Physicians' EHR Desk Reference (Funded by The Physicians Foundation) Survey

Please help us to bring you relevant and useful information by completing this short survey.

Question Title

* Please let us know who you are:

Name:

Specialty:

Practice Address:

City:

State:

ZIP:

Question Title

* Please choose the options that best describe your practice:

Solo/Small (Less than 10 Physicians)

Medium (11 – 20 Physicians)

Large (More than 21 Physicians)

Other (please specify)

Question Title

* Please choose the option that best describes the current status of your practice:

We do not plan to implement an EHR

We want to implement or plan to implement an EHR

We currently use an EHR

After you have had a chance to read and use this reference, please answer the following regarding your experience:

Question Title

* Prior to reading this material, were you planning on implementing an EHR in your practice?

Yes

Question Title

* As a result of reading this material, have you decided to pursue adopting an EHR?

Yes

Question Title

* As a result of reading this material, do you feel more comfortable with the process of selecting an EHR product?

Yes

Question Title

* As a result of reading this material, do you feel more comfortable with the process of implementing an EHR system?

Yes

Question Title

* As a result of reading this material, do you feel more comfortable with the process of determining if your practice is ready for an EHR?

Yes

Question Title

* As a result of reading this material, do you feel you have a better understanding of meaningful use?

Yes

Question Title

* As a result of reading this material, do you feel more comfortable with the process of achieving meaningful use?

Yes

Question Title

* After you have had a chance to read and use this reference, please provide us with feedback by rating this reference according to the following criteria:

	Strongly Disagree	Disagree	Indifferent	Agree	Completely Agree
Desk reference was easy to understand and navigate	Desk reference was easy to understand and navigate Strongly Disagree	Desk reference was easy to understand and navigate Disagree	Desk reference was easy to understand and navigate Indifferent	Desk reference was easy to understand and navigate Agree	Desk reference was easy to understand and navigate Completely Agree
The content was relevant to your EHR adoption efforts	The content was relevant to your EHR adoption efforts Strongly Disagree	The content was relevant to your EHR adoption efforts Disagree	The content was relevant to your EHR adoption efforts Indifferent	The content was relevant to your EHR adoption efforts Agree	The content was relevant to your EHR adoption efforts Completely Agree
The tips provided were practical and helpful	The tips provided were practical and helpful Strongly Disagree	The tips provided were practical and helpful Disagree	The tips provided were practical and helpful Indifferent	The tips provided were practical and helpful Agree	The tips provided were practical and helpful Completely Agree
Sample documents were helpful in creating appropriate documentation for your practice	Sample documents were helpful in creating appropriate documentation for your practice Strongly Disagree	Sample documents were helpful in creating appropriate documentation for your practice Disagree	Sample documents were helpful in creating appropriate documentation for your practice Indifferent	Sample documents were helpful in creating appropriate documentation for your practice Agree	Sample documents were helpful in creating appropriate documentation for your practice Completely Agree
Links to external resources provided useful information	Links to external resources provided useful information Strongly Disagree	Links to external resources provided useful information Disagree	Links to external resources provided useful information Indifferent	Links to external resources provided useful information Agree	Links to external resources provided useful information Completely Agree
This reference helped to improve your practice	This reference helped to improve your practice Strongly Disagree	This reference helped to improve your practice Disagree	This reference helped to improve your practice Indifferent	This reference helped to improve your practice Agree	This reference helped to improve your practice Completely Agree
This reference will help you achieve your EHR adoption and meaningful use goals	This reference will help you achieve your EHR adoption and meaningful use goals Strongly Disagree	This reference will help you achieve your EHR adoption and meaningful use goals Disagree	This reference will help you achieve your EHR adoption and meaningful use goals Indifferent	This reference will help you achieve your EHR adoption and meaningful use goals Agree	This reference will help you achieve your EHR adoption and meaningful use goals Completely Agree

Physicians' EHR Desk Reference (Funded by The Physicians Foundation)

Question Title

* Please let us know who you are:

Question Title

* Please choose the options that best describe your practice:

Question Title

* Please choose the option that best describes the current status of your practice:

Question Title

* Prior to reading this material, were you planning on implementing an EHR in your practice?

Question Title

* As a result of reading this material, have you decided to pursue adopting an EHR?

Question Title

* As a result of reading this material, do you feel more comfortable with the process of selecting an EHR product?

Question Title

* As a result of reading this material, do you feel more comfortable with the process of implementing an EHR system?

Question Title

* As a result of reading this material, do you feel more comfortable with the process of determining if your practice is ready for an EHR?

Question Title

* As a result of reading this material, do you feel you have a better understanding of meaningful use?

Question Title

* As a result of reading this material, do you feel more comfortable with the process of achieving meaningful use?

Question Title

* After you have had a chance to read and use this reference, please provide us with feedback by rating this reference according to the following criteria:

Question Title

* Were there topics you felt should have been included in this reference?

Question Title

* What do you hope to gain by using an EHR system? (Check all that apply)