Download:
pdf |
pdfIndian Health Service (IHS) Website Customer Service Satisfaction Survey
REQUIRED OMB INFORMATION:
Indian Health Service (IHS) Website Customer Service Satisfaction Survey – EHR Survey Monkey – CLASS
Form Approved
OMB Form No. 09170036
Expiration Date:
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 09170036. 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
OIT needs your help in evaluating the RPMSEHR training approach. Your input will be used to help us improve our
materials and presentation approach as we deploy the application throughout IHS.
Questions with a * are required.
*1. Please provide personal information:
First Name
Last Name
Credentails (RN, NP, CNM,
LPN only)
Business Address
Email
Facility
Location of Training
Date of Training
Page 1
Indian Health Service (IHS) Website Customer Service Satisfaction Survey
*2. Select the term(s) that best describes your role:
c Physician
d
e
f
g
c Pharmacist
d
e
f
g
c Nurse
d
e
f
g
c Physician Assistant
d
e
f
g
c Site Manager/IT Representative
d
e
f
g
c Clinical Applications Coordinator
d
e
f
g
c Medical Records
d
e
f
g
c EHR Super User
d
e
f
g
c EHR Implementation Team
d
e
f
g
c Area Support Staff
d
e
f
g
c Other (please describe)
d
e
f
g
*3. How did you hear about this RPMSEHR course? Select as many information sources
as apply, and/or add others:
c Web site
d
e
f
g
c Other (please describe)
d
e
f
g
*4. What types of “Pointof Service” RPMS Applications are used by you and/or your
organization?
5
6
*5. What did you expect from the EHR Training?
5
6
*6. Overall, did you feel that your objectives were met?
j Yes
k
l
m
n
j No
k
l
m
n
Page 2
Indian Health Service (IHS) Website Customer Service Satisfaction Survey
7. If no, describe how they could have been met better:
5
6
*8. Were the right people from your organization at the Training?
j Yes
k
l
m
n
j No
k
l
m
n
9. If no, who should have attended? Describe by position and name:
5
6
Please check a box to rate each of the statements listed below.
Page 3
Indian Health Service (IHS) Website Customer Service Satisfaction Survey
*10. Did the training meet the following educational objectives?
Define roles and
Poor
Fair
Good
Very Good
Excellent
N/A
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
responsibilities of the
Informaticist
Examine principles,
practices and techniques of
“Learning Communities”
and reusable learning
objects (RLO)
Examine the framework of
the Resource Patient
Management System
certified Electronic Health
Record and its related
clinical applications
Integrate best practices and
guidelines of Meaningful
Use (MU) measures within
an electronic health record
environment
Work collaboratively across
disciplines to define, discuss
and plan a process for
updating and maintaining
components of an
electronic health record
Develop a process for
configuring parameters
within an electronic health
record, understanding how
these can be customized at
specific levels depending
on the needs of the user
and the institution
Compare and contrast the
unique roles of users for
computer provider order
entry (CPOE) and note
documentation within an
electronic environment
Identify processes by which
customizable notifications
can be constructed to alert
specific individuals when a
certain event occurs in an
electronic health record
(e.g. a patient is placed in
restraints) for ensuring
patient safety and effective
communication
Page 4
Indian Health Service (IHS) Website Customer Service Satisfaction Survey
Create advanced, structured
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
electronic note
documentation tools to (a)
facilitate communication (b)
promote quality patient
care and patient safety and
(c) meet professional and
legal standards
Integrate Institute for Safe
Medication Practices
(ISMP) guidelines and
standards to include (a)
content of orders, (b) format
of orders, and (c)
management of prescription
approval, revisions and
updates
Develop advanced
electronic patient consult
tools to promote
coordination of care and
collaboration between
interdisciplinary providers
Implement solutions that
assure confidentiality
security and integrity, while
maximizing electronic
health record access and
utilization
Customize picklists for ICD9
Diagnosis Codes, E/M
Services, CPT Procedure
Codes, and Patient
Education Codes to
optimize accuracy of
clinical documentation
Customize the graphical
user interface (GUI) to align
the electronic health record
with workflow changes
Synthesize advanced skills
to problem solve issues
associated with advancing
electronic health record
spread
11. Comments:
5
6
Please check a box to rate each of the statements listed below:
Page 5
Indian Health Service (IHS) Website Customer Service Satisfaction Survey
*12. Please describe the quality of the presentation materials and methods used in this
training.
Materials were clearly
Poor
Fair
Good
Very Good
Excellent
N/A
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
written and easy to
understand
Training was paced
appropriately
Sufficient time for
comments and audience
interaction was provided
13. Comments:
5
6
Please check a box to rate each of the statements listed below:
*14. Please describe the quality of the facilities used in this training.
The presentation
Poor
Fair
Good
Very Good
Excellent
N/A
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
equipment/computers
functioned properly
The room was a
comfortable learning
environment
15. Comments:
5
6
*16. What part of the Training did you find most useful?
5
6
*17. What part of the Training did you find least useful?
5
6
*18. Looking back, how would you rate your
knowledge of the subject before the training?
j Poor
k
l
m
n
j Fair
k
l
m
n
j Good
k
l
m
n
j Very
k
l
m
n
j Excellent
k
l
m
n
Good
Page 6
Indian Health Service (IHS) Website Customer Service Satisfaction Survey
*19. Now that you have attended the training, how
do you rate your knowledge of the subject?
j Poor
k
l
m
n
j Fair
k
l
m
n
j Good
k
l
m
n
j Very
k
l
m
n
j Excellent
k
l
m
n
Good
*20. List three things you learned that you will use when you go back to your site:
5
6
21. Did you perceive any commercial bias toward any particular product or company in
any of the presentations?
c No
d
e
f
g
c Yes
d
e
f
g
If Yes, please explain
*22. Please rate the instructor: (Definitions and Roles of the Informaticist and
Informatician)
Demonstrated knowledge of
Poor
Fair
Good
Very Good
Excellent
N/A
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
the subject material
Presented information
clearly
23. Comments:
5
6
*24. Please rate the instructor: (RPMS Clinical Application Optimization, Electronic Health
Record Customization and Workflow , Advanced TIU Note Templates, Computer Provider
Order Entry , Generic Orders,Overview of VA Fileman, Advanced Design Mode)
Demonstrated knowledge of
Poor
Fair
Good
Very Good
Excellent
N/A
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
the subject material
Presented information
clearly
25. Comments:
5
6
Page 7
Indian Health Service (IHS) Website Customer Service Satisfaction Survey
*26. Please rate the instructor: (Consults and Effective Communication)
Demonstrated knowledge of
Poor
Fair
Good
Very Good
Excellent
N/A
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
the subject material
Presented information
clearly
27. Comments:
5
6
*28. Please rate the instructor: (Customizing ICD9 Diagnoses, CPT Procedures and
Patient Education Picklists)
Demonstrated knowledge of
Poor
Fair
Good
Very Good
Excellent
N/A
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
the subject material
Presented information
clearly
29. Comments:
5
6
*30. Please rate the instructor: (Advanced Design Mode)
Demonstrated knowledge of
Poor
Fair
Good
Very Good
Excellent
N/A
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
the subject material
Presented information
clearly
31. Comments:
5
6
*32. Please rate the instructor:(Advanced Informaticist Management Tools)
Demonstrated knowledge of
Poor
Fair
Good
Very Good
Excellent
N/A
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
the subject material
Presented information
clearly
33. Comments:
5
6
Page 8
Indian Health Service (IHS) Website Customer Service Satisfaction Survey
*34. Please rate the instructor: (Notifications Alerts and Ensuring Patient Safety)
Demonstrated knowledge of
Poor
Fair
Good
Very Good
Excellent
N/A
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
the subject material
Presented information
clearly
35. Comments:
5
6
*36. Please rate the instructor: (CPOE & Patient Safety)
Demonstrated knowledge of
Poor
Fair
Good
Very Good
Excellent
N/A
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
the subject material
Presented information
clearly
37. Comments:
5
6
Thank You for completing this survey.
For a certificate of completion, please click here.
If you have difficulty please contact Mollie Ayala at [email protected]
Page 9
| File Type | application/pdf |
| File Modified | 2015-05-12 |
| File Created | 2015-05-05 |