Appendix
A1. Survey
I
Quality Improvement Initiatives
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Q1.
Revise text of answer options so that they all start with a
gerund.
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To
accommodate syntax in later questions with pipe-in text.
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I
Quality Improvement Initiatives (continued)
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Q1.
Remove answer choice ‘Improving the composite score of
quality measures for nursing homes.’
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To
focus on asking about specific quality improvement goals pursued,
instead of asking about general composite score improved through
a variety of interventions.
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I
Quality Improvement Initiatives (continued)
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Q2.
Revise text of answer options so that they all start with a
gerund.
|
To
accommodate syntax in later questions with pipe-in text.
|
I
Quality Improvement Initiatives (continued)
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Q2.
Remove answer choice ‘Improving the composite score of
quality measures for nursing homes.’
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To
focus on asking about specific quality improvement goals pursued,
instead of asking about general composite score improved through
a variety of interventions.
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I
Quality Improvement Initiatives (continued)
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Q2. Revised answer choice
‘Decreasing C. Diff (Clostridium Difficile) infections.’
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To
define C.Diff for participants.
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Appendix
A1. Survey
II
Outcome Attribution to QIO
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Add
NOTE: Specifying that next questions will be asked for the two
goals that received highest rating (or if more than got same
rating, two according to the specified hierarchy).
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To
shorten overall survey length if participant reports pursuing
more than two goals and reduce burden on participants.
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II
Outcome Attribution to QIO (continued)
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Add
Q3: What did your organization do to work towards [INSERT GOAL]?
[RECORD ANSWER]
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To
capture what activities were performed to reach goal.
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II
Outcome Attribution to QIO (continued)
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Q4
(previously Q7): list of activities facility may have implemented
to [INSERT GOAL]…
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To
ask respondents about broader activities done to achieve quality
improvement before asking about specific programs, agencies, or
sources of information that helped the nursing home pursue those
activities.
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II
Outcome Attribution to QIO (continued)
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Q5
(previously Q2). Revise question text to be read.
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To
clarify that answer options include programs, agencies, and
sources of information.
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II
Outcome Attribution to QIO (continued)
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Q5
(previously Q2). Revise answer options and provide opportunity to
list up to 3 other sources of information used.
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To
simplify options for possible programs, agencies, or sources of
information.
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II
Outcome Attribution to QIO (continued)
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Q6
(previously Q3). Revise scale to read “with 5 being most
helpful.”
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To
keep scales used throughout the questionnaire consistent.
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II
Outcome Attribution to QIO (continued)
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Q6
(previously Q3). Revise question number logic for piping in list
of sources.
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To
match list items piped in to list in Q5.
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II
Outcome Attribution to QIO (continued)
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Q7
(previously Q4). Revise question numbers in logic.
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To
match question numbers in logic to new question numbers.
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II
Outcome Attribution to QIO (continued)
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Q8.
Revise logic so that question will be asked to all participants
instead of a random subset of 100 participants.
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To
provide adequate sample size to analyze data.
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II
Outcome Attribution to QIO (continued)
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Q8.
Revise question numbers in logic.
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To
match question numbers in logic to new question numbers.
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II
Outcome Attribution to QIO (continued)
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Q8. Revise text of
question to “Now I’m going to read a list of the
programs, agencies, and/or sources of information that you used
in your efforts to [INSERT GOAL]. If you are able to, please
write them down as I list them. I am going to ask you to assign a
percentage out of a total of 100% to each program. How much would
you say each program contributed to your facility’s ability
to [INSERT GOAL] over the last 12 months?
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To
clarify question.
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II
Outcome Attribution to QIO (continued)
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Q8.
Revise list of sources to match that of Q5.
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To
match list of sources to those chosen from Q5 list.
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II
Outcome Attribution to QIO (continued)
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Q8.
Revise text lead-in to question repetition: You have assigned
[PERCENTAGE ASSIGNED] percent total so far. You have [SUBTRACT
PRIOR RESPONSES FROM 100] percent left to distribute. What
percentage would you assign to [READ NEXT SOURCE].
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To
simplify question and provide participant with information about
the percentage they have left to distribute
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II
Outcome Attribution to QIO (continued)
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Revise
question numbers in programming logic (for repetition of Q3-Q8)
that comes after Q8.
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To
match question numbers in logic to new question numbers.
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II
Outcome Attribution to QIO (continued)
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Q9
(previously Q6). Revise question text.
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To
clarify intent of question.
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Appendix
A1. Survey
IV
Interaction with the QIN-QIO for QIO Nursing Homes
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Revise
question numbers in programming logic.
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To
match question numbers in logic to new question numbers
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IV
Interaction with the QIN-QIO for QIO Nursing Homes (continued)
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Q15
(previously Q12). Revise answer options to ‘Sometime during
2015’ and ‘Prior to 2015.’
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To
simplify answer options to cover main phases of intervention
given.
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IV
Interaction with the QIN-QIO for QIO Nursing Homes (continued)
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Q17
(previously Q14). Revise question logic.
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To
match question numbers specified in logic to new question
numbers.
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IV
Interaction with the QIN-QIO for QIO Nursing Homes (continued)
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Q17
(previously Q14). Revise question text.
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To
simplify question to ask whether any person at a facility
interacted with any individual at the QIO.
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IV
Interaction with the QIN-QIO for QIO Nursing Homes (continued)
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Q18
(previously Q15). Revise question text.
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To
simplify question to ask whether any person at a facility
interacted with any individual at the QIO.
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Appendix
A1. Survey
V
Activities and Resources Provided by The QIN-QIO
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Q19 (previously Q16).
Revise question text to ‘Now I am going to read a list of
resources your QIO may provide. Please indicate to the best of
your knowledge whether your facility has used any of the
following resources that may be provided by your QIO.’
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To
clarify that the question will lead-in to a list of resources
that respondents can affirm or deny being offered. To clarify
question is asking about resources used by facility, as opposed
to asking about resources offered by QIO.
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V
Activities and Resources Provided by The QIN-QIO
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Q21. Revise question text
to ‘Note that we’re not referring to the 5-Star
Rating on Nursing Home Compare, rather the QIO’s composite
score. [IF FURTHER EXPLANATION IS NEEDED, EXPLAIN THAT THE
COMPOSITE SCORE COMBINES 13 QUALITY MEASURES.]’
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To
clarify that question is referring to QIO composite score.
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V
Activities and Resources Provided by The QIN-QIO
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Add:
Q22. “What quality improvement areas are you most in need
of for additional assistance?” [RECORD ANSWER]
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To
assess greatest area of need for additional assistance.
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