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USF EMR STUDY

A Survey Analysis of the Implementation of Electronic Medical Records in Academic Dermatology Practices Across the United States
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Exit Survey
 
 
Thank you for your participation in our study: A Survey Analysis of the Implementation of Electronic Medical Records in Academic Dermatology Practices Across the United States. Your feedback is highly valued.

With the appropriate information at hand, the survey should take no more than 10 minutes to complete.

Specifically, we are inquiring about the following:
• Total number of health care providers (attendings, residents, mid-levels)
• Status of EMR implementation and type of EMR used (software and hardware)
• Average # of patients per ½ day of clinic before/after EMR implementation
• Percentages of types of E/M visits before/after EMR implementation
• Initial implementation cost and recurring costs of EMR system
• Overall revenue and operating costs changes (in percentages) before/after EMR implementation (we realize that discrete dollars and cents are a very private matter; we are only looking at percentage changes)

Your survey responses will be coded and remain strictly confidential. Data from this research will be reported only in the aggregate. A small portion of this survey was adapted from the AAD Electronic Health Records Survey 2012 Report (1). We hope to publish the results of the survey to provide a resource to other dermatology programs undergoing their own EMR transitions so that they can prepare more adequately for the opportunities and challenges that lie ahead.

If you have any questions or concerns, please feel free to contact the study’s support staff: Michael Cameron, MSIV at (407) 928-4343 or Nishit Patel, MD at (954) 907-6705.

Thank you in advance for your support!

Sincerely,

Neil Fenske, MD, FACP
Chairman
Department of Dermatology & Cutaneous Surgery
USF Health at University of South Florida
Morsani College of Medicine

Christopher Nelson, MD
Associate Professor & Director of Dermatology Research Unit
Department of Dermatology & Cutaneous Surgery
USF Health at University of South Florida
Morsani College of Medicine





1. Electronic Health Records Survey 2012 Report. American Academy of Dermatology. http://www.aad.org/File%20Library/Global%20navigation/Practice%20management%20resources/2012-EHR-Survey-Report.pdf


 
 
 
 
* In what region of country is your practice located?
 
 
 
* How many attending dermatologists does your practice have? (Note: Please provide in FTEs - i.e. if a provider works half-week, then count this provider as 0.5 FTEs)
   
 
 
 
* How many resident dermatologists does your practice have?
   
 
 
 
* How many mid-level providers (i.e. NPs, PAs) does your practice have? (Note: Please provide in FTEs - i.e. if a provider works half-week, then count this provider as 0.5 FTEs)
   
 
 
 
* What percentage of total patients are seen at your primary clinic site? If only one clinic site, answer with "100." Note: For the reminder of this survey, please answer in regards to your primary clinic site.
   
 
 
 
* Has your practice switched to Electronic Medical Records (EMR)?
 
Yes
 
No, but will be
 
No, and no plans to do so
 
 
 
* Please rank these concerns in regards to their importance related to your practice choosing not to adopt EMR (To rank, use mouse to drag over options).
Drag your choices here to rank them
     
     
     
    * Please rank these reasons in regards to their importance related to your practice choosing to adopt EMR in the future (To rank, use mouse to drag over options).
    Drag your choices here to rank them
       
       
       
      * What type of EMR does your practice plan to have? (Please check all that apply)
       
      Written Notes (Scanned into system)
       
      Primarily Free-Text EMR
       
      Template-Driven EMR
       
      Other
       

       
       
       
      * What will be the primary funding source for your EMR system? (Please check all that apply)
       
      Direct Purchase by Departmental Funds
       
      Direct Purchase by Multispecialty Practice Group Funds
       
      Direct Purchase via Financing
       
      University Non-Clinical Revenue Funds
       
      Hospital Funded
       
      Lab Donation
       
      Grant Funding

       
       
       
      * Has your practice already acquired an EMR system?
       
      Yes
       
      No
       
       
       
      * What is the name of EMR your practice will use?
       
       
       
      * How will electronic patient data be accessed in your practice?
       
      Cloud-Based Server
       
      In-House Client Server
       
      Other
       
       
       
       
      * What will be the primary device used at your practice? (Please check all that apply)
       
      iOS Tablet
       
      Android Tablet
       
      Windows Tablet
       
      MacOS Laptop/Desktop
       
      Windows Laptop/Desktop
       
      Other
       

       
       
       
      * Does your practice plan on participating in the federal government's Electronic Prescribing Incentive Program?
       
      Yes
       
      No
       
      Unsure
       
       
       
      * Does your practice plan on participating in the federal government's EHR Incentive Programs?
       
      Yes
       
      No
       
      Unsure
       
       
       
      * When does your practice plan to adopt EMR?
       
      Within the next month
       
      1 to 6 months from now
       
      6 to 12 months from now
       
      Greater than a year from now
       
       
       
      * Please rank these reasons in regards to their importance related to your practice choosing to adopt EMR (To rank, use mouse to drag over options).
      Drag your choices here to rank them
         
         
         
        * What is the primary funding source for your EMR system? (Please check all that apply)
         
        Direct Purchase by Departmental Funds
         
        Direct Purchase by Multispecialty Practice Group Funds
         
        Direct Purchase via Financing
         
        University Non-Clinical Revenue Funds
         
        Hospital Funded
         
        Lab Donation
         
        Grant Funding

         
         
         
        * What type of EMR does your practice have? (Please check all that apply)
         
        Written Notes (Scanned into system)
         
        Primarily Free-Text EMR
         
        Template-Driven EMR
         
        Other
         

         
         
         
        * What is the name of EMR your practice uses?
         
         
         
        * How is electronic patient data accessed in your practice?
         
        Cloud-Based Server
         
        In-House Client Server
         
        Other
         
         
         
         
        * What is the primary device used at your practice? (Please check all that apply)
         
        iOS Tablet
         
        Android Tablet
         
        Windows Tablet
         
        MacOS Laptop/Desktop
         
        Windows Laptop/Desktop
         
        Other
         

         
         
         
        * Does your practice participate in the federal government's Electronic Prescribing Incentive Program?
         
        Yes
         
        No, but will be
         
        No, and no plans to do so
         
         
         
        * Does your practice participate in the federal government's EHR Incentive Programs?
         
        Yes, and we have attested for Meaningful Use in the past.
         
        Yes, we have registered but have not yet attested for Meaningful Use yet.
         
        No, we have not registered for the EHR Incentive Program, but plan to.
         
        No, we have not registered for the EHR Incentive Program, and have no plans to.
         
         
         
        * How long has your practice had EMR?
         
        Less than 6 months
         
        6 to 12 months
         
        Greater than a year
         
         
         
        * For the month prior to transition to EMR, what was the average number of patients scheduled during a typical 1/2 day of clinic?
           
         
         
         
        * For the month prior to transition to EMR, please list percentages of each of the following types of E/M Visits (as whole numbers):
        New 99201
        New 99202
        New 99203
        Established 99212
        Established 99213
        Established 99214
        0
        Values must add up to 100
         
         
         
        * For the month following transition to EMR, what was the average number of patients scheduled during a typical 1/2 day of clinic?
           
         
         
         
        * For the month following transition to EMR, please list percentages of each of the following types of E/M Visits (as whole numbers):
        New 99201
        New 99202
        New 99203
        Established 99212
        Established 99213
        Established 99214
        0
        Values must add up to 100
         
         
         
        * What was the approximate initial cost of implementation for your EMR system?
           
         
         
         
        * What is the estimated annual recurring cost for your EMR system?
           
         
         
         
        * What was the overall revenue change (positive or negative percentage) from month prior to EMR transition to month following EMR transition? (Note: Please provide percentage increase/decrease as a positive/negative whole number)
           
         
         
         
        * What was the overall operating costs change (positive or negative percentage) from month prior to EMR transition to month following EMR transition? (Note: Please provide percentage increase/decrease as a positive/negative whole number)
           
         
         
         
        * For the month prior to transition to EMR, what was the average number of patients scheduled during a typical 1/2 day of clinic?
           
         
         
         
        * For the month prior to transition to EMR, please list percentages of each of the following types of E/M Visits (as whole numbers):
        New 99201
        New 99202
        New 99203
        Established 99212
        Established 99213
        Established 99214
        0
        Values must add up to 100
         
         
         
        * For the month following transition to EMR, what was the average number of patients scheduled during a typical 1/2 day of clinic?
           
         
         
         
        * For the month following transition to EMR, please list percentages of each of the following types of E/M Visits (as whole numbers):
        New 99201
        New 99202
        New 99203
        Established 99212
        Established 99213
        Established 99214
        0
        Values must add up to 100
         
         
         
        * For the 6 months following transition to EMR, what was the average number of patients scheduled during a typical 1/2 day of clinic?
           
         
         
         
        * What was the approximate initial cost of implementation for your EMR system?
           
         
         
         
        * What is the estimated annual recurring cost for your EMR system?
           
         
         
         
        * For the 6 months following transition to EMR, please list percentages of each of the following types of E/M Visits (as whole numbers):
        New 99201
        New 99202
        New 99203
        Established 99212
        Established 99213
        Established 99214
        0
        Values must add up to 100
         
         
         
        * What was the overall revenue change (positive or negative percentage) from 6-month period prior to EMR transition to 6-month period following EMR transition? (Note: Please provide percentage increase/decrease as a positive/negative whole number)
           
         
         
         
        * What was the overall operating costs change (positive or negative percentage) from 6-month period prior to EMR transition to 6-month period following EMR transition? (Note: Please provide percentage increase/decrease as a positive/negative whole number)
           
         
         
         
        * For the month prior to transition to EMR, what was the average number of patients scheduled during a typical 1/2 day of clinic?
           
         
         
         
        * For the month prior to transition to EMR, please list percentages of each of the following types of E/M Visits (as whole numbers):
        New 99201
        New 99202
        New 99203
        Established 99212
        Established 99213
        Established 99214
        0
        Values must add up to 100
         
         
         
        * For the month following transition to EMR, what was the average number of patients scheduled during a typical 1/2 day of clinic?
           
         
         
         
        * For the month following transition to EMR, please list percentages of each of the following types of E/M Visits (as whole numbers):
        New 99201
        New 99202
        New 99203
        Established 99212
        Established 99213
        Established 99214
        0
        Values must add up to 100
         
         
         
        * For the 6 months following transition to EMR, what was the average number of patients scheduled during a typical 1/2 day of clinic?
           
         
         
         
        * For the 6 months following transition to EMR, please list percentages of each of the following types of E/M Visits (as whole numbers):
        New 99201
        New 99202
        New 99203
        Established 99212
        Established 99213
        Established 99214
        0
        Values must add up to 100
         
         
         
        * For the 12 months following transition to EMR, what was the average number of patients scheduled during a typical 1/2 day of clinic?
           
         
         
         
        * For the 12 months following transition to EMR, please list percentages of each of the following types of E/M Visits (as whole numbers):
        New 99201
        New 99202
        New 99203
        Established 99212
        Established 99213
        Established 99214
        0
        Values must add up to 100
         
         
         
        * What was the approximate initial cost of implementation for your EMR system?
           
         
         
         
        * What is the estimated annual recurring cost for your EMR system?
           
         
         
         
        * What was the overall revenue change (positive or negative percentage) from 12-month period prior to EMR transition to 12-month period following EMR transition? (Note: Please provide percentage increase/decrease as a positive/negative whole number)
           
         
         
         
        * What was the overall operating costs change (positive or negative percentage) from 12-month period prior to EMR transition to 12-month period following EMR transition? (Note: Please provide percentage increase/decrease as a positive/negative whole number)
           
         
         
         
        Electronic prescriptions can easily be sent using our EMR system.
         
        Strongly Disagree
         
        Disagree
         
        Neutral
         
        Agree
         
        Strongly Agree
         
         
         
        Photos can easily be uploaded and archived using our EMR system.
         
        Strongly Disagree
         
        Disagree
         
        Neutral
         
        Agree
         
        Strongly Agree
         
         
         
        Anatomic graphs with lesion mapping is easily used with our EMR system.
         
        Strongly Disagree
         
        Disagree
         
        Neutral
         
        Agree
         
        Strongly Agree
         
         
         
        The practice is more efficient now that EMR has been implemented.
         
        Strongly Disagree
         
        Disagree
         
        Neutral
         
        Agree
         
        Strongly Agree
         
         
         
        The practice is more enjoyable now that EMR has been implemented.
         
        Strongly Disagree
         
        Disagree
         
        Neutral
         
        Agree
         
        Strongly Agree
         
         
         
        We spend less of our time doing administrative tasks now that EMR has been implemented.
         
        Strongly Disagree
         
        Disagree
         
        Neutral
         
        Agree
         
        Strongly Agree
         
         
         
        We feel that our patients are getting better care now that EMR has been implemented.
         
        Strongly Disagree
         
        Disagree
         
        Neutral
         
        Agree
         
        Strongly Agree
         
         
         
        We are satisfied with our chosen EMR System.
         
        Strongly Disagree
         
        Disagree
         
        Neutral
         
        Agree
         
        Strongly Agree
         
        A Survey Analysis of the Implementation of Electronic Medical Records in Academic Dermatology Practices Across the United States