EDPEC Discharged to Community

Emergency Department Patient Experience of Care (EDPEC) Survey Mode Experiments (CMS-10543)

Attachment8-DischargedToCommunity-MixedLtr

EDPEC Discharged to Community

OMB: 0938-1273

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Attachment 6: Initial Cover Letter for the EDPEC
DISCHARGED TO COMMUNITY Survey – Mailed
[SAMPLED PATIENT NAME]
[ADDRESS]
[CITY, STATE ZIP]
Dear [SAMPLED PATIENT NAME]:
Our records show that you recently visited the emergency room at [NAME OF HOSPITAL] on or
around [INSERT ER VISIT DATE]. Because you had a recent emergency room visit at [HOSPITAL
NAME], we are asking for your help. This survey is part of an ongoing national effort to understand
how patients view the health care services they receive in emergency rooms, These results will help
consumers make important choices about their emergency room care, and will help hospitals improve
the care they provide.
We hope that you will take the time to complete the survey. If you would prefer, a person who knows
the most about your emergency room care can complete this survey on your behalf. Your
participation is greatly appreciated. After you have completed the survey, please return it in the prepaid envelope. Your answers may be shared with the hospital for purposes of quality improvement.
If you have any questions about the enclosed survey, please call the toll-free number 1-800-xxxxxxx. Thank you for helping to improve health care for all consumers.

Sincerely,


File Typeapplication/pdf
AuthorRAND Authorized User
File Modified2014-11-13
File Created2014-11-13

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