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BSI QIA -Healthcare Information Exchange (HIE) Subset - February Status
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1.
Facility Name
(Required.)
*
2.
Facility Organization
(Required.)
FMC
DaVita
*
3.
Provide the names of 2 hospitals which you would like to gain access to their Electronic Medical Record
(Required.)
*
4.
Which one of the 2 identified hospitals will you be/are you working with this month?
(Required.)
*
5.
I have identified the point of contact (POC) who can grant permission to gain access to the EMR for this hospital.
(Required.)
Yes
No
Other
*
6.
Verbal or written contact has been made with the POC
(Required.)
Yes
No
Other
*
7.
A request for access has been made and/or a meeting has been set up to discuss the project further. (Check all that apply)
(Required.)
No
Yes
A request for access has been made
A meeting has been set up with the hospital/health system to discuss the project further
Barriers or Comments
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8.
Response to Request for EMR Access
(Required.)
Hospital has
given
permission to access EMR
Hospital has
denied
access EMR - Provided details in comment field
Decision to grant access in
pending
Reasons EMR Access was Denied
9.
Facility and Hospital are:
Waiting to begin active engagement with IT
Actively engaged in IT process to join EMR
N/A Access has been denied
Barrier or comments
10.
Facility has gained EMR access and is able to view at LEAST blood culture results
Yes - please provide date in comment box
No
N/A Access has been denied
Barriers/comments OR Date of Access
Current Progress,
0 of 10 answered