R&A Reporting Needs Assessment Survey
Date
-
Month
-
Day
Year
Date Picker Icon
Full Name
*
First Name
Last Name
E-mail
*
Phone
Domain
*
Please Select
Ambulatory - Glenn Chong
Behavioral Health - Beata Majewska
Business Development - Bhari Naotunne
Care Coordination - Helen Pagilagan
Emergency Department - Nicole Lamm
HSD - Tami Chin
Novato Community Hospital - Colleen Moran
Pediatrics - Jessica Eads
Perinatal - Shannon Thomas
Peri-operative - Julia Shaffer
Pharmacy - Gary Louie
QDPO - Lei Choi, M.D.
Quality - Bing Tschai
Sutter Lakeside Hospital - Peggy Clark
Sutter Santa Rosa Regional Hospital - Robin Allen
Med-Surg
Physician
CPMC
Needs Assessment
Q1. Are your reporting needs being met:
Strongly Agree
Agree
Disagree
Strongly Disagree
Q2. Please express your annual distinct reporting needs:
1 - 50 reports
51 - 100 reports
101 - 150 reports
200+ reports
Q3. Please express the percent of your domain reporting needs as standing versus ad hoc?:
0 / 100
25 / 75
50 / 50
75 / 25
100 / 0
Q4. The lack of reports affects my clinical operations, patients or other as follows:
Q5. Please list your top three unmet reporting needs.
1st
2nd
3rd
Organization
Q6. My domain has a report approval process?
Strongly Agree
Agree
Disagree
Strongly Disagree
Q7. My domain is responsible for activity as the following affiliates / foundation
*
Yes
No
CPMC - Pacific
CPMC - Davies
CPMC - California
St. Luke's
Novato Community Hospital
Sutter Santa Rosa Regional Hospital
Sutter Lakeside Hospital
Sutter Pacific Medical Foundation
Q8. My domain has a process for identifying and documenting reporting needs?
Strongly Agree
Agree
Disagree
Strongly Disagree
Q9. My domain has a systematic process for prioritizing report requests?
Strongly Agree
Agree
Disagree
Strongly Disagree
Q10. My domain has a resource that manages the report requests?
Strongly Agree
Agree
Disagree
Strongly Disagree
Q11. My domain meets ________ to evaluate, consolidate and prioritize reporting needs:
Up to weekly
Up to monthly
Up to quarterly
Semi-annually
Annually
As needed
Never
Q12. My domain can identify the data sources for its reporting needs?
Strongly Agree
Agree
Disagree
Strongly Disagree
Q13. My domain can supply business reasons for report requests?
Strongly Agree
Agree
Disagree
Strongly Disagree
PROFICIENCIES
Q14. My domain uses the following data sources?
*
Yes
No
Apollo
EPIC Ambulatory
EPIC ANE (Anesthesiolgy)
EPIC ED
EPIC Inpatient
EPIC OpTime (Surgery)
EPIC Willow (Pharmacy)
McKesson (Cardiac Cath)
Midas
PICIS (Legacy Surgery)
EPIC Hospital Billing (Pt. Accounting)
EPSi (Cost Accounting)
Lawson (General Ledger)
FinApp (Department Expenses)
Other
OTHER
Please include additional information you would like us to know
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