Target Population:
Group A - Consumers who have had a hospital stay within the past 6 months
Group B - Consumers who anticipate a hospital stay within the next 6 months
Recruitment Criteria:
Ages 40-70
All participants should regularly use the Internet (at least four times per week)
Exclude individuals who currently work or previously worked in the health care industry or who have an immediate family member who is currently working in the health care industry.
Exclude individuals who are current or former employees of the Social Security Administration or the Department of Health and Human Services or one of its related agencies (such as the Centers for Medicare & Medicaid Services, the Health Care Financing Administration, the Agency for Healthcare Research and Quality, the Centers for Disease Control, the Food and Drug Administration)
Exclude individuals who have participated in a health or health insurance related IDI or focus group within the past year and/or who have participated in an IDI or focus group within the past 6 months.
Recruitment Mix:
Recruit approximately 50% female and 50% male
Recruit a mix of race/ethnicity (Caucasian vs. Non-Caucasian)
Recruit a mix of education level (less than high school, high school graduate/GED, some college, college graduate, post graduate). No more than 8 recruits of the 12 should have education higher than a high-school diploma. (i.e. Some College/Associates, Bachelors, or higher.)
IntroDUCTION
Hello, my name is _____________ from ______________, a local research firm here in the ____________ area. We are working with L&M Policy Research on a project about health care.
If needed: If recruit asks about L&M Policy Research, please say the following: “L&M Policy Research is a company with headquarters in Washington, D.C that conducts research on many different healthcare issues.”
I’m calling today about a project that we are doing about the quality of certain hospital services for the Centers for Medicare & Medicaid Services, the federal government agency that runs Medicare. For this study we’d like your help figuring out the clearest way to tell people about this hospital information. If you are interested in helping with the project and you meet its requirements, we will invite you to come for an interview on [TBD]. It would take about 90 minutes of your time, and we would pay you [$XX] at the end of the interview. May I ask you a few questions to see if you qualify to participate? If yes, continue to #1. If no, thank and end.
If needed: Since we need to include people who are a mix of different backgrounds and experiences, there are some requirements that I have to check on for all of the people that we bring in to participate. I need to ask you a few questions to see if you meet the requirements for participating in the discussion.
Are you currently working or have you ever worked in the health care industry? (e.g., working for a hospital, nursing home, pharmacy, home health agency, medical office, clinic, diagnostic imaging center, health plan, HMO, health insurance company, or pharmaceutical company)
____ YES → Thank and end call
____ NO → Continue
Is an immediate family member currently working in the health care industry? (e.g., working for a hospital, nursing home, pharmacy, home health agency, medical office, clinic, diagnostic imaging center, health plan, HMO, health insurance company, or pharmaceutical company)
____ YES → Thank and end call
____ NO → Continue
Are you currently or have you ever been employed by the Social Security Administration or the Department of Health and Human Services or one of its related agencies, such as the Centers for Medicare & Medicaid Services, the Health Care Financing Administration, the Agency for Healthcare Research and Quality, the Centers for Disease Control, or the Food and Drug Administration?
____ YES → Thank and end call
____ NO → Continue
Have you been paid to participate in an interview, focus group, or other group or individual discussion in the past 6 months?
____ YES → Thank and end call
____ NO → Continue
Have you been paid to participate in a health or health insurance related interview, focus group, or other individual or group discussion in the past year?
____ YES → Thank and end call
____ NO → Continue
____ 39 or younger→ Thank and end call
____ 40 – 49 → Continue
____ 50 – 59 → Continue
____ 60 – 70 → Continue
____ 71 or older → Thank and end call
Have you visited Web sites on the Internet?
____ YES → Continue
____ NO → Thank and end call
How often do you use the Internet for things other than for checking e-mail (e.g., for things such as checking news, online shopping, or searching for information)?
____ At least once per day → Continue
____ At least four times per week → Continue
____ About twice per week → Continue
____ About once per week → Thank and end call
____ Twice per month or less frequently → Thank and end call
If you were looking to make a major purchase (i.e. shopping for a car, a computer, or any other major purchase), which of the following sources would you use for researching and comparing items before purchasing? {Read EVERY item and check ALL that apply.}
____ Friends and family → Continue
____ Trade magazines or literature (Car and Driver, Consumer Reports, etc.) → Continue
____ Internet (blue book, AAA) → Continue
____ Other → Continue
If you were looking for information to find a hospital for a planned health care service or procedure, which of the following sources would you use? {Read EVERY item and check ALL that apply.}
____ Friends and family → Continue
____ Magazines or other literature (US News & World Report, etc.) → Continue
____ Internet (hospital websites) → Continue
____ Other → Continue
Have you been admitted to a hospital in the last 6 months?
____ Yes → Continue (Recruit for Group A)
____ No → Continue/skip to12
Do you anticipate being admitted to a hospital in the next 6 months?
____ Yes → Continue (Recruit for Group B)
____ No → Thank and end call
I have a few more questions about your background. Again, this information will enable us to make sure we have a broad mix of people participating in the interviews. If you feel uncomfortable answering any of these questions, please let me know and we’ll go on to the next question.
Gender. {Confirm if needed.}
____ MALE → Continue {RECRUIT ~50%}
____ FEMALE → Continue {RECRUIT ~50%}
____ Less than high school degree → Continue
____ High school degree or GED→ Continue
____ Some college or two year degree →Continue
____ College graduate/4-year college degree → Continue
Are you of Hispanic or Latino origin or descent?
____ Yes, Hispanic or Latino → Continue
____ No, not Hispanic or Latino → Continue
Are you White?
____ Yes, White
____ No, Not White → Continue
Are you Black or African-American?
____ Yes, Black or African-American → Continue
____ No, not Black or African-American → Continue
Are you Asian?
____ Yes, Asian → Continue
____ No, not Asian → Continue
Are you Native Hawaiian or Other Pacific Islander?
____ Yes, Native Hawaiian or Other Pacific Islander → Continue
____ No, not Native Hawaiian or Other Pacific Islander → Continue
Are you American Indian or Alaska Native?
____ Yes, American Indian or Alaska Native → Continue
____ No, not American Indian or Alaska Native → Continue
CONTINUE TO INVITATION BELOW
INVITATION:
Thank you for answering all of my questions. We would like to invite you to participate in the study that will take place on _________________________ located in ____________________. The interview will last about 90 minutes. As a thank you for your participation, you will be paid $XX.
Are you willing to participate? Yes____(CONTINUE) No____(THANK/END)
[Schedule date and time]
Now, let me just verify the spelling of your name and your address, so we can send you a confirmation letter with directions. (RECORD RESPONDENT’S INFORMATION)
Name:_______________________________Telephone:________________________
Email:_______________________________________
Address:_______________________________________________________________
City, State:____________________________________________Zip:__________________
[IF EMAIL PROVIDED:] Would you rather receive a reminder by email or regular mail?
Regular mail
As I mentioned during our conversation, you will be asked to read and discuss some materials during the interview. So if you use reading glasses or assistive hearing devices, please remember to bring them with you.
If you have any questions or find that you can’t attend, please call us right away at ___________________ so that we can find a replacement. Thank you for your time and for agreeing to help.
Target Population:
Group A – Care for someone who has had a hospital stay within the past 6 months
Group B – Care for someone who anticipates a hospital stay within the past 6 months
Recruitment Criteria:
All participants should regularly use the Internet (at least four times per week)
Exclude individuals who currently work or previously worked in the health care industry or who have an immediate family member who is currently working in the health care industry.
Exclude individuals who are current or former employees of the Social Security Administration or the Department of Health and Human Services or one of its related agencies (such as the Centers for Medicare & Medicaid Services, the Health Care Financing Administration, the Agency for Healthcare Research and Quality, the Centers for Disease Control, the Food and Drug Administration).
Exclude individuals who have participated in a health or health insurance related IDI or focus group within the past year and/or who have participated in an IDI or focus group within the past 6 months.
Recruitment Mix:
Recruit approximately 50% female and 50% male
Recruit a mix of race/ethnicity (Caucasian vs. Non-Caucasian)
Recruit a mix of ages, between 18 and 70.
Recruit a mix of education level (less than high school, high school graduate/GED, some college, college graduate, post graduate). No more than 6 recruits of the 10 should have education higher than a high-school diploma. (i.e. Some College/Associates, Bachelors, or higher.)
IntroDUCTION
Hello, my name is _____________ from ______________, a local research firm here in the ____________ area. We are working with L&M Policy Research on a project about health care.
If needed: If recruit asks about L&M Policy Research, please say the following: “L&M Policy Research is a company with headquarters in Washington, D.C that conducts research on many different healthcare issues.”
I’m calling today about a project that we are doing about the quality of certain hospital services for the Centers for Medicare & Medicaid Services, the federal government agency that runs Medicare. For this study we’d like your help figuring out the clearest way to tell people about this hospital information. If you are interested in helping with the project and you meet its requirements, we will invite you to come for an interview on [XX]. It would take about 90 minutes of your time, and we would pay you XX at the end of the interview. May I ask you a few questions to see if you qualify to participate? If yes, continue to #1. If no, thank and end.
If needed: Since we need to include people who are a mix of different backgrounds and experiences, there are some requirements that I have to check on for all of the people that we bring in to participate. I need to ask you a few questions to see if you meet the requirements for participating in the discussion.
Are you a primary caregiver to a family member who is elderly or disabled?
____ YES → Continue
____ NO → Thank and end call
Are you currently working or have you ever worked in the health care industry? (e.g., working for a hospital, nursing home, pharmacy, home health agency, medical office, clinic, diagnostic imaging center, health plan, HMO, health insurance company, or pharmaceutical company)
____ YES → Thank and end call
____ NO → Continue
Is an immediate family member currently working in the health care industry? (e.g., working for a hospital, nursing home, pharmacy, home health agency, medical office, clinic, diagnostic imaging center, health plan, HMO, health insurance company, or pharmaceutical company)
____ YES → Thank and end call
____ NO → Continue
Are you currently or have you ever been employed by the Social Security Administration or the Department of Health and Human Services or one of its related agencies, such as the Centers for Medicare & Medicaid Services, the Health Care Financing Administration, the Agency for Healthcare Research and Quality, the Centers for Disease Control, or the Food and Drug Administration?
____ YES → Thank and end call
____ NO → Continue
Have you been paid to participate in an interview, focus group, or other group or individual discussion in the past 6 months?
____ YES → Thank and end call
____ NO → Continue
Have you been paid to participate in a health or health insurance related interview, focus group, or other group or individual discussion in the past year?
____ YES → Thank and end call
____ NO → Continue
____ 17 or under →Thank and end call
____ 18 to 49→ Continue
____ 50 to 70 → Continue
____ 71 or older → Thank and end call
Have you visited Web sites on the Internet?
____ YES → Continue
____ NO → Thank and end call
How often do you use the Internet for things other than for checking e-mail (e.g., for things such as checking news, online shopping, or searching for information)?
____ At least once per day → Continue
____ At least four times per week → Continue
____ About twice per week → Continue {RECRUIT NO MORE THAN 2}
____ About once per week → Thank and end call
____ Twice per month or less frequently → Thank and end call
If you were looking to make a major purchase (i.e. shopping for a car, a computer or any other major purchase), which of the following sources would you use for researching and comparing items before purchasing? {Read EVERY item and check ALL that apply. All of the participants must indicate that they would use the Internet to search for information.}
____ Friends and family → Continue
____ Trade magazines or literature (Car and Driver, Consumer Reports, etc.) → Continue
____ Internet (blue book, AAA) → {MUST indicate Internet as a choice to qualify}
____ Other → Continue
If you were looking for information to find a hospital for a planned health care service or procedure for the person you care for, which of the following sources would you use? {Read EVERY item and check ALL that apply.}
____ Friends and family → Continue
____ Magazines or other literature (US News & World Report, etc.) → Continue
____ Internet (hospital websites) → Continue
____ Other → Continue
I am going to read a list of some different ways people help take care of family members. Please tell me whether each applies to you. {Read EVERY item and check ALL that apply. Must have item in blue to qualify.}
____ Taking my family member to doctor’s appointments → Continue
____ Talking with my family member’s doctor about their medical conditions or treatment → Continue
____ Helping my family member select a doctor, clinic, or hospital → Continue, MUST HAVE THIS TO QUALIFY
____ Managing my family member’s health insurance paperwork (e.g, reviewing plan materials or medical bills for my family member) → Continue
____ Providing day-to-day care for my family member, such as providing meals or assistance with bathing or toileting → Continue
Has the person you care for ever been admitted to a hospital?
____ Yes → Continue {Recruit for Group A}
____ No → Continue to 14
Does the person you care for anticipate being admitted to a hospital over the next 6 months?
____ Yes → Continue {Recruit for Group B}
____ NO → Thank and end call
I have a few more questions about your background. Again, this information will enable us to make sure we have a broad mix of people participating in the interviews. If you feel uncomfortable answering any of these questions, please let me know and we’ll go on to the next question.
Gender. {Confirm if needed.}
____ MALE → Continue {RECRUIT ~50%}
____ FEMALE → Continue {RECRUIT ~50%}
____ Less than high school degree → Continue
____ High school degree or GED→ Continue
____ Some college or two year degree →Continue
____ College graduate/4-year college degree → Continue
Are you of Hispanic or Latino origin or descent?
____ Yes, Hispanic or Latino → Continue
____ No, not Hispanic or Latino → Continue
What is your race? Are you… Read options.
____ White → Continue
____ Black or African American → Continue
____ Asian → Continue
____ Native Hawaiian or other Pacific Islander → Continue
____ Native American or Alaskan Indian or Alaskan Native → Continue
____ Other (Write response:_______________ ) → Continue
CONTINUE TO INVITATION BELOW
INVITATION:
Thank you for answering all of my questions. We would like to invite you to participate in the study that will take place on _____________________________ located in ____________________. The interview will last about 90 minutes. As a thank you for your participation, you will be paid $XX.
Are you willing to participate? Yes____(CONTINUE) No____(THANK/END)
[Schedule date and time]
Now, let me just verify the spelling of your name and your address, so we can send you a confirmation letter with directions. (RECORD RESPONDENT’S INFORMATION)
Name:_______________________________Telephone:________________________
Email:_______________________________________
Address:_______________________________________________________________
City, State:____________________________________________Zip:__________________
[IF EMAIL PROVIDED:] Would you rather receive a reminder by email or regular mail?
Regular mail
As I mentioned during our conversation, you will be asked to read and discuss some materials during the interview. So if you use reading glasses or assistive hearing devices, please remember to bring them with you.
If you have any questions or find that you can’t attend, please call us right away at ___________________ so that we can find a replacement. Thank you for your time and for agreeing to help.
Target Population:
Group A - Primary Care Providers
Group B - Hospital Internists
Group C - Surgeons (to comprise at least 50% of the total number recruited)
Recruitment Criteria:
Exclude individuals who are current or former employees of the Social Security Administration or the Department of Health and Human Services or one of its related agencies (such as the Centers for Medicare & Medicaid Services, the Health Care Financing Administration, the Agency for Healthcare Research and Quality, the Centers for Disease Control, the Food and Drug Administration).
Exclude individuals who have participated in a health or health insurance related IDI or focus group within the past year and/or who have participated in an IDI or focus group within the past 6 months.
IntroDUCTION:
Hello, my name is _____________ from ______________, a local research firm here in the ____________ area. We are working with L&M Policy Research on a project about health care.
If needed: If recruit asks about L&M Policy Research, please say the following: “L&M Policy Research is company with headquarters in Washington, D.C that conducts research on many different health issues.”
I’m calling today about a project that we are doing for the Centers for Medicare & Medicaid Services, the federal agency that runs Medicare, about adding new patient safety measures as part of the government’s Hospital Compare website. I’m calling to find out if you would be available to review these new measures and share your expertise and opinions on how best to present the information. If you are interested in helping, we will invite you to come for an interview on __________________. It would take about 60 minutes of your time, and we would pay you $XX at the end of the interview. May I ask you a few questions to see if you qualify to participate? If yes, continue to #1. If no, thank and end.
____ YES → Continue to Question 3
____ NO → Continue to Question 2
____ Primary care, internal medicine, or family medicine → Continue to Question 3
____ Surgery→ Continue to Question 3
____ Other → Thank and end call
____ YES → Continue
Do you currently serve on a hospital QI (quality improvement) committee?
____ YES → Thank and end call
____ NO → Continue
Are you currently or have you ever been employed by the Social Security Administration or the Department of Health and Human Services or one of its related agencies, such as the Centers for Medicare & Medicaid Services, the Health Care Financing Administration, the Agency for Healthcare Research and Quality, the Centers for Disease Control, or the Food and Drug Administration?
____ YES → Thank and end call
____ NO → Continue
Have you participated in a health or health insurance related interview, focus group, or other group discussion in the past year?
____ YES → Thank and end call
____ NO → Continue
Have you participated in any other interview, focus group, or group discussion in the past 6 months?
____ YES → Thank and end call
____ NO → Continue
CONTINUE TO INVITATION:
Thank you for answering all of my questions. We would like to invite you to participate in the study that will take place on [XX]_ at _____________________________ located in ___________________. The interview will last about 60 minutes. As a thank you for your participation, you will be paid $___.
Are you willing to participate? Yes____(CONTINUE) No____(THANK/END)
[Schedule date and time]
Now, let me just verify the spelling of your name and your address, so we can send you a confirmation letter with directions. (RECORD RESPONDENT’S INFORMATION)
Name:_______________________________Telephone:________________________
Email:_______________________________________
Address:_______________________________________________________________
City, State:____________________________________________Zip:__________________
[IF EMAIL PROVIDED:] Would you rather receive a reminder by email or regular mail?
Regular mail
And if you use reading glasses, please remember to bring them with you.
If you have any questions or find that you can’t attend, please call us right away at ___________________ so that we can find a replacement. Thank you for your time and for agreeing to help.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | CMS |
| File Modified | 0000-00-00 |
| File Created | 2021-02-01 |