Form #2 Adoption and Use of AHRQ QI Questionnaire

A

Form Approved
OMB No. 0935-0179
Exp. Date 7/31/2014

doption and Use of AHRQ QI Questionnaire

The Agency for Healthcare Research and Quality (AHRQ) is interested in learning more about how and why organizations use the AHRQ Quality Indicators (QI) and other healthcare quality measures. In learning this, we hope to improve the QI to make them more useful to a larger number of organizations as well as to improve the QI tools (software and documentation) that we currently offer.

No information about you or your organization will be collected in this survey. Responses will be kept confidential to the extent permitted by law, including AHRQ’s confidentiality statute, 42 USC 299c-3(c) and no public reports will result from this survey. This information will be accessed only by the AHRQ QI Team for development efforts.

This survey should take no more than 5 minutes to complete. For questions, comments, or difficulties with this survey, please contact the AHRQ QI Support Team at [email protected].

[NOTE: This survey is intended for AHRQ QI users and non-users.]

1. Do you (or your organization) currently use the AHRQ QI?

a. Yes

b. No

2. Do you (or your organization) currently use other healthcare quality measures instead of or in addition to the AHRQ QI?

a. Yes

b. No

3. For the other quality improvement measures that you (or your organization) currently use, what are their beneficial characteristics (be as specific as possible)?

List: _____

4. In general, how would you characterize your (or your organization’s) use of the AHRQ QI and/or other healthcare quality measures? (select all that apply)

a. Quality improvement

b. Public reporting

c. Pay-for-performance / Value based purchasing

d. Research

e. Professional certification or recognition program

f. Regulatory and accreditation programs

g. Other, Specify: _____

5. Why do you (or your organization) choose not to use the AHRQ QI? (select all that apply)

a. Lack of internal resources to learn the software

b. Lack of data

c. Lack of knowledge about the measures

d. Reliability or validity concerns about the AHRQ QI measures

e. Other, Specify: _____

f. Not applicable, I use the AHRQ QI.

Public reporting burden for this collection of information is estimated to average 5 minutes 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. 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.

6. Why did you (or your organization) choose to use the AHRQ QI (be as specific as possible)? Please answer this question if you have ever used the AHRQ QI, even if you do not currently use them.

a. They cover diseases/conditions of interest to me

b. Their development is methodologically rigorous

c. They are easily accessible

d. Free software/tools are available to calculate

e. Other, Specify: _____

f. I have never used the AHRQ QI

7. What improvements could we make to the AHRQ QI (e.g. the measures themselves, the software, supporting documentation, etc.) that would make them more useful to you (or your organization) (be as specific as possible)?

List: _____

No improvement is needed [checkbox]

8. How satisfied have you been with AHRQ QI user support?

a. Very Satisfied

b. Satisfied

c. Neutral

d. Dissatisfied

e. Very Dissatisfied

f. I have never used AHRQ QI user support

9. How could we improve user support for the AHRQ QI (be as specific as possible)?

List: _____

No improvement is needed [checkbox]

I have never used AHRQ QI user support [checkbox]