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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/cccn-technical-readiness
January 01, 2023 - Community Chronic Care Network (CCCN): Technical Readiness
This is a questionnaire designed … Survey Document
Community Chronic Care Network (CCCN): Technical Readiness
Year of … Survey
Created prior to 2008
Document Type
Questionnaire/Survey
Research Method … Record
Practice Management System
Copyright Status
Permission has been obtained from the survey … developers for unrestricted use of this survey; it may be modified or used as is without additional
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/patients-use-computers-university-missouri
January 01, 2023 - Patient's Use of Computers: University of Missouri at Columbia
This is a questionnaire … Survey Document
Patient's Use of Computers: University of Missouri at Columbia
(Persons … For assistance, please contact ahrqsection508@ahrq.hhs.gov )
Year of Survey
Created prior to 2009 … Document Type
Questionnaire/Survey
Research Method
Current State Assessment … developers for unrestricted use of this survey; it may be modified or used as is without additional
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/iq-health-patients-enrollment-experience
January 01, 2023 - IQ Health: Patient's Enrollment Experience and Expectations
This is a questionnaire designed … Survey Document
IQ Health: Patient's Enrollment Experience and Expectations
(Persons … For assistance, please contact ahrqsection508@ahrq.hhs.gov )
Year of Survey
Created prior to 2010 … Document Type
Questionnaire/Survey
Research Method
Current State Assessment … developers for unrestricted use of this survey; it may be modified or used as is without additional
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digital.ahrq.gov/sites/default/files/docs/survey/nyc-reach-regional-extension-center-provider-survey.pdf
March 31, 2015 - NYC REACH Regional Extension Center Provider Survey
NYC REACH Regional Extension Center Provider Survey … New York City Health and Mental Hygiene, New York NY
This is a questionnaire designed to be completed … Permission has been obtained from the survey developers for unrestricted use of this survey; it
may … General NYC Reach Provider Survey
SURVEY INSTRUCTIONS
Answer each question by marking the most … Thank you for taking our survey. Your input is very important to us.
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digital.ahrq.gov/research-method/benefit-assessment
January 01, 2023 - Description
This is a questionnaire designed to be completed by clinical and office staff … Year of Survey
2018
Stage 3 Meaningful Use: Practice Manager Survey
Description … This is a questionnaire designed to be completed by practice managers in an ambulatory setting. … Stage 3 Meaningful Use: Primary Care Provider Survey
Description
This is a questionnaire designed … Sharing Electronic Behavior Health Records: A Nebraska Perspective
Description
This is a questionnaire
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/engaging-diverse
January 01, 2023 - Engaging Diverse Patients in Health Information Technology Use
This is a questionnaire … Survey Document
Engaging Diverse Patients in Health Information Technology Use
(Persons … Year of Survey
2016
Document Type
Questionnaire/Survey
Research Method
Current … Internet
Mobile Device
Patient Portal
Copyright Status
Permission has been obtained from the survey … developers for unrestricted use of this survey; it may be modified or used as is without additional
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/provider-experiences-and-perceptions
January 01, 2023 - Perceptions of Current Patients' Use of Email Communication with Their Doctor
This is a questionnaire … Survey Document
Provider Experiences with and Perceptions of Current Patients' Use of Email Communication … For assistance, please contact ahrqsection508@ahrq.hhs.gov )
Year of Survey
2008
Document … Type
Questionnaire/Survey
Research Method
Attitude Assessment
Population … developers for unrestricted use of this survey; it may be modified or used as is without additional
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/SurveyOnPatientSafetyCulture.doc
January 01, 2008 - Medical Office Survey on Patient Safety
Medical Office Survey on Patient Safety
SURVEY INSTRUCTIONS … In this survey, the term provider refers to physicians, physician assistants, and nurse practitioners … only about the office location where you received this survey—do not answer about the entire practice … THANK YOU FOR COMPLETING THIS SURVEY.
Westat. … Medical Office Survey on Patient Safety Culture. 2008. p. 1-7.
PAGE
1
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digital.ahrq.gov/ahrq-funded-projects/evaluation-interactive-social-media-web-site-parents-who-are-concerned-about
January 01, 2023 - Project Description
Annual Summaries
Publications
Resources
Surveys … In the final phase of the project, a survey with 443 parents and pregnant women was conducted to assess … About Parents’ Vaccination Decision for their Child Description: This is a questionnaire designed to … Link:
Survey About Parents’ Vaccination Decision for their Child
Document Type: Questionnaire … use of this survey; it may be modified or used as is without additional permission from the authors.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/sharing-electronic-behavior-health-records
January 01, 2023 - Sharing Electronic Behavior Health Records: A Nebraska Perspective
This is a questionnaire … Survey Document
Sharing Electronic Behavior Health Records: A Nebraska Perspective
(Persons … For assistance, please contact ahrqsection508@ahrq.hhs.gov )
Year of Survey
Created prior to 2011 … Document Type
Questionnaire/Survey
Research Method
Attitude Assessment
Benefit … developers for unrestricted use of this survey; it may be modified or used as is without additional
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/rural-wisconsin-health-cooperative
January 01, 2023 - Transforming Healthcare Quality Through Information Technology: Readiness Assessment
This is a questionnaire … Survey Document
Rural Wisconsin Health Cooperative Transforming Healthcare Quality Through Information … For assistance, please contact ahrqsection508@ahrq.hhs.gov )
Year of Survey
Created prior to 2008 … Document Type
Questionnaire/Survey
Research Method
Needs Assessment
Population … developers for unrestricted use of this survey; it may be modified or used as is without additional
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digital.ahrq.gov/sites/default/files/docs/page/the-impact-of-stand-alone-vs-ehr-integrated-e-prescribing-systems.pdf
June 02, 2010 - includes 1) shadowing clinicians, 2)
focus groups with e-prescribers, 3) claims analysis,
and 4) a survey … of physicians enrolled with an e-
prescribing vendor.
2
Methodology
3
Survey: Self-administered … questionnaire
Mode: Sequential mixed-mode survey (email followed
by multiple mailings and telephone … Source: Authors preliminary analysis of 2009 National Survey of E-prescribers. … Cannot verify the accuracy of respondents’ reports of
e-prescribing or reductions in errors.
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015076-rosa-final-report-2007.pdf
January 01, 2007 - The surveys included measurement items used in published scientific research. … multiple times in order to ensure consistency in the evaluation of the
specific attitude provided by the respondent … Table 2 provides a list of the factors which were measured to assess respondent
opinions and Appendix … to evaluate the degree to which exposure to the technology was related to the
opinions provided by respondents … the
organization and staff, as well as the availability of resources, show very high approval from
respondents
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/health-information
January 01, 2023 - Health Information Technology and Provider Communication
This is a questionnaire designed … Survey Document
Health Information Technology and Provider Communication
(Persons using … Year of Survey
2015
Document Type
Questionnaire/Survey
Research Method
Current … Secure Messaging
Text Messaging
Copyright Status
Permission has been obtained from the survey … developers for unrestricted use of this survey; it may be modified or used as is without additional
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs022889-matthews-final-report-2021.pdf
January 01, 2021 - multi-user kiosk at which users could
obtain and record physical measurements, respond to an array of questionnaires … A subset of the measures
was repeated during a 4-week window 6, 12, and 18 months
after the first baseline … survey was completed … Survey items were typically depicted in 40 pt Tiresias
font. … , and Patient Health Questionnaire-8.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017838-baker-final-report-2013.pdf
January 01, 2013 - Usable data from 667 respondents were collected. … Usable surveys were received from 62. … Most respondents work
directly with clients in a clinical capacity (60%). … The largest cluster (67%) comprised
respondents with positive beliefs about HIE. … Study 3: Survey: Behavioral healthcare technology acceptance and
adoption
For most constructs, respondents
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digital.ahrq.gov/location/usa-ok-tahlequah
January 01, 2023 - USA, OK, Tahlequah
Oklahoma Patient Survey
Description
This … is a questionnaire designed to be completed by patients in an ambulatory setting. … Year of Survey
Created prior to 2010
Oklahoma User Survey
Description … This is a questionnaire designed to be completed by physicians, administrators, and IT staff in an … Year of Survey
Created prior to 2010
Health Improvement Collaboration in Cherokee
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digital.ahrq.gov/organization/tahlequah-city-hospital
January 01, 2023 - Tahlequah City Hospital
Oklahoma Patient Survey
Description … This is a questionnaire designed to be completed by patients in an ambulatory setting. … Year of Survey
Created prior to 2010
Oklahoma User Survey
Description … This is a questionnaire designed to be completed by physicians, administrators, and IT staff in an … Year of Survey
Created prior to 2010
Implementation of Health Improvement Collaboration
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017189-trivedi-final-report-2010.pdf
January 01, 2010 - Results: We analyzed 208 (out of 289) Centerstone employee surveys as part of the Needs
Assessment. … One questionnaire was returned blank so all
results reported are based on 208 completed questionnaires … The Physician Algorithm
Evaluation of Usefulness Survey (EOUS) is a study-developed survey that addresses … To address the first aim, Needs Assessment surveys and focus group interviews
were conducted. … One questionnaire was returned blank so all
results reported are based on 208 completed questionnaires
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digital.ahrq.gov/research-method/functionality-assessment
January 01, 2023 - Community Chronic Care Network (CCCN) Online Registry: User Interviews and Survey … Questions
Description
This is a questionnaire designed to be completed by administrators, … Year of Survey
Created prior to 2008
Report on Continuity of Care Document (CCD … Colorado Community Health Center Electronic Medical Record Systems
Description
This is a questionnaire … Year of Survey
2008