EHR Information Management Survey Form
Please complete this form to help us understand how your organization manages electronic health record (EHR) information.
Organization Name
*
Your Role in the Organization
*
Please Select
IT Manager
Healthcare Administrator
Clinical Staff
Compliance Officer
Other
Does your organization currently use an EHR system?
*
Yes
No
Planning to implement
How satisfied are you with your current EHR system?
*
Very Dissatisfied
1
2
3
4
Very Satisfied
5
1 is Very Dissatisfied, 5 is Very Satisfied
Please rate the following aspects of your EHR system.
*
Rows
Ease of Use
Data Security
Interoperability
Support & Training
Poor
1
2
3
4
Fair
5
6
7
8
Good
9
10
11
12
Very Good
13
14
15
16
Excellent
17
18
19
20
How does your organization primarily store EHR data?
*
On-premises servers
Cloud-based solution
Hybrid (both)
Not sure
Which of the following best describes your organization's approach to EHR data sharing?
*
Internal use only
Shared with external providers
Shared with patients
Both external providers and patients
How frequently does your organization provide EHR training to staff?
*
Please Select
Once a year
Twice a year
Quarterly
As needed
Never
What are the main challenges your organization faces with EHR information management? (Select all that apply)
*
System integration
Data security
User training
Cost
Regulatory compliance
Other
Please describe one improvement you would like to see in your organization's EHR information management.
Submit Survey
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