3) [If selected “My practice does not plan to purchase an EHR system” above] Which of the following best describes your practice’s reason for not using an EHR system? (select all that apply)* [ ] Cost [ ] Limited IT resources [ ] Lack of internal expertise [ ] Meaningful use is not perceived as valuable for specialty fields like ophthalmology [ ] Privacy concerns [ ] Lack of clinical/ practice staff buy in [ ] Timing [ ] Not enough Medicare patients to justify the expense [ ] Other, please specify: 4) [If selected “My practice does not plan to purchase an EHR system” in question #2] How does your practice plan to address penalty fees when they are assessed? ( ) Our practice will be closed by that time. ( ) Penalty fees will be minimal because of a small number of Medicare patients. ( ) Our practice may evaluate the need for an EHR system at that time. ( ) Other, please specify: *Once answered, participant skips to question #45 5) [If selected “My practice plans to purchase an EHR system in the next 1-5 years” in question #2] Why has your practice decided to wait to purchase an EHR system? (select all that apply)* [ ] Unsure where to start [ ] Limited IT resources [ ] Lack of clinical/practice staff buy in [ ] Lack of internal expertise [ ] Timing [ ] Lack of available product information [ ] EHR systems are tailored for primary care, not ophthalmology [ ] Cost 6) [If selected “My practice plans to purchase an EHR system in the next 1-5 years” in question #2] What types of preparations have you made to get ready for the EHR selection and implementation process? (select all that apply)* [ ] I have talked to my peers about systems and vendors. [ ] My practice has started to assign personnel roles for the selection and implementation process. [ ] My practice has started to map out and define workflow processes. [ ] My practice has started to develop a budget to outline expenses. APRIL 2013 | EHR SATISFACTION STUDY | MCKINLEY ADVISORS 45