Attachment E - Disregard (added as an instrument)

A

Form Approved
OMB No. 0935-XXXX
Exp. Date XX/XX/20XX

HRQ GRANTEES RECEIVING RESEARCH GRANTS IN THE AREA OF HEALTHCARE COSTS, PRODUCTIVITY, ORGANIZATION AND MARKET FORCES

We seek your cooperation in providing information on the key findings, publications, and perceived impacts of your research undertaken with AHRQ’s support. We also seek your feedback on AHRQ’s processes and support for this kind of research. Your feedback on AHRQ’s performance will be kept confidential and your participation is voluntary; results will only be reported in aggregate form. To support the study’s objectives, information you provide on publications and outcomes of grants may be reported publicly.

Returning Your Completed Survey:

Return via mail:

AHRQ HSR Principal Investigator Survey

Attn: Tara Krissik

600 Maryland Avenue, SW, Suite 550

Washington, DC 20024

Return via fax:

(202) 863-1763

Subject: AHRQ HSR Principal Investigator Survey

Attn: Tara Krissik

Scan and return via e-mail:

[email protected]

Subject: Completed AHRQ HSR Principal Investigator Survey

Any questions can be directed to Marsha Gold, Tim Lake, or Tara Krissik at 202-484-9220.

Public reporting burden for this collection of information is estimated to average 2 hours 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. Form Approved: OMB Number 0935-XXXX  Exp. Date xx/xx/20xx. 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.

THE QUESTIONS IN THIS STUDY REFER TO THE FOLLOWING GRANT OF RECORD

MPRID:

Grant #: «Grant_»

Principal Investigator/Institution: «Principal_Investigator»

Grant Title: «Grant_Title»

NATURE OF RESEARCH

1. Which one of the following best defines the main goal behind the research funded through this AHRQ grant? (check only one)

1  Methods development

2  Feasibility study/pilot test

3  Developing a database to support future research

4  Basic knowledge development in a relevant area

5  Addressing particular policy relevant questions

2. Does this grant represent a continuation of prior studies you have done on the same or similar topics or a new focus for your research?
(CHECK ONLY ONE)

1  A continuation of prior studies

2  A new focus for your research

3. Did any other funder co-fund the research?

0  No

1  Yes (PLEASE SPECIFY WHO AND HOW MUCH)

4. Have you received any follow-up funds to continue work on the topic supported by the AHRQ grant? (CHECK ALL THAT APPLY)

1  Yes, for further research

2  Yes, for dissemination (PLEASE DESCRIBE)

0  No

5. We know that modifications often are made as research progresses and issues or opportunities emerge. Which of the following would you say best describes the process through which your research under the grant evolved?

1  Pursued the research as originally specified

2  Made non-substantive changes to the research

3  Made some substantive changes to the research

4  Made many or major changes to the research

If you answered “some” or “many,” please (1) summarize the most significant change, (2) why it was made, and (3) what impact it had on the success of your project.

GRANT OUTCOMES

6. How much have you focused on each of the following means of documenting and disseminating the results of this AHRQ-supported research? Please check whether each is a major focus, minor focus, or not used in your efforts under this project.

	Major Focus	Minor Focus	Not Used
a. Journal article(s)	1 	2 	0 
b. Book	1 	2 	0 
c. Chapter	1 	2 	0 
d. Research report/working paper	1 	2 	0 
e. User focused research brief/issue paper	1 	2 	0 
f. Paper or poster at research conference	1 	2 	0 
g. Presentation at policy/user focused meeting	1 	2 	0 
h. Policymaker briefings	1 	2 	0 
i. Managerial briefings	1 	2 	0 
j. Interest group briefings	1 	2 	0 
k. Federal or state testimony	1 	2 	0 
l. Expert witness	1 	2 	0 
m. Mass media	1 	2 	0 
n. Other	1 	2 	0 

7. Please summarize the main substantive findings from this AHRQ-supported research, noting the three most relevant findings as generally as possible in a sentence each. If it is too soon to tell because your study is still ongoing, please indicate this as well.

1  Too soon to tell

a.

b.

c.

8. If others were interested in learning more about the findings generated from your AHRQ-supported research, list up to FOUR citations where they can find public information on these findings. For each, also indicate whether it is (1) a journal article; (2) a book or book chapter; (3) a report or working paper; (4) an issue, research or policy brief, (5) testimony; or (6) another type of information. If it is too soon to tell because your study is still ongoing, please note this as well.

a.

Type

b.

Type

c.

Type

d.

Type

9. How would you describe the impact your project has had to date? Would you say it has had a large impact, some impact, little impact, or no impact? If it is too soon to tell because your study is still ongoing, please note this as well.

1  Too soon to tell

	Large Impact	Some Impact	Little Impact	No Impact	Not Relevant to Grant Goals
a. Contributed in a significant way to general knowledge or current wisdom	1 	2 	3 	4 	5 
b. Developed new models of care delivery or policy design	1 	2 	3 	4 	5 
c. Developed new methods for conducting research	1 	2 	3 	4 	5 
d. Informed the work of other researchers	1 	2 	3 	4 	5 
e. Contributed in a substantial way to the policy debate on a particular issue	1 	2 	3 	4 	5 
f. Contributed in a substantial way to changing organizations to make them more effective.	1 	2 	3 	4 	5 
g. Helped to target better how future research should be focused	1 	2 	3 	4 	5 

If you answered “large impact” to any of the above, please provide a brief explanation or evidence for this view

GRANT PROCESS

10. How well did AHRQ provide technical support on your grant on each of the following dimensions? If you do not view a dimension as being AHRQ’s job, please so indicate and provide no rating on that dimension.

	Excellent	Very Good	Good	Fair	Poor	Not AHRQ’s Job
a. Pre-award guidance	1 	2 	3 	4 	5 	0 
b. Grant award	1 	2 	3 	4 	5 	0 
c. Grant management	1 	2 	3 	4 	5 	0 
d. Research methods	1 	2 	3 	4 	5 	0 
e. Dissemination and communication of findings	1 	2 	3 	4 	5 	0 
f. Linkages with others interested in the topic of your research	1 	2 	3 	4 	5 	0 

11. What are AHRQ’s most substantial strengths in managing research on healthcare costs, productivity and market forces?

12. How could AHRQ improve its research management process for this kind of research?

13. For the next questions, we would like your perspective on funders of health services research on healthcare costs, productivity, organization and market forces.  For each potential source of research funding listed below, please indicate whether you view the organization as being a major source of funding, as providing moderate funding, providing little funding, or providing no funding.

	Major Source of Funding	Moderate Funding	Little Funding	No Funding	No Opinion
a. Agency for Healthcare Research and Quality (AHRQ)	1 	2 	3 	4 	5 
b. Robert Wood Johnson Foundation’s Healthcare Financing and Organization (HCFO) program	1 	2 	3 	4 	5 
c. Robert Wood Johnson Foundation, other programs	1 	2 	3 	4 	5 
d. National Institutes of Health (NIH)	1 	2 	3 	4 	5 
e. Centers for Medicare and Medicaid Services (CMS)	1 	2 	3 	4 	5 
f. Other Federal or State Government (Please Specify)____________________	1 	2 	3 	4 	5 
g. Other Private Foundations (Please Specify):	1 	2 	3 	4 	5 

13b. For each potential source of research funding listed below, please indicate whether you have received funding from that source.

	Received Support
a. Agency for Healthcare Research and Quality (AHRQ)	Yes  No
b. Robert Wood Johnson Foundation’s Healthcare Financing and Organization (HCFO) program	Yes  No
c. Robert Wood Johnson Foundation, other programs	Yes  No
d. National Institutes of Health (NIH)	Yes  No
e. Centers for Medicare and Medicaid Services (CMS)	Yes  No
f. Other Federal or State Government (Please Specify):___	Yes  No
g. Other Private Foundation (Please Specify):__________	Yes  No

14. For each potential source of research funding listed below, please indicate the quality of their technical support and interaction with grantees, regardless of whether you have received funding from that source.

	Excellent	Very Good	Good	Fair	Poor	Don't Know
a. Agency for Healthcare Research and Quality (AHRQ)	2 	3 	4 	5 	6 	0 
b. Robert Wood Johnson Foundation’s Healthcare Financing and Organization (HCFO) program	2 	3 	4 	5 	6 	0 
c. Robert Wood Johnson Foundation, other programs	2 	3 	4 	5 	6 	0 
d. National Institutes of Health (NIH)	2 	3 	4 	5 	6 	0 
e. Centers for Medicare and Medicaid Services (CMS)	2 	3 	4 	5 	6 	0 
f. Other Federal or State Government (Please Specify):___	2 	3 	4 	5 	6 	0 
g. Other Private Foundation (Please Specify):__________	2 	3 	4 	5 	6 	0 

ABOUT YOU

15. Please indicate which of the following degrees you have earned and the area of study for these degrees.

Degree Area of Study or Specialty:

1  PhD or equivalent (ScD, DrPH, DBA)

2  Master’s of Public Health (MPH) or equivalent

3  Masters of Public Policy (MPP) or equivalent

4  Masters of Business Administration (MBA)

5  Master’s Degree, Other (Please Specify)

6  Bachelor’s Degree (B.A.)

7  Medical Doctor (MD)

8  Other Clinical Degree (Please Specify)

16. Which of the following best describes the type of place or institution for which you work?

1  Academic Institution

2  Independent research institution or “Think Tank”

3  Government

4  Health Care Delivery

5  Pharmaceutical Industry

6  Other Industry/Business Setting

7  Professional Trade, Consumer Organization

8  Other (Please Specify):

17. When this grant was funded, to what extent did each of the following sources provide your salary or other income?

	Major Extent	Limited Extent	None at All
a. Academic salary, tied to teaching	1 	2 	0 
b. Academic salary, core research funds	1 	2 	0 
c. Other grants	1 	2 	0 
d. Contracted research	1 	2 	0 
e. Support for administrative functions	1 	2 	0 
f. Funded time for professional development	1 	2 	0 
g. External consultant	1 	2 	0 
h. Expert witness	1 	2 	0 
i. Other (Please Specify):	1 	2 	0 

18. How much assistance did you receive through your organization or an affiliated organization for disseminating the results of research from this grant and related activity? If you did not use this resource for disseminating your results, please indicate this as well.

	Substantial Assistance	Moderate Assistance	Limited Assistance	No Assistance	Did not use this resource
a. Press Office for interaction with media	1 	2 	3 	4 	5 
b. Newsletters reporting on key findings from research	1 	2 	3 	4 	5 
c. Established working paper series	1 	2 	3 	4 	5 
d. Established series of research/issue briefs	1 	2 	3 	4 	5 
e. Available funds to develop user oriented materials	1 	2 	3 	4 	5 
f. Information or training on how to understand and interact with potential users of research	1 	2 	3 	4 	5 

19. How much of your professional time and resources would you most prefer to spend on each of the following activities?

	Substantial Amount	Moderate Amount	Limited Amount	Not at All	No Opinion
a. Conducting original research on questions you pose	1 	2 	3 	4 	5 
b. Collaborating with other researchers in the field studying similar topics	1 	2 	3 	4 	5 
c. Conducting original research on questions defined by potential users of the research	1 	2 	3 	4 	5 
d. Synthesizing what existing research says on a topic	1 	2 	3 	4 	5 
e. Applying existing research to answer particular policy questions	1 	2 	3 	4 	5 
f. Influencing the information available to policymakers to support their decision-making	1 	2 	3 	4 	5 
g. Influencing the policy agenda to encourage certain values to be considered or issues to be addressed	1 	2 	3 	4 	5 

20. About what percentage of your time would you say you spend now interacting with policymakers or other users of your research?

________ percent (whole numbers)

21. About what percentage of your time you would like to spend this way?

________ percent (whole numbers)

22. About what percentage of your salary and other professional income NOW is devoted to health services research? (CHECK ONLY ONE)

1  90-100 percent

2  75-89

3  50-74

4  25-49

5  10-24

6  Under 10 percent

23. Is this amount of your salary currently devoted to health services research higher, lower, or about the same as when your grant was underway?

1  Much higher

2  Higher

3  About the same

4  Lower

5  Much lower

6  Can’t recall

24. To ensure that the information about your grant is correct, please confirm your grant information below.

Grant #: «Grant_»

Principal Investigator/Institution: «Principal_Investigator» / «Affiliation»

Grant Title: «Grant_Title»

Project Start Date: «Date_Began»

Project Completion Date: «Date_Grant_Ended»

Total AHRQ Grant: «Funding_Amount»

Is the information provided above correct? 1  Yes 0  No

25. If the above information is not correct, please enter correct information in the spaces provided.

Grant #:

Principal Investigator/Institution:

Grant Title:

Project Start Date:

Project Completion Date:

Total AHRQ Grant:

Thank you for your time. Your responses to this survey are very important and will help us to determine how best to strengthen efforts to support research on healthcare costs, productivity, organization and markets in the future. If you have additional comments on this topic you would like to add, please do so below.