Form OMB No. 0917-0036- OMB No. 0917-0036- OMB No. 0917-0036-19, IHS Pharmacy Automation Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

OMB No. 0917-0036-19, IHS Pharmacy Automation Survey

IHS Pharmacy Automation Survey 2013

OMB: 0917-0036

Document [pdf]
Download: pdf | pdf
[SURVEY PREVIEW MODE] IHS Pharmacy Automation 2013 Survey

Page 1 of 6

IHS Pharmacy Automation 2013

Form approved
OMB Form No. 0917-0036-19
Expiration Date: 5/31/2015
1. Contact Information
Name:
Company:
City/Town:
State:

-- select state --

Email Address:
Phone Number:

2. Interface Questions
Does this product

If yes, ease of

Are you using the IHS

interface with

interfacing

approved interface for

RPMS?

w/RPMS?

this product?

Has the interface
been modified
locally or by the
vendor?

ScriptPro Robot
ScriptPro Central
Parata
Parata Pharmacy
2000
Pyxis Medstation
Pyxis CII Safe
Omnicell
Dispensing
Cabinet
Omnicell
Vault/Secure Vault
Audiocare
Ateb
Pickpoint
Telepharmacy

http://www.surveymonkey.com/s.aspx?PREVIEW_MODE=DO_NOT_USE_THIS_LIN...

01/29/2013

[SURVEY PREVIEW MODE] IHS Pharmacy Automation 2013 Survey

Page 2 of 6

Does this product

If yes, ease of

Are you using the IHS

interface with

interfacing

approved interface for

RPMS?

w/RPMS?

this product?

Has the interface
been modified
locally or by the
vendor?

Automix TPN
Baker Cells
Mckesson

Interface Modification/enhancement discussion (Please specify)

3. Product Maintenance & Downtime
Maintenance Schedule

Enhancement/Updates

Downtime/Service
Requirement

ScriptPro Robot
ScriptPro Central
Parata
Parata Pharmacy
2000
Pyxis Medstation
Pyxis CII Safe
Omnicell
Dispensing Cabinet
Omnicell
Vault/Secure Vault
Audiocare
Ateb
Pickpoint
Telepharmacy
Automix TPN
Baker Cells
Mckesson

Other (please specify)

4. Customer Service / Training

http://www.surveymonkey.com/s.aspx?PREVIEW_MODE=DO_NOT_USE_THIS_LIN...

01/29/2013

[SURVEY PREVIEW MODE] IHS Pharmacy Automation 2013 Survey

Customer Service Rating

Page 3 of 6

Product Training/Learning Curve

ScriptPro Robot
ScriptPro Central
Parata
Parata Pharmacy
2000
Pyxis Medstation
Pyxis CII Safe
Omnicell
Dispensing Cabinet
Omnicell
Vault/Secure Vault
Audiocare
Ateb
Pickpoint
Telepharmacy
Automix TPN
Baker Cells
Mckesson

5. Impact on Efficiency / Workflow
Impact on efficiency or
workflow

Does this product help

Does using this product

your organization save

allow you to engage in

money?

other aspets of Pharmacy?

ScriptPro Robot
ScriptPro Central
Parata
Parata Pharmacy
2000
Pyxis Medstation
Pyxis CII Safe
Omnicell Dispensing
Cabinet
Omnicell
Vault/Secure Vault
Audiocare

http://www.surveymonkey.com/s.aspx?PREVIEW_MODE=DO_NOT_USE_THIS_LIN...

01/29/2013

[SURVEY PREVIEW MODE] IHS Pharmacy Automation 2013 Survey

Impact on efficiency or
workflow

Page 4 of 6

Does this product help

Does using this product

your organization save

allow you to engage in

money?

other aspets of Pharmacy?

Ateb
Pickpoint
Telepharmacy
Automix TPN
Baker Cells
Mckesson

6. Overall, Would You Recommend This Product to Others?
Yes

No

ScriptPro Robot
ScriptPro Central
Parata
Parata Pharmacy
2000
Pyxis Medstation
Pyxis CII Safe
Omnicell
Dispensing Cabinet
Omnicell
Vault/Secure Vault
Audiocare
Ateb
Pickpoint
Telepharmacy
Automix TPN
Baker Cells
Mckesson

7. Which Printer Are You Using for EHR/RPMS?

http://www.surveymonkey.com/s.aspx?PREVIEW_MODE=DO_NOT_USE_THIS_LIN...

01/29/2013

[SURVEY PREVIEW MODE] IHS Pharmacy Automation 2013 Survey

Yes

Page 5 of 6

No

Are you using VA
laser labels?
If yes, have you
made any local
modifications?
Does it print VA
laser labels
appropriately?
Does it support
double-sided
printing?
Would you
recommend this
printer to others?

Printer Brand and Model

8. General Comments on Pharmacy Automation

According to the Paperwork Reduction Act of 1995, no persons are required to respond
to a collection of information unless it displays a valid OMB control number. The valid
OMB control number for this information collection is 0917-0036-19. The time required to
complete this information collection is estimated to average 10 minutes per response,
including the time to review instructions, search existing data resources, gather the data
needed, and complete and review the information collection. If you have comments
concerning the accuracy of the time estimate(s) or suggestions for improving this form,
please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200
Independence Ave., S.W., Suite 336E, Washington D.C. 20201, Attention: PRA Reports
Clearance Officer.

Powered by SurveyMonkey
Check out our sample surveys and create your own now!

http://www.surveymonkey.com/s.aspx?PREVIEW_MODE=DO_NOT_USE_THIS_LIN...

01/29/2013

[SURVEY PREVIEW MODE] IHS Pharmacy Automation 2013 Survey

Page 6 of 6

http://www.surveymonkey.com/s.aspx?PREVIEW_MODE=DO_NOT_USE_THIS_LIN...

01/29/2013


File Typeapplication/pdf
File Titlehttp://www.surveymonkey.com/s.aspx?PREVIEW_MODE=DO_NOT_USE_THIS
Authorerics
File Modified2013-01-29
File Created2013-01-29

© 2024 OMB.report | Privacy Policy