Urology Technology Needs Survey Please answer a few questions to help us better understand your needs and how we can bring relevant and timely solutions to our urology clients. Question Title * 1. Contact Information Name Company Email Address Question Title * 2. How satisfied are you with your current EHR system? (1 = very dissatisfied; 5 = very satisfied) 1 2 3 4 5 1 2 3 4 5 Question Title * 3. Do you feel your current EHR system meets the specific needs of urologists? Yes No Additional comments (optional) Question Title * 4. Are you interested in providing input to help develop a new urology-specific EHR solution? Yes No Additional comments (optional): Question Title * 5. Does your current EHR offer the following? Yes No Help you meet current regulatory requirements Help you meet current regulatory requirements Yes Help you meet current regulatory requirements No Help you with governmental reporting requirements Help you with governmental reporting requirements Yes Help you with governmental reporting requirements No Facilitate data aggregation for enhanced patient care Facilitate data aggregation for enhanced patient care Yes Facilitate data aggregation for enhanced patient care No Integrate urology-specific clinical pathways Integrate urology-specific clinical pathways Yes Integrate urology-specific clinical pathways No Integrate telehealth solutions Integrate telehealth solutions Yes Integrate telehealth solutions No Question Title * 6. How important is it to you that an EHR offers the following? Not important Somewhat important Important Very important Extremely important Helps you meet current regulatory requirements Helps you meet current regulatory requirements Not important Helps you meet current regulatory requirements Somewhat important Helps you meet current regulatory requirements Important Helps you meet current regulatory requirements Very important Helps you meet current regulatory requirements Extremely important Helps you with governmental reporting requirements Helps you with governmental reporting requirements Not important Helps you with governmental reporting requirements Somewhat important Helps you with governmental reporting requirements Important Helps you with governmental reporting requirements Very important Helps you with governmental reporting requirements Extremely important Facilitates data aggregation for enhanced patient care Facilitates data aggregation for enhanced patient care Not important Facilitates data aggregation for enhanced patient care Somewhat important Facilitates data aggregation for enhanced patient care Important Facilitates data aggregation for enhanced patient care Very important Facilitates data aggregation for enhanced patient care Extremely important Integrates urology-specific clinical pathways Integrates urology-specific clinical pathways Not important Integrates urology-specific clinical pathways Somewhat important Integrates urology-specific clinical pathways Important Integrates urology-specific clinical pathways Very important Integrates urology-specific clinical pathways Extremely important Integrates telehealth solutions Integrates telehealth solutions Not important Integrates telehealth solutions Somewhat important Integrates telehealth solutions Important Integrates telehealth solutions Very important Integrates telehealth solutions Extremely important Question Title * 7. Would you consider changing your EHR if it included the options listed above? Yes No Maybe Additional comments (optional) Question Title * 8. Have you implemented new CMS approved revenue streams for chronic care management and remote patient monitoring? Yes No Additional comments (optional) Question Title * 9. Is there anything else you would like to share with us regarding urology-specific technology? Thank you for sharing your thoughts with us! Done
