Federally Qualified Health Center (FQHC) Health Information Technology Questionnaire

ABOUT THIS SURVEY

The Maryland Health Care Commission (MHCC), in collaboration with the Mid-Atlantic Association of Community Health Centers (MACHC), requests FQHC administrative offices complete a brief health information technology (health IT) questionnaire (questionnaire) about electronic health records (EHRs), health information exchange (HIE), telehealth, and cybersecurity. Your response will inform State planning and health policy discussions. Information gathered will also be used to identify opportunities to convene peer-to-peer learning events that discuss best practices for using health IT and data to address social risks and improve health outcomes among underserved communities and vulnerable populations.

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DIRECTIONS

The MHCC kindly requests your response to this questionnaire by Wednesday, June 15, 2022. Completion may require different individuals to respond most appropriately on behalf of your FQHC. One questionnaire should be completed for your overall organization.

Thank you in advance for your response to this questionnaire. Please direct questions to Kelly Scott at kelly.scott@maryland.gov.

Question Title

DEMOGRAPHIC INFORMATION

FQHC organization name:

Total number of service delivery sites in Maryland:

ELECTRONIC HEALTH RECORDS/HEALTH INFORMATION EXCHANGE

Question Title

1. Select the EHR system(s) currently used by your FQHC:

Allscripts

Athenahealth

CPS

Dentrix

eClinicalWorks

Epic

NextGen

Other (specify)

Question Title

Specify number of years with vendor(s). For multiple vendors, please specify vendor name before number of years (e.g., Allscripts 7; Dentrix 5).

Question Title

2. Does your FQHC use a cloud-based EHR (i.e., applications that store data in a cloud server as opposed to an on-premises EHR that hosts in-house servers and computers implemented and maintained by your FQHC’s IT team)?

Yes

Our FQHC is in the process of transitioning to a cloud-based EHR

Question Title

3. Does your FQHC have plans to switch EHR vendors within the next 12 months?

Yes (specify new vendor and reason(s) for switching)

Question Title

4. Please rate your satisfaction with your primary EHR system across the following categories:

	Very Satisfied	Satisfied	Neutral	Unsatisfied	Very Unsatisfied	N/A
Ease of Use	Ease of Use Very Satisfied	Ease of Use Satisfied	Ease of Use Neutral	Ease of Use Unsatisfied	Ease of Use Very Unsatisfied	Ease of Use N/A
Service and Support	Service and Support Very Satisfied	Service and Support Satisfied	Service and Support Neutral	Service and Support Unsatisfied	Service and Support Very Unsatisfied	Service and Support N/A
Cost	Cost Very Satisfied	Cost Satisfied	Cost Neutral	Cost Unsatisfied	Cost Very Unsatisfied	Cost N/A
Interoperability	Interoperability Very Satisfied	Interoperability Satisfied	Interoperability Neutral	Interoperability Unsatisfied	Interoperability Very Unsatisfied	Interoperability N/A
Security	Security Very Satisfied	Security Satisfied	Security Neutral	Security Unsatisfied	Security Very Unsatisfied	Security N/A
Overall Satisfaction	Overall Satisfaction Very Satisfied	Overall Satisfaction Satisfied	Overall Satisfaction Neutral	Overall Satisfaction Unsatisfied	Overall Satisfaction Very Unsatisfied	Overall Satisfaction N/A

Question Title

5. What type of practice management system does your FQHC use?

A solution/functionality available through the FQHC’s EHR

A standalone solution with one-directional integration into the FQHC’s EHR (specify vendor)

A standalone solution with bi-directional integration into the FQHC’s EHR (specify vendor)

Question Title

Specify vendor (if applicable) and number of years using the practice management system

Question Title

6. Does your FQHC use a cloud-based practice management system?

Yes

Our FQHC is in the process of transitioning to a cloud-based system

Question Title

7. Please rate your satisfaction with your practice management system across the following categories:

	Very Satisfied	Satisfied	Neutral	Unsatisfied	Very Unsatisfied	N/A
Ease of Use	Ease of Use Very Satisfied	Ease of Use Satisfied	Ease of Use Neutral	Ease of Use Unsatisfied	Ease of Use Very Unsatisfied	Ease of Use N/A
Service and Support	Service and Support Very Satisfied	Service and Support Satisfied	Service and Support Neutral	Service and Support Unsatisfied	Service and Support Very Unsatisfied	Service and Support N/A
Cost	Cost Very Satisfied	Cost Satisfied	Cost Neutral	Cost Unsatisfied	Cost Very Unsatisfied	Cost N/A
Interoperability	Interoperability Very Satisfied	Interoperability Satisfied	Interoperability Neutral	Interoperability Unsatisfied	Interoperability Very Unsatisfied	Interoperability N/A
Security	Security Very Satisfied	Security Satisfied	Security Neutral	Security Unsatisfied	Security Very Unsatisfied	Security N/A
Overall Satisfaction	Overall Satisfaction Very Satisfied	Overall Satisfaction Satisfied	Overall Satisfaction Neutral	Overall Satisfaction Unsatisfied	Overall Satisfaction Very Unsatisfied	Overall Satisfaction N/A

TELEHEALTH

Question Title

8. Do all service delivery sites offer telehealth services?

Yes

No (specify number of sites that do not offer telehealth services)

Question Title

9. What telehealth solution(s) does your FQHC use and to what extent are the solution(s) integrated with the FQHC’s EHR (select all that apply):

A solution available directly through the FQHC’s EHR

A standalone solution with one-directional integration into the FQHC’s EHR

A standalone solution with bi-directional integration into the FQHC’s EHR

A standalone solution with no integration into the FQHC’s EHR

Question Title

Specify telehealth vendor name(s)

Question Title

10. How does FQHC staff help prepare patients and their caregivers for a telehealth visit (select all that apply)?

Call patients or their caregiver in advance of scheduled telehealth visits to ensure their readiness for telehealth, which includes identifying barriers that may impact their ability to meaningfully participate

Help patients or their caregiver obtain free or reduced cost internet or computer devices

Arrange interpreter services for telehealth visits

Provide training on remote patient monitoring equipment

Our FQHC does not prepare patients for telehealth visits

Other (specify)

Question Title

11. What are the leading challenges associated with telehealth (rank up to 3 with 1 being the greatest challenge)?

	1	2	3
Integration of telehealth with the EHR	Integration of telehealth with the EHR 1	Integration of telehealth with the EHR 2	Integration of telehealth with the EHR 3
Aligning workflows for virtual and in-person services	Aligning workflows for virtual and in-person services 1	Aligning workflows for virtual and in-person services 2	Aligning workflows for virtual and in-person services 3
Ensuring equal access to telehealth services for underserved populations	Ensuring equal access to telehealth services for underserved populations 1	Ensuring equal access to telehealth services for underserved populations 2	Ensuring equal access to telehealth services for underserved populations 3
Uncertainty of state and federal telehealth policies and regulations	Uncertainty of state and federal telehealth policies and regulations 1	Uncertainty of state and federal telehealth policies and regulations 2	Uncertainty of state and federal telehealth policies and regulations 3
Privacy and security	Privacy and security 1	Privacy and security 2	Privacy and security 3
Other challenges not listed (specify)	Other challenges not listed (specify) 1	Other challenges not listed (specify) 2	Other challenges not listed (specify) 3
No challenges	No challenges 1	No challenges 2	No challenges 3

Specify other challenges not listed

SOCIAL DETERMINANTS OF HEALTH

Question Title

12. What does your FQHC use to screen patients for social determinants of health (SDoH) (select all that apply)?

SDoH are the economic and social conditions that impact health, such as the environment in which people are born, grow, live, work, and age.

Screening tool(s) available directly through the FQHC’s EHR

Third-party software that is integrated with the FQHC’s EHR (specify vendor)

Third-party software that is not integrated with the FQHC’s EHR (specify vendor)

Paper assessment tool(s)

My FQHC does not screen for SDoH

Federally Qualified Health Center (FQHC) Health Information Technology Questionnaire

Question Title

DEMOGRAPHIC INFORMATION

Question Title

1. Select the EHR system(s) currently used by your FQHC:

Question Title

Specify number of years with vendor(s). For multiple vendors, please specify vendor name before number of years (e.g., Allscripts 7; Dentrix 5).

Question Title

2. Does your FQHC use a cloud-based EHR (i.e., applications that store data in a cloud server as opposed to an on-premises EHR that hosts in-house servers and computers implemented and maintained by your FQHC’s IT team)?

Question Title

3. Does your FQHC have plans to switch EHR vendors within the next 12 months?

Question Title

4. Please rate your satisfaction with your primary EHR system across the following categories:

Question Title

5. What type of practice management system does your FQHC use?

Question Title

Specify vendor (if applicable) and number of years using the practice management system

Question Title

6. Does your FQHC use a cloud-based practice management system?

Question Title

7. Please rate your satisfaction with your practice management system across the following categories:

Question Title

8. Do all service delivery sites offer telehealth services?

Question Title

9. What telehealth solution(s) does your FQHC use and to what extent are the solution(s) integrated with the FQHC’s EHR (select all that apply):

Question Title

Specify telehealth vendor name(s)

Question Title

10. How does FQHC staff help prepare patients and their caregivers for a telehealth visit (select all that apply)?

Question Title

11. What are the leading challenges associated with telehealth (rank up to 3 with 1 being the greatest challenge)?

Question Title

12. What does your FQHC use to screen patients for social determinants of health (SDoH) (select all that apply)? SDoH are the economic and social conditions that impact health, such as the environment in which people are born, grow, live, work, and age.

12. What does your FQHC use to screen patients for social determinants of health (SDoH) (select all that apply)?

SDoH are the economic and social conditions that impact health, such as the environment in which people are born, grow, live, work, and age.