Base EMR Experience Survey

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1 ogo of partnering organization Base xperience urvey tep 1: Information about you * equired response * 1. ll responses are being collected by K esearch. While K will need to identify you by name for internal purposes and for the integrity of the study, your identity will not be released to your sponsoring organization (see above) with the results of this survey without your permission. lease indicate below whether you would like your organization to see your identity in connection with your responses. hare my identity with my sponsoring health system Do not share my identity with my sponsoring health system * 2. First name * 3. ast name 4. mail

2 * 5. Clinical background racticing hysician (D/DO) hysician esident or Fellow Nurse ractitioner or hysician ssistant Nurse (N) Other (please specify) 6. ears practicing medicine 0 4 years 5 14 years years 25+ years 7. What kind of patients do you care for? dults ediatric patients dults and pediatric patients (Check all that apply) Hospital Hospital B Hospital C Clinic 8. ocations of use Clinic B Other (please specify)

3 9. Do you agree? trongly disagree Indifferent gree trongly agree I find great fulfillment in my work as a care provider. 10. On average, how many hours per week do you spend in clinical practice? <20 hours per week hours per week hours per week 60+ hours per week 11. re you employed by Organization? es No

4 ogo of partnering organization Base xperience urvey tep 2: Tell us how you use the 1. What is the you primarily use? This is the single you are giving feedback about in this survey If you do considerable work with multiple s, you are welcome to take the survey multiple times to account for those experiences. #1 #2 #3 Other (please specify) 2. Non Nursing rea of clinical focus (specialty) 3. Nursing Only rea of nursing focus 4. Number of years you have used this ears sing

5 5. Do you agree? trongly disagree Indifferent gree trongly agree I have not received training y initial training/education prepared me well to use this. y ongoing training/education is helpful and effective. 6. How many hours do you spend each year receiving follow-up training or other education on functionality (including reading tip sheets, learning from peers, participating in formal training, etc.)? 0 hours 1 2 hours 3 5 hours 6 10 hours hours hours 20+ hours 7. Current proficiency xpert user dvanced user Intermediate user Novice user truggling user 8. Nursing Only Do you agree? The time that I spend doing documentation is reasonable. trongly disagree Indifferent gree trongly agree

6 9. Non Nursing How have you optimized your experience? Have not used sed but not useful sed with some sed and found sed and found usefulness useful very useful N/ Built/used personalized templates Built/used personalized macros Built/used personalized order sets Built/used preference lists for orders ersonalized report views Built/used speed buttons/shortcuts Built/used filters ersonalized sort orders Built/used personalized layouts where possible 10. Non Nursing How do you document? (Check all that apply) I use dictation/transcription for a significant amount of my documentation I use voice recognition for a significant amount of my documentation omeone else helps enter a significant amount of my documentation (scribes or office staff) I directly enter (type) a significant amount of my documentation 11. Non Nursing Do you enter your own orders? es, all of the time es, most of the time No, most of the time orders are entered and signed by another member of my care team No, most of the time someone pens these orders for my signature

7 12. Non Nursing [If applicable] What percentage of charting are you able to close out during or immediately after your ambulatory patient encounters? 0% 50% 100% 13. Non Nursing [If applicable] What percentage of charting are you able to immediately complete during inpatient rounds? 0% 50% 100% 14. How many hours per week do you spend completing your charting during your normal business hours? 0 5 hours 6 15 hours hours 25+ hours 15. How many hours per week do you spend completing your charting outside of your normal business hours (evenings, weekends, after your shift, etc.)? 0 5 hours 6 15 hours hours 25+ hours

8 ogo of partnering organization Base xperience urvey ast step: Tell us your experience 1. Do you agree with the following statements? This... trongly disagree Indifferent gree...enables me to deliver high-quality care... makes me as efficient as possible... is available when I need it (has almost no downtime)... has the functionality I expect... provides the integration within our organization that I expect... provides the... has the fast system response time I expect... is easy to learn... provides the analytics and reporting I need... keeps my patients safe integration with outside organizations that I expect... allows me to deliver patient-centered care trongly agree Not pplicable

9 2. Detailed comments/opinions about your satisfaction 3. In what percentage of patient encounters does data electronically received from outside our organization better inform your delivery of care? Do you agree with these statements? trongly disagree Indifferent Our vendor has designed a high-quality Our organization has done a great job implementing, training on, and supporting the I have personally done a great job of learning the system so that I can be successful Other related comments and/or concerns gree 5. ost significant improvements you have seen in the past 12 months 6. Changes you would like to see

Please indicate below whether you would like your organization to see your identity in connection with your responses.

Please indicate below whether you would like your organization to see your identity in connection with your responses. Base EMR Experience Survey Step 1: Information about you (Part 1 of 3) All responses are being collected by KLAS Research. While KLAS will need to identify you by name for internal purposes and for the

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