)?

□
1□

□
2□
2

□
3□
3

□

□
4□
4

4