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Health Information Technology Survey

Recent development of data standards and improved technology may allow efficient information sharing over the Internet in the near future.
 
The NCMS is conducting this survey to determine whether members are interested in having NCMS develop affordable services for members to implement electronic health record and health information exchange systems.
 
The survey is estimate to take 5-10 minutes to complete.
 
Which statement best describes your medical practice? (check only one)
Free-standing, independent medical group
Medical group component of hospital/medical school/integrated delivery system
Federally qualified health center, community health center, free clinic of similar practice
 
What are the specialties and sub-specialties for this practice site? (check all that apply)
Family Practice
Internal Medicine
Pediatrics
OB/GYN
Surgery
Psychiatry
ENT
Allergy
Neurology
Ophthalmology
Orthopaedics
Other Medicine
 
How may providers are at this practice? (include all full-time and part-time providers)
Physicians (MD/DO)
Mid-level Providers (NP/PA)
 
Which of the following systems does your practice use for health and medical records of your current patients? (check all that apply)
Paper medical records or charts filed in a record cabinet
A scanned image of a paper medical record or chart filed electronically using a document imaging management system (DIMS)
A dictation and transcription system for physician visit notes combined with a document imaging management system (DIMS) for paper records, all stored electronically
EHR accessible through a computer workstation that collects and stores patient demographic medical information, test results, and prescription orders. May also have clinical decision support.
Other
 
Which statement best describes the current status of your practice? (check only one)
We do not plan to implement an electronic health or medical record system (EHR)
We are contemplating the purchase of an EMR
We plan to implement an EHR
We are in the process of implementing an EHR
We currently use an EHR (please provide the name of software)
We implemented an EHR, but no longer use it. Please explain why.
 
If your practice has implemented an EHR, complete the following:
What was the approximate per physician initial purchase and implementation cost for the system?
What is the approximate per physician, per month maintenance cost for the system?
Implementation costs came in more or less than the vendor estimate?
What was the percentage of difference between the estimate and actual cost?
 
What electronic health information systems and/or functions does the practice already have in place? (check all that apply)
Electronic health record (EHR)
Continuity of Care Record (CCR)
Electronic patient tracking
Electronic billing
Electronic scheduling
Electronic laboratory reporting
Electronic prescribing
Disease registry
Web/e-mail communications with patients
Scanning clinical documents
Telemedicine
Voice recognition
None
Other
 
If this practice is interested in obtaining an electronic health record (EHR) system, when do you plan to start implementing it? (check only one)
Already have system in place
6 months
7-12 months
1-2 years
Greater than 2 years
Not interested in obtaining an EHR system
 
What do your perceive to be the barriers in your practice to adoption of electronic health records?
Cost
Fear of technology/lack of trustworthy advice
Change
Privacy and security
Work flow
Loss of productivity
Other
 
What potential benefits to your practice do you see from an EHR? (check all that apply)
Improved clincial decision-making
Improved work flow
Improved patient communications
Improved charge capture and coding
Improved prescription refill capabilities
Improved access to medical record information
Improved quality reporting
Reduced medication errors
Reduced overhead costs
Other
 
What would influence your decision to implement an EHR system for your practice? (check all that apply)
Cost
Functionality
Recommendation from a friend/colleague
Oversight by a trusted organization such as the NC Medical Society
Local clinicians already using the system
Ability to migrate data to other systems easily
Availability of technical support
Help from consultants setting up the office system
Other
 
What general assistance would make your EHR decision easier? (check all that apply)
A technology readiness assessment of my practice
Evaluation of our existing technology and software
Suggestions for appropriate and effective EHR products
Analysis of purchase and implementation costs
Help to develop an RFP and to communicate with vendors
Help to coordinate an implementation schedule and process
Training on the new system
Assistance in optimizing the new system's efficiency and effectiveness
Financial assistance
Other
 
If you are considering implementing an electronic health record system in your practice, would you be interested in: (check only one)
An application service provider system (ASP) provided through the NCMS. In this model, the information is accessed through a portal on the Internet. The data is stored, maintained, and secured by this outside vendor. Low cost, but no ownership.
Ownership or leasing of an EHR system. The practice is responsible for all tech support and owns the system.
Participation in a group purchasing plan organized by the NCMS, with ownership in the system shared with other practices.
 
What services would you be interested in NCMS providing for your practice? (check all that apply)
Electronic health records only
Integrated billing, scheduling, practice management, and EHR
Health information exchange with other providers
Low cost entry-level system that can later be upgraded to a system with more robust capabilities
Quality Assurance documentation
 
What role do you think the NCMS should play in assisting members with Health Information Exchange? (check only one)
NCMS should develop solutions to provide members with electronic health record products
NCMS should advise but not play an active role in HIT/HIE (health information exchange)
NCMS should develop a database on what systems are being used and how all systems could be brought together into a statewide medical information network
NCMS should not be involved with the HIT needs of members
 
How strongly do you feel about your answer to the question above?
Very strongly
Strongly
Slight preference
Really don't care
 
Additional comments:
 
Of those electronic health information systems and/or functions not currently implemented, what electronic health information system, is this practice interested in implementing in the future?
 
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