MAX Survey - Military Health System Electronic Health Record End User Su.._

5/9/2019

MAX Survey - Military Health System Electronic Health Record End User Survey

OMB Control Number 0704-0553
Expiration: XX/XX/XXXX
Military Health System Electronic Health Record End User Survey
Military Health System End-User Survey provides feedback to developers and managers of the military's electronic
health records. The survey questions are based on industry best practices from peer-reviewed literature,
professional associations, and strategic partners.
Providing information in this Survey is voluntary. There is no penalty nor will your benefits be affected if you choose
not to respond, although maximum participation is encouraged so that the data will be complete and representative.
The Survey was written so that answers should not require you to provide any personally identifiable information
(PII), but please be assured that any PII provided will be treated as confidential. Your responses are collected via a
secure government system.
Answering the questions is voluntary; you may stop the survey at any time. There are 22 questions in this survey.
AGENCY DISCLOSURE NOTICE:
The public reporting burden for this collection of information, 0704-0553, is estimated to average [Insert the
time in minutes or in hours, as appropriate] per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing
the collection of information. Send comments regarding the burden estimate or burden reduction suggestions
to the Department of Defense, Washington Headquarters Services, at [email protected]. Respondents should be aware that notwithstanding any other provision of
law, no person shall be subject to any penalty for failing to comply with a collection of information if it does
not display a currently valid OMB control number.

What is the electronic health record you primarily use? This is
the single electronic health record you are giving feedback
about in this survey. *
 Choose one of the following answers

Please choose only one of the following:
MHS GENESIS (Cerner Millenium)
AHLTA (Armed Forces Longitudinal Technology Application)
CHCS (Composite Health Care System)
JOMIS (Joint Operational Medicine Information Systems)
CliniComp (Essentris ED)
ABACUS (Armed Forces Billing and Collection Utilization System)
CCE (Coding Compliance Editor)
Other

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Number of years you have used this electronic health record. *
 Choose one of the following answers

Please choose only one of the following:
1 year
2 years
3 years
4 years
5+ years

My initial training prepared me well to use this electronic
health record. *
 Choose one of the following answers

Please choose only one of the following:
Strongly Disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
N/A

My ongoing electronic health record training/education is
helpful and effective. *
 Choose one of the following answers

Please choose only one of the following:
Strongly Disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
N/A
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MAX Survey - Military Health System Electronic Health Record End User Survey

How many hours per week do you spend completing your
charting outside of your normal business hours? *
 Choose one of the following answers

Please choose only one of the following:
0 hours
1-2 hours
3-5 hours
6-10 hours
11-15 hours
16-20 hours
More than 20 hours

The electronic health record allows me to deliver patientcentered care. *
 Choose one of the following answers

Please choose only one of the following:
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
N/A

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MAX Survey - Military Health System Electronic Health Record End User Survey

The electronic health record makes me as efficient as
possible. *
 Choose one of the following answers

Please choose only one of the following:
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree

Over the past two weeks, the electronic health record was
available when I needed it and “down time” was not a problem.
*
 Choose one of the following answers

Please choose only one of the following:
Strongly Disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree

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This electronic health record has the fast response time I
expect (e.g., login time, screen refresh, retrieving information).
*
 Choose one of the following answers

Please choose only one of the following:
Strongly Disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree

I am able to access the full patient history I need to provide
care. *
 Choose one of the following answers

Please choose only one of the following:
Strongly Disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
N/A

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MAX Survey - Military Health System Electronic Health Record End User Survey

When I submit an issue resolution ticket or my leadership
submits it on my behalf, I am confident that it will be reviewed
and prioritized appropriately. *
 Choose one of the following answers

Please choose only one of the following:
Strongly Disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
N/A

I am sufficiently informed about any electronic health record
information or notices that will impact my day-to-day job. *
 Choose one of the following answers

Please choose only one of the following:
Strongly Disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree

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I have visibility of my submitted issue resolution tickets and
receive regular updates. *
 Choose one of the following answers

Please choose only one of the following:
Strongly Disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
N/A

My issue resolution tickets are resolved in a timely manner. *
 Choose one of the following answers

Please choose only one of the following:
Strongly Disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
N/A

The electronic health record is high-quality. *
 Choose one of the following answers

Please choose only one of the following:
Strongly Disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree

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Primary location of use. *
 Choose one of the following answers

Please choose only one of the following:
ACH BASSETT-WAINWRIGHT
ACH BAYNE-JONES-POLK
ACH BLANCHFIELD-CAMPBELL
ACH EVANS-CARSON
ACH IRWIN-RILEY
ACH KELLER-WEST POINT
ACH LEONARD WOOD
ACH MARTIN-BENNING
ACH WEED-IRWIN
ACH WINN-STEWART
AF-ASU-10th MEDGRP-ACADEMY
AF-ASU-11th MEDGRP-ANDREWS
AF-ASU-59th MDW-WHASC-LACKLAND
AF-C-11th MED SQ JBAB-BOLLING
AF-C-14th MEDGRP-COLUMBUS
AF-C-15th MEDGRP-JBHP HICKAM-PEARL HARBOR
AF-C-17th MEDGRP-GOODFELLOW
AF-C-19th MEDGRP-LITTLE ROCK AFB
AF-C-1st SPCL OPS MEDGRP-HURLBURT
AF-C-20th MEDGRP-SHAW
AF-C-21st MEDGRP-PETERSON
AF-C-22nd MEDGRP-MCCONNELL
AF-C-23rd MEDGRP-MOODY
AF-C-27th SPECIAL OPS MEDGRP-CANNON
AF-C-28th MEDGRP-ELLSWORTH
AF-C-2nd MEDGRP-BARKSDALE
AF-C-30th MEDGRP-VANDENBERG
AF-C-319th MEDGRP-GRAND FORKS
AF-C-325th MEDGRP-TYNDALL
AF-C-341st MEDGRP-MALMSTROM
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AF-C-354th MEDGRP-EIELSON
AF-C-355th MEDGRP-DAVIS-MONTHAN
AF-C-59th MDW-359 MDG-JBSA-RANDOLPH
AF-C-366th MEDGRP-MOUNTAIN HOME
AF-C-375th MEDGRP-SCOTT
AF-C-377th MEDGRP-KIRTLAND
AF-C-412th MEDGRP-EDWARDS
AF-C-42nd MEDGRP-MAXWELL
AF-C-436th MEDGRP-DOVER
AF-C-45th MEDGRP-PATRICK
AF-C-460th MEDGRP-BUCKLEY
AF-C-47th MEDGRP-LAUGHLIN
AF-C-49th MEDGRP-HOLLOMAN
AF-C-4th MEDGRP-SEYMOUR JOHNSON
AF-C-509th MEDGRP-WHITEMAN
AF-C-59th MDW-559 MDG-REID-JBSA-LACKLAND
AF-C-55th MEDGRP-OFFUTT
AF-C-56th MEDGRP-LUKE
AF-C-5th MEDGRP-MINOT
AF-C-61st MEDGRP-LOS ANGELES
AF-C-628th MEDGRP-JB-CHARLESTON
AF-C-66th MEDGRP-HANSCOM
AF-C-6th MEDGRP-MACDILL
AF-C-71st MEDGRP-VANCE
AF-C-72nd MEDGRP-TINKER
AF-C-75th MEDGRP-HILL
AF-C-78th MEDGRP-ROBINS
AF-C-7th MEDGRP-DYESS
AF-C-82nd MEDGRP-SHEPPARD
AF-C-87th MEDGRP-JBDL-MCGUIRE
AF-C-90th MEDGRP-FE WARREN
AF-C-92nd MEDGRP-FAIRCHILD
AF-C-97th MEDGRP-ALTUS
AF-C-9th MEDGRP-BEALE
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AF-H-633rd MEDGRP JBLE-LANGLEY
AF-H-673rd MEDGRP-JBER ELMNDRF-RICHARDSON
AF-H-96th MEDGRP-EGLIN
AF-MC-60th MEDGRP-TRAVIS
AF-MC-81st MEDGRP-KEESLER
AF-MC-88th MEDGRP-WRIGHT-PATTERSON
AF-MC-99th MEDGRP-NELLIS
AHC ANDREW RADER-MYER-HENDERSON
AHC BARQUIST-DETRICK
AHC DUNHAM-CARLISLE BARRACKS
AHC FILLMORE-NEW CUMBERLAND
AHC FOX-REDSTONE ARSENAL
AHC GUTHRIE-DRUM
AHC INDIANTOWN GAP
AHC IRELAND-KNOX
AHC KENNER-LEE
AHC KIRK-ABERDEEN PRVNG GD
AHC LETTERKENNY ARMY DEPOT
AHC LOIS WELLS-AP HILL
AHC LYSTER-RUCKER
AHC MCAFEE-WHITE SANDS MSL RAN
AHC MCDONALD-EUSTIS
AHC MCNAIR-MYER-HENDERSON HALL
AHC MONCRIEF-JACKSON
AHC MONTEREY
AHC MUNSON-LEAVENWORTH
AHC NATICK
AHC R W BLISS-HUACHUCA
AHC REYNOLDS-SILL
AHC ROCK ISLAND ARSENAL
AHC SCHOFIELD BARRACKS
AHC TUTTLE-HUNTER ARMY AIRFIELD
AHC YUMA PROVING GROUND
AHC-MCCHORD AFB
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AHC-STORY
AMC BAMC-FSH
AMC DARNALL-HOOD
AMC EISENHOWER-GORDON
AMC MADIGAN-LEWIS
AMC MAMC ANNEX
AMC TRIPLER-SHAFTER
AMC WILLIAM BEAUMONT-BLISS
AMC WOMACK-BRAGG
AMH FARRELLY AHC-RILEY
DILORENZO HEALTH CLINIC
FORT BELVOIR COMMUNITY HOSPITAL
NH BEAUFORT
NH BREMERTON
NH CAMP PENDLETON
NH JACKSONVILLE
NH PENSACOLA
NH TWENTYNINE PALMS
NHC ANNAPOLIS
NHC CHARLESTON
NHC CHERRY POINT
NHC CORPUS CHRISTI
NHC HAWAII
NHC LEMOORE
NHC NEW ENGLAND
NHC OAK HARBOR BIRTHING CENTER
NHC PATUXENT RIVER
NHC QUANTICO
NHCL EVERETT
NMC CAMP LEJEUNE
NMC PORTSMOUTH
NMC SAN DIEGO
WALTER REED NATIONAL MILITARY MEDICAL CNTR
Other
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Please select the facility in which you most regularly use the EHR. Smaller facilities may not
be listed. In such case, select the parent facility your facility reports to. If neither is listed,
select other.

Years in healthcare, including education. *
 Choose one of the following answers

Please choose only one of the following:
0-4 years
5-14 years
15-24 years
25+ years

Please indicate your background. *
 Choose one of the following answers

Please choose only one of the following:
Practicing Physician or Surgeon (e.g., MD, DO)
Resident or Fellow Physician or Surgeon (e.g., MD, DO)
Dentist (e.g., DDS, DMD)
Nurse Practitioner (e.g., DNP, NP) or Physician Assistant
Nurse (e.g., RN, LPN)
Allied Health (e.g., Pharmacist, Optometrist, Podiatrist, etc.)
Technician (e.g., Corpsman, Medic, etc.)
Administrator or Practice Manager
Medical Logistician
Unit or Registration Clerk
Other

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What kinds of patients do you care for?
 Choose one of the following answers

Please choose only one of the following:
Adults
Pediatric
Adults and Pediatric
N/A

On average, how many hours a week do you spend in clinical
practice?
 Choose one of the following answers

Please choose only one of the following:
<20 hours per week
20-39 hours per week
40-60 hours per week
60+ hours per week
N/A

I find great fulfillment in my work as a care provider. *
 Choose one of the following answers

Please choose only one of the following:
Strongly Disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
N/A

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MAX Survey - Military Health System Electronic Health Record End User Survey

Using your own definition of burnout, select one of the
answers below.
 Choose one of the following answers

Please choose only one of the following:
I enjoy my work. I have no symptoms of burnout.
I am under stress and don’t always have as much energy as I did, but I don’t feel burned
out.
I am definitely burning out and have one or more symptoms of burnout (e.g., emotional
exhaustion).
The symptoms of burnout that I am experiencing won’t go away. I think about work
frustrations a lot.
I feel completely burned out. I am at the point where I may need to seek help.

Your responses have been recorded. Thank you for completing the survey!

Submit your survey.
Thank you for completing this survey.

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