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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/iq-health-survey-clinicians
January 01, 2023 - IQ Health Survey for Clinicians
This is a questionnaire designed to be completed by nurses … Survey Document
IQ Health Survey for Clinicians
Year of Survey
2008
Document … Type
Questionnaire/Survey
Research Method
Attitude Assessment
Population … Personal Health Record
Secure 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/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/national-survey-physicians-practice
January 01, 2023 - National Survey of Physicians on Practice Experience
This is a questionnaire designed to … Survey Link
National Survey of Physicians on Practice Experience
Year of Survey
Created prior … to 2008
Document Type
Questionnaire/Survey
Research Method
Current State Assessment … Practice Management System
Secure Messaging
Copyright Status
This is a publicly available survey … which permission for public use has not been obtained directly from the developers; please read the survey
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/massachusetts-survey-physicians-and
January 01, 2023 - Massachusetts Survey of Physicians and Computer Technology
This is a questionnaire designed … Survey Document
Massachusetts Survey of Physicians and Computer Technology
(Persons using … For assistance, please contact ahrqsection508@ahrq.hhs.gov )
Year of Survey
Created prior to 2008 … Document Type
Questionnaire/Survey
Research Method
Attitude 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/provider-pre-implementation-survey
January 01, 2023 - Provider Pre-Implementation Survey: Information Needs and Use
This is a questionnaire designed … Survey Document
Provider Pre-Implementation Survey: Information Needs and Use
(Persons … For assistance, please contact ahrqsection508@ahrq.hhs.gov )
Year of Survey
2008
Document … Type
Questionnaire/Survey
Research Method
Usability 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/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/health-information-technology-survey
January 01, 2023 - Health Information Technology Survey for Physicians, Physician Assistants, and Nurse Practitioners … This is a questionnaire designed to be completed by nurses and physicians in ambulatory and … Survey Document
Health Information Technology Survey for Physicians, Physician Assistants, and … Document Type
Questionnaire/Survey
Research Method
Attitude 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/baseline-clinician-survey-keystone-health-information-exchange-keyhie.pdf
September 26, 2011 - Baseline Clinician Survey: Keystone Health Information Exchange (KeyHIE)
Baseline … PA
This is a questionnaire designed to be completed by clinical staff across a health care system … Permission has been obtained from the survey developers for unrestricted use of this survey; it
may … Beacon Clinician Survey
Version September 26, 2011
(The final version of this questionnaire will … be a web-based survey, and then formatting will be completely different.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs021769-anderson-final-report-2016.pdf
January 01, 2016 - METHODS
Pilot Study design
EffectRx used a prospective cohort design. … Twenty patients were recruited into the pilot study and completed at least one survey
(mean=2.85 surveys … , median=2 surveys, range=1-19 surveys). … Half of
the respondents indicated their clinician used the information they provided during their surveys … All but one respondent indicated
they had completed at least one PHQ-9 during a clinical visit prior
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/personal-digital-assistant-pda-survey
January 01, 2023 - Personal Digital Assistant (PDA) Survey
This is a questionnaire designed to be completed … Survey Link
Personal Digital Assistant (PDA) Survey
Year of Survey
Created prior to 2008 … Document Type
Questionnaire/Survey
Research Method
Current State Assessment … System
Technology
Mobile Device
Copyright Status
This is a publicly available survey … which permission for public use has not been obtained directly from the developers; please read the survey
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/healthcare-information-technology
January 01, 2023 - HealthCare Information Technology Capability Survey
This is a questionnaire designed to … Survey Document
HealthCare Information Technology Capability Survey
(Persons using assistive … For assistance, please contact ahrqsection508@ahrq.hhs.gov )
Year of Survey
2005
Document … Type
Questionnaire/Survey
Research Method
Current State 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/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/national-electronic-health-records-survey
January 01, 2023 - National Electronic Health Records Survey
This is a questionnaire designed to be completed … Survey Document
National Electronic Health Records Survey 2012
(Persons using assistive … For assistance, please contact ahrqsection508@ahrq.hhs.gov )
Year of Survey
2012
Document … Type
Questionnaire/Survey
Research Method
Current State Assessment
Population … which permission for public use has not been obtained directly from the developers; please read the survey
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/tests-pending
January 01, 2023 - Tests Pending at Discharge Survey
This is a questionnaire designed to be completed by physicians … Survey Document
Tests Pending at Discharge Survey
(Persons using assistive technology … Year of Survey
2013
Document Type
Questionnaire/Survey
Research Method
Attitude … Technology
Clinical 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/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/triage-prenatal
January 01, 2023 - Triage Prenatal Patient Safety Survey
This is a questionnaire designed to be completed … Survey Document
Triage Prenatal Patient Safety Survey
(Persons using assistive technology … Year of Survey
2013
Document Type
Questionnaire/Survey
Research Method
Attitude … Health Record/Electronic Medical Record
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/survey/the-commonwealth-fund-2012-international-survey-of-primary-care-doctors.pdf
January 01, 2012 - The Commonwealth Fund's 2012 International Survey of Primary Care Doctors
T
d
r
The Commonwealth … is a questionnaire designed to be completed by physicians in an ambulatory setting. … Please return your completed questionnaire
in the enclosed postage-paid envelope to:
Harris Interactive … Surveys of patient satisfaction and experiences with care 1 2
c. … PLEASE RETURN YOUR COMPLETED QUESTIONNAIRE IN THE ENCLOSED ENVELOPE
OR MAIL TO THE ADDRESS BELOW.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs021005-sorondo-final-report-2015.pdf
January 01, 2015 - A total of 120 questionnaires were triaged. … More than 80% of the wellness questionnaires required provider follow-
‐up outside scheduled office … (PROMIS) scales and patient experience with the primary care practice using Clinician &
Group Survey … of Adult Primary Care
1.0 (CG-‐CAHPS) survey;
3. … Available from: https://www.cahps.ahrq.gov/surveys-
‐guidance/cg/index.html.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/wellness-portal-user-satisfaction-survey
January 01, 2023 - Wellness Portal User Satisfaction Survey: Patients
This is a questionnaire designed to … Survey Document
Wellness Portal User Satisfaction Survey: Patients
Year of Survey … Created prior to 2010
Document Type
Questionnaire/Survey
Research Method
Attitude … Technology
Personal Health Record
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/baseline-clinician-survey-keystone-health
January 01, 2023 - Baseline Clinician Survey: Keystone Health Information Exchange (KeyHIE)
This is a questionnaire … Survey Document
Baseline Clinician Survey: Keystone Health Information Exchange (KeyHIE) … For assistance, please contact ahrqsection508@ahrq.hhs.gov )
Year of Survey
2011
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/survey/breathe-michigan-screening-survey.pdf
June 16, 2021 - Breathe Michigan Screening Questionnaire
Breathe Michigan Screening Survey
University … of Michigan; Ann Arbor, Michigan
This is a questionnaire designed to be completed by African American … Breathe Michigan Screening Questionnaire
Begin script once you have verified who you are speaking with
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digital.ahrq.gov/year-survey/2005
January 01, 2005 - is a questionnaire designed to be completed by administrators and clinical staff in an ambulatory setting … Year of Survey
2005
HealthCare Information Technology Capability Survey … Description
This is a questionnaire designed to be completed by administrators in an ambulatory … Survey
Description
This is a questionnaire designed to be completed by patients in an ambulatory … Year of Survey
2005
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/clinical-portal-survey-mt-ascutney
January 01, 2023 - Clinical Portal Survey: Mt. … Ascutney Hospital and Health Center
This is a questionnaire designed to be completed by … Survey Document
Clinical Portal Survey: Mt. … For assistance, please contact ahrqsection508@ahrq.hhs.gov )
Year of Survey
2007
Document … Type
Questionnaire/Survey
Research Method
Needs Assessment
Population
Nurse
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/computer-literacy-survey-michigan-public
January 01, 2023 - Computer Literacy Survey: Michigan Public Health Institute
This is a questionnaire designed … Survey Document
Computer Literacy Survey: Michigan Public Health Institute
(Persons using … 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