EMR Survey
Dear Colleagues,
We are gathering information about attitudes regarding electronic medical records systems in our physician community. Please answer the following questions to help us with this project. Please provide your contact information so we can contact you if necessary to clarify the data you have submitted. Even if you are not using EMR, please respond so we can better gauge physician attitudes about EMR.
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| Your name |
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| Email address |
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| Practice name |
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How many total providers in your practice?
Please include MD, DO, PA, and ARNP providers |
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| Do you use Electronic Medical Records (EMR)? |
No Yes |
| What is the name of your EMR System? |
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| How long have you been using your EMR System? |
0-1 year
1-3 years
3 + years |
| If you are using EMR, how many providers are fully using the system? |
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| How satisfied are you with your system? |
Not applicable
Very Satisfied
Satisfied
Neutral
Somewhat dissatisfied
Very dissatisfied |
| With respect to the proposed Economic Stimulus incentive payments for EMR, how confident are you that your system will meet the criteria? |
Very confident
Somewhat confident
Not sure
Definitely not
Don't understand the criteria |
Please share your comments about your EMR System.
We want to hear the good and the bad. |
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| If you are not currently using an EMR system, are you considering purchase of a system? |
No
Yes |
| If Yes, which system(s) are you considering? |
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| How much do the proposed Economic Stimulus incentive payments and subsequent Medicare fee reductions influence your decision about purchasing an EMR system? |
Strong Influence
Mild influence
Neutral
Mildly negative influence
No influence at all |
| If not, why are you not interested? (check all that apply) |
Too small a group
Too expensive
Too time consuming
Nearing retirement
Don’t feel comfortable with technology
Just not interested
Don't think EMR is worthwhile |
| Other reasons: |
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| Are you currently using E-Prescribing? |
Yes
Plan to implement
Not interested |
| If you are using E-Prescribing, is it part of your EMR system? |
Integrated with EMR
Separate System |
| If you are not interested in E-Prescribing, please tell us why? (Check all that apply) |
Too complicated
Too expensive
Too time consuming
Incentives are not worth it |
| Would you be interested in receiving help selecting a system from a local physician group? |
No
Yes |
| Would you be interested in attending a local presentation or symposium regarding EMR? |
No
Yes |
| Other comments: |
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| Security Code: |
Please type the characters shown above into the box below:
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