Attachment B - Crosswalk

Attachment B:
Crosswalk for Changes to ICH CAHPS Survey: Pilot Test Version (2005) to National Implementation Version (2012)

Crosswalk for Changes to CAHPS^® In-Center Hemodialysis Survey: Pilot Test Version (2005) Updated to National Implementation Version (2012)

Pilot Test		Change	Rationale for Change	National Implementation Item
Section1	Item
Introduction	Title Page	Date and other descriptive	Updated to reflect current status	Title page
Introduction	2	Added “facility name”	Clarification	2
Your Kidney Doctors	8	Deleted2	Moved to supplemental items	Not included
The Dialysis Center Staff	18	Deleted	Moved to supplemental items	Not included
The Dialysis Center Staff	19	Deleted	Moved to supplemental items	Not included
The Dialysis Center Staff	27	Deleted	Moved to supplemental items	Not included
The Dialysis Center Staff	30	Deleted	Moved to supplemental items	Not included
The Dialysis Center Staff	31 and 32	32 substituted for stem of 31	—	26
The Dialysis Center Staff	31	Stem of 31 became 27	—	27
The Dialysis Center Staff	37	Deleted	Did not discriminate between facilities in the Pilot test or was regarded as unimportant for QI	Not included
The Dialysis Center Staff	38	Deleted	Moved to supplemental items	Not included
The Dialysis Center Staff	39	Deleted	Moved to supplemental items	Not included
The Dialysis Center	42	Deleted	Moved to supplemental items	Not included
Treatment	50	Added page number to skip statement	Clarification	41
Treatment	51	Added page number to skip statement	Clarification	42
Treatment	53	Stem of 2005 item deleted, substituted item 54	—	Stem not included
Treatment	54	Combined with item 53	—	44

(continued)

Crosswalk for Changes to CAHPS^® In-Center Hemodialysis Survey: Pilot Test Version (2005) Updated to National Implementation Version (2012) (continued)

Pilot Test		Change	Rationale for Change	National Implementation Item
Section1	Item
About You	Not included	New item	—	50
About You	Not included	New item	—	51
About You	Not included	New item	—	52
About You	Not included	New item	—	53
About You	Not included	New item	—	54
About You	Not included	New item	—	55
About You	61	Wording change	—	57
About You	62	Response choices changes	—	58
About You	Not included	New item	—	59
About You	63	Altered wording and response choices	—	61
About You	64	Minor wording change, response choices altered	—	62
About You	65	Replaced with new item	Clarification	60 and 60a

Notes: Numbering changes are not noted if that is the only change to the item.

¹ No items changed section between the 2005 and 2012 versions of the questionnaire.

² Items were deleted from the survey in order to shorten the instrument. In general, items were deleted because they did not discriminate between facilities in the Pilot test, to improve the flow of the questionnaire, or because they were regarded as of secondary interest for Quality Improvement. Some deleted items were moved to the Supplemental Item set.