2017 GATEWAY HEALTH: HIE SURVEY 

PRACTICE/FACILITY NAME:

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* PRACTICE/FACILITY NAME:

NPI:

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* NPI:

Does your practice/facility participate in a HIE?

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* Does your practice/facility participate in a HIE?

If yes, which PA State HIO are you connected to?

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* If yes, which PA State HIO are you connected to?

If no, do you plan on connecting to a HIO?

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* If no, do you plan on connecting to a HIO?

* Please continue if your practice/facility is currently connected or planning to connect to a HIE.

Does your facility send to a HIE?
 

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* * Please continue if your practice/facility is currently connected or planning to connect to a HIE.

Does your facility send to a HIE?
 

What data are you most interested in receiving from Gateway via the HIE?

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* What data are you most interested in receiving from Gateway via the HIE?

Do you have a staffing, systems and processes in place to effectively utilize the information from a HIE?

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* Do you have a staffing, systems and processes in place to effectively utilize the information from a HIE?

Do you believe HIE data improves your ability to positively impact the care of your patients?

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* Do you believe HIE data improves your ability to positively impact the care of your patients?

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