5/3/20071 Physician Adoption of HIT Fred D. Rachman, MD AHRQ Annual Conference September 26, 2007 of...

5/3/2007* Physician Adoption of HITFred D. Rachman, MDAHRQ Annual ConferenceSeptember 26, 2007Implementation of EHRS as a tool for quality in the Safety Net

Region V Primary Care Conference

Presentation OverviewDescribe our vision for implementation of EHRS Describe our implementation approach and status of useShare observations


Comparison of Adoption Rates


Alliance OverviewHRSA funded Network of 4 Federally funded Health Centers located on the Near North Side of Chicago Founded based upon long standing history of collaboration and close relationship among Medical Directors Health Centers target Latino, African American, Gay and Lesbian, and Immigrant and Homeless populations Services encompass comprehensive Primary Care, Dental, Mental Health and Social Services, Health Education, and Research


Alliance PurposeEssentially a joint venture of four independent organizations with the desire and ability to work together on building some common infrastructure to improve service delivery and health statusDedication to qualityAbility to access higher quality, efficiency and economy of scaleDesire to ultimately share with others


Map of Sites


The Status QuoOverwhelmed practitioners seeing high volumes of patients with limited supportLack of coordination/communication between supportive services and medical providers and among settings of careLimited time for interactionsDifficulty accessing information in timely/organized fashion


Impetus for the projectINSERT CARE MODEL


Informed,ActivatedPatient

ProductiveInteractions

Prepared,ProactivePractice Team

Delivery SystemDesign

DecisionSupport

Clinical Information Systems

Self- Management Support

Health System

Resources and Policies

Community

Health Care Organization

Care Model

Improved Outcomes

Our premise is that good outcomes at the bottom of the model (clinical, satisfaction, cost and function) result from productive interactions. To have productive interactions, the system needs to have developed four areas at the level of the practice (shown in the middle): self-management support (how we help patients live with their conditions), delivery system design (whos on the health care team and in what ways we interact with patients), decision support (what is the best care and how do we make it happen every time) and clinical information systems (how do we capture and use critical information for clinical care). These four aspects of care reside in a health care system, and some aspects of the greater organization influence clinical care. The health system itself exists in a larger community. Resources and policies in the community also influence the kind of care that can be delivered. It is not accidental that self-management support is on the edge between the health system and the community. Some programs that support patients exist in the community. It is also not accidental that it is on the same side of the model as the patient. It is the most visible part of care to the patient, followed by the delivery system design. They know what kind of appointments they get, and who they see. They may be unaware of the guidelines that describe best care (but we should work to change that) and they may be totally unaware of how we keep information to provide that care. Well talk about each in detail in the following slides.Wagner EH, Davis C, Schaefer J, Von Korff M, Austin B. A survey of leading chronic disease management programs: Are they consistent with the literature? Managed Care Quarterly. 1999;7(3):56-66. Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness: the chronic care model, Part 2. JAMA 2002 Oct 16; 288(15):1909-14. Wagner EH, Austin BT, Davis C, Hindmarsh M, Schaefer J, Bonomi A., Improving chronic illness care: translating evidence into action. Health Aff (Millwood). 2001 Nov-Dec;20(6):64-78.

Study in JAMA found that missing information from charts could, 44% of the time, adversely impact patients well-beingRAND - patients receive appropriate care 55% of the timeCDC found that elderly patient visits to physicians result in a projected 17.6 million prescription errors yearly


Building Clinical ConsensusEHRS project began as a strategic planning priority for clinical leadership at partner health centers.Clinical leadership heavily involved in product evaluation and selection.Monthly meetings, conference calls, site visits and retreats for clinical leadership in the planning phase of implementation.


The Alliance Vision for EHRSUseful and practical at the point of careHolistic promoting multidisciplinary model of care Integrated with other electronic health data bases to promote efficiency and continuityTool for incorporating evidence based recommendations into practiceCapable of providing data and reporting to support the care model


*Capabilities of Electronic Record Systems Basic a storage and retrieval system

VSAdvanced a sophisticated interactive database


*Considerations in implementing higher level functionalityAcceptance of common vision of qualityAdoption of evidence based standards against which to judge care qualityAgreement to conform to standardized ways of recording data

Ability to capture and process relevant data Relevant care elements are captured as structured informationImplies that order entry is computerizedData is clean and consistent


Key decisionsChronic Care Model to manage disease and populations of patients. Network wide clinical standards.Promote use of standardized templates /forms and structured data collection across all health centers. Utilize national experts and evidence based protocols as basis for standards of care.Utilize internal/local subject matter experts to review standards and support development of the end user screens.


EQUIP project goals1. Implement EHRS in a network of Community Health Centers in a manner that ensures consistency and accuracy of health information across all practitioners, sites and populations.

2. Develop a data warehouse that will monitor, aggregate, and provide data to be used for clinical and system quality improvement.

3. Utilize the EHRS/data warehouse to facilitate and encourage the use of evidence-based practice measures at the point of care.


EQUIP project goals4. Utilize the EHRS/data warehouse to facilitate continuous improvement of health care quality and safety and develop its function as a patient registry.

5. Promote and support the realization of the full potential of EHRS use in ambulatory care settings, particularly among safety net providers, to improve health care quality and safety.


EQUIP PartnershipAmerican Medical AssociationHealth Information Management Systems SocietyGE Healthcare Clinical Data ServicesFirst Consulting GroupHealth Research and Education Trust


Key elements of Alliance EHRS DevelopmentStructured data entryEase of data entry to encourage providers to capture needed information as part of care deliveryAgreed upon protocols against which to benchmark careContent to include full spectrum of care (eg, mental health/case management)Mapping of data elements to care protocols


Key elements of Alliance EHRS development

Reporting algorithms that incorporate appropriate inclusion and exclusion criteriaExport to a data warehouse for more sophisticated data usesDedicated resources and an approach to introducing systems changes to produce improvement


Implementation ApproachClinical ChampionsCustomized development with user involvementExtensive training and educationIncorporation of change managementInterfaces with practice management system and laboratory systemPreload of key information as data and electronic import of historic laboratory dataFull functionality of all providers at go live


Key aspects of implementationIndividual site sponsorshipChange managementTraining/educationProject managementWorkflow redesignIT infrastructure development


Status of System useLive at main sites of all 4 Health Centers125 concurrent users, approximately 225 individual users.Big Bang - All staff, with full functionality of the systemProductivity at pre-implementation levelsNext wave of Alliance sites to go-live beginning in JunePlanning implementation at first non- Alliance sites


Current useSystem in use across 4 organizations at major sites 180 concurrent users; more than 350 named usersDashboards deployed: system use, clinical measures, user satisfaction, patient satisfaction



Chart2

0

0.0384615385

0.2307692308

0.1153846154

0.5769230769

0.0384615385

Respondent Tenure Distribution (n=26)

Charts

EHRS User Satisfaction Survey Results - Summary

Data# Responses

EFHC (n=28)30%28EFHC (n=28) (n=28)

HBHC (n=34)37%34HBHC (n=34) (n=34)

HCHC (n=12)13%12HCHC (n=12) (n=12)

NNHS (n=18)20%18NNHS (n=18) (n=18)

Grand Total100%92

BH Provider10%

CM, Clin Rsrch, Hlth Ed13%

Lab4%

MA12%

Med Rec4%

Medical Provider28%

Pt Svcs10%

RN8%

No Response11%

100%

Tenure% Distrib

Less than 6 months12%

6-12 months18%

1-2 years15%

2-3 years8%

More than 3 years43%

No Response3%

Grand Total100%

Used EHRS before?% Distrib

No85%

Yes15%

Grand Total100%

Site

DataEFHCHBHCHCHCNNHSGrand Total

# Responses2834121892

Use of EHRS vs. Paper chart4.224.354.734.244.34

Impact of EHRS4.214.264.734.654.38

EHRS Overall Satisfaction4.364.264.734.414.38

EHRS Training Overall Satisfaction4.044.274.644.714.33

Use of EHRS vs. Paper chart

b. When you need patient test results (4.4, 0.5)46a. When you need contact information for a patient (4.2, 0.5)

c. When you need to document something in the patient record (4.4, 0.7)54b. When you need patient test results (4.4, 0.5)

d. When you want to identify all of your patients with a chronic condition or gap in care (e.g. all patients with HbA1c > 8) (3.6, 0.3)55c. When you need to document something in the patient record (4.4, 0.7)

a. When you need contact information for a patient (4.2, 0.5)65d. When you want to identify all of your patients with a chronic condition or gap in care (e.g. all patients with HbA1c > 8) (3.6, 0.3)

Impact of EHRS

j. Your ability to find information on known allergies? (4.3, 0.3)717a. Overall access to information (4.5, 0.6)

d. Your ability to find patient medical records when you need them during clinic hours? (4.6, 0.4)920b. Overall point of care clinical practice (4.3, 0.7)

e. Your ability to find patient medical records when you need them outside of normal clinic hours? (4.6, 0.3)925c. Overall patient visit workflow (3.9, 0.4)

f. Your ability to consistently identify which of your patients have chronic disease? (4.3, 0.3)119d. Your ability to find patient medical records when you need them during clinic hours? (4.6, 0.4)

i. Your ability to deliver chronic disease related care more consistently? (4.0, 0.2)149e. Your ability to find patient medical records when you need them outside of normal clinic hours? (4.6, 0.3)

g. Your abilityto assemble condition-relevant information for your patients with chronic disease? (4.1, 0.3)1511f. Your ability to consistently identify which of your patients have chronic disease? (4.3, 0.3)

h. Your ability to assess what interventions are needed by your patients with chronic disease? (4.0, 0.2)1515g. Your abilityto assemble condition-relevant information for your patients with chronic disease? (4.1, 0.3)

a. Overall access to information (4.5, 0.6)1715h. Your ability to assess what interventions are needed by your patients with chronic disease? (4.0, 0.2)

l. Your ability to avoid prescribing a medication that would interact with another medication the patient is taking? (4.2, 0.4)1714i. Your ability to deliver chronic disease related care more consistently? (4.0, 0.2)

m. Your ability to provide patient education and self-management information materials? (4.0, 0.3)187j. Your ability to find information on known allergies? (4.3, 0.3)

b. Overall point of care clinical practice (4.3, 0.7)2021k. Your ability to avoid prescribing a medication to which the patient has a known allergy? (4.1, 0.5)

n. Your team's ability to deliver quality care to each patient, every time? (4.2, 0.5)2017l. Your ability to avoid prescribing a medication that would interact with another medication the patient is taking? (4.2, 0.4)

k. Your ability to avoid prescribing a medication to which the patient has a known allergy? (4.1, 0.5)2118m. Your ability to provide patient education and self-management information materials? (4.0, 0.3)

o. The continuity of care your organization is able to deliver? (4.2, 0.5)2120n. Your team's ability to deliver quality care to each patient, every time? (4.2, 0.5)

c. Overall patient visit workflow (3.9, 0.4)2521o. The continuity of care your organization is able to deliver? (4.2, 0.5)

EHRS Overall Satisfaction

b. System availability of EHRS (4.4, 0.5)58a. Access to EHRS workstations (4.4, 0.6)

c. The completeness of clinical information for each patient (4.1, 0.4)65b. System availability of EHRS (4.4, 0.5)

d. The accuracy of information (4.2, 0.4)66c. The completeness of clinical information for each patient (4.1, 0.4)

a. Access to EHRS workstations (4.4, 0.6)86d. The accuracy of information (4.2, 0.4)

e. The ease of documenting care for my patients (4.2, 0.6)88e. The ease of documenting care for my patients (4.2, 0.6)

f. The relevance of prompts I receive about possible drug-drug and drug-allergy interactions? (4.0, 0.4)99f. The relevance of prompts I receive about possible drug-drug and drug-allergy interactions? (4.0, 0.4)

EHRS Training Overall Satisfaction

g. The support available to me the day I started using the EHRS (4.5, 0.5)313a. Overall training (4.3, 0.8)

h. The support available the first two weeks using the EHRS (4.4, 0.6)512b. Overall ongoing support (4.2, 0.7)

f. My understanding in advance of how the EHRS would change how I would do my work (4.0, 0.5)911c. How training applied to my job duties (4.3, 0.7)

c. How training applied to my job duties (4.3, 0.7)1112d. How training prepared me to use the EHRS with confidence (4.2, 0.7)

i. My ability to get help today (4.2, 0.6)1114e. The usefulness of training manuals and materials when I needed information (3.7, 0.6)

b. Overall ongoing support (4.2, 0.7)129f. My understanding in advance of how the EHRS would change how I would do my work (4.0, 0.5)

d. How training prepared me to use the EHRS with confidence (4.2, 0.7)123g. The support available to me the day I started using the EHRS (4.5, 0.5)

a. Overall training (4.3, 0.8)135h. The support available the first two weeks using the EHRS (4.4, 0.6)

e. The usefulness of training manuals and materials when I needed information (3.7, 0.6)1411i. My ability to get help today (4.2, 0.6)

High level findings

Significant difference in ratings across sites. Various factors: staging of rollout, project mgr skill level, resources allocated, organization commitment/priority around EHRS deployment)

Significant difference in ratings between medical providers vs. non-providers (medical providers rating lower)

Workflow

&LAlliance of Chicago Community Health Services &D&RPage &P of &N

Charts

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Respondent Professional Distribution

Charts by Med Prov

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Pivot

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Used an EHRS Before?

Med v BH v non Prov

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Respondent Site Distribution (n=92)

Coded data

00000

00000

00000

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EFHC

HBHC

HCHC

NNHS

Grand Total

(1=Low, 5=High)

Overall Section Ratings

Orig data

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Use of EHRS vs. Paper ChartOpportunity Ranks - Low Rating, High Importance

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Impact of EHRSOpportunity Ranks - Low Rating, High Importance

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EHRS Overall SatisfactionOpportunity Ranks - Low Rating, High Importance

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EHRS Training Overall SatisfactionOpportunity Ranks - Low Rating, High Importance

Data# Responses

EFHC (n=15)58%15EFHC (n=15) (n=15)EFHC15

HBHC (n=3)12%3HBHC (n=3) (n=3)HBHC3

HCHC (n=6)23%6HCHC (n=6) (n=6)HCHC6

NNHS (n=2)8%2NNHS (n=2) (n=2)NNHS2

Grand Total100%26

Tenure% Distrib


6-12 months4%1

1-2 years23%6

2-3 years12%3

More than 3 years58%15

No Response4%1

Grand Total100%26

Used EHRS before?% Distrib

No69%18

Yes31%8

Grand Total100%26

Site


# Responses1536226


Impact of EHRS4.134.334.674.004.27



Use of EHRS vs. Paper chart

a. When you need contact information for a patient (4.6, 0.6)55a. When you need contact information for a patient (4.6, 0.6)

b. When you need patient test results (4.5, 0.6)55b. When you need patient test results (4.5, 0.6)

c. When you need to document something in the patient record (4.7, 0.7)55c. When you need to document something in the patient record (4.7, 0.7)

d. When you want to identify all of your patients with a chronic condition or gap in care (e.g. all patients with HbA1c > 8) (3.4, 0.3)55d. When you want to identify all of your patients with a chronic condition or gap in care (e.g. all patients with HbA1c > 8) (3.4, 0.3)

Impact of EHRS

e. Your ability to find patient medical records when you need them outside of normal clinic hours? (4.7, 0.1)414a. Overall access to information (4.5, 0.4)

d. Your ability to find patient medical records when you need them during clinic hours? (4.6, 0.3)1019b. Overall point of care clinical practice (4.1, 0.6)

j. Your ability to find information on known allergies? (3.8, 0.0)1121c. Overall patient visit workflow (3.2, 0.2)

l. Your ability to avoid prescribing a medication that would interact with another medication the patient is taking? (4.0, 0.2)1310d. Your ability to find patient medical records when you need them during clinic hours? (4.6, 0.3)

m. Your ability to provide patient education and self-management information materials? (3.8, 0.1)134e. Your ability to find patient medical records when you need them outside of normal clinic hours? (4.7, 0.1)

a. Overall access to information (4.5, 0.4)1423f. Your ability to consistently identify which of your patients have chronic disease? (3.8, 0.4)

i. Your ability to deliver chronic disease related care more consistently? (3.8, 0.1)1524g. Your abilityto assemble condition-relevant information for your patients with chronic disease? (3.7, 0.3)

h. Your ability to assess what interventions are needed by your patients with chronic disease? (3.8, 0.2)1717h. Your ability to assess what interventions are needed by your patients with chronic disease? (3.8, 0.2)

k. Your ability to avoid prescribing a medication to which the patient has a known allergy? (3.9, 0.3)1715i. Your ability to deliver chronic disease related care more consistently? (3.8, 0.1)

o. The continuity of care your organization is able to deliver? (4.1, 0.4)1711j. Your ability to find information on known allergies? (3.8, 0.0)

b. Overall point of care clinical practice (4.1, 0.6)1917k. Your ability to avoid prescribing a medication to which the patient has a known allergy? (3.9, 0.3)

c. Overall patient visit workflow (3.2, 0.2)2113l. Your ability to avoid prescribing a medication that would interact with another medication the patient is taking? (4.0, 0.2)

n. Your team's ability to deliver quality care to each patient, every time? (3.9, 0.5)2113m. Your ability to provide patient education and self-management information materials? (3.8, 0.1)

f. Your ability to consistently identify which of your patients have chronic disease? (3.8, 0.4)2321n. Your team's ability to deliver quality care to each patient, every time? (3.9, 0.5)

g. Your abilityto assemble condition-relevant information for your patients with chronic disease? (3.7, 0.3)2417o. The continuity of care your organization is able to deliver? (4.1, 0.4)

EHRS Overall Satisfaction

b. System availability of EHRS (4.4, 0.4)39a. Access to EHRS workstations (4.0, 0.7)

d. The accuracy of information (4.2, 0.3)33b. System availability of EHRS (4.4, 0.4)

c. The completeness of clinical information for each patient (4.0, 0.5)88c. The completeness of clinical information for each patient (4.0, 0.5)

e. The ease of documenting care for my patients (3.8, 0.4)83d. The accuracy of information (4.2, 0.3)

a. Access to EHRS workstations (4.0, 0.7)98e. The ease of documenting care for my patients (3.8, 0.4)

f. The relevance of prompts I receive about possible drug-drug and drug-allergy interactions? (3.7, 0.5)1111f. The relevance of prompts I receive about possible drug-drug and drug-allergy interactions? (3.7, 0.5)

EHRS Training Overall Satisfaction

g. The support available to me the day I started using the EHRS (4.3, 0.6)58a. Overall training (4.3, 0.7)

f. My understanding in advance of how the EHRS would change how I would do my work (3.7, 0.2)715b. Overall ongoing support (3.7, 0.7)

a. Overall training (4.3, 0.7)810c. How training applied to my job duties (4.3, 0.7)

h. The support available the first two weeks using the EHRS (4.2, 0.7)911d. How training prepared me to use the EHRS with confidence (4.0, 0.7)

c. How training applied to my job duties (4.3, 0.7)1011e. The usefulness of training manuals and materials when I needed information (3.2, 0.5)

d. How training prepared me to use the EHRS with confidence (4.0, 0.7)117f. My understanding in advance of how the EHRS would change how I would do my work (3.7, 0.2)

e. The usefulness of training manuals and materials when I needed information (3.2, 0.5)115g. The support available to me the day I started using the EHRS (4.3, 0.6)

i. My ability to get help today (3.4, 0.6)119h. The support available the first two weeks using the EHRS (4.2, 0.7)

b. Overall ongoing support (3.7, 0.7)1511i. My ability to get help today (3.4, 0.6)



Used an EHRS Before?

Respondent Site Distribution (n=26)

00000

00000

00000

00000

EFHC

HBHC

HCHC

NNHS

Grand Total

(1=Low, 5=High)


0

0

0

0

Use of EHRS vs. Paper ChartOpportunity Ranks - Low Rating, High Importance

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

Impact of EHRSOpportunity Ranks - Low Rating, High Importance

0

0

0

0

0

0

EHRS Overall SatisfactionOpportunity Ranks - Low Rating, High Importance

0

0

0

0

0

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EHRS Training Overall SatisfactionOpportunity Ranks - Low Rating, High Importance

EHRS User Satisfaction Survey Results - DetailRespondents > 6 months TenureTenure < 6mos vs. > 6mos

Significant at

Tenure(Multiple Items).05 level.10 level

# ResponsesSite# ResponsesSite

Staff CategoryEFHCHBHCHCHCNNHSGrand Total% DistribStaff CategoryEFHCHBHCHCHCNNHSGrand Total% Distrib

BH Provider72910%BH Provider62810%

CM, Clin Rsrch, Hlth Ed26221213%CM, Clin Rsrch, Hlth Ed25221114%

Lab21144%Lab2134%

MA3441112%MA324911%

Med Rec21144%Med Rec11134%

Medical Provider153622628%Medical Provider153622632%

None indicated33289%None indicated33179%

Pt Svcs3312910%Pt Svcs3212810%

RN32278%RN2245%

(blank)222%(blank)222%

Grand Total2834121892100%Grand Total2726111781100%

# ResponsesSite

TenureEFHCHBHCHCHCNNHSGrand Total% Distrib# ResponsesSite

Less than 6 months18111112%TenureEFHCHBHCHCHCNNHSGrand Total% Distrib

6-12 months210321718%6-12 months210321721%

1-2 years63231415%1-2 years63231417%

2-3 years321178%2-3 years321179%

More than 3 years1611584043%More than 3 years1611584049%

[No Answer Entered]333%[No Answer Entered]334%


Tenure(Multiple Items)

# ResponsesSite# ResponsesSite

Used EHRS before?EFHCHBHCHCHCNNHSGrand Total% DistribUsed EHRS before?EFHCHBHCHCHCNNHSGrand Total% Distrib

No23298187885%No22227176884%

Yes5541415%Yes5441316%



SiteSite

DataEFHCHBHCHCHCNNHSGrand TotalDataEFHCHBHCHCHCNNHSGrand Total

# Responses2834121892# Responses2726111781

Avg clinical day per week4.23.83.45.04.0Avg clinical day per week4.23.83.25.04.0

Avg computer skill rating (1=lo, 5=hi)3.03.33.32.93.1Avg computer skill rating (1=lo, 5=hi)3.03.43.32.93.1




SiteSite



Use of EHRS vs. Paper chart4.224.354.734.244.34Use of EHRS vs. Paper chart4.234.354.804.314.36

Impact of EHRS4.214.264.734.654.38Impact of EHRS4.224.234.804.754.41

EHRS Overall Satisfaction4.364.264.734.414.38EHRS Overall Satisfaction4.374.274.804.504.42

EHRS Training Overall Satisfaction4.044.274.644.714.33EHRS Training Overall Satisfaction4.044.234.704.814.34


DataData

Staff Category# ResponsesUse of EHRS vs. Paper chartImpact of EHRSEHRS Overall SatisfactionEHRS Training Overall SatisfactionStaff Category# ResponsesUse of EHRS vs. Paper chartImpact of EHRSEHRS Overall SatisfactionEHRS Training Overall Satisfaction

BH Provider94.004.334.114.33BH Provider83.884.254.004.25

CM, Clin Rsrch, Hlth Ed123.644.364.674.25CM, Clin Rsrch, Hlth Ed113.804.364.734.18

Lab44.254.004.004.25Lab34.334.004.004.33

MA114.554.734.824.55MA94.564.784.784.56

Med Rec44.003.754.004.00Med Rec34.003.674.004.00

Medical Provider264.504.274.194.19Medical Provider264.504.274.194.19

None indicated84.144.434.434.29None indicated74.334.674.674.50

Pt Svcs94.754.864.254.57Pt Svcs84.714.864.574.57

RN74.864.504.714.43RN45.004.755.004.75

(blank)24.504.004.505.00(blank)24.504.004.505.00

Grand Total924.344.384.384.33Grand Total814.364.414.424.34

Data

Tenure# ResponsesUse of EHRS vs. Paper chartImpact of EHRSEHRS Overall SatisfactionEHRS Training Overall SatisfactionData

Less than 6 months114.184.134.094.20Tenure# ResponsesUse of EHRS vs. Paper chartImpact of EHRSEHRS Overall SatisfactionEHRS Training Overall Satisfaction

6-12 months174.474.384.254.256-12 months174.474.384.254.25

1-2 years143.934.214.294.071-2 years143.934.214.294.07

2-3 years74.434.004.003.862-3 years74.434.004.003.86

More than 3 years404.544.554.654.53More than 3 years404.544.554.654.53

[No Answer Entered]33.334.503.505.00[No Answer Entered]33.334.503.505.00

Grand Total924.344.384.384.33Grand Total814.364.414.424.34


SiteSite



Use of EHRS vs. Paper chart4.224.354.734.244.34Use of EHRS vs. Paper chart4.234.354.804.314.36

a. When you need contact information for a patient4.353.674.914.414.17a. When you need contact information for a patient4.483.684.904.504.28YY

b. When you need patient test results4.214.234.894.604.38b. When you need patient test results4.224.054.894.714.36

c. When you need to document something in the patient record4.684.224.804.184.42c. When you need to document something in the patient record4.674.254.804.254.46

d. When you want to identify all of your patients with a chronic condition or gap in care (e.g. all patients with HbA1c > 8)3.213.303.574.423.57d. When you want to identify all of your patients with a chronic condition or gap in care (e.g. all patients with HbA1c > 8)3.213.503.574.553.67


SiteSite



Compared with before your site implemented the EHRS, how has the EHRS changed:4.214.264.734.654.38Compared with before your site implemented the EHRS, how has the EHRS changed:4.224.234.804.754.41

a. Overall access to information4.434.414.914.654.53a. Overall access to information4.444.424.904.754.56

b. Overall point of care clinical practice3.954.264.674.474.26b. Overall point of care clinical practice3.954.214.674.574.27

c. Overall patient visit workflow3.563.953.334.533.86c. Overall patient visit workflow3.564.003.504.643.90Y

d. Your ability to find patient medical records when you need them during clinic hours?4.524.594.904.724.63d. Your ability to find patient medical records when you need them during clinic hours?4.544.584.904.824.67

e. Your ability to find patient medical records when you need them outside of normal clinic hours?4.674.594.574.604.62e. Your ability to find patient medical records when you need them outside of normal clinic hours?4.674.674.574.784.67

f. Your ability to consistently identify which of your patients have chronic disease?3.734.474.574.464.26f. Your ability to consistently identify which of your patients have chronic disease?3.734.584.574.584.30

g. Your abilityto assemble condition-relevant information for your patients with chronic disease?3.504.274.254.424.07g. Your abilityto assemble condition-relevant information for your patients with chronic disease?3.504.384.254.554.10

h. Your ability to assess what interventions are needed by your patients with chronic disease?3.634.184.254.174.00h. Your ability to assess what interventions are needed by your patients with chronic disease?3.634.384.254.274.05Y

i. Your ability to deliver chronic disease related care more consistently?3.764.084.004.334.00i. Your ability to deliver chronic disease related care more consistently?3.764.204.004.504.05Y

j. Your ability to find information on known allergies?4.054.314.004.754.26j. Your ability to find information on known allergies?4.004.464.004.914.31

k. Your ability to avoid prescribing a medication to which the patient has a known allergy?3.943.674.384.444.10k. Your ability to avoid prescribing a medication to which the patient has a known allergy?3.943.754.384.634.16Y

l. Your ability to avoid prescribing a medication that would interact with another medication the patient is taking?4.004.174.504.334.20l. Your ability to avoid prescribing a medication that would interact with another medication the patient is taking?4.004.254.504.504.24

m. Your ability to provide patient education and self-management information materials?3.784.004.134.384.04m. Your ability to provide patient education and self-management information materials?3.783.864.134.504.04

n. Your team's ability to deliver quality care to each patient, every time?3.964.124.604.474.21n. Your team's ability to deliver quality care to each patient, every time?3.964.004.674.574.20

o. The continuity of care your organization is able to deliver?4.044.094.364.414.19o. The continuity of care your organization is able to deliver?4.044.104.404.504.21Y


SiteSite



How satisfied are you with the EHRS?4.364.264.734.414.38How satisfied are you with the EHRS?4.374.274.804.504.42

a. Access to EHRS workstations4.114.484.734.294.36a. Access to EHRS workstations4.074.444.704.384.33

b. System availability of EHRS4.294.384.824.474.42b. System availability of EHRS4.264.274.804.564.39

c. The completeness of clinical information for each patient3.894.094.634.354.13c. The completeness of clinical information for each patient3.883.924.634.444.09

d. The accuracy of information4.224.094.404.174.18d. The accuracy of information4.233.884.674.244.17

e. The ease of documenting care for my patients3.794.334.784.434.22e. The ease of documenting care for my patients3.794.254.784.544.21

f. The relevance of prompts I receive about possible drug-drug and drug-allergy interactions?3.634.334.254.134.02f. The relevance of prompts I receive about possible drug-drug and drug-allergy interactions?3.634.384.254.294.03

How long have you worked at your health center?(Multiple Items)

SiteSite



How satisfied are you with EHRS training and support?4.044.274.644.714.33How satisfied are you with EHRS training and support?4.044.234.704.814.34

a. Overall training4.114.124.734.444.26a. Overall training4.154.044.704.534.26

b. Overall ongoing support3.684.304.364.614.18b. Overall ongoing support3.704.194.404.714.16

c. How training applied to my job duties4.254.124.554.594.30c. How training applied to my job duties4.263.964.604.694.29

d. How training prepared me to use the EHRS with confidence4.074.064.554.244.16d. How training prepared me to use the EHRS with confidence4.073.924.604.314.14

e. The usefulness of training manuals and materials when I needed information3.563.433.824.363.69e. The usefulness of training manuals and materials when I needed information3.563.253.904.463.67

f. My understanding in advance of how the EHRS would change how I would do my work3.923.794.104.253.95f. My understanding in advance of how the EHRS would change how I would do my work3.963.694.224.333.97

g. The support available to me the day I started using the EHRS4.194.554.734.784.51g. The support available to me the day I started using the EHRS4.194.544.704.884.52

h. The support available the first two weeks using the EHRS4.144.394.734.784.43h. The support available the first two weeks using the EHRS4.154.354.704.884.44

i. My ability to get help today3.434.534.274.564.16i. My ability to get help today3.414.484.204.654.11Y


EHRS User Satisfaction Survey Results - DetailMed Prov vs. Non-ProvMed Prov vs. BH Prov

Significant atSignificant at

.05 level.10 level.05 level.10 level

# ResponsesGroup

Staff CategoryBH ProvMed ProvNon-ProvGrand Total% Distrib

BH Provider9910%

CM, Clin Rsrch, Hlth Ed121213%

Lab444%

MA111112%

Med Rec444%

Medical Provider262628%

None indicated889%

Pt Svcs9910%

RN778%

(blank)222%

Grand Total9265792100%

# ResponsesGroup

TenureBH ProvMed ProvNon-ProvGrand Total% Distrib


6-12 months31131718%

1-2 years2661415%

2-3 years3478%

More than 3 years315224043%

[No Answer Entered]1233%


# ResponsesGroup

Used EHRS before?BH ProvMed ProvNon-ProvGrand Total% Distrib

No718537885%

Yes2841415%


Group

DataBH ProvMed ProvNon-ProvGrand Total

# Responses9265792

Avg clinical day per week4.63.64.24.0

Avg computer skill rating (1=lo, 5=hi)3.33.43.03.1


Group


# Responses9265792

Use of EHRS vs. Paper chart4.004.504.314.34

Impact of EHRS4.334.274.444.38

EHRS Overall Satisfaction4.114.194.514.38Y

EHRS Training Overall Satisfaction4.334.194.394.33

GroupMed Prov

Site


# Responses1536226


Impact of EHRS4.134.334.674.004.27



Data

Staff Category# ResponsesUse of EHRS vs. Paper chartImpact of EHRSEHRS Overall SatisfactionEHRS Training Overall Satisfaction

BH Provider94.004.334.114.33

CM, Clin Rsrch, Hlth Ed123.644.364.674.25

Lab44.254.004.004.25

MA114.554.734.824.55

Med Rec44.003.754.004.00

Medical Provider264.504.274.194.19

None indicated84.144.434.434.29

Pt Svcs94.754.864.254.57

RN74.864.504.714.43

(blank)24.504.004.505.00

Grand Total924.344.384.384.33

Data

Tenure# ResponsesUse of EHRS vs. Paper chartImpact of EHRSEHRS Overall SatisfactionEHRS Training Overall Satisfaction

Less than 6 months114.184.134.094.20

6-12 months174.474.384.254.25

1-2 years143.934.214.294.07

2-3 years74.434.004.003.86

More than 3 years404.544.554.654.53

[No Answer Entered]33.334.503.505.00

Grand Total924.344.384.384.33

Group


# Responses9265792

Use of EHRS vs. Paper chart4.004.504.314.34

a. When you need contact information for a patient3.004.624.154.17YYYY

b. When you need patient test results3.004.464.454.38

c. When you need to document something in the patient record4.114.694.334.42Y

d. When you want to identify all of your patients with a chronic condition or gap in care (e.g. all patients with HbA1c > 8)1.673.444.033.57YY

Group


# Responses9265792

Compared with before your site implemented the EHRS, how has the EHRS changed:4.334.274.444.38

a. Overall access to information4.384.544.554.53

b. Overall point of care clinical practice4.384.084.394.26Y

c. Overall patient visit workflow4.143.234.243.86YYYY

d. Your ability to find patient medical records when you need them during clinic hours?4.384.624.694.63

e. Your ability to find patient medical records when you need them outside of normal clinic hours?4.334.694.574.62

f. Your ability to consistently identify which of your patients have chronic disease?4.203.794.624.26YY

g. Your abilityto assemble condition-relevant information for your patients with chronic disease?4.003.714.434.07YY

h. Your ability to assess what interventions are needed by your patients with chronic disease?4.003.774.234.00Y

i. Your ability to deliver chronic disease related care more consistently?4.333.754.254.00YY

j. Your ability to find information on known allergies?5.003.814.614.26YYYY

k. Your ability to avoid prescribing a medication to which the patient has a known allergy?3.884.474.10YY

l. Your ability to avoid prescribing a medication that would interact with another medication the patient is taking?4.004.534.20YY

m. Your ability to provide patient education and self-management information materials?3.333.844.384.04YY

n. Your team's ability to deliver quality care to each patient, every time?4.003.924.434.21YY

o. The continuity of care your organization is able to deliver?4.144.084.264.19

Group


# Responses9265792

How satisfied are you with the EHRS?4.114.194.514.38Y

a. Access to EHRS workstations3.784.044.614.36YY

b. System availability of EHRS3.894.444.504.42

c. The completeness of clinical information for each patient4.004.004.224.13

d. The accuracy of information3.894.154.254.18

e. The ease of documenting care for my patients4.333.854.484.22YYY

f. The relevance of prompts I receive about possible drug-drug and drug-allergy interactions?4.503.744.324.02YY

Group


# Responses9265792

How satisfied are you with EHRS training and support?4.334.194.394.33

a. Overall training4.334.274.244.26

b. Overall ongoing support4.563.654.364.18YYYY

c. How training applied to my job duties4.004.274.374.30

d. How training prepared me to use the EHRS with confidence3.673.964.344.16YY

e. The usefulness of training manuals and materials when I needed information1.803.244.103.69YYYY

f. My understanding in advance of how the EHRS would change how I would do my work3.633.724.123.95YY

g. The support available to me the day I started using the EHRS4.674.274.594.51YY

h. The support available the first two weeks using the EHRS4.564.234.514.43

i. My ability to get help today4.563.384.464.16YYYY


#Date StartedTime StartedDate CompletedTime CompletedHow often do you use the EHRS rather than a paper record?a. When you need contact information for a patientb. When you need patient test resultsc. When you need to document something in the patient recordd. When you want to identify all of your patients with a chronic condition or gap in care (e.g. all patients with HbA1c > 8)Compared with before your site implemented the EHRS, how has the EHRS changed:a. Overall access to informationb. Overall point of care clinical practicec. Overall patient visit workflowd. Your ability to find patient medical records when you need them during clinic hours?e. Your ability to find patient medical records when you need them outside of normal clinic hours?f. Your ability to consistently identify which of your patients have chronic disease?g. Your abilityto assemble condition-relevant information for your patients with chronic disease?h. Your ability to assess what interventions are needed by your patients with chronic disease?i. Your ability to deliver chronic disease related care more consistently?j. Your ability to find information on known allergies?k. Your ability to avoid prescribing a medication to which the patient has a known allergy?l. Your ability to avoid prescribing a medication that would interact with another medication the patient is taking?m. Your ability to provide patient education and self-management information materials?n. Your team's ability to deliver quality care to each patient, every time?o. The continuity of care your organization is able to deliver?Is there a particular way the EHRS has helped to improve care?What would help you to use the EHRS more effectively?How satisfied are you with the EHRS?a. Access to EHRS workstationsb. System availability of EHRSc. The completeness of clinical information for each patientd. The accuracy of informatione. The ease of documenting care for my patientsf. The relevance of prompts I receive about possible drug-drug and drug-allergy interactions?Comments related to overall satisfaction:How satisfied are you with EHRS training and support?a. Overall trainingb. Overall ongoing supportc. How training applied to my job dutiesd. How training prepared me to use the EHRS with confidencee. The usefulness of training manuals and materials when I needed informationf. My understanding in advance of how the EHRS would change how I would do my workg. The support available to me the day I started using the EHRSh. The support available the first two weeks using the EHRSi. My ability to get help todayWhat did you like most about the training or support you received?What did you like least about the training or support you received?Please share any ideas you have about how training or support could be improved:Health CenterPlease indicate the staff position that best describes your job:Staff CategoryHow long have you worked at your health center?How many full days per week do you devote to clinical care?Prior to your EHRS training with the Alliance, have you used an EHRS at another organization?How would you rate your computer skills before EHRS training?Group

84/16/075:03:57 PM4/16/075:11:51 PM5351545455[No Answer Entered][No Answer Entered]545555[No Answer Entered]555554555I continue to appreciate the willingness to help without criticism even when the request for help is repetitive.[No Answer Entered][No Answer Entered]HBHCPsychologistBH ProviderLess than 6 months2No3BH Prov

94/16/075:53:48 PM4/16/076:00:16 PM5454454233There is less paperwork, but overall it does not seem to be structured for a behavioral health care model.Faster computers in BHS, with Superbills that are printable and managed by Patient Services staff.3244334[No Answer Entered]4454432454[No Answer Entered][No Answer Entered][No Answer Entered]HBHCPsychologistBH Provider6-12 months3Yes4BH ProvAlwaysMost of the timeHalf of the timeInfrequentlyNeverDoes not apply

114/17/0712:55:15 PM4/17/072:43:10 PM44252424433534Increased access to information related to all of the services received by a given client.More knowledge about the current capabilites of EHRS (Advanced EHRS Training?).

Improvement to current capabilities of EHRS (e.g., spell check, "face sheet" on each client with more detailed demographical information to give a more descriptive "snapsho452224It gets VERY frustrating when EHRS automatically shuts down, and on a fairly regular basis.555555555The training and support staff have been very available and very accommodating, especially Jeremy Carr at Howard Brown Health Center.[No Answer Entered][No Answer Entered]HBHCPsychologistBH ProviderMore than 3 years4No4BH Prov54321

124/17/072:03:22 PM4/17/072:13:06 PM5555555555544[No Answer Entered][No Answer Entered]555555[No Answer Entered]5453414555Support has been great on-site. I appreciate that, though I don't tend to need it very often it is always available.I felt that the initial training was too long. I think that it is challenging to offer a training for people who come from different levels of computer ability.Maybe offer tiers of training, one for people who identify as computer literate and one for those who feel less strongly about their abilities.HBHCSocial WorkerBH Provider6-12 months7No5BH ProvMuch betterSomewhat betterNo changeSomewhat worseMuch worse

444/20/071:07:39 PM4/20/071:12:17 PM21121355555555[No Answer Entered]training2225555[No Answer Entered]2342123445I was completely confused by the whole thingsee above[No Answer Entered]HBHCBehavioral Health WorkerBH Provider1-2 years5No1BH Prov54321

474/20/072:34:46 PM4/20/072:38:26 PM53514554545455Seeing evidence that client is also a medical patient in addition to being opened in BHS;Being able to communicate to providers through flags with chart attachedHaving a specific Trans Assessment listed, as well as altering the DV assessment to include more DV related items554544It helps me to know what documents I still have to complete. See also above comments.4434313543Step by step instructions using the computers as we were learningGenerality of system that was focused on initially, especially regarding items that didn't apply to BHSAlso, CM should not have had to sit through all of the BHS comments during the follow-up, as none of that information applied to them eitherA manual specific to BHS would have been helpful; I didn't find the cards on the ring usefulHBHCBehavioral Health WorkerBH ProviderMore than 3 years5No4BH Prov

754/26/071:32:45 PM4/26/071:39:10 PM4141455554443344[No Answer Entered]friendlier lay out -some things are lumped together on pages and harder to find. no spell check makes notes look unprofessional and is frustrating for a supposedly advanced technology455234[No Answer Entered]4444424544seeing it in action and the hands-on training, which was essential - doing it as a group helped as wellthe flip-book was not very helpful and did not seem organized for what i needed it for[No Answer Entered]HBHCBehavioral Health WorkerBH Provider1-2 years5Yes3BH ProvVery satisfiedSomewhat satisfiedNeutralSomewhat dissatisfiedVery dissatisfied

905/7/0710:42:59 AM5/7/0710:46:43 AM22255354333344ease of documentationincrease the amount of use- difficult to use EHRS at only one site for a limited period of time413444[No Answer Entered]555424445[No Answer Entered]training was too early/ too soon before utilizing system for patient carethere was a long delay (months) between training and starting use of EHRSNNHSSocial WorkerBH Provider6-12 months5No3BH Prov54321

915/7/0710:46:57 AM5/7/0710:48:51 AM444454444[No Answer Entered][No Answer Entered]555445[No Answer Entered]55555555[No Answer Entered][No Answer Entered][No Answer Entered]NNHSSocial WorkerBH ProviderMore than 3 years5No3BH Prov

164/17/076:53:00 PM4/17/077:00:02 PM4555444245243333333when it works it's goodwhen pre-loading wasn't done properly, when the immunizations are missing because the forms had gaps, etc. it makes things more difficultinstead of focusing on turning history into a form (which I would debate if this is appropriate or not - at least for what is supposed to be in the patient's own words), focus on identifying protocols/needed interventions/immunizations etc. Ask the quest5544433[No Answer Entered]4344334553[No Answer Entered]nothing beats "hands on". we spent too much time going through theoretical stuff which we all forgot until we did it with actual patients.[No Answer Entered]EFHCPhysicianMedical ProviderMore than 3 years4Yes4Med ProvAlways5

204/18/078:58:00 AM4/18/079:05:37 AM545525542555524555244The main improvement so far has been the availability in the medical record both in clinic and on call.The patient handouts are only average. The on line durg information support still is not active over 6 months after go live. Why? The reminders for preventive interventions which are due are not yet accurate because we are not sure if the system correc5554445[No Answer Entered]5555333554On site Alliance support superb.Best part was doing actual test patients in the clinic. Very valuable.More time doing test patietns and revieweing work flow. More time testing hardware prior to go live.EFHCPhysicianMedical ProviderMore than 3 years1No4Med ProvDoes not applyDNA

214/18/0710:38:30 AM4/18/0711:00:02 AM444512421453334544323Since instituted able to read notes, find labs, access results on my days off, improving speed of response. Also able to check info when on call and speaking to patient from location other than clinic. Unfortuantely, all the info on the old paper chartsForms that work: information entered populates future notes, not needing to enter same info in several places, drop down options that make sense. I am doing less thorough histories because forms are so user unfriendly and I need to save time somewhere f2241422[No Answer Entered]2422214442doing practical examplessupport disappeared long before we were ready[No Answer Entered]EFHCCertified Nurse MidwifeMedical Provider2-3 years5No2Med ProvHalf of the time3

224/18/072:23:12 PM4/18/072:41:10 PM555544555544344544Records consistently available[No Answer Entered]4444514It is easier to write in a chart than use several sign-ins and screen to document3333433334staff were friendly and supportivenot always avaiable when I needed them[No Answer Entered]EFHCNurse PractitionerMedical ProviderMore than 3 years3.5No1Med ProvInfrequently2

324/19/079:26:36 PM4/19/079:32:19 PM555554554554344445433easy access to informationIf it were more rapid to log on/off...to access records...if the consult notes were actually scanned in in a timely manner.

if it were able to alert me of certain screening idea- such as, if a patient is overweight, when to check lipids, etc....it ha444443I still believe that the EHRS has only been a new tool of documentation. i have not yet found it to change my clinical practice per se.5424444552the training was great. the alliance was around for awhile which really helped.[No Answer Entered]more ongoing support, more people from alliance coming around on random days to see hands-on useEFHCPhysicianMedical ProviderMore than 3 years4No4Med ProvMost of the time4

334/20/079:02:02 AM4/20/079:33:05 AM55555444554445544555To put more info about test results and test done in the pass.To show more info on pass appts and referrals.5553333satisfied.3334433333[No Answer Entered][No Answer Entered][No Answer Entered]EFHCPhysician's AssistantMedical ProviderMore than 3 years5No3Med ProvMuch better5

354/20/079:10:15 AM4/20/079:26:26 AM222214434444333344Immediate access to labs and immunization records.Access to information outside of clinic hours and off-site.The flowsheet in each patient chart should be more user friendly - not arranged intuitively or even in useful categories. It seems to be a jumble of information in no particular order (alphabetical order is not appropriate).It would help if we did not4554443[No Answer Entered]4435434543Ekem[No Answer Entered][No Answer Entered]EFHCPhysicianMedical Provider1-2 years5No3Med ProvMuch worse1

454/20/071:22:01 PM4/20/071:40:57 PM45445542553444344Primarily through improved access to health record. Never missing/ in someone else's posession/ etc. Coding is also easier, not directly affecting care but certainly affecting health center functioning/ billing.1. Eliminate or reduce down time! Announce ahead of time any scheduled changes/ server issues/ maintenance etc which might affect record performance. 2. Improve global lists of diagnoses and medications. We have been waiting for this for a LONG time, an4225543While the system is almost always up and running, the down times, seeming to me about once every two weeks, is enough to make me somewhat dissatisfied. Erie's workstations in exam rooms run significantly slower than workstations in shared space, so most4545534553The intensive effort and significant amount of clinic time blocked for training seemed excessive at the time, but in retrospect was very well planned. Trainers were very good, very approachable, very responsive.[No Answer Entered][No Answer Entered]EFHCPhysicianMedical ProviderMore than 3 years4Yes3Med ProvNeutral3

484/22/073:35:05 PM4/22/073:42:37 PM44254222141111433424faster for me to see more patientsworking, efficient printers that print at maximum speed from ALL computers, avoiding the tedious, slow log ins.4142343many modifications still needed, but feels like no one person can make that happen.3414333221many of the helpers early on also were fumbling through the EHRS....they did not instil confidence for they were suppose to be the "trainors"[No Answer Entered][No Answer Entered]EFHCCertified Nurse MidwifeMedical Provider1-2 years3No3Med ProvNever1

514/24/075:37:16 PM4/24/075:46:01 PM554544433443444344544Easier access to pt labsToo many forms, the section on pt education is unnecessary, because it can be mentioned by the provider in the assessment and plan5554543[No Answer Entered]5555533443AvailabilityEasily forgettableEasier instructions on paper for use of the system.EFHCPhysicianMedical ProviderMore than 3 years3No1Med ProvNo change3

524/24/079:37:33 PM4/24/079:43:37 PM55555454455555444medical records are always available - this is definitely a change from before!Quicker log ins5555554[No Answer Entered]4434434332[No Answer Entered]I forgot a lot of the information - when you don't use it you lose it. I don't have a training manual for support.[No Answer Entered]EFHCCertified Nurse MidwifeMedical ProviderMore than 3 years1No5Med ProvSomewhat better4

684/25/076:45:00 PM4/25/076:55:01 PM544414442452233233333easy to access at night and in hospital1)actually implement the many, many changes for which we have asked2)if other groups entered a full history - currently only ob/gyn routinely enters all the PMH/PSH/SH and once the paper charts stop coming this will be a huge gap in continuity of care3242322we have significant problems with printer reliability. we do not have enough workstations per staff member. the choice of having non-mobile stations in which we must log in and log out if we want to use in a patient room was a poor one.34243111[No Answer Entered]number of staff and availability was inadequate. number of patients scheduled was ridiculous.[No Answer Entered]EFHCPhysicianMedical Provider2-3 years5Yes5Med ProvSomewhat dissatisfied2

694/25/078:41:14 PM4/25/078:46:14 PM554515553553333344344charting is legiblealways have access to chart[No Answer Entered]5545444[No Answer Entered]4444434444[No Answer Entered][No Answer Entered][No Answer Entered]EFHCPhysicianMedical Provider1-2 years5Yes5Med ProvSomewhat satisfied4

744/26/0711:44:20 AM4/26/0711:46:39 AM54554543533343333435[No Answer Entered][No Answer Entered]4454245[No Answer Entered]5555544554[No Answer Entered][No Answer Entered][No Answer Entered]EFHCPhysicianMedical ProviderMore than 3 years5Yes3Med ProvSomewhat worse2

804/30/071:27:01 PM4/30/071:32:36 PM45544544554444[No Answer Entered]If info from previous visits populated the current visit, ie pap results etc. I always have to look around in earlier appts to find info. I thought the point of EMR was up-to-date info in the current chart434244[No Answer Entered]4423333442[No Answer Entered]You all promised that help would be available "for as long as we needed it" but then a few weeks after go live, help was scarce. Total BS[No Answer Entered]EFHCCertified Nurse MidwifeMedical ProviderMore than 3 years2No2Med ProvVery dissatisfied1

584/25/073:11:20 PM4/25/073:14:37 PM555555555555555555555[No Answer Entered][No Answer Entered]4555355There are continued printer issues even though better than before and infrequent enough that we just deal with it. The system does seem to quirky things that no one seems to be able to recreate nor can I4445341555[No Answer Entered][No Answer Entered][No Answer Entered]HBHCPhysicianMedical Provider6-12 months4No1Med ProvVery satisfied5

624/25/074:01:34 PM4/25/075:03:27 PM554554555555555324455ability to have medical record available at all times, disease management information is a huge improvementtechnical issues such as printing, being kicked out of the system and other computer related problems have really been difficult to deal with during a busy clinic. i'm not sure what else to do for this since we have great IT staff on our end and from the4445555overall i think this is an improvement in quality of care on a much larger scale in a short period of time than we could have never achieved with paper charting4444435554good overview of functionality of the system itselfwas not comprehensive for workflows specific to our clinical area and changed a lot once we actually went livehaving the implementation team actually using the system early on in the preparation may have helped our workflow training a lotHBHCNurse PractitionerMedical ProviderMore than 3 years5No5Med Prov

704/26/0710:10:00 AM4/26/0710:15:37 AM445554533554333333333[No Answer Entered]The reminders for routine care are useless- always indicating HIV+ pts need CBC, for example, when it was just done. Also, none of the patient info handouts work so there is no time savings for giving handouts- still have to print or copy it as a separat4444443Better for accessing records (more than one user can view, for example) but very stressful to use with printers not printing daily and not as complete record as first presented4444444554[No Answer Entered]The day I locked myself out of attempts to log on and no IT personnel were inhouse to reset my account.[No Answer Entered]HBHCNurse PractitionerMedical Provider2-3 years4Yes5Med Prov

234/18/073:38:48 PM4/18/073:41:16 PM555555552555555555555[No Answer Entered][No Answer Entered]5555555[No Answer Entered]5545555554[No Answer Entered][No Answer Entered][No Answer Entered]HCHCPhysicianMedical Provider1-2 years2No5Med ProvErie Family Health CenterEFHC

244/19/078:39:25 AM4/19/078:44:25 AM45445555555444443455everything gets into the chartdisease management advisors are not accurate. for example, cd4 counts come with cbc, the hiv disease manager does not recognize that. also with cholesterol in HIV5555555It is great!.5555555555the people, their responsivenessnot much[No Answer Entered]HCHCNurse PractitionerMedical ProviderMore than 3 years3Yes4Med ProvHeartland Community Health CenterHCHC

374/20/079:36:57 AM4/20/079:45:53 AM555515553444333334333Much easier to document communications with clients outside of appointmentsQuicker log-on. Accurate info re: interventions needed today--that is, the EHRS recommendations for Pap, Mammo, etc are not accurate. Even if I did a pap last month and it is in the record, EHRS will prompt me to do a Pap! Flow sheet is not helpful--t4444444I'm glad we went to EHRS. It just needs some refining--and our exam rooms aren't really set up to use it.5545525554Very hands on. Great support staff. Designation of "superusers."[No Answer Entered][No Answer Entered]HCHCNurse PractitionerMedical ProviderMore than 3 years4No4Med ProvHoward Brown Health CenterHBHC

534/25/0710:04:34 AM4/25/0710:08:29 AM555554444555554455355[No Answer Entered][No Answer Entered]5455554[No Answer Entered]5555544445[No Answer Entered][No Answer Entered][No Answer Entered]HCHCCertified Nurse MidwifeMedical Provider1-2 years4Yes4Med ProvNear North Health Services CorporationNNHS

604/25/073:38:29 PM4/25/073:52:57 PM55555555255553355555better documentation, especially outside of office visit(phone calls, refills, notes on labs etc) and easier communication with other clinical stafffigure out how to have nursing/MA staff complete visit so I can move on to next patient5555555[No Answer Entered]5454433555[No Answer Entered]reviewing templates screen by screen got tedious. "a visit" wasn't well simulated at timessomehow have the training try to simulate a real visit..now you want to order this, that and the other thing, go to this screen etc etc. Less time in training on templates(adult, peds etc) and more for orders, refills, referrals etcHCHCPhysicianMedical ProviderMore than 3 years2No1Med Prov

764/26/073:36:05 PM4/26/073:50:28 PM445414532534334334343Easier to find lab reports, they are now field in a consistnet manner and place. Phone notes are great, can document phone calls and add orders right away.If lab orders would go directly to lab electronically instead of printing first.The physical exam pages need updating with greater choices in the drop down menus for abnormal findings. Also, the custom drug lists need a thoruough overhaul. I have to u4554543Overall it has been OK. I think we are generating more papaer than before. Lab orderes now are multiple pages instead of one single sheet. and they print out twice, once when ordered and again on the superbill. Very wasteful. Inital visits are slower5555544554Availabliity of support staff once we went live. People were very responsive to the various glitches that occurred initally.The EHRS system is so big and I have already forgotten some of the extra features they told us about in the beginning. I don't have time to explore things like quick text and such.Additional trainings to review some of the special features would be nicsee aboveReally could use an onsite supporit person dedicated to EHRS, not having it as "other duties as assigned"HCHCNurse PractitionerMedical ProviderMore than 3 years3No4Med Prov

835/3/0712:58:23 PM5/3/071:01:51 PM454554445554544553544[No Answer Entered]decrease log in time (one FASTER log-in)4554433The amount of time spent with each patient is MUCH longer with EHRS than with a paper chart.4433334443The support after start-up. Unfortunately, it was short-lived.As aboveSupport staff stay around longerNNHSPhysicianMedical Provider1-2 years4No3Med Prov

845/3/071:02:04 PM5/3/071:07:07 PM455554553553555545555[No Answer Entered]A printer and telephone in each room- computers that are more mobile- easier log on. If we had these things it wouls save 1/2 to 1 hour daily and I could see 2-3 more paitents in that time.22544[No Answer Entered]5545423554hands on approach of instructor to studentsnothing[No Answer Entered]NNHSPhysicianMedical Provider[No Answer Entered][No Answer Entered]NoMed Prov

154/17/074:58:14 PM4/17/075:03:39 PM454444[No Answer Entered][No Answer Entered]4445[No Answer Entered]44344444[No Answer Entered][No Answer Entered][No Answer Entered]EFHCPSS StaffPt Svcs1-2 years[No Answer Entered]No4Non-Prov

174/18/078:40:39 AM4/18/079:01:20 AM41454445EHRS has made the flow of patient care much smoother.Nothing at this time.45544EHRS433443444I was not trained by Alliance. I was trained by an employee at my place of employment.The individual training me was very supportive and answered most of my questions.None at this time.EFHCMedical RecordsMed RecLess than 6 months4No3Non-Prov

184/18/078:48:37 AM4/18/078:59:34 AM433443It's quicker as far as accessing patient information.Nothing.443443[No Answer Entered]334443434I like that the training was explained in a way that I could understand without being confused.Nothing.[No Answer Entered]EFHCMedical Records ClerkMed Rec1-2 years[No Answer Entered]No3Non-Prov

264/19/0711:10:42 AM4/19/0711:49:34 AM5555554555[No Answer Entered]If we could group vaccines together into PEDIARIX and PROQUAD, so we would only need to write the information once, not three times for the same vaccine. And also, if you could add the new vaccines, (like Rotateq) to the already existing group.555445[No Answer Entered]2223313552Very, very, very helpful[No Answer Entered]Keep some communication open for constant concerns that arrive frequentlyEFHCMedical AssistantMAMore than 3 years5No4Non-Prov

294/19/072:15:57 PM4/19/072:31:27 PM5555554555[No Answer Entered][No Answer Entered]554554[No Answer Entered]5555555555[No Answer Entered][No Answer Entered][No Answer Entered]EFHC[No Answer Entered]None indicatedMore than 3 years5No2Non-Prov

304/19/074:12:31 PM4/19/074:16:56 PM4555555[No Answer Entered][No Answer Entered]55555[No Answer Entered]5555555555[No Answer Entered][No Answer Entered][No Answer Entered]EFHCcall center operatorPt SvcsMore than 3 years5No1Non-Prov

314/19/074:25:58 PM4/19/074:30:19 PM455[No Answer Entered][No Answer Entered]444444[No Answer Entered]4444444444[No Answer Entered][No Answer Entered][No Answer Entered]EFHCSurveyAnswerTextNullNone indicated6-12 months[No Answer Entered]No2Non-Prov

344/20/079:09:01 AM4/20/079:31:12 AM455544445555555555I think EHRS make our work easy and save us time, so we can give our patients quality careno comments5555554455555554What did I most liked about the training I think was the available support.no commentsno commentsEFHCHealth EducatorCM, Clin Rsrch, Hlth Ed2-3 years5No2Non-Prov

404/20/0710:04:31 AM4/20/0710:42:04 AM554545555555555555455[No Answer Entered]need to ins coverage (1) HMO or (2) PPO and if none english speaking5555555I'am very happy, I can get my job done faster, provide information on the spot, I can go back to re-check, confirm appts,phone notes5555545555it was very complete, I was able to ask for help, was very detailed, and if changes were needed they were open minded about it, not just this is it and that is how it's going to be, it was more team work[No Answer Entered][No Answer Entered]EFHCreferrals, rx request, results, handle faxes, prior aprovPt SvcsMore than 3 years5No3Non-Prov

494/24/072:50:16 PM4/24/072:56:11 PM4555344445544[No Answer Entered][No Answer Entered]44445[No Answer Entered]5555555555[No Answer Entered][No Answer Entered][No Answer Entered]EFHCMedical AssistantMA6-12 months6No5Non-Prov

504/24/074:06:56 PM4/24/074:54:49 PM444444444444444444444[No Answer Entered]If I could stop pulling charts.4444444I can somehow see the change since EHRS first came into use, since then patient's info is located more conveniently. The only thing I feel I should mention is that I was under the impression paper charts would by now no longer be needed to be pulled. I5555555555[No Answer Entered][No Answer Entered][No Answer Entered]EFHC[No Answer Entered]None indicatedMore than 3 years5No3Non-Prov

544/25/0710:09:05 AM4/25/0710:22:19 AM245554534543Helps me identify the reason of my patients visit.[No Answer Entered]53335[No Answer Entered]4444444343[No Answer Entered][No Answer Entered][No Answer Entered]EFHChealth promoterCM, Clin Rsrch, Hlth EdMore than 3 years5No2Non-Prov

824/30/075:41:36 PM4/30/075:48:48 PM222455555555555555454faster care to patients.[No Answer Entered]5555555100% better.5555555555[No Answer Entered][No Answer Entered][No Answer Entered]EFHCMedical AssistantMA1-2 years5No1Non-Prov

14/16/0710:33:47 AM4/16/0711:09:12 AM5555555553333[No Answer Entered]Access to data in a timely manner. Easier querying abilities, and more flexibility in output options of information55444[No Answer Entered]3322213443Too much information crammed in at once, glossed over areas that are more important. Too overwhelmed with the system to full understand and comprehend form and flow trainings at that point.Day to day on site support and coaching is great when local staff is available.Better fit to each role. More time to walk through real life examples that pertain to specific center.HBHCSurveyAnswerTextNullNone indicated6-12 months1No5Non-Prov

24/16/074:19:35 PM4/16/074:22:45 PM23511[No Answer Entered][No Answer Entered]44445[No Answer Entered]5555555555[No Answer Entered][No Answer Entered][No Answer Entered]HBHCCase ManagerCM, Clin Rsrch, Hlth EdLess than 6 months5No5Non-Prov

34/16/074:20:53 PM4/16/074:24:57 PM55555444455554[No Answer Entered][No Answer Entered]455444[No Answer Entered]5555555555[No Answer Entered][No Answer Entered][No Answer Entered]HBHCclincal researcherMore than 3 years3Yes3Non-Prov

44/16/074:35:27 PM4/16/074:38:50 PM5221I primarily use HealthPro to provide the best service for HBHC clients.I wish there was a more efficient flagging system for patient services to communicate with med services; flags are often not read until the issue mentioned is moot.255[No Answer Entered]n/an/an/aHBHCPatient Service RepresentativePt SvcsLess than 6 months5No4Non-Prov

54/16/074:38:59 PM4/16/074:51:48 PM555555555555555555555So much easier to see previous test results and treatment. Easier to find a chart...sometimes they were missing. Easier to put notes in a patients cart and able to contact a doctor regarding patients care. It just makes it everything so much smoother a[No Answer Entered]5555555[No Answer Entered]5555555555It is easy to access support at all times where there are issues. They are quickly resolved. I think that the hands on training was good and knowing that we had time to ask the questions we needed. Also getting our questions answered quickly. I think[No Answer Entered]I think that the training was great. Being able to work along with the instructor on a laptop and go through it step by step made it easy.HBHC[No Answer Entered]None indicatedMore than 3 years5No3Non-Prov

64/16/074:43:28 PM4/16/074:46:09 PM5555[No Answer Entered][No Answer Entered]5555555[No Answer Entered]5555555555that it was done by someone who works here, and i'm glad we have people here we contact if something goes wrong[No Answer Entered][No Answer Entered]HBHCRNRNLess than 6 months5Yes3Non-Prov

74/16/074:44:41 PM4/16/074:48:58 PM434554543555444445454no more lost chartsclearer way to identify what is in a document without opening it4555544[No Answer Entered]4444443445[No Answer Entered][No Answer Entered][No Answer Entered]HBHCRNRNLess than 6 months1No3Non-Prov

104/17/078:47:28 AM4/17/078:51:36 AM5555555[No Answer Entered][No Answer Entered]55533[No Answer Entered]5555533555[No Answer Entered][No Answer Entered][No Answer Entered]HBHC[No Answer Entered]None indicatedMore than 3 years1No5Non-Prov

134/17/072:33:49 PM4/17/072:41:44 PM51554553555[No Answer Entered][No Answer Entered]5555555[No Answer Entered]4142222225[No Answer Entered][No Answer Entered][No Answer Entered]HBHCCase ManagerCM, Clin Rsrch, Hlth Ed6-12 months2No3Non-Prov

254/19/0711:02:26 AM4/19/0711:07:05 AM44554445555555Getting information[No Answer Entered]44433[No Answer Entered]5555555555[No Answer Entered][No Answer Entered][No Answer Entered]HBHCMedical RecordsMed Rec2-3 years1No4Non-Prov

384/20/079:45:22 AM4/20/079:54:56 AM422233333333[No Answer Entered][No Answer Entered]333233[No Answer Entered]4343334444[No Answer Entered][No Answer Entered][No Answer Entered]HBHCLABLab6-12 months5No3Non-Prov

394/20/0710:03:19 AM4/20/0710:11:34 AM555555555[No Answer Entered][No Answer Entered]55555[No Answer Entered]5545555555[No Answer Entered][No Answer Entered][No Answer Entered]HBHCFinancePt Svcs6-12 months1No3Non-Prov

414/20/0710:33:16 AM4/20/0710:39:33 AM5555555445[No Answer Entered][No Answer Entered]55555[No Answer Entered]5555555555[No Answer Entered][No Answer Entered][No Answer Entered]HBHCMedical AssistantMALess than 6 months5No1Non-Prov

424/20/0711:53:21 AM4/20/0712:26:11 PM5555445[No Answer Entered][No Answer Entered]44455[No Answer Entered]444455534[No Answer Entered][No Answer Entered][No Answer Entered]HBHCpatient servicesPt Svcs6-12 months5No3Non-Prov

434/20/0712:07:57 PM4/20/0712:14:52 PM3552555534instant access to appointments, lab results, medications[No Answer Entered]5455[No Answer Entered]555543335[No Answer Entered][No Answer Entered][No Answer Entered]HBHCCase ManagerCM, Clin Rsrch, Hlth EdMore than 3 years[No Answer Entered]No2Non-Prov

464/20/071:54:31 PM4/20/072:18:53 PM435544444433433333444Better flow of pt documents and material making service faster, smoother, and with less mistakes do to communication errors.If I learn how to type faster and if there were a service to correspond with each test we orders.5555554Overall I am very satisfied with ehrs.4455434444Training was quick and support is usually available.When the ehrs freezes up or has problems and tech support leaves early on days we may be here past 7:30pm.Schedule someone to stick around later on days the clinic is open late or train someone on how to get in contact with the alliance when there are no tech people in the building.HBHCMedical AssistantMALess than 6 months5No3Non-Prov

554/25/072:26:58 PM4/25/072:45:16 PM44454432333N/A for daily work at Lab. ServicesInstant interface with Quest Diagnostics, and the availability to order a minimun of at least ten lab test at a single time.455334I'm not satisfied because EHRS has triple the amount of work needed to process a client for Lab. Services.4445531445EHRS equipment and Knowledge base of the instructor.To much information given at a single time.The first two weeks that we went life we needed more support staff present.HBHCMedical Laboratory ProfessionalLabMore than 3 years5No3Non-Prov

574/25/073:06:37 PM4/25/073:13:09 PM2251133i rarely use it, i am a case manager.n/a35553don't like to log on twice.3333333333presenter was friendly, well informed.most of the training wasn't relevant to my use of the system/my job.[No Answer Entered]HBHCCase ManagerCM, Clin Rsrch, Hlth Ed6-12 months4No3Non-Prov

594/25/073:22:33 PM4/25/073:31:37 PM41113344344ease of communication with providers[No Answer Entered]54423dissatisfaction mostly related to providers not inputting all information in patient EMR4432334555good presenter and great support always availablevery little of training was relevant to use of EHRS specific to my role[No Answer Entered]HBHCCase ManagerCM, Clin Rsrch, Hlth EdMore than 3 years1No3Non-Prov

614/25/073:43:17 PM4/25/073:47:04 PM444555445434[No Answer Entered][No Answer Entered]555455[No Answer Entered]4454444555[No Answer Entered][No Answer Entered][No Answer Entered]HBHCDisease Intervention SpecialistCM, Clin Rsrch, Hlth EdMore than 3 years5No3Non-Prov

714/26/0711:29:31 AM4/26/0711:34:02 AM4454555544[No Answer Entered][No Answer Entered]55533[No Answer Entered]544444455[No Answer Entered][No Answer Entered][No Answer Entered]HBHCclinical researchMore than 3 years3No3Non-Prov

724/26/0711:31:54 AM4/26/0711:36:52 AM554554555I think the EHRS has improved care greatly due to the time saved. There is no more paper trail and everything you need is a click away.I only hope to see the problem of refreshing fixed. When we are receiving flags the screen does not refresh like it supposed to and this creates a delay in our response to the reception. This is a big problem because patients are waiting for us to respond5545I think EHRS is great and more offices should use this system.5555555555I like how they were there with us every step of the way. Any questions we has they answered them for us and was always available when help was needed.I liked all the support that was given.I thought the training was awesome!HBHCMedical AssistantMA1-2 years5No2Non-Prov

774/26/075:49:03 PM4/26/075:52:28 PM555554444544444544[No Answer Entered][No Answer Entered]4444444[No Answer Entered]3344433444[No Answer Entered][No Answer Entered][No Answer Entered]HBHCRNRNLess than 6 months5No3Non-Prov

814/30/074:39:03 PM4/30/074:46:29 PM534544335333[No Answer Entered][No Answer Entered]4443333[No Answer Entered]4444534534N/AN/Athe immunizations of pt chart to document any injection got more confusingHBHCMedical AssistantMA6-12 months5No5Non-Prov

274/19/0711:33:20 AM4/19/0711:44:09 AM555555553noworking just fine. Although, it would be nice if someone ever gets to the point of installing complementary therapies INTAKE FORMS as forms5555much prefer electronic charting: it is great not to have to get paper charts, not to write longhand, and not to have to return paper charts.4554444555the support persons patiencethe amount of time required--oh welli assume that it is being improved ongoingly. i am satisfied.HCHCComplementary TherapistCM, Clin Rsrch, Hlth Ed2-3 years1No2Non-Prov

284/19/071:36:28 PM4/19/071:40:16 PM555555555555555555555[No Answer Entered][No Answer Entered]5444453[No Answer Entered]4444443554[No Answer Entered][No Answer Entered][No Answer Entered]HCHCRNRNMore than 3 years3Yes4Non-Prov

564/25/072:45:44 PM4/25/074:37:52 PM4545244Yes, not having to shuffle in a chart to look for information. (like results)Or having Lab orders ready for the patients visit.To know if I am realy taking advantage of all that EHRS provides.4552Overall satisfaction for myself is just simply the easy acces that is available.4544433555Well the support that co-workers give (Craig and Megan) when they themselves are extremley occupied is nice. They have let me know how certain things are entered and searchable.N/ANow that most of us know how to work the system, some training is really needed when placing orders. And where orders are being found. And from where not to get certain information.HCHCCertified Lab Tech.LabLess than 6 months5No4Non-Prov

734/26/0711:40:15 AM4/26/0711:43:59 AM55553555554444555555It has really helped with improving the overall care of the pt.If charts were fully preloaded.5555455[No Answer Entered]5535555553The staff was very knowledgeable and helpfulWhen the superuser, Craig, is not here and there is a problem-- it can take a while before we get support.Have more support team available for call insHCHCRNRN6-12 months5Yes4Non-Prov

784/27/071:53:04 PM4/27/071:59:19 PM55555555Not much applies to me job.Maybe a little more training.5555none.444443333Trainers ried their best to answer all of our questions.Too short.Smaller groups.HCHCInterpreter/support PAP program.CM, Clin Rsrch, Hlth Ed6-12 months[No Answer Entered]No1Non-Prov

794/27/072:30:07 PM4/27/072:33:42 PMn/an/a[No Answer Entered]n/an/an/aHCHCpatient support specialistPt Svcs6-12 months5No3Non-Prov

144/17/074:10:25 PM4/17/074:25:55 PM5555555555545555yes because we donot have to write.or use paper chartnothing555555no5555555555working on th computernothingsome people need more trainingNNHSMedical AssistantMAMore than 3 years5No3Non-Prov

194/18/078:55:18 AM4/18/079:06:34 AM44553It easy to access patient chart.[No Answer Entered]4444[No Answer Entered]4444455554[No Answer Entered][No Answer Entered][No Answer Entered]NNHSmedical recordsMed Rec1-2 years5No4Non-Prov

364/20/079:30:48 AM4/20/079:43:07 AM55155555544[No Answer Entered][No Answer Entered]4444[No Answer Entered]55555555[No Answer Entered][No Answer Entered][No Answer Entered]NNHSCase ManagerCM, Clin Rsrch, Hlth EdMore than 3 years[No Answer Entered]No2Non-Prov

634/25/074:52:50 PM4/25/074:55:02 PM555555555555555555555[No Answer Entered][No Answer Entered]5555555[No Answer Entered]5555555555[No Answer Entered][No Answer Entered][No Answer Entered]NNHSLab TechLab2-3 years[No Answer Entered]No4Non-Prov

644/25/074:55:55 PM4/25/074:58:11 PM555555555555555555555Yes, faster service[No Answer Entered]5555555[No Answer Entered]5555555555There was always someone there to answer my questions[No Answer Entered][No Answer Entered]NNHSMedical AssistantMAMore than 3 years5No1Non-Prov

654/25/074:58:34 PM4/25/075:00:45 PM555555555555555555555yes[No Answer Entered]555555none555555555[No Answer Entered][No Answer Entered][No Answer Entered]NNHSMedical AssistantMA1-2 years5No3Non-Prov

664/25/075:01:01 PM4/25/075:04:07 PM55555555555555no longer a problem reading, easier to find patient information, less writing[No Answer Entered]55555I think the EHRS is a very good update to patient care5555555555very educational[No Answer Entered][No Answer Entered]NNHSReceptionistPt SvcsMore than 3 years[No Answer Entered]No3Non-Prov

674/25/075:04:24 PM4/25/075:06:57 PM55555444455545555[No Answer Entered][No Answer Entered]5443455[No Answer Entered]5455454555I felt very supportedtraining was great[No Answer Entered]NNHSRNRN6-12 months6No4Non-Prov

855/4/0710:58:13 AM5/4/0711:00:33 AM333333333333333333333[No Answer Entered][No Answer Entered]3333333[No Answer Entered]3333333333[No Answer Entered][No Answer Entered][No Answer Entered]NNHSSurveyAnswerTextNullNone indicatedLess than 6 months[No Answer Entered]No3Non-Prov

865/4/0711:00:58 AM5/4/0711:03:29 AM555555555333333555[No Answer Entered]If all the immunizations were in the computer5554443[No Answer Entered]5555543554[No Answer Entered][No Answer Entered][No Answer Entered]NNHSLPNRNMore than 3 years5No2Non-Prov

875/7/0710:31:29 AM5/7/0710:34:46 AM54554444Quick access to patient informationTo make sure patient info remains updated45443from a receptionist's point of view, I am very pleased.4444544554The patience of the Alliance staff and team[No Answer Entered]noneNNHSreceptionistPt SvcsMore than 3 years[No Answer Entered]No3Non-Prov

885/7/0710:34:55 AM5/7/0710:40:11 AM223214453233[No Answer Entered][No Answer Entered]44424[No Answer Entered]1523555the positive attitude of support staff (brian)[No Answer Entered][No Answer Entered]NNHSSurveyAnswerTextNullNone indicated[No Answer Entered][No Answer Entered]NoNon-Prov

895/7/0710:40:21 AM5/7/0710:42:49 AM455445555555554555445[No Answer Entered][No Answer Entered]5555554[No Answer Entered]5555555555[No Answer Entered][No Answer Entered][No Answer Entered]NNHSComplementary TherapistCM, Clin Rsrch, Hlth Ed[No Answer Entered][No Answer Entered]NoNon-Prov

925/7/0710:49:08 AM5/7/0710:50:51 AM55555555555555555555[No Answer Entered][No Answer Entered]5555555[No Answer Entered]5555555555[No Answer Entered][No Answer Entered][No Answer Entered]NNHSMedical AssistantMAMore than 3 years[No Answer Entered]No2Non-Prov

Correl w/Section Overall0.5141690910.36418706910.62855408620.50838789550.78103087330.92433672560.67088337350.51372989210.64910521460.39354433130.32025630760.47765876390.43475559390.58670213060.74023321020.64770405890.66666666670.52863462870.62924535810.40.40.40.60.90.60.80.80.80.70.80.60.50.50.7

Average Ratings4.24.46511627914.31254.03448275864.57142857144.38709677424.254.70212765964.56521739134.61538461544.42857142864.234.254.59259259264.46666666674.53333333334.3809523814.4254.26829268294.61538461544.54.22916666674.23529411764.48484848484.31578947374.26415094344.41509433964.38461538464.35294117654.10204081634.1372549024.60377358494.52830188684.4807692308

Priority Ranks6266182525615491916102015221520438999161111101711248

Labelsa. When you need contact information for a patient (4.2, 0.5)b. When you need patient test results (4.5, 0.4)c. When you need to document something in the patient record (4.3, 0.6)d. When you want to identify all of your patients with a chronic condition or gap in care (e.g. all patients with HbA1c > 8) (4.0, 0.5)a. Overall access to information (4.6, 0.8)b. Overall point of care clinical practice (4.4, 0.9)c. Overall patient visit workflow (4.3, 0.7)d. Your ability to find patient medical records when you need them during clinic hours? (4.7, 0.5)e. Your ability to find patient medical records when you need them outside of normal clinic hours? (4.6, 0.6)f. Your ability to consistently identify which of your patients have chronic disease? (4.6, 0.4)g. Your abilityto assemble condition-relevant information for your patients with chronic disease? (4.4, 0.3)h. Your ability to assess what interventions are needed by your patients with chronic disease? (4.2, 0.5)i. Your ability to deliver chronic disease related care more consistently? (4.3, 0.4)j. Your ability to find information on known allergies? (4.6, 0.6)k. Your ability to avoid prescribing a medication to which the patient has a known allergy? (4.5, 0.7)l. Your ability to avoid prescribing a medication that would interact with another medication the patient is taking? (4.5, 0.6)m. Your ability to provide patient education and self-management information materials? (4.4, 0.7)n. Your team's ability to deliver quality care to each patient, every time? (4.4, 0.5)o. The continuity of care your organization is able to deliver? (4.3, 0.6)a. Access to EHRS workstations (4.6, 0.4)b. System availability of EHRS (4.5, 0.4)c. The completeness of clinical information for each patient (4.2, 0.4)d. The accuracy of information (4.2, 0.6)e. The ease of documenting care for my patients (4.5, 0.9)f. The relevance of prompts I receive about possible drug-drug and drug-allergy interactions? (4.3, 0.6)a. Overall training (4.3, 0.8)b. Overall ongoing support (4.4, 0.8)c. How training applied to my job duties (4.4, 0.8)d. How training prepared me to use the EHRS with confidence (4.4, 0.7)e. The usefulness of training manuals and materials when I needed information (4.1, 0.8)f. My understanding in advance of how the EHRS would change how I would do my work (4.1, 0.6)g. The support available to me the day I started using the EHRS (4.6, 0.5)h. The support available the first two weeks using the EHRS (4.5, 0.5)i. My ability to get help today (4.5, 0.7)

Medical Providers Only

Correl w/Section Overall0.64904993860.59245252970.74939975980.29585357950.35947712420.60717239450.16777037550.25992695090.11205893560.40416861920.32376195410.15029906140.05003939840.02211649380.26443284890.225723

Date post:	20-Jan-2016
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5/3/20071 Physician Adoption of HIT Fred D. Rachman, MD AHRQ Annual Conference September 26, 2007 of...

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