CEOs of at least ten hospitals received the survey last week, says McNutt, CIO at Methodist Health System in Dallas.
Among the other specific questions asked in the survey:
- How diagnoses and procedures are coded (manually, automatically with coding software, or other)
- Whether the hospital has plans to adopt computer-assisted coding
- User authorization methods (unique user ID, password, tokens, biometrics, public key)
- Access management (session time-out, minimum password configuration rules, regular changing of passwords, user agreements or contracts to prevent sharing of passwords, or other)
- Whether outside entities such as payers can access the EHR, and if so, how such access is tracked
- Barriers to allowing outside entities access (lack of software or hardware support, insufficient staffing, funding restrictions, performance concerns, privacy concerns, etc.)
- Numerous questions about audit log practices and availability
- How physician progress notes are entered into the EHR (free text, via structured templates)
- Whether narrative nursing notes are directly entered into the EHR or handwritten and scanned into the EHR, and if so, why
- Whether the Print-Screen function is disabled for the HER
- Whether patients have access to the EHR, and if so, how
- Procedures for identifying patients upon hospital check-in
- EHR copy and paste policies at the hospital
Scott Mace is senior technology editor at HealthLeaders Media.