Att B - changes to 2014 EHR survey

Attachment B - Changes to 2014 NEHRS
Questions deleted
3. In a typical year, about how many weeks do you NOT see any ambulatory patients because of such events as
conferences, vacations, illness, etc.?
__________ weeks
5. During your last normal week of practice how many office visits did you have at all locations?

__________ office visits
9. During your last normal week of practice, approximately how many office visits did you have at the reporting
location? Note: Please only include visits where you personally saw the patient.
__________ office visits

15. 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.
•

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

Ambulatory
providers inside
your office/group

Hospitals with
which you are
not affiliated

Ambulatory
providers outside
your office/group

□1
□1
□1
□1
□1

□2
□2
□2
□2
□2

□3
□3
□3
□3
□3

□4
□4
□4
□4
□4

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

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

□2 No

□3 Unknown

Questions modified (questions in 2013 survey are in red)
17. 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?
17a. When did you first
apply or when do you
first intend to apply?

□1 Yes, we already applied
□2 Yes, we intend to apply

□1
□2
□3
□4
□5

2011
2012
2013
2014 or later
Unknown

1

□3 Uncertain if we will apply
□4 No, we will not apply

Skip to Question 18

14. Medicare and Medicaid offer incentives to practices that demonstrate “meaningful use of health IT.” At
the reporting location, are there plans to apply for Stage 1 of these incentive payments?
14a Are there plans to apply
for Stage 2 incentive
payments?

□1 Yes, we already applied

□1 Yes □3 Maybe
□2 No □4 Unknown

□2 Yes, we intend to apply
□3 Uncertain if we will apply
□4 No, we will not apply

Skip to Question 15

21. Do you refer any of your
patients to providers outside
of your office or group?

□ Yes  Go to Question 21a
2□ No  Skip to Question 22
1

22. Do you see any patients
referred to you by providers
outside of your office or
group?

□ Yes  Go to Question 22a
2□ No  Skip to Question 23
1

23. Do you take care of patients
after they are discharged from
an inpatient setting?

□ Yes
2□ No

1

 Go to Question 23a
 Skip to Question 24

21a. Do you receive a report back from
the other provider with results of the
consultation?

□
2□
3□
1

21b. Do you receive it
electronically (not fax)?

□ Yes, routinely
2□ Yes, but not routinely
3□ No
1

Yes, routinely
Yes, but not routinely
No  Skip to Question 22

22a. Do you receive notification of both
the patient’s history and reason for
consultation?

22b. Do you receive them
electronically (not fax)?

□ Yes, routinely
2□ Yes, but not routinely
3□ No
1

□ Yes, routinely
2□ Yes, but not routinely
3□ No  Skip to Question 23
1

23a. Do you receive all of the information
you need to continue managing the
patient?

□
2□
3□
1

23b. Is the information available
when needed?

□
2□
3□
1

Yes, routinely
Yes, but not routinely
No  Skip to Question 24

Yes, routinely
Yes, but not routinely
No

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

□ Yes, routinely
2□ Yes, but not routinely
3□ No
1

2

16. Do you refer any of your patients 16a Do you send the patient’s clinical 16b Do you send it electronically
to providers outside of your office or
information to the other
(not fax)?
providers?
group?
1 Yes, routinely
1 Yes  Go to Question 16a 
1 Yes, routinely
2 Yes, but not routinely
2 Yes, but not routinely
3 No
2 No  Skip to Question 17
3 No  Skip to Question 17

□
□

□
□
□

□
□
□

17. Do you see any patients referred
to you by providers outside of your
office or group?

17a Do you send a consultation report 17b Do you send it electronically
with clinical information to the
(not fax)?
other providers?
1 Yes, routinely
1 Yes  Go to Question 17a 
1 Yes, routinely
2 Yes, but not routinely
2 Yes, but not routinely
3 No
2 No  Skip to Question 18
3 No  Skip to Question 18

□
□

18. Do you take care of patients after
they are discharged from an
inpatient setting?

□
□
□

□
□
□

18a Do you receive a discharge
18b Do you receive
summary with clinical information
it electronically (not fax)?
from the hospital?
1 Yes, routinely
1 Yes  Go to Question 18a 
1 Yes, routinely
2 Yes, but not routinely
2 Yes, but not routinely
3 No  Skip to
2 No  Skip to Question 19
3 No  Skip to Question 19
Question 19

□
□

□
□
□

□
□
□

18c Can you automatically incorporate the received information into your
EHR system without manually entering the data?

□1 Yes

□2 No

□3 Not applicable, I do not have
an EHR system

Questions added
12d. Has your practice 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

□1 Yes

□2 No

□3

Unknown

12e. Does your EHR have the capability to electronically send health information to another provider whose EHR
system is different from your system?

□1 Yes

□2 No

□3

Unknown

15. 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 ordering prescriptions, are drugs formulary checks performed?
Ordering radiology tests?
Identifying patients due for preventive or follow-up care in order to send patients reminders?

19b. Is the patient health information that you share electronically sent directly from your EHR system to another EHR
system?

□1 Yes, routinely

□2

Yes, but not routinely

□3

No

□4

Unknown

3

19c. With what types of providers do you electronically share patient health information (e.g., lab results, imaging
reports, problem lists, medication lists)? CHECK ALL THAT APPLY.

□1
□2
□3
□4

Ambulatory providers inside your office/group
Ambulatory providers outside your office/group
Hospitals with which you are affiliated

□5
□6
□7

Behavioral health providers
Long-term care providers
Home health providers

Hospitals with which you are not affiliated

23. What is a reliable E-mail address for the physician to whom this survey was mailed?

_____________@___________________

4