Nurses Form B Survey Administered as a Computer-Assisted Telephone Interview

Survey of Medical Care Providers for the Evaluation of the Regional Extension Center (REC) Program

20475_ID Form B Survey Administered as a Computer-Assisted Telephone Interview 120513

Nurses Form B Survey Administered as a Computer-Assisted Telephone Interview

OMB: 0955-0015

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Form Approved

OMB No. 0955-

Exp. Date XX/XX/20XX

Form B Survey Administered as a Computer-Assisted Telephone Interview


  1. Does this practice use an electronic health record (EHR) or electronic medical record (EMR) system? Do not include billing record systems.

  1. ____ Yes Go to Q2

  2. ____ No Screen out, go to Q36

  3. ____ Uncertain Screen out, go to Q36


  1. Did your practice transition from using paper charts to an EHR? (READ a. – c.)

  1. ____ Yes, we transitioned from paper charts to using an EHR

  2. ____ No, this practice opened with an EHR

  3. ____ Uncertain


  1. In which year did you install your current EHR?

  1. __ __ __ __ Year (YYYY)

  2. ____ Uncertain


  1. Is your current EHR system certified to meet meaningful use as defined by the Department of Health and Human Services?


[If needed by respondent, interviewer can provide definition:]

Meaningful use is a way to optimize health care and use technology to improve patient care and is defined by standards set by the Department of Health and Human Services. Certified EHRs meet these established standards and other criteria for structured data. Certified EHR technology gives assurance to purchasers and other users that an EHR system or module offers the necessary technological capability, functionality, and security to help them meet the meaningful use criteria. Certification also helps providers and patients be confident that the electronic health IT products and systems they use are secure, can maintain data confidentially, and can work with other systems to share information. [After reading, ask Q4 again]


  1. ____ Yes Go to Q5

  2. ____ No Go to Q6

  3. ____ Uncertain Go to Q6


  1. To meet the meaningful use certification standards, did you have to: (READ a. – c.)

  1. ____ Upgrade your EHR software? Go to Q7

  2. ____ Install a different EHR system? Go to Q7

  3. ____ Neither upgrade your EHR system nor install a different EHR system? Go to Q7

  4. ____ Uncertain Go to Q7


  1. To meet the meaningful use certification standards, do you plan (READ a. – c.):

  1. ____ To upgrade your EHR software to a new version?

  2. ____ To install an entirely new EHR system?

  3. ____ Neither to upgrade your EHR system nor install a different EHR system?

  4. ____ Uncertain


  1. Medicare and Medicaid offer incentive programs to providers that demonstrate “meaningful use of their EHR system.” Have you applied for the Medicare incentive program?

  1. ____ Yes Go to Q9

  2. ____ No Go to Q8

  3. ____ Uncertain Go to Q8


  1. Have you applied for the Medicaid incentive program?

  1. ____ Yes Go to Q9

  2. ____ No Go to Q12

  3. ____ Uncertain Go to Q12


  1. In what year did you first apply for an EHR incentive program (READ a. – d.)?

  1. ____ 2011

  2. ____ 2012

  3. ____ 2013

  4. ____ 2014

  5. ____ Uncertain



  1. How easy or difficult was it for you to use the online system to attest to the meaningful use criteria? Was it (READ a. – e.):

  1. ____ Extremely easy Go to Q16

  2. ____ Somewhat easy Go to Q16

  3. ____ Somewhat difficult Go to Q11

  4. ____ Extremely difficult Go to Q11

  5. ____ Uncertain Go to Q16


  1. Did you receive help or assistance to address this difficulty?

  1. ____ Yes Go to Q16

  2. ____ No Go to Q16

  3. ____ Uncertain Go to Q16


  1. Do you intend to apply for an EHR incentive program (READ a. – c.)?

  1. ____ Yes, I intend to apply Go to Q13

  2. ____ No, I do not intend to apply Go to Q15

  3. ____ Uncertain if I will apply Go to Q15


  1. In what year do you intend to apply for an EHR incentive program (READ a. – c.)?

  1. ____ 2013

  2. ____ 2014

  3. ____ 2015 or later

  4. ____ Unknown


  1. Which incentive program do you intend to apply for? Do you intend to apply for: (READ a. – b.)

  1. ____ The Medicare incentive program Go to Q16

  2. ____ The Medicaid incentive program Go to Q16

  3. ____ Uncertain Go to Q16


  1. Which of the following are reasons you have not applied for an EHR incentive program? The first is: (READ a. – h.)

Yes

No

  1. You are not qualified as an “eligible provider”? Y N

  2. You do not see enough Medicaid patients? Y N

  3. You do not see enough Medicare patients? Y N

  4. The process to apply is difficult? Y N

  5. You are not familiar with the incentive program(s)? Y N

  6. You are unsure that incentives will actually be paid? Y N

  7. Your EHR system does not exchange health information

electronically with other providers (e.g., EHR systems

“don’t talk to each other”)? Y N

  1. You are not prepared to implement electronic prescribing? Y N




  1. I’m going to read some statements about your practice’s EHR. Please tell me whether you strongly agree, agree, disagree, or strongly disagree with each of the following statements. First is: (READ a. – c.)


Strongly agree

Agree

Disagree

Strongly disagree

Uncertain

  1. Your EHR provides financial benefits for your practice.

SA

A

D

SD

U

  1. Overall, your practice has functioned more efficiently with an EHR system.

SA

A

D

SD

U

  1. Your EHR helps your practice to deliver better patient care.

SA

A

D

SD

U


  1. Overall, how satisfied or dissatisfied are you with your EHR system? (READ a. – d.)

  1. ____ Very satisfied

  2. ____ Satisfied

  3. ____ Dissatisfied

  4. ____ Very dissatisfied


  1. On a scale of 0 to 10, with 0 being not at all likely and 10 being extremely likely, how likely are you to recommend your EHR system to others?


Extremely likely










Not at all likely

10

9

8

7

6

5

4

3

2

1

0



This next section focuses on challenges or difficulties that your practice may have faced with your EHR and assistance that you may have received to address those difficulties.

Adopting and Implementing

  1. I’m going to name some issues that some practices face during the transition from using paper records to electronic health records or when upgrading from a previous EHR system to a new version of the same software. Please indicate how difficult or easy each issue was for your practice using the scale of “Extremely difficult,” “Somewhat difficult,” “Neither difficult nor easy,” “Somewhat easy,” or “Extremely easy”. (Circle only one response for each item.) First is: (READ a. – k.)




Extremely difficult

Somewhat difficult

Neither difficult nor easy

Somewhat easy

Extremely easy

  1. Assess your practice’s hardware requirements?

ED

SD

N

SE

EE

  1. Assess your practice’s software requirements, including Internet connectivity?

ED

SD

N

SE

EE

  1. Select your current EHR system?

ED

SD

N

SE

EE

  1. Negotiate a contract for your current EHR with a vendor or company?

ED

SD

N

SE

EE

  1. (ONLY ASK IF INSTALLED NEW EHR PER Q5) Get support or customer help from the maker of your current EHR system during installation of your current system, if needed?

ED

SD

N

SE

EE

  1. (ONLY ASK IF INSTALLED NEW EHR PER Q5) Get support or customer help from the maker of your current EHR system during implementation of your current system, if needed?

ED

SD

N

SE

EE

  1. (ONLY ASK IF UPGRADED EHR PER Q5) To get support from the maker of your current EHR system when upgrading to your current EHR version, if needed?

ED

SD

N

SE

EE

  1. Design or redesign your practice’s workflow to accommodate your current EHR system?

ED

SD

N

SE

EE


Extremely difficult

Somewhat difficult

Neither difficult nor easy

Somewhat easy

Extremely easy

  1. Implement the workflow design or redesign that accommodates your current EHR system?

ED

SD

N

SE

EE

  1. Initially train staff to use your current EHR system?

ED

SD

N

SE

EE

  1. Protect the privacy and security of electronic health information?

ED

SD

N

SE

EE


  1. Did you receive any help or assistance in adopting and implementing your current EHR system?

  1. ____ Yes

  2. ____ No

  3. ____ Uncertain


  1. During the implementation of your current EHR system, did your practice experience a decrease in the number of patient visits per week?

  1. ____ Yes Go to Q22

  2. ____ No Go to next section


  1. Is your practice back to the same number of patient visits per week as before EHR implementation?

  1. ____ Yes Go to Q23

  2. ____ No Go to next section


  1. How many months did it take your practice to get back to the same number of patient visits?

  1. _____________ months


Use and Meaningful Use


(If “Yes”/“Uncertain” to Q4 start at beginning of the section)

(If “No” to Q4, skip to Q30 - Care Transformation)


This section deals with issues and difficulties that some practices face when “meaningfully using” their EHR system.


(READ) As a reminder, meaningful use is the set of standards from the Department of Health and Human Services about use of electronic health records (EHRs). The goal of meaningful use is to promote the spread of EHRs to improve health care.


Meaningful use focuses on

  • capturing health information in a standard format and using that information to track key clinical conditions

  • Communicating information for care coordination

  • Initiating the reporting of clinical quality measures and public health information

  • Using information to engage patients and their families in their care


  1. I’m going to name some common features of EHR systems that practices use to demonstrate meaningful use of their EHR system. For each feature named please let me know whether your practice routinely uses the function, and if not, whether your EHR system has the feature. First, do you routinely use your EHR to: (READ a. – r.)


ROUTINE USE

(ASK IF “NO” TO ROUTINE USE): Does your EHR have this feature?


Yes

No

Yes

No

  1. recording demographic information

Y

N

Y

N

  1. recording a patient problem list

Y

N

Y

N

  1. recording and charting vital signs

Y

N

Y

N

  1. recording patient smoking status

Y

N

Y

N

  1. recording clinical notes that include active medications

Y

N

Y

N

  1. recording clinical notes that include active medication allergies

Y

N

Y

N

  1. ordering prescriptions

Y

N

Y

N

  1. if yes, are prescriptions sent electronically to the pharmacy

Y

N

Y

N

  1. if yes, are warnings of drug interactions or contraindications provided

Y

N

Y

N

  1. providing reminders for guideline based interventions or screening tests

Y

N

Y

N

  1. reporting clinical quality measures to federal or state agencies (such as CMS or Medicaid)

Y

N

Y

N

  1. generating lists of patients with particular health conditions

Y

N

Y

N

  1. electronic reporting to immunization registries

Y

N

Y

N

  1. providing patients with clinical summaries for each visit

Y

N

Y

N


ROUTINE USE

(ASK IF “NO” TO ROUTINE USE): Does your EHR have this feature?


Yes

No

Yes

No

  1. exchanging secure messages with patients

Y

N

Y

N

  1. providing patients with an electronic copy of their health information

Y

N

Y

N


  1. (Ask if respondent replied “Yes” to routinely using any of the EHR features per Q24, a. – r.) You’ve reported routinely using at least one of the features of an EHR system to show achievement of meaningful use. Some practices may experience difficulties in routinely using these features. How easy or difficult was it to routinely use the function(s) of your EHR system?

  1. ____ Extremely easy

  2. ____ Somewhat easy

  3. ____ Neither easy nor difficult

  4. ____ Somewhat difficult

  5. ____ Extremely difficult


  1. (Ask if respondent replied “Yes” to routinely using any of the EHR features per Q24, a. – r.) Did your practice receive any help or assistance in routinely using the meaningful use function(s) of your EHR?

  1. ____ Yes

  2. ____ No

  3. ____ Uncertain


  1. (Ask if “Yes” to Q20, “Yes” to Q26, or “Yes” to both Q20 and Q26) You’ve reported getting help with adopting, implementing, and/or routinely using your practice’s EHR system. I’m going to read several organizations to find out whether you received help from any of them and if so, whether the help you received met your needs. First, did you receive help from: (READ a. – e.)



RECEIVED HELP

(ASK IF “YES” TO RECEIVED HELP): Did the help that you received from them meet your needs?


Yes

No

Don’t know

Yes

No

Don’t know

  1. An EHR vendor or the company that sold you your EHR?

Y

N

DK

Y

N

DK

  1. A local Regional Extension Center or affiliate?

Y

N

DK

Y

N

DK

  1. A professional association (e.g., the American Association of Family Physicians)?

Y

N

DK

Y

N

DK

  1. A local hospital or health system?

Y

N

DK

Y

N

DK

  1. A payer/insurance company?

Y

N

DK

Y

N

DK


  1. Were there any other external organization(s) your practice paid to help you with meaningful use?

  1. ____ Yes Go to Q29

  2. ____ No Go to Q30

  3. ____ Don’t know Go to Q30


  1. Did the help that you received from those other external organization(s) meet your needs?

  1. ____ Yes

  2. ____ No

  3. ____ Don’t know







This next section focuses on care transformation.

Care Transformation


  1. Entities that certify practices as Patient-Centered Medical Homes, or PCMHs, include the National Committee for Quality Assurance, the Joint Commission, URAC, Bridges to Excellence, insurers, and some other state and national groups. Is your practice: (READ a. – c.)

  1. ____ Currently participating in a PCMH arrangement? Go to Q30

  2. ____ In the process of receiving certification as a PCMH? Go to Q30

  3. ____ Neither? Go to Q31


  1. Does your practice receive compensation, other than fees for routine visits, for offering Patient-Centered Medical Home services?

  1. ____ Yes Go to Q32

  2. ____ No Go to Q32

  3. ____ Uncertain Go to Q32

  1. Does your practice seek to participate in a PCMH arrangement within the next 12 months?

  1. ____ Yes

  2. ____ No

  3. ____ Uncertain


  1. Does your practice participate in a Pay-for-Performance or bundled payment arrangement in which you can receive financial bonuses based on your performance? (READ A. – b.)

  1. ____ Yes Go to Q34

  2. ____ No Go to Q33

  3. ____ Uncertain Go to Q34


  1. Does your practice plan to participate in a Pay-for-Performance or bundled payment arrangement within the next 12 months? (READ a. – b.)

  1. ____ Yes

  2. ____ No

  3. ____ Uncertain


  1. Does your practice participate in an Accountable Care Organization or other similar arrangement by which you may share savings with insurers, such as private insurance, Medicare, Medicaid, and other public options?

  1. ____ Yes Go to Q36

  2. ____ No Go to Q35

  3. ____ Uncertain Go to Q36




  1. Does your practice plan to participate in an Accountable Care Organization within the next 12 months?

  1. ____ Yes

  2. ____ No

  3. ____ Uncertain


This final section asks a few questions about you and your practice.

System Info and Demographics


  1. What is your main job function or role?

  1. ____ Physician

  2. ____ Nurse practitioner, certified nurse midwife, physician’s assistant

  3. ____ Nurse

  4. ____ Medical assistant

  5. ____ Other clinical staff

  6. ____ Practice/office manager

  7. ____ IT staff

  8. ____ Billing specialist

  9. ____ Executive Staff (CEO, COO, CFO, etc.)

  10. ____ Other administrative/non-clinical staff

  11. ____ Other. Please specify: ___________________________


  1. Is this practice or clinic a single- or multi-specialty (group) practice?

  1. ____ Single

  2. ____ Multi-specialty


Before we end, I’d like to give you a chance to share any additional thoughts or comments about the information we talked about today. Is there anything else you would like to add?

(SPECIFY): ______________________________


Thank you very much for participating in this survey today. We appreciate your time.

---END OF SURVEY---



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