Form 0920-0278 Attachment A - 2016 NHAMCS Hospital Induction Questionna

Attachment A: 2016 NHAMCS EHR Questions changes
2015 EHR Questions
EBILLRECE/O/A

1

Yes

1

Now I would like to ask you some
questions about your . If
within
the vary with respect to
their use of the
electronic HEALTH record (EHR)
or electronic MEDICAL record
(EMR) systems, then ask these
questions of the clinic with the
largest number of expected visits
during the reporting period.
Does your submit any
CLAIMS electronically (electronic
billing)?
Yes

2

No

2

No

3

Unknown

3

Unknown

EMEDRECE/O/A

1
2

Now I would like to ask you
some questions about your
. If
within the vary with
respect to their use of the
EHR/EMR systems, then ask
these questions of the clinic with
the largest number of expected
visits during the reporting
period.
Does your submit any
CLAIMS electronically (electronic
billing)?

2016 EHR Questions

Does your use an
electronic HEALTH record (EHR)
or electronic MEDICAL record
(EMR) system? Do not include
billing record systems.
Yes, all electronic

3

Yes, part paper and part
electronic
No

4

Unknown

EHRINSYRE/O/A

HHSMUE/O/A

In which year did your OPD
install the current EHR/EMR
system?

1

Does your current system meet
meaningful use criteria as
defined by the Department of
Health and Human Services?
What is the name of your current
EHR/EMR system?
Allscripts

2
3

EBILLRECE/O/A

EMEDRECE/O/A

Does your use an
EHR/EMR system? Do not
include billing record systems.

1

Yes, all electronic

2
3

Yes, part paper and part
electronic
No

4

Unknown

EHRINSYRE/O/A

1

Does your current system meet
meaningful use criteria as
defined by the Department of
Health and Human Services?
What is the name of your current
EHR/EMR system?
Allscripts

Amazing Charts

2

Amazing Charts

athenahealth

3

athenahealth

4

Cerner

4

Cerner

5

eClinicalWorks

5

eClinicalWorks

6

e-MDs

6

e-MDs

7

Epic

7

Epic

8

GE/Centricity

8

GE/Centricity

EHRNAME/O/A13

HHSMUE/O/A

In which year did your OPD
install the current EHR/EMR
system?

EHRNAME/O/A16

9

Greenway Medical

9

Greenway Medical

10

McKesson / Practice Partner

10

McKesson / Practice Partner

11

NextGen

11

NextGen

12

Practice Fusion

12

Practice Fusion

13

Sage/Vitera

13

Sage/Vitera

14

Other - Specify

14

Other - Specify

15

Unknown

15

Unknown

EHRNAMOTHE/O/A

Enter name of EHR/EMR system

SECURCHCKE/O/A

1

Has your hospital made an
assessment of the potential risks
and vulnerabilities of your
electronic health information
within the last 12 months? This
would help identify privacy or
security related issues that may
need to be corrected.
Yes

2

No

3

Unknown

DIFFEHRE/O/A

1

Does your EHR have the
capability to electronically send
health information to another
provider whose EHR system is
different from your system?
Yes

2

No

3

Unknown

EHRINSE/O/A

1

Does your have plans for
installing a new EHR/EMR
system within the next 18
months?
Yes

2

EHRNAMOTHE/O/A

Enter name of EHR/EMR system

EHRINSE/O/A

Does your have plans for
installing a new EHR/EMR system
within the next 18 months?

1

Yes

No

2

No

3

Maybe

3

Maybe

4

Unknown

4

Unknown

EDEMOGE/O/A

1

Indicate whether your
has each of the following
computerized capabilities and
how often these capabilities are
used.
Recording patient history and
demographic information?
Yes, used routinely

2

EDEMOGE/O/A

Indicate whether your
has each of the following
computerized capabilities.
Recording patient history and
demographic information?

1

Yes

Yes, but not used routinely

2

No

3

Yes, but turned off or not used

3

Unknown

4

No

5

Unknown

EPROLSTE/O/A

1

Indicate whether your
has each of the following
computerized capabilities and
how often these capabilities are
used.
Recording patient problem list?
Yes, used routinely

2

EPROLSTE/O/A

Indicate whether your
has each of the following
computerized capabilities.
Recording patient problem list?

1

Yes

Yes, but not used routinely

2

No

3

Yes, but turned off or not used

3

Unknown

4

No

5

Unknown

EVITALE/O/A

1

Indicate whether your
has each of the following
computerized capabilities and
how often these capabilities are
used.
Recording and charting
vital signs?
Yes, used routinely

2

Yes, but not used routinely

3

Yes, but turned off or not used

4

No

5

Unknown

ESMOKEE/O/A

1

Indicate whether your
has each of the following
computerized capabilities and
how often these capabilities are
used.
Recording patient smoking
status?
Yes, used routinely

2

Yes, but not used routinely

3

Yes, but turned off or not used

4

No

5

Unknown

EPNOTESE/O/A

1

Indicate whether your
has each of the following
computerized capabilities and
how often these capabilities are
used.
Recording clinical notes?
Yes, used routinely

2

EPNOTESE/O/A

Indicate whether your
has each of the following
computerized capabilities.
Recording clinical notes?

1

Yes

Yes, but not used routinely

2

No

3

Yes, but turned off or not used

3

Unknown

4

No

5

Unknown

EMEDALGE/O/A

Indicate whether your
has each of the following
computerized capabilities and

EMEDALGE/O/A

Indicate whether your
has each of the following
computerized capabilities and

1

how often these capabilities are
used.
Recording patient's medications
and allergies?
Yes, used routinely

1

how often these capabilities are
used.
Recording patient's medications
and allergies?
Yes

2

Yes, but not used routinely

2

No

3

Yes, but turned off or not used

3

Unknown

4

No

5

Unknown

EMEDIDE/O/A

1

Indicate whether your
has each of the following
computerized capabilities and
how often these capabilities are
used.
Reconciling lists of patient
medications to identify the most
accurate list?
Yes, used routinely

2
3
4

No

5

Unknown

EREMINDE/O/A

Indicate whether your
has each of the following
computerized capabilities.
Reconciling lists of patient
medications to identify the most
accurate list?

1

Yes

Yes, but not used routinely

2

No

Yes, but turned off or not used

3

Unknown

1

Indicate whether your
has each of the following
computerized capabilities and
how often these capabilities are
used.
Providing reminders for
guideline-based interventions or
screening tests?
Yes, used routinely

2
3
4

No

5

Unknown

ECPOEE/O/A

EMEDIDE/O/A

EREMINDE/O/A

Indicate whether your
has each of the following
computerized capabilities.
Providing reminders for
guideline-based interventions or
screening tests?

1

Yes

Yes, but not used routinely

2

No

Yes, but turned off or not used

3

Unknown

1

Indicate whether your
has each of the following
computerized capabilities and
how often these capabilities are
used.
Ordering prescriptions?
Yes, used routinely

2

ECPOEE/O/A
(main level)

Indicate whether your
has each of the following
computerized capabilities.
Ordering prescriptions?

1

Yes

Yes, but not used routinely

2

No

3

Yes, but turned off or not used

3

Unknown

4

No

5

Unknown

ESCRIPE/O/A

Indicate whether your
has each of the following
computerized capabilities and

ESCRIPE/O/A
(subQ to
ECPOEE/O/A)

Indicate whether your
has each of the following
computerized capabilities.

1

how often these capabilities are
used.
Are prescriptions sent
electronically to the pharmacy?
Yes, used routinely

1

Yes

2

Yes, but not used routinely

2

No

3

Yes, but turned off or not used

3

Unknown

4

No

5

Unknown

EWARNE/O/A

1

Indicate whether your
has each of the following
computerized capabilities and
how often these capabilities are
used.
Are warnings of drug interactions
or contraindications provided?
Yes, used routinely

2
3
4

No

5

Unknown

Are prescriptions sent
electronically to the pharmacy?

EWARNE/O/A
(subQ to
ECPOEE/O/A)

1

Yes

Yes, but not used routinely

2

No

Yes, but turned off or not used

3

Unknown

ECONTRSUBE/O/A
(main level)
1

1

Indicate whether your
has each of the following
computerized capabilities and
how often these capabilities are
used.
Are drug formulary checks
performed?
Yes, used routinely

2

Yes, but not used routinely

3

Yes, but turned off or not used

4

No

5

Unknown

ECTOEE/O/A

Indicate whether your
has each of the following
computerized capabilities and
how often these capabilities are
used.
Ordering lab tests?

Do you prescribe controlled
substances?
Yes (go to ECONTRSUBSE/O/A)

2

No (skip to ECTOEE/O/A)

3

Unknown (Skip to ECTOEE/O/A)

ECONTRSUBSE/O/A
(subQ to
ECONTRSUBE/O/A)
1

EFORMULAE/O/A

Indicate whether your
has each of the following
computerized capabilities.
Are warnings of drug interactions
or contraindications provided?

Are prescriptions for controlled
substances sent electronically to
the pharmacy?
Yes

2

No

3

Unknown

ECTOEE/O/A

Indicate whether your
has each of the following
computerized capabilities.
Ordering lab tests?

1

Yes, used routinely

1

Yes

2

Yes, but not used routinely

2

No

3

Yes, but turned off or not used

3

Unknown

4

No

5

Unknown

EORDERE/O/A

1

Indicate whether your
has each of the following
computerized capabilities and
how often these capabilities are
used.
Are orders sent electronically?
Yes, used routinely

2

Yes, but not used routinely

3

Yes, but turned off or not used

4

No

5

Unknown

ERESULTE/O/A

1

Indicate whether your
has each of the following
computerized capabilities and
how often these capabilities are
used.
Viewing lab results?
Yes, used routinely

2

ERESULTE/O/A

Indicate whether your
has each of the following
computerized capabilities.
Viewing lab results?

1

Yes

Yes, but not used routinely

2

No

3

Yes, but turned off or not used

3

Unknown

4

No

5

Unknown

EGRAPHE/O/A

1

Indicate whether your
has each of the following
computerized capabilities and
how often these capabilities are
used.
Can the EHR/EMR automatically
graph a specific patient's lab
results over time?
Yes, used routinely

2

Yes, but not used routinely

3

Yes, but turned off or not used

4

No

5

Unknown

ERADIE/O/A

1

Indicate whether your
has each of the following
computerized capabilities and
how often these capabilities are
used. Ordering radiology tests?
Yes, used routinely

2

ERADIE/O/A

Indicate whether your
has each of the following
computerized capabilities.
Ordering radiology tests?

1

Yes

Yes, but not used routinely

2

No

3

Yes, but turned off or not used

3

Unknown

4

No

5
EIMGRESE/O/A

Unknown

1

Indicate whether your
has each of the following
computerized capabilities and
how often these capabilities are
used.
Viewing imaging results?
Yes, used routinely

2

EIMGRESE/O/A

Indicate whether your
has each of the following
computerized capabilities.
Viewing imaging results?

1

Yes

Yes, but not used routinely

2

No

3

Yes, but turned off or not used

3

Unknown

4

No

5

Unknown

EPTEDUE/O/A

1

Indicate whether your
has each of the following
computerized capabilities and
how often these capabilities are
used.
Identifying educational
resources for patients'
specific conditions?
Yes, used routinely

2

Yes, but not used routinely

3

Yes, but turned off or not used

4

No

5

Unknown

ECQME/O/A

1

Indicate whether your
has each of the following
computerized capabilities and
how often these capabilities are
used.
Reporting clinical quality
measures to federal or state
agencies (such as CMS or
Medicaid)?
Yes, used routinely

2

Yes, but not used routinely

3

Yes, but turned off or not used

4

No

5

Unknown

EIDPTE/O/A

1

Indicate whether your
has each of the following
computerized capabilities and
how often these capabilities are
used.
Identifying patients due for
preventive or follow-up care in
order to send patients
reminders?
Yes, used routinely

2

Yes, but not used routinely

EIDPTE/O/A

Indicate whether your
has each of the following
computerized capabilities.
Identifying patients due for
preventive or follow-up care in
order to send patients
reminders?

1

Yes

2

No

3

Yes, but turned off or not used

4

No

5

Unknown

EGENLISTE/O/A

1

Indicate whether your
has each of the following
computerized capabilities and
how often these capabilities are
used.
Generating lists of patients
with particular health
conditions?
Yes, used routinely

2
3
4

No

5

Unknown

EIMMREGE/O/A

3

EGENLISTE/O/A

Indicate whether your
has each of the following
computerized capabilities.
Generating lists of patients
with particular health
conditions?

1

Yes

Yes, but not used routinely

2

No

Yes, but turned off or not used

3

Unknown

1

Indicate whether your
has each of the following
computerized capabilities and
how often these capabilities are
used.
Electronic reporting to
immunization registries?
Yes, used routinely

2

Yes, but not used routinely

3

Yes, but turned off or not used

4

No

5

Unknown
EDATAREPE/O/A

ESUME/O/A

Unknown

1

Indicate whether your
has each of the following
computerized capabilities and
how often these capabilities are
used.
Providing patients with
clinical summaries for each visit?
Yes, used routinely

2

1

Providing data to create reports
on clinical care measures for
patients with specific chronic
conditions (e.g., HbA1C for
diabetes)
Yes

2

No

3

Unknown

ESUME/O/A

1

Indicate whether your
has each of the following
computerized capabilities and
how often these capabilities are
used.
Providing patients with
clinical summaries for each visit?
Yes

Yes, but not used routinely

2

No

3

Yes, but turned off or not used

3

Unknown

4

No

5

Unknown

EMSGE/O/A

1

Indicate whether your
has each of the following
computerized capabilities and
how often these capabilities are
used.
Exchanging secure messages
with patients?
Yes, used routinely

2

EMSGE/O/A

Indicate whether your
has each of the following
computerized capabilities.
Exchanging secure messages
with patients?

1

Yes

Yes, but not used routinely

2

No

3

Yes, but turned off or not used

3

Unknown

4

No

5

Unknown

EPTRECE/O/A

1

Indicate whether your
has each of the following
computerized capabilities and
how often these capabilities are
used.
Providing patients the ability
to view online, download or
transmit information from their
medical record?
Yes, used routinely

2

Yes, but not used routinely

3

Yes, but turned off or not used

4

No

5

Unknown

REFOUTO
(only in OPD)

Do you refer any patients to
providers outside of your clinic?

1

Yes

REFOUTO
(only in OPD
Main level)
1

2

No

2
REFOUTHOWO
(only in OPD
subQ to REFOUTO)
1
2

3

REFOUTSO
(only in OPD)
1

Do you send the patient's
clinical information to the other
providers?
Yes, routinely

2

Yes, but not routinely

3

No

REFOUTSEO
(only in OPD)
1

Do you send it electronically
(not fax)?
Yes, routinely

Do you refer patients to
providers outside of your
hospital?
Yes (go to REFOUTHOWO)
No (skip to REFINO)
How do you send patient health
information to them? Mark all
that apply.
Electronically (EHR, web portal, or
online registries)
Via paper-based methods (Fax,
eFax, or mail)
We do not send any patient
health information to providers
outside of our hospital

2

Yes, but not routinely

3

No

REFINO
(only in OPD)
1

Do you see any patients
referred by providers outside of
your clinic?
Yes

2

No

REFINO
(only in OPD
Main level)
1
2
REFINHOWO
(only in OPD
SubQ to REFINO)
1
2

3

REFINSO
(only in OPD)
1

Do you send a consultation
report with clinical information
to the other providers?
Yes, routinely

2

Yes, but not routinely

3

No

REFINSEO
(only in OPD)
1

Do you send it electronically
(not fax)?
Yes, routinely

2

Yes, but not routinely

3

No

INPTCAREO
(only in OPD)

1

Does your clinic take care of
patients after they are
discharged from an inpatient
setting?
Yes

2

No

DISSUMO
(only in OPD)
1

Do you receive a discharge
summary with clinical
information from the hospital?
Yes, routinely

2

Yes, but not routinely

3

No

DISSUMEO
(only in OPD)
1

Do you receive it electronically
(not fax)?
Yes, routinely

2

Yes, but not routinely

3

No

INCORINFOO
(only in OPD)

Can you automatically
incorporate the received
information into your EHR

Do you see patients from
providers outside of your
hospital?
Yes (got o REFINHOWO)
No (skip to ESHAREE)
How do you receive patient
health information from them?
Mark all that apply.
Electronically (EHR, web portal, or
online registries)
Via paper-based methods (Fax,
eFax, or mail)
We do not receive any patient
health information from providers
outside our hospital

1

system without manually
entering the data?
Yes

2

No

3

1

Not applicable, do not have an
EHR system
The next questions are about
sharing (either sending or
receiving) patient health
information.
Does your share
any patient health information
electronically (not fax) with any
other providers, including
hospitals, ambulatory providers,
or labs?
Yes

2

No

ESHAREE/O/A

ESHAREE/O/A

1

Yes (go to ESHARESE/O/A)

2

No (Skip to EDISCHSRE/O/A)

3

1

Unknown (skip to
EDISCHSRE/O/A)
Do you electronically send
patient health information to
another provider whose EHR
system is different from your
own?
Yes

2

No

3

Unknown

ESHARESE/O/A
(subQ to
ESHAREE/O/A)

ESHARERE/O/A
(subQ to
ESHAREE/O/A)

ESHAREHOWE/O/A

1
2

How does your
electronically share patient
health information?
Read answer categories
Enter all that apply, separate
with commas
EHR/EMR

3

Web portal (separate from
EHR/EMR)
Other electronic method (not fax)

ESHAREHOWOTHE/O/A

Specify other electronic method

EHRTOEHRE/O/A

Is the patient health information
that you share electronically sent

Do you send or receive patient
health information
electronically? Electronically
does not include scanned or pdf
documents from fax, eFax, or
mail.

1

Do you electronically receive
patient health information to
another provider whose EHR
system is different from your
own?
Yes

2

No

3

Unknown

1

directly from your EHR system to
another EHR system?
Yes, routinely

2

Yes, but not routinely

3

No

4

Unknown

ESHAREPROVE/O/A

5

With what types of providers do
you electronically share patient
health information (e.g., lab
results, imaging reports, problem
lists, medication lists)?
Enter all that apply.
Ambulatory providers inside your
hospital
Ambulatory providers outside
your hospital
Hospitals with which you are
affiliated
Hospitals with which you are not
affiliated
Behavioral health providers

6

Long-term care providers

7

Home health providers

1
2
3
4

EOUTINFOE/O/A

1

Are you/your staff able to
electronically find health
information (e.g., medications,
outside encounters) from
sources outside of the hospital
for your patients?
Yes, routinely

2

Yes, but not routinely

3

No

4

Unknown

EOUTHOWE/O/A

1
2
3
4
EOUTOSPE/O/A

EOUTYPE/O/A

How do you look up patient
health information from sources
outside your hospital?
Enter all that apply.
Through your EHR/EMR
Web portal (separate from
EHR/EMR)
View only or restricted access to
other providers' EHR system
Other electronic method (not fax)
How do you look up patient
health information from sources
outside your hospital?
Other, please specify.
What types of information do
you routinely look up?

Enter all that apply.
1

Lab results

2

Imaging reports

3

Patient problem lists

4

Medication lists

5

Other

EOUTYPSPE/O/A

EOUTINCORPE/O/A

1
2

3

What types of information do
you routinely look up?
Other; please specify.
Does you or your staff routinely
incorporate the information you
look up into your EHR?
Yes, via manual entry or scanned
copy
Yes, automatically able to
incorporate without manual entry
or scanning
No, we do not routinely
incorporate into our EHR
EDISCHSRE/O/A

1

Do you electronically send or
receive hospital discharge
summaries to or from providers
outside of your medical
organization? Check all that
apply.
Send electronically

2

Receive electronically

3

Do not send or receive

EEDSRE/O/A

1

Do you electronically send or
receive notifications to
or from providers outside of your
medical organization? Check all
that apply.
Send electronically

2

Receive electronically

3

Do not send or receive

ESUMCSRE/O/A

1

Do you electronically send or
receive summary of care records
for transitions of car or referrals
to or from providers outside of
your medical organization? Check
all that apply.
Send electronically

2

Receive electronically

3

Do not send or receive

PTONLINEE/O/A

1

Can patients seen at the
reporting location do the
following online activities?
Check all that apply.
View their medical record online

2

3
4
5

Download and transmit health
information in the electronic
medical record to their personal
files
Request corrections to their
electronic medical record
Enter their health information
online (e.g. weight, symptoms)?
Upload their data from selfmonitoring devices (e.g. blood
glucose readings)?