ATTACHMENT B -- Examples

ATTACHMENT B

Current and Past

AHRQ Questionnaire and Data Collection Testing Surveys

OMB No. 0935-0124 - Project Officer: Mamatha Pancholi /CDOM

"Validation Pilot for the AHRQ Patient Safety Indicators"

The AHRQ Patient Safety Indicators (AHRQ PSI) were made publicly available in March, 2003 as an evidence-based tool for identifying potentially preventable adverse events based on readily available hospital discharge data. Continued refinement of the AHRQ PSI requires validation of the cases “flagged” in the administrative data through the collection of data from the medical record. The purpose of the validation pilot is to test medical record abstraction instruments, sampling methods, and data collection applications, in addition to testing a mechanism for conducting the validation through a voluntary collaborative of participating hospitals. The intent is to determine the feasibility of incorporating a validation component into the ongoing development process of the AHRQ PSI.

OMB No. 0935-0124 - Project Officer: Charles Darby /CQUIPs

"Voluntary Questionnaire and Data Collection Testing to Pretest Proposed Prescription Drug Plan Module Questions"

The prescription drug module that is being tested in this field test will become a module to add to a shortened version of the current Medicare Advantage and Medicare fee-for-service CAHPS surveys. When the prescription drug plan module is implemented the sampling units will be arrayed to permit aggregation of the data and presentation of CAHPS measures at levels representing MA and MA-PD plans, as well as stand-alone PDPs, and the original MFFS health plan.

OMB No. 0935-0124 - Project Officer: Charles Darby/CQUIPs

"Voluntary Questionnaire and Data Collection Testing to Pretest Proposed NCQA Questions and Methodology"

Testing conducted under this request will be done for the following purposes: (1) Analysis of revised item wording ----Assess candidate new wordings for selected items, (2) Mode Analysis-Evaluate the equivalence of items administered by mail and by telephone, (3) Case mix adjustment analysis-Evaluate variables that need to be considered to case mix adjust scores, (4) Psychometric Analysis-provide information for the revision and shortening of questionnaires based on the assessment of the reliability and validity of questionnaire items and composites.

OMB No. 0935-0124 - Project Officer: Patrik Johansson/CP3

"Voluntary Questionnaire and Data Collection Testing to Pretest Proposed American Indian CAHPS Questions and Methodology"

The information collected through preliminary research activities will be used to revise and test items, described in item 1 preparation for fielding of the American Indian CAHPs Survey by RAND Corporation and CNHS in calendar year 2005. The end result will be improvement in information collection instruments and the qualities of data collected, a reduction or minimize of respondent burden, increased agency efficiency, and improved responsiveness to the public.

OMB No. 0935-0124 – Project Officer: Doris Lefkowitz/CFACT

"Voluntary Questionnaire and Data Testing Pretest of New CAPI Software for the Household Component of the Medical Expenditure Panel Survey”

The testing conducted under this request will be done for the following purposes: a) Usability of the instrument by field interviewers. Because the new instrument is in large measure identical in content to the prior version, we anticipate the change should be transparent for the respondents. We do need to insure that the instrument is acceptable in the field for the interviewers however before launching the national effort next year. While the instrument has been reviewed extensively, AHRQ feels it is important to test this new version of the instrument. The field test will offer the opportunity to insure the proper functioning of the field management system with the new interview application, between round processing of interview data and the preparation of completed interview data for subsequent processing.

OMB No. 0935-0124 – Project Officer: Charles Darby/CQUIPS

"Voluntary Questionnaire and Data Collection Testing to Pilot Test Proposed Nursing Home Survey on Resident Safety”

The information collected in fall 2006 will be used to test draft survey items from the Nursing Home Survey on Resident Safety described in item #1. The end result will be improvement in the final survey instrument which will be made available to the public for use in nursing homes to assess resident safety culture. Researchers are also likely to use the final nursing home survey to assess the impact of resident safety culture improvement initiatives. This nursing home survey is an expansion of AHRQ's Hospital Survey on Patient Safety Culture (HSOPSC) which was released to the public in November 2004.The nursing home survey contains new and revised questions and composites that more accurately apply to the nursing home setting. Psychometric analysis will be conducted on the pilot data to assess missing data, item distributions, and the reliability and construct validity of the items included in the survey. The domain structure of the survey will be evaluated through factor analysis. During data analysis, problematic survey items will be eliminated resulting in a final version of the survey to be released for use in the public domain.