The following is the list of questions for the eConsent Evaluation Survey:
HOW (CONTEXT) – I was just asked to make a consent decision about whether my health information can be accessed by my health care providers through a:
Health Information Exchange Electronic Health Record HIPAA I am not sure
WHAT – My tests results may be accessed through HEALTHeLINK:
True False I am not sure
WHAT – Some sensitive health information like substance use information may be accessed through HEALTHeLINK:
True False I am not sure
WHO – If I give consent, health care providers involved in my care can access my health information through HEALTHeLINK:
True False I am not sure
WHO – If I do not make a consent decision, in an emergency situation, health care providers involved in my care will be able to access my health information through HEALTHeLINK:
True False I am not sure
HOW (SECURITY/PROTECTION) – There are penalties for persons and organizations who improperly access or use my health information through HEALTHeLINK:
True False I am not sure
The information I just viewed was easy to understand:
Completely Disagree Partially Disagree Neutral Partially Agree Completely Agree
The information I received today helped me make my decision about the consent options:
Completely Disagree Partially Disagree Neutral Partially Agree Completely Agree
The tablet device was easy to use:
Completely Disagree Partially Disagree Neutral Partially Agree Completely Agree
The time it took me to view the information and make my consent decision was:
Completely Too Long A Little Too Long Just Right A Little Too Short Completely Too Short
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | HHS |
| File Modified | 0000-00-00 |
| File Created | 2021-02-01 |