Electronic Health Record (EHR )Toolkit Survey 2017

Question Title

* 1. Did you know that the Academy provides a free Electronic Health Record (EHR) Toolkit to eNCPT subscribers to aid in the integration of the Nutrition Care Process (NCP) with EHR systems?

Yes

Question Title

* 2. If yes, how did you learn about the EHR Toolkit? Please select all that apply.

Not applicable

From a dietetic student/intern

Education sessions or workshop

Online webinar

Departmental meetings with dietetic colleagues

Workplace provided resources

Was informed by my colleagues who had accessed it

Resources provided by my dietetic association (e.g. website)

Eatrightpro.org (Internet site of the American based Academy of Nutrition and Dietetics)

Eatright Weekly email

eNCPT website

State Affiliate Newsletter

DPG Newsletter

Blog post (please specify in comment field below)

Other (please specify in comment field below)

Question Title

* 3. What terminology is in use for nutrition content within your EHR?

Nutrition Care Process Terminology (NCPT) Only

NCPT with mapping to SNOMED/LOINC

NCPT plus billing codes (ICD-10/CPT) Only

NCPT plus billing codes (ICD-10/CPT) & SNOMED/LOINC mapping

Don't know

None

Comments:

Question Title

* 4. How long has the NCP terminology been implemented in your current EHR system?

Not using an EHR

Currently building NCPT into our EHR

Less than 1 year

1-2 years

3-5 years

5-9 years

More than 10 years

Please add any clarifying comments:

Question Title

* 5. How are your nutrition diagnosis PES (Problem-Etiology-Signs/Symptoms) statements documented in your EHR or system?

	Problems	Etiology	Signs & Symptoms
Discrete elements using coded, structured NCP terms (e.g., drop-down lists or checkboxes)	Discrete elements using coded, structured NCP terms (e.g., drop-down lists or checkboxes) Problems	Discrete elements using coded, structured NCP terms (e.g., drop-down lists or checkboxes) Etiology	Discrete elements using coded, structured NCP terms (e.g., drop-down lists or checkboxes) Signs & Symptoms
Narrative (free-text only)	Narrative (free-text only) Problems	Narrative (free-text only) Etiology	Narrative (free-text only) Signs & Symptoms
Combination of structured terms & narrative (free-text)	Combination of structured terms & narrative (free-text) Problems	Combination of structured terms & narrative (free-text) Etiology	Combination of structured terms & narrative (free-text) Signs & Symptoms

Other (please specify)

Question Title

* 6. What nutrition data do you receive electronically on your patients from other facilities?  Example, from Ambulatory encounters to Acute Care or from Long-term Post-acute Care (LTPAC) to Acute Care settings. Please select all that apply.

Anthropometric data (height/weight/BMI)

Allergies/intolerances

Diet order(s) (e.g., discharge diet)

Oral nutritional supplement order(s)

Enteral/parenteral nutrition order(s)

Prior nutrition assessments

Lab results

Nutrition diagnoses/problem statements

Nutrition progress notes

Meal intake (% eaten) amounts

None

Other (please specify)

Question Title

* 7. Does your nutrition documentation get automatically pulled into other interdisciplinary or client documentation?

Yes

Question Title

* 8. If yes, select which types of documents. Please select all that apply.

Care plans

Discharge summary

Medical staff/provider alerts

Other (please specify)

Question Title

* 9. What specific types of nutrition data are pushed from your documentation into other interdisciplinary content/documents (e.g., care plans, discharge summaries, medical provider alerts, other) in the EHR? Please select all that apply.

Nutrition assessment

Nutrition diagnosis/problem statement

Nutrition prescription

Nutrition interventions

Diet order(s)

Enteral/Parenteral order(s)

Oral nutritional supplement order(s)

Nutrition monitoring/evaluation (progress notes)

Other (please specify)

Question Title

* 10. Does your facility plan to implement the new U.S.-based malnutrition electronic Clinical Quality Measures (eCQMs)?

Yes

Don't Know

Not familiar with eCQMs

Not applicable (outside United States)

Please specify which of the malnutrition eCQMs you plan to implement. or share any comments about your use, needs or challenges with quality measures related to nutrition.

Question Title

* 11. Have you participated in building the nutrition care process content in an EHR?

Yes

Question Title

* 12. If yes, what was your role? Please select all that apply.

Not applicable

Vendor/application review and selection

Defining requirements

Build

Testing

EHR Trainer/Super User

Other (please specify)

Question Title

* 13. Did you use the EHR Toolkit as a guide for your project or implementation?

Yes

Question Title

* 14. How helpful did you find the following sections?

	Extremely helpful	Very helpful	Somewhat helpful	Neither helpful or not helpful	Not helpful	N/A (Don't know or don't remember)
EHR Implementation Process	EHR Implementation Process Extremely helpful	EHR Implementation Process Very helpful	EHR Implementation Process Somewhat helpful	EHR Implementation Process Neither helpful or not helpful	EHR Implementation Process Not helpful	EHR Implementation Process N/A (Don't know or don't remember)
Governance and Approval	Governance and Approval Extremely helpful	Governance and Approval Very helpful	Governance and Approval Somewhat helpful	Governance and Approval Neither helpful or not helpful	Governance and Approval Not helpful	Governance and Approval N/A (Don't know or don't remember)
Concept	Concept Extremely helpful	Concept Very helpful	Concept Somewhat helpful	Concept Neither helpful or not helpful	Concept Not helpful	Concept N/A (Don't know or don't remember)
Make, Buy or Use Existing	Make, Buy or Use Existing Extremely helpful	Make, Buy or Use Existing Very helpful	Make, Buy or Use Existing Somewhat helpful	Make, Buy or Use Existing Neither helpful or not helpful	Make, Buy or Use Existing Not helpful	Make, Buy or Use Existing N/A (Don't know or don't remember)
Define the Stakeholders	Define the Stakeholders Extremely helpful	Define the Stakeholders Very helpful	Define the Stakeholders Somewhat helpful	Define the Stakeholders Neither helpful or not helpful	Define the Stakeholders Not helpful	Define the Stakeholders N/A (Don't know or don't remember)
Define Requirements	Define Requirements Extremely helpful	Define Requirements Very helpful	Define Requirements Somewhat helpful	Define Requirements Neither helpful or not helpful	Define Requirements Not helpful	Define Requirements N/A (Don't know or don't remember)
Design	Design Extremely helpful	Design Very helpful	Design Somewhat helpful	Design Neither helpful or not helpful	Design Not helpful	Design N/A (Don't know or don't remember)
Development	Development Extremely helpful	Development Very helpful	Development Somewhat helpful	Development Neither helpful or not helpful	Development Not helpful	Development N/A (Don't know or don't remember)
Vendor Reviews	Vendor Reviews Extremely helpful	Vendor Reviews Very helpful	Vendor Reviews Somewhat helpful	Vendor Reviews Neither helpful or not helpful	Vendor Reviews Not helpful	Vendor Reviews N/A (Don't know or don't remember)
Configuration	Configuration Extremely helpful	Configuration Very helpful	Configuration Somewhat helpful	Configuration Neither helpful or not helpful	Configuration Not helpful	Configuration N/A (Don't know or don't remember)
Interfaces	Interfaces Extremely helpful	Interfaces Very helpful	Interfaces Somewhat helpful	Interfaces Neither helpful or not helpful	Interfaces Not helpful	Interfaces N/A (Don't know or don't remember)
Hardware and Software Dependencies	Hardware and Software Dependencies Extremely helpful	Hardware and Software Dependencies Very helpful	Hardware and Software Dependencies Somewhat helpful	Hardware and Software Dependencies Neither helpful or not helpful	Hardware and Software Dependencies Not helpful	Hardware and Software Dependencies N/A (Don't know or don't remember)
Testing and Quality Assurance	Testing and Quality Assurance Extremely helpful	Testing and Quality Assurance Very helpful	Testing and Quality Assurance Somewhat helpful	Testing and Quality Assurance Neither helpful or not helpful	Testing and Quality Assurance Not helpful	Testing and Quality Assurance N/A (Don't know or don't remember)
User Acceptance Testing	User Acceptance Testing Extremely helpful	User Acceptance Testing Very helpful	User Acceptance Testing Somewhat helpful	User Acceptance Testing Neither helpful or not helpful	User Acceptance Testing Not helpful	User Acceptance Testing N/A (Don't know or don't remember)
Communication with Stakeholders	Communication with Stakeholders Extremely helpful	Communication with Stakeholders Very helpful	Communication with Stakeholders Somewhat helpful	Communication with Stakeholders Neither helpful or not helpful	Communication with Stakeholders Not helpful	Communication with Stakeholders N/A (Don't know or don't remember)
Downtime	Downtime Extremely helpful	Downtime Very helpful	Downtime Somewhat helpful	Downtime Neither helpful or not helpful	Downtime Not helpful	Downtime N/A (Don't know or don't remember)
Service Level Agreement	Service Level Agreement Extremely helpful	Service Level Agreement Very helpful	Service Level Agreement Somewhat helpful	Service Level Agreement Neither helpful or not helpful	Service Level Agreement Not helpful	Service Level Agreement N/A (Don't know or don't remember)
User Training	User Training Extremely helpful	User Training Very helpful	User Training Somewhat helpful	User Training Neither helpful or not helpful	User Training Not helpful	User Training N/A (Don't know or don't remember)
Go-Live	Go-Live Extremely helpful	Go-Live Very helpful	Go-Live Somewhat helpful	Go-Live Neither helpful or not helpful	Go-Live Not helpful	Go-Live N/A (Don't know or don't remember)
Follow Up	Follow Up Extremely helpful	Follow Up Very helpful	Follow Up Somewhat helpful	Follow Up Neither helpful or not helpful	Follow Up Not helpful	Follow Up N/A (Don't know or don't remember)
EHR Road Map	EHR Road Map Extremely helpful	EHR Road Map Very helpful	EHR Road Map Somewhat helpful	EHR Road Map Neither helpful or not helpful	EHR Road Map Not helpful	EHR Road Map N/A (Don't know or don't remember)

Question Title

* 15. Rate how satisfied you are with the following features of the EHR Toolkit:

	Very satisfied	Satisfied	Neither satisfied or disatisfied	Disatisfied	Very disatisfied	N/A
Top-level menu tab organization	Top-level menu tab organization Very satisfied	Top-level menu tab organization Satisfied	Top-level menu tab organization Neither satisfied or disatisfied	Top-level menu tab organization Disatisfied	Top-level menu tab organization Very disatisfied	Top-level menu tab organization N/A
Comments:
Print queue option to download or print	Print queue option to download or print Very satisfied	Print queue option to download or print Satisfied	Print queue option to download or print Neither satisfied or disatisfied	Print queue option to download or print Disatisfied	Print queue option to download or print Very disatisfied	Print queue option to download or print N/A
Comments:
Bookmarks	Bookmarks Very satisfied	Bookmarks Satisfied	Bookmarks Neither satisfied or disatisfied	Bookmarks Disatisfied	Bookmarks Very disatisfied	Bookmarks N/A
Comments:
Hyperlinks to other pages	Hyperlinks to other pages Very satisfied	Hyperlinks to other pages Satisfied	Hyperlinks to other pages Neither satisfied or disatisfied	Hyperlinks to other pages Disatisfied	Hyperlinks to other pages Very disatisfied	Hyperlinks to other pages N/A
Comments:

Question Title

* 16. Having implemented the Nutrition Care Process in your EHR, what key recommendation(s) do you have for others?

Question Title

* 17. What is one thing you wished you had done differently in your EHR implementation?

Question Title

* 18. What areas or topics would you like to see added to the EHR Toolkit?

Question Title

* 19. Are there any other recommendations that you have that could help us improve the EHR Toolkit?

Question Title

* 20. In which country do you currently live?

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* 21. What is your primary position within your organization?

Clinical dietitian (inpatient, outpatient or private practice)

Clinical Nutrition Manager

Dietary/Patient Foodservice Manager

Nutrition Services Director/Asst.Director

Public Health Nutritionist

Clinical Informaticist / Analyst

Information Systems Manager/Director

Educator/Internship Director

Other (please specify)

Question Title

* 22. What is the highest level of education you have completed?

Associate degree

Bachelor's degree

Master's degree

Doctoral degree

Other level of education (please specify)

Question Title

* 23. What are your current main areas of practice? Please select all that apply.

Patient/client-related (Acute care inpatient)

Patient/client-related (Ambulatory care/outpatient)

Patient/Resident/Client-related (Longterm/Post-acute care)

Teaching (Academics)

Research

Community (e.g., local health promotion, quality routines at nursing homes or schools, work with local food and restaurant suppliers)

Public health (e.g., strategic or policy work at state, provincial or national level)

Foodservice

Administrative/management

Consultation and business practice

Informatics/Information Technology

Not currently working as dietitian

Other (please specify)

Question Title

* 24. Please select all the dietetic practice groups (DPGs) that you are currently a member.

Behavioral Health Nutrition

Clinical Nutrition Management (CNM)

Diabetes Care and Education (DCE)

Dietetic Technicians in Practice

Dietetics in Health Care Communities

Dietitians in Business and Communications (DBC)

Dietitians in Integrative and Functional Medicine (DIFM)

Dietitians in Nutrition Support (DNS)

Food & Culinary Professionals (FCP)

Healthy Aging

Hunger and Environmental Nutrition

Management in Food and Nutrition Systems (MFNS)

Medical Nutrition Practice Group

Nutrition Education for the Public (NEP)

Nutrition Educators of Health Professionals (NEHP)

Nutrition Entrepreneurs (NE)

Oncology Nutrition

Pediatric Nutrition

Public Health/Community Nutrition (PHCN)

Renal Dietitians

Research

School Nutrition Services

Sports, Cardiovascular and Wellness Nutrition

Vegetarian Nutrition

Weight Management

Women's Health

Question Title

* 1. Did you know that the Academy provides a free Electronic Health Record (EHR) Toolkit to eNCPT subscribers to aid in the integration of the Nutrition Care Process (NCP) with EHR systems?

Question Title

* 2. If yes, how did you learn about the EHR Toolkit? Please select all that apply.

Question Title

* 3. What terminology is in use for nutrition content within your EHR?

Question Title

* 4. How long has the NCP terminology been implemented in your current EHR system?

Question Title

* 5. How are your nutrition diagnosis PES (Problem-Etiology-Signs/Symptoms) statements documented in your EHR or system?

Question Title

* 6. What nutrition data do you receive electronically on your patients from other facilities? Example, from Ambulatory encounters to Acute Care or from Long-term Post-acute Care (LTPAC) to Acute Care settings. Please select all that apply.

Question Title

* 7. Does your nutrition documentation get automatically pulled into other interdisciplinary or client documentation?

Question Title

* 8. If yes, select which types of documents. Please select all that apply.

Question Title

* 9. What specific types of nutrition data are pushed from your documentation into other interdisciplinary content/documents (e.g., care plans, discharge summaries, medical provider alerts, other) in the EHR? Please select all that apply.

Question Title

* 10. Does your facility plan to implement the new U.S.-based malnutrition electronic Clinical Quality Measures (eCQMs)?

Question Title

* 11. Have you participated in building the nutrition care process content in an EHR?

Question Title

* 12. If yes, what was your role? Please select all that apply.

Question Title

* 13. Did you use the EHR Toolkit as a guide for your project or implementation?

Question Title

* 14. How helpful did you find the following sections?

Question Title

* 15. Rate how satisfied you are with the following features of the EHR Toolkit:

Question Title

* 16. Having implemented the Nutrition Care Process in your EHR, what key recommendation(s) do you have for others?

Question Title

* 17. What is one thing you wished you had done differently in your EHR implementation?

Question Title

* 18. What areas or topics would you like to see added to the EHR Toolkit?

Question Title

* 19. Are there any other recommendations that you have that could help us improve the EHR Toolkit?

Question Title

* 20. In which country do you currently live?

Question Title

* 21. What is your primary position within your organization?

Question Title

* 22. What is the highest level of education you have completed?

Question Title

* 23. What are your current main areas of practice? Please select all that apply.

Question Title

* 24. Please select all the dietetic practice groups (DPGs) that you are currently a member.

Question Title

* 25. Please select the dietetic practice groups (DPGs) for which you are currently a member. (SKIP - Limited to single reponse)

* 6. What nutrition data do you receive electronically on your patients from other facilities?  Example, from Ambulatory encounters to Acute Care or from Long-term Post-acute Care (LTPAC) to Acute Care settings. Please select all that apply.