HHCAHPS_LeadLetter2_English

HHCAHPS_LeadLetter2_English.pdf

CAHPS Home Health Care Survey

HHCAHPS_LeadLetter2_English

OMB: 0938-1066

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Sample Cover Letter for Second Questionnaire Mailing to Mail Survey Nonrespondents
Home Health Care CAHPS Survey
To be Printed on Home Health Agency or Vendor Letterhead
NAME
ADDRESS
CITY, STATE ZIP
Dear NAME:
Recently, we sent you a letter asking for your help on a survey to provide the United States
Department of Health and Human Services with information about the quality of health care
delivered to people in their homes. Your name was selected from a list of people who received
home health care services through [Agency Name]. As of today, we have not yet received your
completed questionnaire. If you have already returned the questionnaire, please accept our thanks.
If you have not completed the survey, please take a few moments to complete the questionnaire
and return it in the enclosed postage-paid envelope. Results will be publicly reported on the
Internet at Home Health Compare at http://www.medicare.gov/. The results of this survey will
help people make more informed choices when choosing a home health care provider. Your
feedback on the care that you receive is important, because it will help improve the quality of
home health care we provide.
If you need help reading or answering the questions, please ask a family member or friend
to help you. It is important that your answers reflect your own opinions about the home health
care you have received, so we ask that you do not get help from anyone from [Agency Name]
when completing the survey.
Your participation in this survey is voluntary and will not affect any health care or benefits you
receive. All information you give in this survey will be held in confidence and is protected by the
Privacy Act. Your answers to the survey will be grouped with answers from all other survey
participants; your name and identifying information will not be linked to your answers when the
data are analyzed. The results from this survey may be shared with the home health agency for
quality improvement purposes. If you have any questions about the survey, please call
NAME toll-free at 1-XXX-XXX-XXXX. Thank you in advance for your participation.
Sincerely,
Name
Home Health Agency Administrator
Enclosures

[PRINT UNIQUE SAMPLE ID NUMBER HERE]


File Typeapplication/pdf
File TitleProtocols and Guidelines Manual
SubjectHome Health Care CAHPS Survey
AuthorCenters for Medicare & Medicaid Services
File Modified2013-06-21
File Created2013-06-21

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