Questionnaire/Survey

Engaging Diverse Patients in Health Information Technology Use

Description: 

This is a questionnaire designed to be completed by individuals with chronic care needs in patient homes. The tool includes questions to assess the current state of patient portals, the internet, and mobile devices.

Year of Survey: 
2016

Survey About Parents’ Vaccination Decision for their Child

Description: 

This is a questionnaire designed to be completed by caregivers in a patient home. The tool includes questions to assess attitudes around social media.


Health Information Technology and Provider Communication

Description: 
This is a questionnaire designed to be completed by physicians, nurse practitioners, and physician assistants in a perioperative/operative and hospital setting. The tool includes questions to assess the current state of health information technology including clinical documentation, computerized provider order entry systems, clinical decision support systems, hardware, mobile devices, secure messaging, text messaging, and EHRs/EMR.
Year of Survey: 
2015

ElderTree Baseline Survey

Description: 

This is a questionnaire designed to be completed by elderly patients or their caregivers in the patient home. The tool includes questions to assess attitudes of social media and mobile homes.

Year of Survey: 
2014

Clinical Decision Support System Satisfaction Survey

Description: 

This is a questionnaire designed to be completed by clinical and office staff in a pediatric setting. The tool includes questions to assess staff attitudes and assessment of a clinical decision support tool.

Year of Survey: 
2018

Use of Web-Based Health Information – For Patient Practice Portal Non-Users

Description: 

This is a questionnaire designed to be completed by adult patients in their home. The tool includes questions to assess attitudes of non-users regarding the use of patient portals and health information technology on the internet and using mobile phones.


Information Availability Survey for Prenatal Record

Description: 

This is a questionnaire designed to be completed by physicians and clinical staff in a hospital. The tool includes questions to assess the current state of electronic health records/electronic medical record.


Information Availability Survey for Triage Visits

Description: 
This is a questionnaire designed to be completed by physicians and clinical staff in a hospital. The tool includes questions to assess the current state of electronic health records/electronic medical records.

Stage 3 Meaningful Use: Practice Manager Survey

Description: 

This is a questionnaire designed to be completed by practice managers in an ambulatory setting. The tool includes questions to assess the benefits and current state of electronic health records and health information exchanges.


Use of Web-based Health Information – for Patient Practice Portal Users

Description: 

This is a questionnaire designed to be completed by adult patients in their home. The tool includes questions to assess attitudes of the users regarding patient portals and health information technology on the internet and using mobile phones.