**Employee / Staff *[Pre-Go-Live]{.underline}* Expectations /
Perceptions Clinical Information Systems Survey**

[**Instructions to Participants**.]{.underline}

The following survey is intended to help XXX to better understand staff
perceptions and attitudes about the steps taken to prepare for
implementing the electronic health record. Specifically we are
interested in learning about your expectations and understanding what
impact the new *[clinical information systems]{.underline}* being
installed will have with patient care, and how they will affect you. All
responses will be kept strictly confidential. Completed surveys will be
collected and sent to researchers at the University of Iowa for data
entry and analysis. No individual data or responses will be reported.
Only aggregated data will be reported. Please check one (1) response for
each question. Your participation in this survey is voluntary.

Thank you for completing this survey.

***[Survey #1]{.underline}***

**Your Primary Work Unit/Department
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Job Title
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Date
\_\_\_\_\_\_\_\_\_\_\_\_**

**Have you had prior experience outside of Mercy - North Iowa with any
electronic health records or computerized provider order entry
systems?**

**No\_\_\_\_ Yes \_\_\_\_ *If yes, about how many years of experience*
\_\_\_\_\_\_\_ *Years working in healthcare* \_\_\_\_\_\_\_\_**

**I.** Please indicate the extent to which you think that the following
areas ***[will be]{.underline}*** either: **Worsened (-3, -2, -1), Stay
the Same (0), or be Improved (+1, +2, +3) after the new clinical
information systems are implemented.** In answering each item assume
that you have been using the new clinical information systems for 3
months. *Please check only one (1) response per item.*

> **Much No Much**
>
> **[Worse]{.underline} [Change]{.underline} [Improved]{.underline}**

**- 3 - 2 -1 0 +1 +2 +3**

1.  Access to information improved my ability to make good patient care
    decisions. **\[ \] \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]**

2.  How often patients are asked the same questions. **\[ \] \[ \] \[ \]
    \[ \] \[ \] \[ \] \[ \]**

3.  Able to share important information with patients and families. **\[
    \] \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]**

4.  Able to involve patients and families in the care planning process.
    **\[ \] \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]**

5.  My ability to learn about and improve our patient care processes.
    **\[ \] \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]**

6.  Communications between physicians and hospital staff. **\[ \] \[ \]
    \[ \] \[ \] \[ \] \[ \] \[ \]**

7.  Communications between departments. **\[ \] \[ \] \[ \] \[ \] \[ \]
    \[ \] \[ \]**

8.  Communication between hospital staff. **\[ \] \[ \] \[ \] \[ \] \[
    \] \[ \] \[ \]**

9.  The frequency that verbal orders will be made on my unit. **\[ \] \[
    \] \[ \] \[ \] \[ \] \[ \] \[ \]**

10. The amount of time I spend:

    a.  Documenting patient care. **\[ \] \[ \] \[ \] \[ \] \[ \] \[ \]
        \[ \]**

    b.  Recording diagnoses and symptoms. **\[ \] \[ \] \[ \] \[ \] \[
        \] \[ \] \[ \]**

    c.  Preparing discharge documents. **\[ \] \[ \] \[ \] \[ \] \[ \]
        \[ \] \[ \]**

11. The consistency with which patient care data are recorded. **\[ \]
    \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]**

12. The accuracy and validity of the patient care data being recorded.
    **\[ \] \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]**

13. The overall safety of patient care. **\[ \] \[ \] \[ \] \[ \] \[ \]
    \[ \] \[ \]**

14. The ability to avoid errors by alerting staff to potential errors
    before they occur. **\[ \] \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]**

15. The number of times staff forget to provide needed care. **\[ \] \[
    \] \[ \] \[ \] \[ \] \[ \] \[ \]**

> **Much Has Not Much**
>
> **[Worse]{.underline} [Changed]{.underline} [Improved]{.underline}**

16. The timeliness with which patient care services are provided. **\[
    \] \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]**

17. The amount of professional satisfaction I get out of my job. **\[ \]
    \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]**

18. The efficiency of our work processes**. \[ \] \[ \] \[ \] \[ \] \[
    \] \[ \] \[ \]**

19. The appropriateness of patient care orders. **\[ \] \[ \] \[ \] \[
    \] \[ \] \[ \] \[ \]**

20. The ability to implement research findings into our patient care
    practices. **\[ \] \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]**

21. The timeliness with which patient related data can be available **\[
    \] \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]**

22. Communications at end of shift handoffs. **\[ \] \[ \] \[ \] \[ \]
    \[ \] \[ \] \[ \]**

23. Communications when patients are transferred to different units
    within the hospital. **\[ \] \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]**

24. Communications when patients are transferred to other facilities.
    **\[ \] \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]**

25. Communications when patients are readmitted or receiving follow-up
    outpatient care. **\[ \] \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]**

26. The amount of time I can spend directly with patients. **\[ \] \[ \]
    \[ \] \[ \] \[ \] \[ \] \[ \]**

27. The effect on the hospital to recruit and retain high quality staff.
    **\[ \] \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]**

28. How much I enjoy my job. **\[ \] \[ \] \[ \] \[ \] \[ \] \[ \] \[
    \]**

29. Legibility and clarity of patient care orders **\[ \] \[ \] \[ \] \[
    \] \[ \] \[ \] \[ \]**

**II. Please indicate the extent to which you agree with the following
statements;**

**Strongly Moderately Mildly Mildly Moderately Strongly** **Disagree
Disagree Disagree Agree Agree Agree**

1.  I support the planned change in current clinical information
    systems. \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]

2.  My coworkers support the planned change in clinical information
    systems. \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]

3.  My supervisor supports the planned change in clinical information
    systems. \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]

4.  It will have no difficulty in adapting to information systems
    changes. \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]

5.  I understand the decision to change clinical information systems. \[
    \] \[ \] \[ \] \[ \] \[ \] \[ \]

6.  I know who the Super Users are on my work unit. \[ \] \[ \] \[ \] \[
    \] \[ \] \[ \]

7.  Sufficient resources have been provided for me to learn to use the
    new systems \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]

8.  Sufficient technical IT support will be available to operate the new
    system. \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]

> **Strongly Moderately Mildly Mildly Moderately Strongly** D**isagree
> Disagree Disagree Agree Agree Agree**

9.  The new clinical information systems will improve our ability to
    give patient care:

    a.  The Right treatment \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]

    b.  To the Right patient \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]

    c.  At the Right time \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]

    d.  In the Right amount, dose or intensity \[ \] \[ \] \[ \] \[ \]
        \[ \] \[ \]

    e.  In the Right way \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]

    f.  By the right person \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]

    g.  With the right information \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]

    h.  In the right location \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]

**Comments:**

***Thank you for completing this survey.***

**DRAFT: 12/27/04:**

**Survey #3: Employee / Staff *[Post-Go-Live]{.underline}* Perceptions
Survey: Clinical Information Systems**

**Your Primary Work Unit
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Job Title
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Date
\_\_\_\_\_\_\_\_\_\_\_\_**

**Have you had prior experience outside of Mercy - North Iowa with any
electronic health records or computerized provider order entry
systems?**

**No\_\_\_\_ Yes \_\_\_\_ *If yes, about how many years of experience*
\_\_\_\_\_\_\_ *Years working in healthcare* \_\_\_\_\_\_\_\_**

**Did you participate in the new clinical information systems training
that was offered prior to the July 8, 2004 go-live date? No\_\_\_\_ Yes
\_\_\_\_**

**I.** [Based on your experience in using the new clinical information
systems]{.underline}**,** please indicate the extent to which you think
that the following areas have either: **Worsened (-3, -2, -1), Stayed
the Same (0), or Improved (+1, +2, +3).** *Please check only one
response per item.*

> **Is Much Has Not Is Much**
>
> **[Worse]{.underline} [Changed]{.underline} [Improved]{.underline}**

**- 3 - 2 -1 0 +1 +2 +3**

1.  Access to information improving my ability to make good patient care
    decisions. **\[ \] \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]**

2.  How often patients are asked the same questions. **\[ \] \[ \] \[ \]
    \[ \] \[ \] \[ \] \[ \]**

3.  Sharing important information with patients and families. **\[ \] \[
    \] \[ \] \[ \] \[ \] \[ \] \[ \]**

4.  Involving patients and families in the care planning process. **\[
    \] \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]**

5.  My ability to learn about and improve our patient care processes.
    **\[ \] \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]**

6.  Communications between physicians and hospital staff. **\[ \] \[ \]
    \[ \] \[ \] \[ \] \[ \] \[ \]**

7.  Communications between departments. **\[ \] \[ \] \[ \] \[ \] \[ \]
    \[ \] \[ \]**

8.  Communication between hospital staff. **\[ \] \[ \] \[ \] \[ \] \[
    \] \[ \] \[ \]**

9.  The frequency that verbal orders have been made on my unit. **\[ \]
    \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]**

10. The amount of time I now spend:

    a.  Documenting patient care. **\[ \] \[ \] \[ \] \[ \] \[ \] \[ \]
        \[ \]**

    b.  Recording diagnoses and symptoms. **\[ \] \[ \] \[ \] \[ \] \[
        \] \[ \] \[ \]**

    c.  Preparing discharge documents. **\[ \] \[ \] \[ \] \[ \] \[ \]
        \[ \] \[ \]**

11. The consistency with which patient care data are recorded. **\[ \]
    \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]**

12. The accuracy and validity of the patient care data being recorded.
    **\[ \] \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]**

> **Is Much Has Not Is Much**
>
> **[Worse]{.underline} [Changed]{.underline} [Improved]{.underline}**

13. The overall safety of patient care. **\[ \] \[ \] \[ \] \[ \] \[ \]
    \[ \] \[ \]**

14. The ability to avoid errors by alerting staff to potential errors
    before they occur. **\[ \] \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]**

15. The number of times staff forget to provide needed care. **\[ \] \[
    \] \[ \] \[ \] \[ \] \[ \] \[ \]**

16. The amount of professional satisfaction I get out of my job. **\[ \]
    \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]**

17. The efficiency of our work processes**. \[ \] \[ \] \[ \] \[ \] \[
    \] \[ \] \[ \]**

18. The appropriateness of patient care orders. **\[ \] \[ \] \[ \] \[
    \] \[ \] \[ \] \[ \]**

19. The ability to implement research findings into our patient care
    practices. **\[ \] \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]**

20. The timeliness with which patient related data are available **\[ \]
    \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]**

21. Communications at end of shift handoffs. **\[ \] \[ \] \[ \] \[ \]
    \[ \] \[ \] \[ \]**

22. Communications when patients are transferred to different units.
    **\[ \] \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]**

23. Communications when patients are transferred to other facilities.
    **\[ \] \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]**

24. Communications when patients are readmitted or receiving follow-up
    outpatient care. **\[ \] \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]**

25. The amount of time I spend directly with patients. **\[ \] \[ \] \[
    \] \[ \] \[ \] \[ \] \[ \]**

26. The effect on the hospital to recruit and retain high quality staff.
    **\[ \] \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]**

27. How much I enjoy my job. **\[ \] \[ \] \[ \] \[ \] \[ \] \[ \] \[
    \]**

28. Legibility and clarity of patient care orders **\[ \] \[ \] \[ \] \[
    \] \[ \] \[ \] \[ \]**

**II. Please indicate the extent to which you agree with the following
statements;**

> **Strongly Moderately Mildly Mildly Moderately Strongly** **Disagree
> Disagree Disagree Agree Agree Agree**

1.  I support the changes in the prior clinical information systems. \[
    \] \[ \] \[ \] \[ \] \[ \] \[ \]

2.  My coworkers support the changes in the prior clinical information
    systems. \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]

3.  My supervisor supports the changes in the prior clinical information
    systems. \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]

4.  It had no difficulty in adapting to information systems changes. \[
    \] \[ \] \[ \] \[ \] \[ \] \[ \]

5.  I agree with the decision to change the clinical information
    systems. \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]

6.  I know who the Super Users are on my work unit. \[ \] \[ \] \[ \] \[
    \] \[ \] \[ \]

> **Strongly Moderately Mildly Mildly Moderately Strongly** **Disagree
> Disagree Disagree Agree Agree Agree**

7.  Sufficient resources were provided for me to learn to use the new
    systems . \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]

8.  Sufficient technical IT support was available to operate the new
    system. \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]

9.  The new clinical information systems will improve our ability to
    give patient care:

    a.  The Right treatment \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]

    b.  To the Right patient \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]

    c.  At the Right time \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]

    d.  In the Right amount, dose or intensity \[ \] \[ \] \[ \] \[ \]
        \[ \] \[ \]

    e.  In the Right way \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]

    f.  By the right person \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]

    g.  With the right information \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]

    h.  In the right location \[ \] \[ \] \[ \] \[ \] \[ \] \[ \]

**3. Looking back on the transition to the new clinical information
systems, what do you think should have been done to make the transition
easier?**

**Other Comments:**

***Thank you for completing this survey.***