Online Survey Software | Qualtrics Survey Solutions

This survey is intended to determine areas where we can help and should take less than 15 minutes to complete. This is the first step in a program designed to help streamline your Epic usage. Please respond to each item candidly and provide comments to help us understand your responses. Individual responses to this survey will only be used for the purpose of creating your personal EHR training plan. Thank you for your time and input.

Complete below: The preferred contact information provided will be used to schedule your SmartChart program sessions.

Name

UVA Epic Login

Division

Preferred Email

Best Contact Phone Number

What is your overall level of competence with Epic?

Working with the Epic system has _____________ my stress level.

Significantly Improved

Mildly Improved

Not Changed

Mildly Worsened

Significantly Worsened

Three topics I would like to learn more about Epic are:

1.

2.

3.

The amount of time I spend in Epic outside routine work hours is:

Rate your level of ease in completing each of the following Epic tasks:

Rate your level of ease in completing each of the following Epic tasks:
	Very Easy	Easy	Neutral	Difficult	Very Difficult	N/A
Clinical Review	Very Easy	Easy	Neutral	Difficult	Very Difficult	N/A
Notes/Letters	Very Easy	Easy	Neutral	Difficult	Very Difficult	N/A
Orders	Very Easy	Easy	Neutral	Difficult	Very Difficult	N/A
InBasket	Very Easy	Easy	Neutral	Difficult	Very Difficult	N/A
Other visit documentation (LOS and other office visit charting)	Very Easy	Easy	Neutral	Difficult	Very Difficult	N/A

Comments on ease of use of Epic functions (optional):

On a scale of 1-10, how important is it to you that all of your encounters are closed on the day of service?

1
10

.

Since I began using Epic, the quality of time I spend with my patients during face-to-face visits has:

My clinical support staff completes office visit documentation(updating meds, history, script needs) to the extent that their licensure allows.

Why or why not?

I _______________ have someone (ex. scribe, Advanced Practive Provider, resident, etc.) who contributes to chart completion for my patients.

Any additional comments?