Form CMS-10497 GHS Beneficiary FG Recruitment Script

Medicare Health Care Quality (MHCQ) Demonstration Evaluation: Focus Group and Interview Protocols (CMS-10497)

GHS_Benef_Recruit_Script

Medicare Health Care Quality (MHCQ) Demonstration Evaluation Focus Group and Interview Protocols--GHS

OMB: 0938-1263

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GHS Beneficiary Focus Group
Recruitment Script
Hello [Mr. / Ms. Last Name].
My name is _____________. I am calling from a research organization called RTI International.
RTI International is involved in a research study to evaluate care provided to Medicare
beneficiaries. Your name and phone number were given to us by the staff at Gundersen Health
System as a person who receives care from them through the Advanced Disease Coordination
program. Is this a good time to speak to you?
We would like to invite you to take part in a study. The study will help researchers learn how to
improve health care for patients. Gundersen Health System is taking part of a federal initiative
called the Medicare Health Care Quality (MHCQ) Demonstration through its Advanced Disease
Coordination program. The initiative was created to help improve the care that Gundersen Health
System gives to it patients.
The Centers for Medicare and Medicaid Services (CMS) is the federal agency that pays for the
MHCQ Demonstration. CMS wants to learn whether patient care is improved because of the
MHCQ Demonstration. That is why CMS is working with researchers from RTI International to
conduct small group discussions called “focus groups.” The focus groups will let us hear from
Medicare patients.
The focus group will take about two hours of your time. If you participate in the focus group
discussion we will give you a $50 gift card as a thank you for your participation.
Would you be willing to be in a focus group?
If yes, continue.
If no: Thank you so much for your time. Have a nice day.
Thank you so much. The focus group that will meet at [INSERT LOCATION] on [INSERT
DATE AND TIME]. Would you be able to join us?
If no, suggest other location/date/time options.
If yes, continue.
Great, we look forward to meeting you then. I would like to leave you my name and phone
number if you have any questions or can’t meet us at that time.
[Provide contact information.]
Again, thank you so much and have a nice day.


File Typeapplication/pdf
File TitleGHS Beneficiary Recruitment Script
Subjectfocus groups, interviews, Medicare, program evaluation
AuthorCenters for Medicare & Medicaid Services
File Modified2013-05-29
File Created2013-05-28

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