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Step 6: Continue Quality Improvement

Health IT Patient Satisfaction Survey


This survey tool is intended to aid providers and health IT implementers assess the impact of health information technology (HIT) adoption to inform quality improvement initiatives. The results will provide an understanding of how patients are responding to EHR use in the office.

To administer the survey and evaluate the results, you may choose to distribute these on cardstock and provide a locked box in the reception area for patients to drop off the survey or put your return address on the reverse side for mailing back.

Alternatively, send the survey to patients after a visit with the request for them to be returned in a postage paid envelope you supply. Depending on the size of the office or the sensitivity of your patients, you may want to use a separate company to conduct the survey for you.

download file [DOCX 1.02 MB]

Authors and Contributors

Health Information Technology Research Center (HITRC)
Iowa Foundation for Medical Care

Use Disclaimer

The material in these guides and tools was developed from the experiences of Regional Extension Center staff in the performance of technical support and EHR implementation assistance to primary care providers. The information contained in this guide is not intended to serve as legal advice nor should it substitute for legal counsel. The guide is not exhaustive, and readers are encouraged to seek additional detailed technical guidance to supplement the information contained herein.

Reference in this web site to any specific resources, tools, products, process, service, manufacturer, or company does not constitute its endorsement or recommendation by the U.S. Government or the U.S. Department of Health and Human Services.

* Persons using assistive technology may not be able to fully access information in this file. For assistance, contact ONC at onc.request@hhs.gov.

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