Questionnaire/Survey

National Electronic Health Records Survey

Description: 

This is a questionnaire designed to be completed by physicians in an ambulatory setting. The tool includes questions to assess the current state of electronic health records.

Year of Survey: 
2012

Baseline Survey: Patients with Chronic Health Conditions and Case Managers

Description: 

This is a questionnaire designed to be completed by patients across a health care system setting. The tool includes questions to assess attitudes of health information exchange.

Year of Survey: 
2011

The Commonwealth Fund's 2012 International Survey of Primary Care Doctors

Description: 

This is a questionnaire designed to be completed by physicians in an ambulatory setting. The tool includes questions to assess the current state of electronic health records.

Year of Survey: 
2012

Massachusetts Office Practice Survey

Description: 

This is a questionnaire designed to be completed by administrators and clinical staff in an ambulatory setting. The tool includes questions to assess the current state of electronic health records.

Year of Survey: 
2005

NYC REACH Regional Extension Center Provider Survey

Description: 

This is a questionnaire designed to be completed by clinical staff in an ambulatory setting. The tool includes questions to assess perception of electronic health records.

Year of Survey: 
Created prior to 2012

HealthCare Information Technology Capability Survey

Description: 

This is a questionnaire designed to be completed by administrators in an ambulatory setting. The tool includes questions to assess the current state of enterprise systems.

Year of Survey: 
2005

Portal and Non-Portal User Surveys to Assess MyPreventiveCare Portal

Description: 

These are questionnaires designed to be completed by patients in a home setting. The questionnaires include questions to assess the current state of personal health records by those who have both used and not used the technology.

Year of Survey: 
2011

Baseline Clinician Survey: Keystone Health Information Exchange (KeyHIE)

Description: 

This is a questionnaire designed to be completed by clinical staff across a health care system setting. The tool includes questions to assess perception of health information exchange.

Year of Survey: 
2011

Electronic Health Record End User Survey

Description: 

This is a questionnaire designed to be completed by clinical staff in an ambulatory setting. The tool includes questions to assess the current state of electronic health records.

Year of Survey: 
2011

Computer Survey

Description: 

This is a questionnaire designed to be completed by nurses and physicians across a health care system. The tool includes questions to assess user's perceptions of electronic health records and personal digital assistants.

Year of Survey: 
Created prior to 2008