Attachment 7 MCBS Brochure_Facility_Eng

Percentage of Medicare Facility Residents
with a “Do Not Resuscitate” Order, 2013
 edicarebeneficiariesinfacilitiesarealmost
M
justaslikelytohavea“DoNotResuscitate”
orderastheyaretonothaveone.

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• ParticipatingintheMCBSwillnotimpose

additionaldisclosurerecordkeepingburdensonyour
facility.Disclosuresunder45CFR§areexplicitly
exemptfromtheHIPAAdisclosureaccounting
provisions.See45CFR§164.528(a)(1)(i)

• The information you provide will be kept in strict

confidence under the laws prescribed by the Privacy
Act of 1974. The information you give will only be
used for research and statistical purposes.

• Thedatayouprovidecouldbecarefullyverifiedby
computermatchingtoadministrativerecordsunder
PublicLaw100-503[TheComputerMatchingand
PrivacyProtectionAct].

• AccordingtothePaperworkReductionActof1995,

What do you need to know about your
rights and privacy?
• Participationisvoluntary.Yourfacility’s

relationshipwithprogramsadministeredbyCMS
willnotbeaffectedinanywaybywhetherornot
youchoosetoparticipate.

• YourcooperationwiththeMCBSwillnotviolate
thenewHIPAAprivacyregulations.Underthe
newprivacystandards,yourfacilitydoesnot
needanindividual’sauthorizationtodisclose
theirprotectedhealthinformationtoahealth
plan,suchastheMedicareprogram,whenthe
informationisbeingdisclosedforhealthcare
operationsactivitiesoftheentitythatreceives
theinformation,ifbothyourfacilityandthe
Medicareprogramhasorhadarelationship
withtheindividualwhoseprotectedhealth
informationisbeingrequestedandtheprotected
informationpertainstosuchrelationship.See45
CFR§164.506(c)(4).

nopersonsarerequiredtorespondtoacollectionof
informationunlessitdisplaysavalidOMBcontrol
number.ThevalidOMBcontrolnumberforthis
informationcollectionis0938-0568,andexpires
7/31/2017.Ifyouhaveanycommentsconcerning
theaccuracyofthetimeestimate(s)orsuggestions
forimprovingthisform,pleasewriteto:CMS,
B2-29-04,7500SecurityBoulevard,Baltimore,
Maryland21244-1850.

Any other questions?
PleasefeelfreetocontactMCBSstaffatNORCat
theUniversityofChicagoatanytime.
Call toll-free at: 877-389-3429
Email at: [email protected]
Visit us at: www.mcbs.norc.org

This survey is authorized by section 1875 (42 USC
139511) of the Social Security Act and is conducted by
NORC at the University of Chicago for the U.S.
Department of Health and Human Services.

Aresidentinyourfacilityhasbeenselectedto
takepartinanimportantstudycalledthe
MedicareCurrentBeneficiarySurvey(MCBS).
Yourresidentisoneof16,000people
scientificallyselectedatrandomtorepresentthe
MedicareexperiencesofotherMedicare
beneficiariesallovertheUnitedStates.Every
year,approximately1,000facilityadministrators
areinterviewedonbehalfoftheirresidents,
providinginvaluabledataabouthowMedicare
affectsbeneficiarieswhorequirelong-termcare.

What is the Medicare Current Beneficiary
Survey?

organizationprovideswillbestrictlyconfidential
asprescribedbyTheFederalPrivacyActof1974.

TheMCBSisastudytolearnmoreaboutpeople
whouseMedicare,inorderfortheCentersfor
MedicareandMedicaidServices(CMS)and
researcherstolearnmoreaboutMedicare
beneficiariesandtheirhealthcareexperiences.
TheMCBShasbeenconductedsince1991
becausetheinformationwecollectabouthealth
andhealthcarecostsissovaluable.CMS,partof
theU.S.DepartmentofHealthandHuman
Services,sponsorsthissurveyinordertogain
valuableinformationabouthowMedicareaffects
thepeopleitserves.

Yourparticipationisvoluntary,andyour
relationshipwithprogramsadministeredbyCMS
willnotbeaffectedinanywaybywhetherornot
youparticipate.

What does this mean for my facility?
AlthoughmostinterviewsfortheMCBSoccurin
thecommunity,wealsocollectdataonindividuals
whoresideinlong-termcarefacilities.Overthe
courseofthestudy,approximately7%ofthe
MCBSsampleresidesinfacilitiesatanygiven
time.Byconductingbothcommunityandfacility
interviews,theMCBScancollectdatafrom
beneficiariesregardlessoftheirlocationand
therebymaintainacontinuousrecordoftheir
healthcarecostsandusage.
Theinterviewfocusesontheutilizationandcosts
ofthehealthcarebeingreceivedbyyourresident,
alongwithasmallsectiondescribingthe
characteristicsofyourfacility.Muchofthe
informationisabstracteddirectlyfromthe
resident’schartandwillonlyrequirealimited
amountofyourstaff’stime.
Wecollectdatathreetimesperyear,soifthe
selectedbeneficiaryremainsinyourfacilityover
anextendedperiodoftime,wemaycontactyou
forsubsequentinterviews.Forinterviewsin
facilities,aspecificfacilityquestionnaireis
administeredtocaregiversandfacilityaccounting
staffwhoarethemostknowledgeableaboutthe
individual.Noresidentsofyourfacilitywillbe
contacteddirectly.Alloftheinformationyour

Why should my facility participate?
Theinformationyouprovideonbehalfofyour
facilityandresidentscannotbereplacedbyany
otherdatasourceinthecountry.Thisstudyisthe
onlysourceofin-depthheathcarecostanduse,
whichareusedtoaccomplishthefollowing:

What do we know about Medicare
because of the participation of facilities
like yours?
Percentage of Medicare Beneficiaries
Receiving a Flu Shot, by Residency Status,
2013
 edicarebeneficiariesresidinginafacility
M
aremorelikelytogetaflushotthanMedicare
beneficiariesresidinginthecommunity.

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• TohelpusunderstandhowMedicareaffects

people’sdailylife,andwhatproblemstheymight
beexperiencingwithit.

• TohelpincreaseMedicarecoverageand

efficiencyforbeneficiaries,bothnowandinthe
future.

• Toprovidelegislatorsandpolicymakerswith

moreinformationtocreateeffectivelawsand
regulationsforpeopleenrolledinMedicare.In
fact,thePartDprescriptiondrugbenefitwas
createdinpartbasedonfindingsfromtheMCBS.

• ToimprovethequalityofcareMedicare
beneficiariesreceive.

• Tocreatereportsusingthisdatatodescribekey
factorsabouthowpeopleuseMedicare.

TheresultsoftheMCBSareusedtomonitorand
makedecisionsabouttheMedicareprogram.In
ordertoformacompletepictureoftheMedicare
populationandguideeffectivepolicydecisions,it
iscriticallyimportanttocollectdataaboutall
Medicarebeneficiaries,includingindividualsin
facilities,Long-termcarefacilitiesareespecially
importanttothestudybecauselong-termcare
issuesareattheforefrontofthehealthpolicy
agenda.

Percentage of Medicare Beneficiaries with
Coronary Heart Disease, by Residency
Status, 2013
 edicarebeneficiariesresidinginafacility
M
settinghaveahigherrateofcoronaryheart
diseasethanMedicarebeneficiariesresidingin
acommunitysetting.

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