Changes to 2015 NEHRS

Attachment B - Changes to 2015 NEHRS
Questions deleted
11. Does the reporting location submit any claims electronically (electronic billing)?

□1

□2

Yes

□3

No

Unknown

Questions modified (questions in 2014 survey are in red; 2015 are in black)
12b Does your current system meet meaningful use criteria as defined by the Department of Health and
Human Services?

□1

□2

Yes

□3

No

Unknown

12b Does your current EHR system meet meaningful use criteria as defined by the Department of Health
and Human Services?

□1
□2
□3

Yes (Go to 12b1)
No (skip to 12c)
Unknown(skip to 12c)

12c What is the name of your current EHR/EMR system? CHECK ONLY ONE BOX. IF OTHER IS CHECKED, PLEASE
SPECIFY THE NAME.

□1
□2
□3
□4
□5

Allscripts
Amazing
Charts
athenahealth

□6
□7
□8
□9

Cerner
eClinicalWorks

□10

e-MDs
Epic
GE/Centricity
Greenway
Medical
McKesson/
Practice Partner

□11
□12
□13
□14

NextGen
Practice Fusion
Sage/Vitera
Other, specify

__________________

□15

Unknown

12c. What is the name of your current EHR/EMR system? CHECK ONLY ONE BOX. IF OTHER IS CHECKED, PLEASE
SPECIFY THE NAME.

□1
□2
□3
□4
□5

Allscripts

Community
Computer Service,
Inc
athenahealth
Cerner

□6
□7
□8
□9

e-MDs
Epic
GE/Centricity

Eyefinity/
Officemate

□10

NextGen

□11
□12
□13

Practice Fusion
Sage/Vitera/Greenway
Other, specify

__________________

□14

Unknown

eClinicalWorks

1

13. At the reporting location, are there plans for installing a new EHR/EMR system within the next 18 months?

□1 Yes

□2 No

□3 Maybe

□4 Unknown

13d. At the reporting location, are there plans to purchase a new EHR system within the next 18 months?

□1
□2
□3
□4
□5

Yes, with the same EHR vendor
Yes, with a different EHR vendor
Yes, first-time purchase of EHR system
No
Unknown

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?

□1
□2
□3
□4

Yes, we already applied
Yes, we intend to apply
Uncertain if we will apply
No, we will not apply

Go to Question 14a

}

Skip to Question 15

14. Medicare and Medicaid offer incentives to practices that demonstrate “meaningful use of health IT.” Has your
reporting location applied for Meaningful Use incentive payments?

□1Yes

□2No

□3Unknown

14a Are there plans to apply for Stage 2 incentive payments?

□1

Yes

□2

No

□3

Maybe

□4

Unknown

15. Does your reporting location plan to apply for Meaningful Use Incentive Program payments in the
future?

□1Yes

□2No

□3Unknown

Yes,
15.Indicate whether the reporting location has each
Yes,
Yes,
but not
of the computerized capabilities listed below and
but turned
used
used
how often these capabilities are used. CHECK NO
off or not
routinely routinel
MORE THAN ONE BOX PER ROW.
used
y
15u Providing patients the ability to view
online, download or transmit information
from their medical record?

□1

16.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.
16u Ability for patients to electronically view their
online medical record?

□2

□3

No

Unknown

□4

□5

Yes,
used
routinely

Yes,
but not
used
routinely

No

Unknown

□1

□2

□4

□5
2

16v Ability for patients to download their online
medical record?
16w Ability for patients to electronically send their
online medical record to a third party (e.g.,
another provider, Patient Health Records)?

□1

□2

□4

□5

□1

□2

□4

□5

2014 NEHRS HIE items on referring patients and HIE.
16. Do you refer any of your patients to
providers outside of your office or
group?
□1 Yes  Go to Question 16a 
□2 No  Skip to Question 17

16a Do you send the patient’s clinical
information to the other providers?
□1 Yes, routinely
□2 Yes, but not routinely
□3 No  Skip to Question 17

16b Do you send it electronically
(not fax)?
□1 Yes, routinely
□2 Yes, but not routinely
□3 No

19. Do you share any patient health information (e.g., lab results, imaging reports, problem lists, medication lists)
electronically (not fax) with any other providers, including hospitals, ambulatory providers, or labs?
□1 Yes  Go to Question 19a
□2 No  Skip to Question 20
19a How do you electronically share patient health information? CHECK ALL THAT APPLY.
□1 EHR/EMR
□2 Web portal (separate from EHR/EMR)
□3 Other electronic method (not fax) ____________________
19c With what types of providers do you electronically share patient health information? CHECK ALL THAT APPLY.
□1
Ambulatory providers inside your office/group
□5 Behavioral health providers
□2
Ambulatory providers outside your office/group
□6 Long-term care providers
□3
Hospitals with which you are affiliated
□7 Home health providers
□4
Hospitals with which you are not affiliated
□8 None of the above apply

Amended 2015 HIE items below - use the 2014 original questions above: referring patient (Q16)s, frequency of
sending information electronically(16b), mode of sharing health information (19a), and health information
exchange (Q19), patient health information was expanded (Q19). Sharing was refined into sending and
receiving as separate activities in 2015. Settings for sharing patient information (19c) was also used.


Item below amends 2014 Qs-16,19,19a,19c above to assess how patient health data is sent to referrals.

25. Do you refer patients to the following providers? If yes, how often do you send patient health
information electronically through either your EHR or web portal? Do NOT include eFax, fax, or
other paper-based methods.
Yes

a. Ambulatory care

□

1

providers within
organization

□

2

providers outside
organization

b. Ambulatory care

No

Skip to 19b

□

1

□

2

Skip to 19c

Often

Sometime
s

□

2

□

2

1

1

Rarely

□

3

□

3

Never

□

4

□

□

4

□

3

c. Unaffiliated

□

1

hospitals

d. Affiliated

□

1

hospitals

e. Behavioral Health

Long-term care
providers



□

2

Skip to 19e

□

□

1

providers

f.

□

2

Skip to 19d

2

Skip to 19f

□

□

1

2

Skip to 20

□

2

□

2

□

2

□

2

1

1

1

1

□

3

□

4

□

3

□

3

□

3

□

□

4

□

4

□

4

□
□
□

Item below: Amends 2014 item 16b (frequency of sending electronically), 19a (how do share patient
information) above to assess the frequency for sending by each type of transmission.

23. How often is patient health information
sent to sources (e.g., other providers,
public health agencies) outside your
medical organization using the following
methods of data transmission?
a. Paper-based method (e.g. mail, fax)
b. eFax

c. EHR (not eFax)
d. Web Portal (separate from EHR)

Often

□
1□
1□
1□
1

Sometimes

□
2□
2□
2□
2

Rarely

□
3□
3□
3□
3

Never

□
4□
4□
4□
4

Uncertain

□
5□
5□
5□
5

17. Do you see any patients referred to
you by providers outside of your
office or group?
□1 Yes  Go to Question 17a 
□2 No  Skip to Question 18

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

18. Do you take care of patients after
they are discharged from an
inpatient setting?
□1 Yes  Go to Question 18a 
□2 No  Skip to Question 19

18a Do you receive a discharge
summary with clinical information
from the hospital?
□1 Yes, routinely
□2 Yes, but not routinely
□3 No  Skip to Question 19

18b Do you receive it electronically
(not fax)?
□1 Yes, routinely
□2 Yes, but not routinely
□3 No  Skip to
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
19. Do you share any patient health information (e.g., lab results, imaging reports, problem lists, medication lists)
electronically (not fax) with any other providers, including hospitals, ambulatory providers, or labs?
□1 Yes  Go to Question 19a
□2 No  Skip to Question 20

4

19a How do you electronically share patient health information? CHECK ALL THAT APPLY.
□1 EHR/EMR
□2 Web portal (separate from EHR/EMR)
□3 Other electronic method (not fax) ____________________
19c With what types of providers do you electronically share patient health information? CHECK ALL THAT APPLY.
□1
Ambulatory providers inside your office/group
□5 Behavioral health providers
□2
Ambulatory providers outside your office/group
□6 Long-term care providers
□3
Hospitals with which you are affiliated
□7 Home health providers
□4
Hospitals with which you are not affiliated
□8 None of the above apply



Item below amends 2014 Qs-17,19,19a,19c above to assess how patient health data is received from
patients at the reporting location.

26. Do you see patients that have received care from the following providers? If yes, how often
do you receive patient health information electronically through either your EHR or web
portal? Do NOT include eFax, fax, or other paper-based methods.
Yes
a. Ambulatory

care
providers
outside
organization
b. Ambulatory
care
providers
within
organization
c. Unaffiliated
hospitals
d. Affiliated
hospitals
e. Behavioral

Health
providers
f.

Long-term
care
providers

No

Often

Sometimes

Rarely

Never

□

1

□

2

Skip to 20b

□

2

□

2

□

2

□

2

□

2

□

2

1

□

3

□

4

□

3

□

3

□

3

□

3

□

3

□

□

4

□

4

□

4

□

4

□

4

□

1

□

2

Skip to 20c

□

1

□

2

Skip to 20d

□

1

□

2

Skip to 20e

□

1

□

2

Skip to 20f

□

1

□

2

Skip to 21

1

1

1

1

1

□
□
□
□
□

5



Item below: Amends 2014 item 18b (frequency of receiving electronically), 19a (how do share patient
information) above to assess the frequency of receiving patient data for each type of transmission.

24. How often do you receive patient
health information from sources (e.g.,
other providers, public health agencies)
outside your medical organization using
the following methods of data
transmission?
a. Paper-based method (e.g. mail, fax)
b. eFax

c. EHR (not eFax)
d. Web Portal (separate from EHR)



Sometime
s

Often

□
1□
1□
1□

Rarely

□
2□
2□
2□

1

Never

□
3□
3□
3□

2

□
4□
4□
4□

3

□
5□
5□
5□

4

5

Item below amends 2014 item 19 which defined “patient health information”, and ability to
send and receive, send only, or receive only information electronically.

27. Do you electronically send and receive, send only, or
receive only the following types of patient health
information to and from sources outside your medical
organization (e.g., other providers, public health
agencies)? Electronically does not include eFax, fax, or
paper-based methods.

Both
send and
receive
electronically

Send
electronically
only

□
1□
1□
1□
1□
1□
1□
1□

Medication lists
Medication allergies lists
Imaging reports
Laboratory results
Registry data (e.g. immunizations, cancer)
Referrals
Transition of care summary or a summary of care
record
Hospital discharge summaries

Do not
send
or
receiv
e
electro
nically

Receive
electronically
only

□
2□
2□
2□
2□
2□
2□
2□

1

Patient problem lists

□
3□
3□
3□
3□
3□
3□
3□
3□
3□

2

□
4□
4□
4□
4□
4□
4□
4□
4□
4□

3

Emergency Department notifications



Uncertain

4

Item below amends 2014 item 19 which defined “patient health information”, and ability to
integrate that information.

28. Are you able to integrate the following types of
patient health information that you electronically
receive into your EHR without special effort
(e.g., manual entry or scanning)?
Medication lists
Patient problem lists
Medication allergies lists

Yes

□
1□
1□
1

No

□
2□
2□
2

Uncertain

□
3□
3□
3

NA: Do not
receive
information
electronically

□
4□
4□
4

6

□
1□
1□
1□
1□
1□
1□

Imaging reports

□
2□
2□
2□
2□
2□
2□

1

Laboratory results
Registry data (e.g. immunizations, cancer)
Referrals
Transition of care summary or a summary of care
record
Hospital discharge summaries
Emergency Department notifications

□
3□
3□
3□
3□
3□
3□

2

□
4□
4□
4□
4□
4□
4□

3

4

Questions added
Content below in red was approved and asked on the extended 2014 NEHRS , and black is new
content proposed on the HIE.
14. To what extent do you agree or disagree
with the following statements about
electronic information exchange
(exchange refers to electronically
sending, receiving, or finding patient
health information)?

Strongly
Agree

Somewhat Somewhat
Agree
Disagree

Strongly
Disagree

“Electronically exchanging clinical information
with other sources outside my medical
organization…”

□

2

□

2

□

2

□

2

□

2

□

2

□

2

□

2

a. …improves my practice’s quality of care

1

b.…increases my practice’s efficiency

1

c. ...reduces duplicate test ordering

1

d. …prevents medical/medication errors

1

e. …is cumbersome to do with our EHR

1

f. …is limited;providers in my referral network do not
have the electronic capability to exchange data

1

g. … provides me with complete clinical information,
both current and historical, from sources outside
my medical organization.

1

h. … provides me with clinical information that I can
trust.

1

□

3

□

4

□

3

□

4

□

3

□

4

□

3

□

4

□

3

□

4

□

3

□

4

□

3

□

4

□

3

□

4

NA: Do not
electronically
exchange data

□

5

□

□

5

□

5

□

5

□

5

□

5

□

5

□

5

□
□
□
□
□
□
□

7

Below was asked on the 2014 expanded NEHRS and we would ask this content on the regular 2015
NEHRS.
26. Does the reporting location receive additional compensation beyond routine visit fees for providing
Patient Centered Medical Home (PCMH) type services or for participating in a certified PCMH
arrangement?

□1

Yes

□2

No

□3

Uncertain

15. Has your reporting location been recognized as a Patient Centered Medical Home (PCMH) by a state, a
commercial health plan, or a national organization, such as the National Committee for Quality
Assurance (NCQA), the Joint Commission, URAC, or the Accreditation Association of Health Care
Practice?

□1Yes

□2No

□3Unknown

28. Does the reporting location participate in an Accountable Care Organization or similar arrangement
where you may share savings with insurers (including private insurance, Medicare, Medicaid, and
other public options)?

□1

Yes

□2

No

□3

Uncertain

16. Does the reporting location participate in an Accountable Care Organization arrangement with
Medicare or private insurers? An ACO is an entity typically composed of primary care physicians,
specialists, and hospitals, and held financially accountable for the cost and quality of care delivered to a
defined group of patients.
□1Yes
□2No
□3Unknown
27. Does the reporting location participate in a Pay-for-Performance arrangement where you can receive
financial bonuses based on your performance?

□1

Yes

□2

No

□3

Uncertain

17. Does the reporting location participate in a Pay-for-Performance arrangement, where you can receive
financial bonuses based on your performance?
□1Yes
□2No
□3Unknown

NEW CONTENT: Below was not asked prior NEHRS questionnaire. The concept of panel size is often
difficult to obtain, for Health information exchange, it’s helpful to know the number of patients that
would fall under the capabilities of specific providers. We don’t collect panel size, this would have
implications for understanding the impact of that specific physician.
10. How many patients do you currently take care of at the reporting location?
___________ Number of patients

8



Item below ask about electronically searching, finding, or querying patient health information
from sources outside your medical organization. These questions are important to the goal of
ONC.

30. Do you or your staff have the capability to electronically search for your patient’s health
information from sources outside of your medical organization (e.g. remote access to other
facility, health information exchange organization)?

□Yes (Go to 30a)

1

□No(Skip to 31)

2

□Uncertain (Skip to 31)

3

30a. What type of patient health information do you or your staff routinely search for from
sources outside your medical organization? Check all that apply.

□Lab results
2□Patient problem lists
3□Imaging reports
4□Medication lists
5□Medication allergy lists
6□ Discharge summary
7□Other___________________
1

30b. How often do you or your staff electronically search for health information from sources
outside of your medical organization when seeing a new patient or an existing patient who has
received services from other providers?

□Always (Go to 30b1))

1

□Often (Go to 30b1))
3□Sometimes (Go to 30b1))
4□Rarely (Go to 30b1)
5□Never (Skip to 31)
2

30b1. How do you or your staff search patient health information from outside sources?
Check all that apply.

□EHR
2□Web portal
3□Other______
1

9