Crosswalk

CAHPS_Survey_Crosswalk_6Jun2016.doc

CAHPS Survey for the Merit-Based Incentive Payment System (MIPS) (CMS-10450)

Crosswalk

OMB: 0938-1222

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Crosswalk for Consumer Assessment of Healthcare Providers and

Systems (CAHPS) Survey (OMB 0938-1222)


.

2017 CAHPS for MIPS Questionnaire (OMB 0918-1222)


Question # on 2014

OMB 0938-1222

Type of Change

Rationale for Change

Question 57


57. Since August 1, 2013, did anyone on your health care team…

a. Remind you to get a flu shot?

Yes

No

b. Ask if you got a flu shot somewhere else?

Yes

No

c. Give you a flu shot?

Yes

No


Delete: Question 57

Flu shot question was deleted because it no longer met an information need for CMS.

No question about home internet use.

Q76

Do you ever use the internet at home?

1 YES

2 NO

98 <DON’T KNOW>

99 <REFUSED>

M [MISSING]


Question regarding home internet use was added because we are interested in learning if internet use is common in beneficiaries surveyed.


File Typeapplication/msword
AuthorCMS
Last Modified ByJENNY FILIPOVITS
File Modified2016-06-06
File Created2016-06-06

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