563 AHRQ Quality Measures Q'naire 9-13-2012

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Overview

Welcome and Thank You Text
Current Model Qsts
Current CQs
Current CQs (9-13-12)
Current CQs (8-30-12)
CQs 6-8-12

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Sheet 1: Welcome and Thank You Text

Model Instance Name:
Quality Measures
MID:	MAZ98sJdJBcIs4w4pBZQxg==
Date:	Fill In Date
Welcome and Thank You Text
	Directions:
	This welcome text is shown at the top of the questionnaire window and the thank you text at the bottom. This is a good place to mention the site/company/agency name so the visitor knows whom they are taking the survey for. Feel free to modify the standard Welcome text shown in the box below.
					Examples
					Welcome Text Example
	Welcome Text
	Thank you for visiting AHRQ' s National Quality Measures Clearinghouse Web site. You have been randomly selected to take part in this survey that is being conducted by ForeSee on behalf of AHRQ 's National Quality Measures Clearinghouse. Please take a minute or two to give us your opinions. The feedback you provide will help AHRQ enhance this particular site and serve you better in the future. All results are strictly confidential. The following questions relate only to the AHRQ National Quality Measures Clearinghouse Web site.
					Thank You Text Example
	Thank You Text
	Thank you for your time in completing this survey. Your input is very valuable and will be taken into consideration.

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Sheet 2: Current Model Qsts

Model Instance Name: AHRQ Quality Measures
Quality Measures
MID:	MAZ98sJdJBcIs4w4pBZQxg==
Partitioned (Y/N)? Y
Date:	10/11/2011
AHRQ Quality Measures Model
Model questions utilize the ACSI methodology to determine scores and impacts
	ELEMENTS (drivers of satisfaction)		CUSTOMER SATISFACTION		FUTURE BEHAVIORS
	Content (1=Poor, 10=Excellent, Don't Know)		What is your overall satisfaction with this site? (1=Very Dissatisfied, 10=Very Satisfied)		Primary Resource (1=Very Unlikely, 10=Very Likely)
	Please rate your perception of the accuracy of information on this site.		How well does this site meet your expectations? (1=Falls Short, 10=Exceeds)		How likely are you to use this site as your primary resource for quality measures?
	Please rate the quality of information on this site.		How does this site compare to your idea of an ideal website? (1=Not Very Close, 10=Very Close)		Return (1=Very Unlikely, 10=Very Likely)
	Please rate the freshness of content on this site.				How likely are you to return to this site?
	Search (1=Poor, 10=Excellent, Don't Know)				Recommend (1=Very Unlikely, 10=Very Likely)
	Please rate the relevance of search results on this site.				How likely are you to recommend this site to someone else?
	Please rate the organization of search results on this site.
	Please rate how well the search results help you decide what to select.
	Please rate how well the search feature helps you to narrow the results to find what you want.
	Look and Feel (1=Poor, 10=Excellent, Don't Know)
	Please rate the visual appeal of this site.
	Please rate the balance of graphics and text on this site.
	Please rate the readability of the pages on this site.
	Navigation (1=Poor, 10=Excellent, Don't Know)
	Please rate how well the site is organized.
	Please rate the options available for navigating this site.
	Please rate how well the site layout helps you find what you are looking for.
	Please rate the number of clicks to get where you want on this site.
	Site Performance (1=Poor, 10=Excellent, Don't Know)
	Please rate how quickly pages load on this site.
	Please rate the consistency of speed from page to page on this site.
	Please rate the ability to load pages without getting error messages on this site.

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Sheet 3: Current CQs

Model Instance Name: AHRQ Quality Measures			red & strike-through: DELETE
Quality Measures			underlined & italicized: RE-ORDER
MID: MAZ98sJdJBcIs4w4pBZQxg==			pink: ADDITION
Date:	10/10/2011		blue + -->: REWORDING
			green -- ECRI Institute
Quality Measures CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
MMW0616		How frequently do you visit this site?	This is my first visit		Drop down, select one	Single	Y		Frequency
			Every few months or less often
			Once a month
			Once a week
			Several times a week
			Daily/more than once a day
			Don't know
MMW0617		Please indicate your primary reason for visiting the NQMC site today. (Select one.)	Nothing in particular (just browsing)		Radio button, one-up vertical	Single	Y	OPS Group	Primary Reason
			Find a specific quality measure(s)
			Review the newest quality measures to keep myself current
			Determine the quality measures available on a specific topic/issue/domain, etc.
			View tutorials on quality measurement
			Access the HHS Measure Inventory (a separate repository within NQMC)
			For academic or health services research
			Other, please specify	A
MMW0618	A	Specify your other reason for visiting the NQMC site today.			Text field, <100 char		N	OPS Group	OPS Primary Reason
MMW0619		Did you find the information you were looking for today?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Ability to Find
			Partially	A
			No	A
			I was not looking for anything in particular/ I was just browsing
MMW0620	A	What were you looking for that you were unable to find?			Text field, <100 char		N	Skip Logic Group	OE Did Not Find
ACQLiv0013363		Please describe your experience with navigation (clicking on links and buttons) on this site today.	I had no difficulty browsing on this site.		Radio button, one-up vertical	S	Y	Skip Logic Group	Navigation Experience
			Could not navigate back to previous information
			Would often feel lost, not know where I was
			Links did not take me where I expected
			Links/labels are difficult to understand
			Too many links or navigational choices
			Had technical difficulties (e.g. broken link)
			Other, please specify:	A
ACQLiv0013364	A	What other navigation experience did you have today?			Text area, no char limit		N	Skip Logic Group	Other Navigation Experience
ACQLiv0013365		If you used the search/text box feature of the site today to find your information, what was your experience with the search functionality?	I did not encounter any difficulties		Radio button, one-up vertical		N	Skip Logic Group	Search Experience
			Search results were not helpful
			Returned too many results
			Returned not enough results
			Returned no results
			Returned results that were too similar/redundant
			Results were not relevant to my search
			I did not use the search feature today
			Other search experience	A
ACQLiv0013366	A	What other search experience did you have today?			Text area, no char limit		N	Skip Logic Group	Other Search Experience
MMW0629		Which of the following best describes you?	Physician/Physician Assistant		Drop down, select one	Single	Y	Skip Logic Group	Role
			Nurse/Nurse Practitioner
			Other Health Care Provider
			Consumer/General Public
			Health Researcher/Analyst
			Educator/Student
			Health Administrator
			Health Care IT/CDS Implementer
			Health Insurer
			Librarian/Information Specialist
			Media/Press
			Measure Developer
			Public Sector Health Care Purchaser/Employer or Policymaker
			Private Sector Health Care Purchaser or Benefits Manager
			Federal/State/Local Policymaker
			Other, please specify	A
MMW0630	A	Specify other role.			Text field, <100 char		N	Skip Logic Group	OPS Role
MMW0631		Which of the following best represents your primary institutional affiliation?	Hospital		Drop down, select one	Single	Y	Skip Logic Group	Institute
			Ambulatory care facility
			Home care service
			Physician's office
			Rehabilitation facility
			Residential facility (assisted living facility, nursing home)
			Private health plan or health insurance organization
			Health care professional organization
			Government agency (federal, state or local)
			Quality oversight organization
			University or other academic institution
			Consumer or patient advocacy organization
			Other, please specify	A
MMW0632	A	Specify other primary institutional affiliation.			Text field, <100 char		N	Skip Logic Group	OPS Institute
ACQhar0015983		Have you created a free My NQMC account?	Yes		Radio button, one-up vertical	S	Y		Created My NQMC
			No
ACQhar0015172		If you have used any of the following features, please rate your experience (1=Poor, 10=Excellent): Topic Alerts	1=Poor		Radio button, scale, has don't know	s	N		Topic Alerts Rating
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
			I am not aware of this feature
ACQhar0015173		Expert Commentary Alerts	1=Poor		Radio button, scale, has don't know	s	N		Commentary Alerts Rating
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
			I am not aware of this feature
ACQhar0015188		Domain Alerts	1=Poor		Radio button, scale, has don't know	s	N		Topic Alerts Rating
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
			I am not aware of this feature
ACQhar0015189		Measure Summary Alerts	1=Poor		Radio button, scale, has don't know	s	N		Topic Alerts Rating
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
			I am not aware of this feature
ACQhar0015190		Organization Alerts	1=Poor		Radio button, scale, has don't know	s	N		Topic Alerts Rating
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
			I am not aware of this feature
ACQhar0015193		My Favorite Measure Summaries	1=Poor		Radio button, scale, has don't know	s	N		Topic Alerts Rating
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
			I am not aware of this feature
ACQhar0015175		My Favorite Organizations	1=Poor		Radio button, scale, has don't know	s	N		Topic Alerts Rating
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
			I am not aware of this feature
ACQhar0015177		My Recent Searches	1=Poor		Radio button, scale, has don't know	s	N		Topic Alerts Rating
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
			I am not aware of this feature
ACQhar0015180		My Recently Viewed Summaries	1=Poor		Radio button, scale, has don't know	s	N		Topic Alerts Rating
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
			I am not aware of this feature
ACQhar0015203		Please share with us any thoughts or feedback about the personalization features you have used.			Text area, no char limit		n		Feature Feedback
MMW0633		If you could make one change to the National Quality Measures Clearinghouse™ Web site, what would it be?			Text area, no char limit		N		OE One Change

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Sheet 4: Current CQs (9-13-12)

Model Instance Name: AHRQ Quality Measures			red & strike-through: DELETE
Quality Measures			underlined & italicized: RE-ORDER
MID: MAZ98sJdJBcIs4w4pBZQxg==			pink: ADDITION
Date:	10/10/2011		blue + -->: REWORDING
			green -- ECRI Institute
Quality Measures CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
MMW0616		How frequently do you visit this site?	This is my first visit		Drop down, select one	Single	Y		Frequency
			Every few months or less often
			Once a month
			Once a week
			Several times a week
			Daily/more than once a day
			Don't know
MMW0617		Please indicate your primary reason for visiting the NQMC site today. (Select one.)	Nothing in particular (just browsing)		Radio button, one-up vertical	Single	Y	OPS Group	Primary Reason
			Find a specific quality measure(s)
			Review the newest quality measures to keep myself current
			Determine the quality measures available on a specific topic/issue/domain, etc.
			View tutorials on quality measurement
			Access the HHS Measure Inventory (a separate repository within NQMC)
			For academic or health services research
			Other, please specify	A
MMW0618	A	Specify your other reason for visiting the NQMC site today.			Text field, <100 char		N	OPS Group	OPS Primary Reason
MMW0619		Did you find the information you were looking for today?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Ability to Find
			Partially	A
			No	A
			I was not looking for anything in particular/ I was just browsing
MMW0620	A	What were you looking for that you were unable to find?			Text field, <100 char		N	Skip Logic Group	OE Did Not Find
ACQLiv0013363		Please describe your experience with navigation (clicking on links and buttons) on this site today.	I had no difficulty browsing on this site.		Radio button, one-up vertical	S	Y	Skip Logic Group	Navigation Experience
			Could not navigate back to previous information
			Would often feel lost, not know where I was
			Links did not take me where I expected
			Links/labels are difficult to understand
			Too many links or navigational choices
			Had technical difficulties (e.g. broken link)
			Other, please specify:	A
ACQLiv0013364	A	What other navigation experience did you have today?			Text area, no char limit		N	Skip Logic Group	Other Navigation Experience
ACQLiv0013365		If you used the search/text box feature of the site today to find your information, what was your experience with the search functionality?	I did not encounter any difficulties		Radio button, one-up vertical		N	Skip Logic Group	Search Experience
			Search results were not helpful
			Returned too many results
			Returned not enough results
			Returned no results
			Returned results that were too similar/redundant
			Results were not relevant to my search
			I did not use the search feature today
			Other search experience	A
ACQLiv0013366	A	What other search experience did you have today?			Text area, no char limit		N	Skip Logic Group	Other Search Experience
MMW0629		Which of the following best describes you?	Physician/Physician Assistant		Drop down, select one	Single	Y	Skip Logic Group	Role
			Nurse/Nurse Practitioner
			Other Health Care Provider
			Consumer/General Public
			Health Researcher/Analyst
			Educator/Student
			Health Administrator
			Health Care IT/CDS Implementer
			Health Insurer
			Librarian/Information Specialist
			Media/Press
			Measure Developer
			Public Sector Health Care Purchaser/Employer or Policymaker
			Private Sector Health Care Purchaser or Benefits Manager
			Federal/State/Local Policymaker
			Other, please specify	A
MMW0630	A	Specify other role.			Text field, <100 char		N	Skip Logic Group	OPS Role
MMW0631		Which of the following best represents your primary institutional affiliation?	Hospital		Drop down, select one	Single	Y	Skip Logic Group	Institute
			Ambulatory care facility
			Home care service
			Physician's office
			Rehabilitation facility
			Residential facility (assisted living facility, nursing home)
			Private health plan or health insurance organization
			Health care professional organization
			Government agency (federal, state or local)
			Quality oversight organization
			University or other academic institution
			Consumer or patient advocacy organization
			Other, please specify	A
MMW0632	A	Specify other primary institutional affiliation.			Text field, <100 char		N	Skip Logic Group	OPS Institute
		Have you created a free My NQMC account?	Yes		Radio button, one-up vertical	S	Y		Created My NQMC
			No
ACQhar0015172		If you have used any of the following features, please rate your experience (1=Poor, 10=Excellent): Topic Alerts	1=Poor		Radio button, scale, has don't know	s	N		Topic Alerts Rating
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
			I am not aware of this feature
ACQhar0015173		Expert Commentary Alerts	1=Poor		Radio button, scale, has don't know	s	N		Commentary Alerts Rating
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
			I am not aware of this feature
ACQhar0015188		Domain Alerts	1=Poor		Radio button, scale, has don't know	s	N		Topic Alerts Rating
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
			I am not aware of this feature
ACQhar0015189		Measure Summary Alerts	1=Poor		Radio button, scale, has don't know	s	N		Topic Alerts Rating
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
			I am not aware of this feature
ACQhar0015190		Organization Alerts	1=Poor		Radio button, scale, has don't know	s	N		Topic Alerts Rating
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
			I am not aware of this feature
ACQhar0015193		My Favorite Measure Summaries	1=Poor		Radio button, scale, has don't know	s	N		Topic Alerts Rating
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
			I am not aware of this feature
ACQhar0015175		My Favorite Organizations	1=Poor		Radio button, scale, has don't know	s	N		Topic Alerts Rating
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
			I am not aware of this feature
ACQhar0015177		My Recent Searches	1=Poor		Radio button, scale, has don't know	s	N		Topic Alerts Rating
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
			I am not aware of this feature
ACQhar0015180		My Recently Viewed Summaries	1=Poor		Radio button, scale, has don't know	s	N		Topic Alerts Rating
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
			I am not aware of this feature
ACQhar0015203		Please share with us any thoughts or feedback about the personalization features you have used.			Text area, no char limit		n		Feature Feedback
MMW0633		If you could make one change to the National Quality Measures Clearinghouse™ Web site, what would it be?			Text area, no char limit		N		OE One Change

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Sheet 5: Current CQs (8-30-12)

Model Instance Name: AHRQ Quality Measures				red & strike-through: DELETE
Quality Measures				underlined & italicized: RE-ORDER
MID: MAZ98sJdJBcIs4w4pBZQxg==				pink: ADDITION
Date:	10/10/2011			blue + -->: REWORDING
				green -- ECRI Institute
Quality Measures CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	AnswerIDs (DOT)	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
MMW0616		How frequently do you visit this site?	MMW0616A01	This is my first visit		Drop down, select one	Single	Y		Frequency
			MMW0616A02	Every few months or less often
			MMW0616A03	Once a month
			MMW0616A04	Once a week
			MMW0616A05	Several times a week
			MMW0616A06	Daily/more than once a day
			MMW0616A07	Don't know
MMW0617		Please indicate your primary reason for visiting the NQMC site today. (Select one.)	MMW0617A01	Nothing in particular (just browsing)		Radio button, one-up vertical	Single	Y	OPS Group	Primary Reason
			MMW0617A02	Find a specific quality measure(s)
			MMW0617A03	Review the newest quality measures to keep myself current
			MMW0617A04	Determine the quality measures available on a specific topic/issue/domain, etc.
			MMW0617A05	View tutorials on quality measurement
			MMW0617A06	Access the HHS Measure Inventory (a separate repository within NQMC)
			MMW0617A07	For academic or health services research
			MMW0617A08	Other, please specify	A
MMW0618	A	Specify your other reason for visiting the NQMC site today.				Text field, <100 char		N	OPS Group	OPS Primary Reason
MMW0619		Did you find the information you were looking for today?	MMW0619A01	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Ability to Find
			MMW0619A02	Partially	A
			MMW0619A03	No	A
			MMW0619A04	I was not looking for anything in particular/ I was just browsing
MMW0620	A	What were you looking for that you were unable to find?				Text field, <100 char		N	Skip Logic Group	OE Did Not Find
ACQLiv0013363		Please describe your experience with navigation (clicking on links and buttons) on this site today.		I had no difficulty browsing on this site.		Radio button, one-up vertical	S	Y	Skip Logic Group	Navigation Experience
				Could not navigate back to previous information
				Would often feel lost, not know where I was
				Links did not take me where I expected
				Links/labels are difficult to understand
				Too many links or navigational choices
				Had technical difficulties (e.g. broken link)
				Other, please specify:	A
ACQLiv0013364	A	What other navigation experience did you have today?				Text area, no char limit		N	Skip Logic Group	Other Navigation Experience
ACQLiv0013365		If you used the search/text box feature of the site today to find your information, what was your experience with the search functionality?		I did not encounter any difficulties		Radio button, one-up vertical		N	Skip Logic Group	Search Experience
				Search results were not helpful
				Returned too many results
				Returned not enough results
				Returned no results
				Returned results that were too similar/redundant
				Results were not relevant to my search
				I did not use the search feature today
				Other search experience	A
ACQLiv0013366	A	What other search experience did you have today?				Text area, no char limit		N	Skip Logic Group	Other Search Experience
MMW0629		Which of the following best describes you?	MMW0629A01	Physician/Physician Assistant		Drop down, select one	Single	Y	Skip Logic Group	Role
			MMW0629A02	Nurse/Nurse Practitioner
			MMW0629A03	Other Health Care Provider
			MMW0629A04	Consumer/General Public
			MMW0629A05	Health Researcher/Analyst
			MMW0629A06	Educator/Student
			MMW0629A07	Health Administrator
				Health Care IT/CDS Implementer
				Health Insurer
				Librarian/Information Specialist
				Media/Press
				Measure Developer
				Public Sector Health Care Purchaser/Employer or Policymaker
				Private Sector Health Care Purchaser or Benefits Manager
				Federal/State/Local Policymaker
				Other, please specify	A
MMW0630	A	Specify other role.				Text field, <100 char		N	Skip Logic Group	OPS Role
MMW0631		Which of the following best represents your primary institutional affiliation?	MMW0631A01	Hospital		Drop down, select one	Single	Y	Skip Logic Group	Institute
			MMW0631A02	Ambulatory care facility
			MMW0631A03	Home care service
			MMW0631A04	Physician's office
			MMW0631A05	Rehabilitation facility
			MMW0631A06	Residential facility (assisted living facility, nursing home)
			MMW0631A07	Private health plan or health insurance organization
			MMW0631A08	Health care professional organization
			MMW0631A09	Government agency (federal, state or local)
			MMW0631A10	Quality oversight organization
			MMW0631A11	University or other academic institution
			MMW0631A12	Consumer or patient advocacy organization
			MMW0631A13	Other, please specify	A
MMW0632	A	Specify other primary institutional affiliation.				Text field, <100 char		N	Skip Logic Group	OPS Institute
		If you have used any of the following features, please rate your experience (1=Poor, 10=Excellent): Topic Alerts		1=Poor		Radio button, scale, has don't know	s	N		Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
		Expert Commentary Alerts		1=Poor		Radio button, scale, has don't know	s	N		Commentary Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
		Domain Alerts		1=Poor		Radio button, scale, has don't know	s	N		Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
		Guideline/Measure Summary Alerts		1=Poor		Radio button, scale, has don't know	s	N		Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
		Organization Alert		1=Poor		Radio button, scale, has don't know	s	N		Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
		My Favorite Measure/Guideline Summaries		1=Poor		Radio button, scale, has don't know	s	N		Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
		My Favorite Organizations		1=Poor		Radio button, scale, has don't know	s	N		Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
		My Recent Searches		1=Poor		Radio button, scale, has don't know	s	N		Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
		My Recently Viewed Summaries		1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature
		Please share with us any thoughts or feedback about the personalization features you have used.				Text area, no char limit		n		Feature Feedback
ACQLiv0013367		How would you describe your level of familiarity with quality measurement?		Very familiar		Drop down, select one	Single	Y		Familiarity
				Somewhat familiar
				Neutral
				Somewhat unfamiliar
				Very unfamiliar
ACQLiv0013369		Please indicate how you or your organization plans to use quality measures. (Select one)		Assess/compare the quality of clinical providers		Radio button, one-up vertical	Single	Y	OPS Group	Plan to Use
				Identify/prioritize issues in health care quality
				Determine financial payments to clinical providers
				Evaluate a program/intervention's effectiveness
				For academic research
				For personal research
				Other, please specify	A
				I do not plan to use quality measures at this time
ACQLiv0013370	A	Specify other plan for using quality measures.				Text field, <100 char		N	OPS Group	OPS Plan to Use
ACQLiv0013372		If you plan to measure performance, which of the following settings or types of providers are your most important focus? (Select all that apply.)		I am not planning to measure performance		Checkbox, one-up vertical	Multi	Y	OPS Group	Settings
				Primary care
				Specialty providers
				Hospitals
				Long-term or rehabilitation facilities
				Health insurance plans
				Public health or community-based programs
				Other, please specify	A
ACQLiv0013374	A	Specify other important focus.				Text field, <100 char		N	OPS Group	OPS Settings
MMW0633		If you could make one change to the National Quality Measures Clearinghouse™ Web site, what would it be?				Text area, no char limit		N		OE One Change

---

Sheet 6: CQs 6-8-12

Model Instance Name: AHRQ Quality Measures				red & strike-through: DELETE
Quality Measures				underlined & italicized: RE-ORDER
MID: MAZ98sJdJBcIs4w4pBZQxg==				pink: ADDITION
Date:	10/10/2011			blue + -->: REWORDING
				green -- ECRI Institute
Quality Measures CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	AnswerIDs (DOT)	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
MMW0616		How frequently do you visit this site?	MMW0616A01	This is my first visit		Drop down, select one	Single	Y		Frequency
			MMW0616A02	Every few months or less often
			MMW0616A03	Once a month
			MMW0616A04	Once a week
			MMW0616A05	Several times a week
			MMW0616A06	Daily/more than once a day
			MMW0616A07	Don't know
uiy		Please indicate your primary reason for visiting the NQMC site today. (Select one.)	MMW0617A01	Nothing in particular (just browsing)		Radio button, one-up vertical	Single	Y	OPS Group	Primary Reason
			MMW0617A02	Find a specific quality measure(s)
			MMW0617A03	Review the newest quality measures to keep myself current
			MMW0617A04	Determine the quality measures available on a specific topic/issue/domain, etc.
			MMW0617A05	View tutorials on quality measurement
			MMW0617A06	Access the HHS Measure Inventory (a separate repository within NQMC)
			MMW0617A07	For academic or health services research
			MMW0617A08	Other, please specify	A
MMW0618	A	Specify your other reason for visiting the NQMC site today.				Text field, <100 char		N	OPS Group	OPS Primary Reason
MMW0619		Did you find the information you were looking for today?	MMW0619A01	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Ability to Find
			MMW0619A02	Partially	A
			MMW0619A03	No	A
			MMW0619A04	I was not looking for anything in particular/ I was just browsing
MMW0620	A	What were you looking for that you were unable to find?				Text field, <100 char		N	Skip Logic Group	OE Did Not Find
		Please describe your experience with navigation (clicking on links and buttons) on this site today.		I had no difficulty browsing on this site.		Radio button, one-up vertical	S	Y	Skip Logic Group	Navigation Experience
				Could not navigate back to previous information
				Would often feel lost, not know where I was
				Links did not take me where I expected
				Links/labels are difficult to understand
				Too many links or navigational choices
				Had technical difficulties (e.g. broken link)
				Other, please specify:	A
	A	What other navigation experience did you have today?				Text area, no char limit		N	Skip Logic Group	Other Navigation Experience
		If you used the search/text box feature of the site today to find your information, what was your experience with the search functionality?		I did not encounter any difficulties		Radio button, one-up vertical		N	Skip Logic Group	Search Experience
				Search results were not helpful
				Returned too many results
				Returned not enough results
				Returned no results
				Returned results that were too similar/redundant
				Results were not relevant to my search
				I did not use the search feature today
				Other search experience	A
	A	What other search experience did you have today?				Text area, no char limit		N	Skip Logic Group	Other Search Experience
MMW0621		How did you look for information on the site today? (Select all that apply.)	MMW0621A01	Search feature		Checkbox, one-up vertical	Multi	Y	OPS Group	Looked for Info
klry			MMW0621A02	Advanced search feature/tool
			MMW0621A03	Top navigation bar
			MMW0621A04	Left navigation bar
			MMW0621A05	Links in the center of the Home page
			MMW0621A06	Site map
			MMW0621A07	Other, please specify	A
MMW0622	A	Specify other way you looked for information.				Text field, <100 char		N	OPS Group	OPS Looked for Info
MMW0623		Which of the following features are you aware of or have you used? (Select all that apply.)	MMW0623A01	Keyword search		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Aware/Used Features
			MMW0623A02	Advanced search
			MMW0623A03	Browse: By Topic
			MMW0623A04	Browse: By Organization
			MMW0623A05	Browse: By Domain
			MMW0623A06	Browse: NQF- Endorsed Measures
			MMW0623A07	Browse: Measure Initiatives
			MMW0623A08	Browse: Measures in Progress
			MMW0623A09	Browse: Measure Index
			MMW0623A10	Browse: Measure Archive
			MMW0623A11	Browse: Measures Most Viewed
			MMW0623A12	Jump To (Measure Summary Tab)
			MMW0623A13	Measure Classification (Measure Summary Tab)
			MMW0623A14	Related Content (Measure Summary Tab)
			MMW0623A15	HHS Measure Inventory	B,C,D
			MMW0623A16	New This Week Email
			MMW0623A17	New This Week/Announcements (Home Page)
			MMW0623A18	Expert Commentaries
			MMW0623A19	Measure Summary
			MMW0623A20	Measure Tabular Comparison
			MMW0623A21	Link to Original Measure Documentation
			MMW0623A22	None
MMW0624	B	Is it clear that the HHS Measure Inventory is a separate repository within NQMC?	MMW0624A01	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Measure Invent. Clarity
			MMW0624A02	No
MMW0625	C	How useful do you find the HHS Measure Inventory?	MMW0625A01	Very useful		Drop down, select one	Single	Y	Skip Logic Group	Measure Invent. Use
			MMW0625A02	Somewhat useful
			MMW0625A03	Neutral
			MMW0625A04	Not useful
			MMW0625A05	I haven't used the HHS Measure Inventory
MMW0626	D	How could we improve the HHS Measure Inventory?				Text area, no char limit		N	Skip Logic Group	OE Improve Measure In vent.
MMW0627		How did you learn about NQMC?	MMW0627A01	Search engine (Google, Yahoo, etc.)		Radio button, one-up vertical	Single	Y	OPS Group	Learn of NQMC
			MMW0627A02	Link from a related site (NGC, AHRQ, etc.)
			MMW0627A03	Link from a professional medical society site (AAP, ADA, etc.)
			MMW0627A04	Link from another health-related site (NLM, Medscape, First Consult, etc.)
			MMW0627A05	Print media (health care trade publications, medical journals, etc.)
			MMW0627A06	Link from general media site (USA Today, NY Times, etc.)
			MMW0627A07	Social media outlet (Facebook, LinkedIn, etc.)
			MMW0627A08	Colleague or professional association meeting
			MMW0627A09	Other, please specify	A
MMW0628	A	Specify other way you learned about NQMC.				Text field, <100 char		N	OPS Group	OPS Learn of NQMC
MMW0629		Which of the following best describes you?	MMW0629A01	Individual Patient/Consumer		Drop down, select one	Single	Y	Skip Logic Group	Role
			MMW0629A02	Physician
			MMW0629A03	Physician Assistant or Nurse Practitioner/Nurse
			MMW0629A04	Pharmacist or Other Clinical Specialist
			MMW0629A05	Quality Manager
			MMW0629A06	Administrator or Manager of Hospital, Health Plan or Medical Group
			MMW0629A07	Health Services/Clinical Researcher
				Physician/Physician Assistant
				Nurse/Nurse Practitioner
				Other Health Care Provider
				Consumer/General Public
				Health Researcher/Analyst
				Educator/Student
				Health Administrator
				Health Care IT/CDS Implementer
				Health Insurer
				Librarian/Information Specialist
				Media/Press
			MMW0629A08	Measure Developer
			MMW0629A09	Public Sector Health Care Purchaser/Employer or Policymaker
			MMW0629A10	Private Sector Health Care Purchaser or Benefits Manager
			MMW0629A11	Federal/State/Local Policymaker
			MMW0629A12	Medical Librarian/Information Specialist or Medical Writer/Editor
			MMW0629A13	Student (Medical, Nursing or Pharmacy)
			MMW0629A14	Educator/Teacher/Instructor
			MMW0629A15	Other, please specify	A
MMW0630	A	Specify other role.				Text field, <100 char		N	Skip Logic Group	OPS Role
MMW0631		Which of the following best represents your primary institutional affiliation?	MMW0631A01	Hospital		Drop down, select one	Single	Y	Skip Logic Group	Institute
			MMW0631A02	Ambulatory care facility
			MMW0631A03	Home care service
			MMW0631A04	Physician's office
			MMW0631A05	Rehabilitation facility
			MMW0631A06	Residential facility (assisted living facility, nursing home)
			MMW0631A07	Private health plan or health insurance organization
			MMW0631A08	Health care professional organization
			MMW0631A09	Government agency (federal, state or local)
			MMW0631A10	Quality oversight organization
			MMW0631A11	University or other academic institution
			MMW0631A12	Consumer or patient advocacy organization
			MMW0631A13	Other, please specify	A
MMW0632	A	Specify other primary institutional affiliation.				Text field, <100 char		N	Skip Logic Group	OPS Institute
		How would you describe your level of familiarity with quality measurement?		Very familiar		Drop down, select one	Single	Y		Familiarity
				Somewhat familiar
				Neutral
				Somewhat unfamiliar
				Very unfamiliar
		Please indicate how you or your organization plans to use quality measures. (Select one)		Assess/compare the quality of clinical providers		Radio button, one-up vertical	Single	Y	OPS Group	Plan to Use
				Identify/prioritize issues in health care quality
				Determine financial payments to clinical providers
				Evaluate a program/intervention's effectiveness
				For academic research
				For personal research
				Other, please specify	A
				I do not plan to use quality measures at this time
	A	Specify other plan for using quality measures.				Text field, <100 char		N	OPS Group	OPS Plan to Use
		If you plan to measure performance, which of the following settings or types of providers are your most important focus? (Select all that apply.)		I am not planning to measure performance		Checkbox, one-up vertical	Multi	Y	OPS Group	Settings
				Primary care
				Specialty providers
				Hospitals
				Long-term or rehabilitation facilities
				Health insurance plans
				Public health or community-based programs
				Other, please spcify	A
	A	Specify other important focus.				Text field, <100 char		N	OPS Group	OPS Settings
MMW0633		If you could make one change to the National Quality Measures Clearinghouse™ Web site, what would it be?				Text area, no char limit		N		OE One Change
				Physician/Physician Assistant
				Nurse/Nurse Practitioner
				Other Health Care Provider
				Consumer/General Public
				Health Researcher/Analyst
				Measure Developer
				Educator/Student
				Health Administrator
				Health Care IT/CDS Implementer
				Health Insurer
				Public Sector Health Care Purchaser/Employer or Policymaker
				Private Sector Health Care Purchaser or Benefits Manager
				Federal/State/Local Policymaker
				Librarian/Information Specialist
				Media/Press
				Other, please specify