Health IT Survey

ASCA’s Health IT Survey

Increasingly health Information Technology (HIT) is becoming important. It has been the focus of recent government initiatives, most notably the recent HITECH penalty/incentive program designed to encourage the adoption of EHR in physician offices and hospitals. Additionally, states and the federal government are adopting reporting regimes that will likely necessitate participants having certain HIT in place.

Largely ASCs have not been affected by governmental HIT initiatives, however, they may become the focus of policy makers in the future. To ensure that these future efforts do not impose unnecessary burdens on ASCs and instead benefit ASCs, ASCA needs your help.

Currently not much is known about the state of health IT adoption in ASCs. The purpose of this survey is to gather information about health IT and ASCs to guide ASCA in its future advocacy efforts.

Your responses will be kept strictly confidential. Thank you for your participation.

Question Title

* 1. CONTACT INFORMATION

ASC Name

Address:

Address 2:

City/Town:

State:

ZIP:

Email Address:

Phone Number:

Question Title

* 2. May an ASCA staff member contact you regarding your responses on this survey?

Yes

Question Title

* 3. ASC Ownership

Physician Investor

Hospital

Corporate

Joint Venture

Question Title

* 4. ASC Accreditation

AAAASF

AAAHC

HFAP

Joint Comission

Not Accredited

Question Title

* 5. ASC Specialty - Please check all that apply.

ENT

General Surgery

OB/GYN

Opthalmology

Orthopedic

Pain Management

Plastic

Urology

Vascular

Question Title

* 6. Number of ORs

5-10

More than 10

Question Title

* 7. Number of Procedure Rooms

5-10

More than 10

Question Title

* 8. ASC Annual Case Volume

Less than 2,500 cases per year

2,500 to 5,000 cases per year

5,001 to 7,500 cases per year

7,501 to 10,000 cases per year

More than 10,000 cases per year

Question Title

* 9. Number of Physician Practices that Refer Cases to the ASC

3 to 5

5 to 10

10 to 15

More than 15

Question Title

* 10. Currently Installed Systems - Please check all that apply.

Scheduling

Billing

Inventory

Transcription

Quality/Incident Tracking

Electronic Medical Records/Electronic Health Records

Chart Packs

Digital Imaging

Question Title

* 11. Do you share any IT systems with a physician’s office or hospital?

Yes

Question Title

* 12. If yes, please check what systems are shared? Please check all that apply.

Scheduling

Billing

Inventory

Transcription

Quality/Incident Tracking

Electronic Medical Records/Electronic Health Records

Chart Packs

Digital Imaging

Question Title

* 13. What systems do you plan on purchasing or replacing in the next year? Please check all that apply.

Scheduling

Billing

Inventory

Transcription

Quality/Incident Tracking

Electronic Medical Records/Electronic Health Records

Chart Packs

Digital Imaging

Question Title

* 14. Do your current information systems meet your needs?

Yes

Question Title

* 15. What are your most pressing needs? Please check all that apply.

Scheduling

Billing

Inventory

Transcription

Quality/Incident Tracking

Electronic Medical Records/Electronic Health Records

Chart Packs

Digital Imaging

Interface to Another System

Question Title

* 16. Would you support a governmental policy that provided financial incentives for ASCs to adopt an Electronic Medical Record (EMR) meeting certain requirements, but that penalized those that did not?

Yes

Question Title

* 17. What level of incentive would be required for you to participate in an EMR incentive/penality program?

$10,000

$25,000

$50,000

$100,000

More than $100,000

I would not participate regardless on the level of the incentive

Question Title

* 18. Would you support a governmental policy that provided financial incentives for ASCs to integrate their systems with the health IT systems of associated physician practices/hospitals, but that penalized those that did not?

Yes

Question Title

* 19. What level of incentive would be required for you to participate in an integration incentive/penalty program?

$10,000

$25,000

$50,000

$100,000

More than $100,000

I would not participate regardless on the level of the incentive

Question Title

* 1. CONTACT INFORMATION

Question Title

* 2. May an ASCA staff member contact you regarding your responses on this survey?

Question Title

* 3. ASC Ownership

Question Title

* 4. ASC Accreditation

Question Title

* 5. ASC Specialty - Please check all that apply.

Question Title

* 6. Number of ORs

Question Title

* 7. Number of Procedure Rooms

Question Title

* 8. ASC Annual Case Volume

Question Title

* 9. Number of Physician Practices that Refer Cases to the ASC

Question Title

* 10. Currently Installed Systems - Please check all that apply.

Question Title

* 11. Do you share any IT systems with a physician’s office or hospital?

Question Title

* 12. If yes, please check what systems are shared? Please check all that apply.

Question Title

* 13. What systems do you plan on purchasing or replacing in the next year? Please check all that apply.

Question Title

* 14. Do your current information systems meet your needs?

Question Title

* 15. What are your most pressing needs? Please check all that apply.

Question Title

* 16. Would you support a governmental policy that provided financial incentives for ASCs to adopt an Electronic Medical Record (EMR) meeting certain requirements, but that penalized those that did not?

Question Title

* 17. What level of incentive would be required for you to participate in an EMR incentive/penality program?

Question Title

* 18. Would you support a governmental policy that provided financial incentives for ASCs to integrate their systems with the health IT systems of associated physician practices/hospitals, but that penalized those that did not?

Question Title

* 19. What level of incentive would be required for you to participate in an integration incentive/penalty program?

Question Title

* 20. Additional Comments