( 
	Form
	Approved
OMB No. 0935-XXXX
Exp. Date XX/XX/20XX
OCHIN-Member Clinics
Clinician Questionnaire
Professional category:
 Physician  Nurse Practitioner  Social worker
 PA  Nurse
 Other Clinical Professional (please specify)_______________________________
Age:  Under 30 years old 30 to 39 years old
 40 to 49 years old  50 to 59 years old
 60 to 69 years old  Over 69 years old
Sex:  Female  Male
If you are a provider, what patient populations do you treat?
 (Not applicable)
 Patients of all ages
 Only adults (≥ 18 YO)
	
Only children/adolescents (< 18 YO)
         
Note: Two types of Effective Health Care (EHC) Program products have been integrated into the OCHIN electronic medical record:
● Clinician Guides = provide detailed description of research evidence on a given topic
● Consumer Guides = provide patient-level description of research evidence on a given topic
QUESTIONS ABOUT CLINICIAN GUIDES
Have you ever accessed any of the EHC Program Clinician Guides using the OCHIN electronic medical record?
 Yes
 No [SKIP TO ITEM #9]
 Not sure [SKIP TO ITEM #9]
 
	Public
	reporting burden for this collection of information is estimated to
	average 10
	minutes per response, the estimated time required to complete
	the survey. An agency may not conduct or sponsor, and a person
	is not required to respond to, a collection of information unless it
	displays a currently valid OMB control number.  Send
	comments regarding this burden estimate or any other aspect of
	this collection of information, including suggestions for reducing
	this burden, to: AHRQ Reports Clearance Officer Attention: PRA,
	Paperwork Reduction Project (0935-XXXX) AHRQ,
	540 Gaither Road, Room # 5036, Rockville, MD 20850. 
	
	
When you receive notification of an available Clinician Guide, how often do you access it?
 Always/almost always
 Most of the time
 Some of the time
 Seldom/never
 Not sure
Please indicate which Clinician Guides you have accessed, and how often:
			  | 
		Never  | 
		1-5 Times  | 
		6-10 Times  | 
		> 10 Times  | 
	
Antidepressant Medicines  | 
		  | 
		  | 
		  | 
		  | 
	
Treating High Cholesterol  | 
		  | 
		  | 
		  | 
		  | 
	
Comparing Two Kinds of Blood Pressure Pills: ACEIs and ARBs  | 
		  | 
		  | 
		  | 
		  | 
	
Treating Prostate Cancer  | 
		  | 
		  | 
		  | 
		  | 
	
Pills for Type 2 Diabetes  | 
		  | 
		  | 
		  | 
		  | 
	
Premixed Insulin for Type 2 Diabetes  | 
		  | 
		  | 
		  | 
		  | 
	
Gestational Diabetes  | 
		  | 
		  | 
		  | 
		  | 
	
Osteoarthritis of the Knee  | 
		  | 
		  | 
		  | 
		  | 
	
Choosing Pain Medicine for Osteoarthritis  | 
		  | 
		  | 
		  | 
		  | 
	
Osteoporosis Treatments that Help Prevent Broken Bones  | 
		  | 
		  | 
		  | 
		  | 
	
Rheumatoid Arthritis Medicines  | 
		  | 
		  | 
		  | 
		  | 
	
Antidepressant Medicines  | 
		  | 
		  | 
		  | 
		  | 
	
Please provide your overall ratings on the Clinician Guides that you have used:
			  | 
		Poor  | 
		Fair  | 
		Good  | 
		Very Good  | 
		Excellent  | 
	
Usefulness in understanding current evidence on the clinical topic  | 
		  | 
		  | 
		  | 
		  | 
		  | 
	
Usefulness in understanding and comparing efficacy of treatments  | 
		  | 
		  | 
		  | 
		  | 
		  | 
	
Usefulness in communicating health risks with patients  | 
		  | 
		  | 
		  | 
		  | 
		  | 
	
Satisfaction with the Clinician Guides  | 
		  | 
		  | 
		  | 
		  | 
		  | 
	
If you have never accessed any of the Clinician Guides, or have accessed them only infrequently, please indicate your reasons for not using them more often: [select all that apply]
 Was unaware of their availability
 Did not see a need to use them
 Did not find them to be useful
 Have not seen patients with relevant conditions
 Other: (please explain) ____________________________________________
QUESTIONS ABOUT CONSUMER GUIDES
Have you ever accessed or ordered any of the EHC Program Consumer Guides using the OCHIN electronic medical record?
 Yes
 No [SKIP TO ITEM #15]
 Not sure [SKIP TO ITEM #15]
For about how many of your patients do you typically receive notification of the availability of a relevant Consumer Guide?
 All/almost all patients
 About 75% of patients
 About half of patients
 About 25% of patients
 No patients
 Not sure
For about how many of the patients for whom you receive notice of an available Consumer Guide do you then provide or order the Consumer Guide?
 All/almost all patients
 About 75% of patients
 About half of patients
 About 25% of patients
 No patients
 Not sure
Please indicate which Consumer Guides you have accessed or ordered, and how often:
			  | 
		Never  | 
		1-5 Times  | 
		6-10 Times  | 
		> 10 Times  | 
	
Antidepressant Medicines  | 
		  | 
		  | 
		  | 
		  | 
	
Treating High Cholesterol  | 
		  | 
		  | 
		  | 
		  | 
	
Comparing Two Kinds of Blood Pressure Pills: ACEIs and ARBs  | 
		  | 
		  | 
		  | 
		  | 
	
Treating Prostate Cancer  | 
		  | 
		  | 
		  | 
		  | 
	
Pills for Type 2 Diabetes  | 
		  | 
		  | 
		  | 
		  | 
	
Premixed Insulin for Type 2 Diabetes  | 
		  | 
		  | 
		  | 
		  | 
	
Gestational Diabetes  | 
		  | 
		  | 
		  | 
		  | 
	
Osteoarthritis of the Knee  | 
		  | 
		  | 
		  | 
		  | 
	
Choosing Pain Medicine for Osteoarthritis  | 
		  | 
		  | 
		  | 
		  | 
	
Osteoporosis Treatments that Help Prevent Broken Bones  | 
		  | 
		  | 
		  | 
		  | 
	
Rheumatoid Arthritis Medicines  | 
		  | 
		  | 
		  | 
		  | 
	
Antidepressant Medicines  | 
		  | 
		  | 
		  | 
		  | 
	
Please provide ratings on the Consumer Guides that you have used:
			  | 
		Poor  | 
		Fair  | 
		Good  | 
		Very Good  | 
		Excellent  | 
	
Usefulness in understanding health care issues associated with the clinical topic  | 
		  | 
		  | 
		  | 
		  | 
		  | 
	
Usefulness in communicating health risks with patients  | 
		  | 
		  | 
		  | 
		  | 
		  | 
	
Overall satisfaction with the Consumers Guides you have used or prescribed to patients  | 
		  | 
		  | 
		  | 
		  | 
		  | 
	
If you have never accessed any of the Consumer Guides, or have accessed them only infrequently, please indicate your reasons for not using the Guides more often: [select all that apply]
 Was unaware of their availability
 Did not see a need to use them
 Did not find them to be useful
 Have not seen patients with relevant conditions
 Other: (please explain) ____________________________________________
How often do you use the Patient Letters function to order Consumer Guide mailings for your patients?
 Never
 Occasionally
 Often
 Very often
How useful is the Patient Letters function in the EMR?
 Not very useful
 Somewhat useful
 Very useful
If you could suggest changes in the Patient Instructions and/or Patient Letters functions, what changes would you suggest?
To what extent are the automated reminders for the Patient Instructions and Patient Letters functions in the EMR distracting to you?
 Not at all
 A little
 Moderately so
 Very much
How do the Patient Instructions and Patient Letters functions in the EMR affect your clinic work flow?
 Significantly improves
 Moderately improves
 No perceived effect
 Moderately impairs
 Significantly impairs
How does the availability and provision of Consumer Guides to patients affect your clinic work flow?
 Significantly improves
 Moderately improves
 No perceived effect
 Moderately impairs
 Significantly impairs
Please indicate your overall satisfaction with the availability of and access to Clinician and Consumer Guides within the OCHIN electronic medical record:
				  | 
			Poor  | 
			Fair  | 
			Good  | 
			Very Good  | 
			Excellent  | 
		
Overall satisfaction  | 
			  | 
			  | 
			  | 
			  | 
			  | 
		
Do you have any suggestions for improving the Clinician or Consumer Guides or improving how the Guides are made available to you and patients?
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| File Title | (Attachment A) | 
| Author | jasonk | 
| File Modified | 0000-00-00 | 
| File Created | 2021-01-31 |