Summary of Changes 2018-2020 NHAMCS Electronic Health Record (EHR) Questions

Attachment A

Changes to 2018-2020 NHAMCS Electronic Health Record (EHR) Questions

Modifications are in red. Each row represents a change proposed for 2019-2020.

Modification Number	Modification Type	2019-2020
	Modified from being a sub-question to a stand-alone questions	RECSHARE: Does your hospital share its electronic health records system with any other hospital? 1=’Yes’ 2=’No’ 3=’Unknown’
	Added	NUMSHARE: If yes, how many other hospitals <specify number>
	Removed	EBILLRECE: Now I would like to ask you some questions about your ED. If ESAs within the ED vary with respect to their use of the EHR/EMR systems, then ask these questions of the ESA with the largest number of expected visits during the reporting period. Does your ED submit any CLAIMS electronically (electronic billing)? 1=’Yes’ 2=’No’ 3=’Unknown’
	Removed	EDEMOGE: Indicate whether your ED has each of the following computerized capabilities and how often these capabilities are used - Recording patient history and demographic information? 1='Yes' 2='No' 3='Unknown'
	Removed	EPROLSTE: Does this include a patient problem list? 1='Yes' 2='No' 3='Unknown'
	Removed	EPNOTESE: Recording clinical notes? 1='Yes' 2='No' 3='Unknown'
	Removed	EMEDALGE: Recording patient's medications and allergies? 1='Yes' 2='No' 3='Unknown'
	Removed	EMEDIDE: Reconciling lists of patient’s medications to identify the most accurate list? 1='Yes' 2='No' 3='Unknown'
	Removed	EREMINDE: Providing reminders for guideline-based interventions or screening tests? 1='Yes' 2='No' 3='Unknown'
	Removed	ECPOEE: Ordering prescriptions? 1='Yes' 2='No' 3='Unknown'
	Removed	ESCRIPE: Are prescriptions sent electronically to the pharmacy? 1='Yes' 2='No' 3='Unknown'
	Removed	EWARNE: Are warnings of drug interactions or contraindications provided? 1='Yes' 2='No' 3='Unknown'
	Removed	ECONTRBUE: Do you prescribe controlled substances? 1='Yes' 2='No' 3='Unknown'
	Removed	ECONTRSUBSE: Are prescriptions for controlled substances sent electronically to the pharmacy? 1='Yes' 2='No' 3='Unknown'
	Removed	ECTOEE: Ordering lab tests? 1='Yes' 2='No' 3='Unknown'
	Removed	ERESULTE: Viewing lab results? 1='Yes' 2='No' 3='Unknown'
	Removed	ERADIE: Ordering radiology tests? 1='Yes' 2='No' 3='Unknown'
	Removed	EIMGRESE: Viewing imaging results? 1='Yes' 2='No' 3='Unknown'
	Removed	EIDPTE: Identifying patients due for preventive or follow-up care in order to send patients reminders? 1='Yes' 2='No' 3='Unknown'
	Removed	EGENLISTE: Generating list of patients with particular health conditions? 1='Yes' 2='No' 3='Unknown'
	Removed	EDATAREPE: Providing data to create reports on clinical care measures for patients with specific chronic conditions (e.g., HbA1C for diabetics) 1='Yes' 2='No' 3='Unknown'
	Removed	ESUME: Providing patients with clinical summaries for each visit? 1='Yes' 2='No' 3='Unknown'
	Removed	EMSGE: Exchanging secure messages with patients? 1='Yes' 2='No' 3='Unknown'
	Removed	ESHAREE: Does your hospital share any patient health information electronically? 1='Yes' 2='No' 3='Unknown'
	Removed	ESHARESE: Do you electronically send patient health information to another provider whose EHR system is different from your own? 1='Yes' 2='No' 3='Unknown'
	Removed	ESHARERE: Do you electronically receive patient health information to another provider whose EHR system is different from your own? 1='Yes' 2='No' 3='Unknown'
	Removed	EDISCHSRE: Do you electronically send or receive hospital discharge summaries to or from providers outside of your medical organization? Mark all that apply 1=’Send electronically’ 2=’Receive electronically’ 3=’Do not send electronically’
	Removed	EEDSRE: Do you electronically send or receive dept. notifications to or from providers outside of your medical organization? Mark all that apply 1=’Send electronically’ 2=’Receive electronically’ 3=’Do not send electronically’
	Removed	ESUMCSRE: Do you electronically send or receive summary of care records for transitions of care or referrals to and from providers outside of your medical organization? Mark all that apply 1=’Send electronically’ 2=’Receive electronically’ 3=’Do not send electronically’
	Removed	PTONLINEE: Can patients seen at the reporting location do the following online activities? Mark all that apply 1=’View their medical records online’ 2=’Download and transmit health information from the electronic medical record to their personal files’ 3=’Request corrections to their electronic medical record’ 4=’Enter their health information online (e.g., weight, symptoms)’ 5=’Upload their data from self-monitoring devices (e.g., blood glucose readings)’ 6=’None of the above’