The data collection methodology used
for the Beneficiary Satisfaction flows from the proposed sampling
approach. While it was feasible to conduct the 9th SOW via
telephone data collection only, with a quarterly sample size for
the 10th SOW estimated to be 2,664, it does not seem efficient to
maintain a telephone only data collection approach. Based on recent
literature on survey methodology and response rates by mode, we
recommend using a data collection that is primarily mail. A
mail-based methodology will achieve the goals of being efficient,
effective, and minimally burdensome for beneficiary respondents. As
previously described, we anticipate that a mail-based methodology
could yield a response rate of approximately 60 percent. In order
to achieve this response rate, we would recommend a 3 staged
approach to data collection: 1) Mailout of a covering letter, the
paper survey questionnaire, and a postage-paid return envelope. 2)
Mailout of a post card that thanks respondents and reminds the
non-respondents to please return their survey. 3) Mailout of a
follow-up covering letter, the paper survey questionnaire, and a
postage-paid return envelope. Through the pilot test, we will
determine the response rate that can be achieved using this
approach. If it is deemed necessary, additional mailout reminders
can be added to the protocol, or a telephone non-response step can
be added to the protocol.
US Code:
42
USC 1320C-3 Name of Law: Functions of Peer Review
Organizations
US Code: 42 USC 1320-c Name of Law: Functions
of Peer Review Organizations
While there have been program
changes, there is not change to the burden estimate. Subsequent to
the publication of the 60-day Federal Register notice (June 10,
2011; 76 FR 34076), the survey instrument has been separated into
two surveys. Prior to this action, there was one survey proposed
for the Quality of Care and Appeals review types. Once approved by
OMB, there will be two survey instruments that will request similar
information: one for Quality of Care and one for Appeals.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.
Form CMS-10393 Medicare Beneficiary and Family-Centered Satisfaction Survey
Bene Satis Survey-PRA-Supporting Stmt Pt B.docx
Medicare Beneficiary and Family-Centered Satisfaction Survey