Attachment A Measure Changes

AttachAMeasure Changes_2018.docx

Performance Improvement Measurement System for the Office for the Advancement of Telehealth, Telehealth Resource Center Program

Attachment A Measure Changes

OMB: 0915-0361

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Measure Changes

Previous Measure

New Measure

1: Service Utilization by Type of Organization Requesting Service and Outcomes for Reporting Period

Category

  • Total number of individual clients/departments requesting TRC services and hours of client contact service provided, including preparation time.

  • Total number of new/first time

  • Total number of repeat clients (those who received service in the past – prior to the current reporting period – who are returning for more/other services)

  • Total number of hours of technical assistance provided including preparation time

1: Service Utilization by State and Type of Organization Requesting Service


Service Utilization

  • Total # of clients served

  • Total # of repeat clients

  • Direct

    • Total # of clients served via technical assistance (ie. consultation)

    • Total # of clients served via training

    • List each state in your region and total number of clients served in each

    • PIMS Form Example: State Acronym ____ Number of Clients Served via consultation____ via conference, meeting, or training ____

    • PIMS Form creates automated: Total Clients Served in TRC Region

    • PIMS Form creates automated: Total Clients Served in HRSA Region

  • Indirect

    • Total # of clients served via education and outreach


Type of Organization Requesting Service

  • Academic Institution/School

  • Associations/Organizations (National, State or Regional)

    • Area Health Education Center (AHEC)

    • Rural Health Association

    • Other

  • Clinic

    • Free Clinic ___

    • Federally Qualified Health Center (FQHC)

    • Rural Health Clinic (RHC)

    • Other

  • Funders (Foundations/Health Plans)

  • Hospital/Health System

    • Critical Access Hospital (CAH) (25 beds or less)

    • Small Rural Hospital (50 beds or less)

      • Medium Rural Hospital (50-99 beds)

      • Large Rural Hospital (100 or more beds)

      • Other

    • Health Resources and Services Administration (HRSA) Grant Funded Entity

    • Government Agency (Federal, State, Regional or Local)

      • Corrections

      • Health Department

      • Medicaid/Medicare

      • Mental Health

      • Public Health

      • Social Service

      • State Office of Rural Health (SORH)

      • VA

Tribal/IHS

      • Other

    • Legislator/Policy Maker /staffer(or office)

    • Telehealth Resource Center

    • Vendor

      • Clinical Service Provider ___

      • Technology

      • Telecommunications

      • Business solutions/consultants

      • Legal

      • Other

    • Other (list other and provide total numbers)


2: Method of Query for Reporting Period

Category

  • Conference/Meeting or other In-Person Contact

  • Email

  • Phone

  • Referral from Another TRC

  • Social Media (Twitter, Facebook, LinkedIn, etc.)

  • TRC Initiated

  • Website

  • Other


2: TRC Technical Assistance Communication Method of Inquiry and Response


Method of Technical Assistance Inquiry

  • Email

  • Phone

  • In-Person Contact at an event (ie. training, conference, meeting, other)

  • TRC Website Form

  • Referral from Another TRC

  • Social Media (Twitter, Facebook, LinkedIn, etc.)

  • TRC Initiated

  • Other


Method Used to Respond to Inquiries

  • Email

  • Phone

  • Videoconference

  • In Person Visit

  • Other


3: Topic of Query for Reporting Period

Category

  • General Information

  • Clinical Service Program Development/Operations

  • Equipment and Technology Assessment/Selection

  • Financial (Reimbursement, Business Models, Grants)

  • Policy

  • Other


3: Topic of Inquiry

Category

  • Financial (Reimbursement, Business Models, Grants)

  • Policy/Legal

  • Market Analysis

  • About my TRC

  • Broadband network infrastructure

  • Readiness Assessment

  • Distance Learning

    • Project ECHO

  • Program Evaluation

  • Strategic Planning

  • Tools and Templates

  • General Telehealth Information

  • Clinical Service Program Development/Operations

    • Mental/Behavioral Health

  • Equipment and Technology Assessment/Selection

  • Other


4: Types of Services Provided by TRC during the Reporting Period

Category

Training/Education and Outreach

Events

  • Organize/Host Conference or Training Event (# of Events, Total Direct Service Hours, Total # of Participants)

  • Presentation at Conferences/Meetings/Webinars (# of Presentations, Total Direct Service Hours, Total # of Participants)

  • Other

Communications/Promotional Activities

  • Exhibits (# of hours, # of contacts)

  • Newsletter (# of newsletters, # of subscribers)

  • Web Site (# unique visitors, # of pages viewed by visitors)

  • Research Publications (# of publications)

  • General Media (# interviews/articles)

Social Media

  • Facebook (# of page likes, # of posts)

  • Twitter (# of followers, # of tweets)

  • LinkedIn (# of followers, # of posts)

Other

Technical Assistance/Consultation

Method Used to Respond to Queries

  • Email (# responses)

  • Phone (# responses)

  • Videoconference (# responses)

  • In Person Visit (# responses)

  • Group Collaboration/Planning (# responses)

Client Satisfaction Survey Results

The following 4 questions come from the standardized Client Satisfaction Questionnaire – CSQ-8 and ratings are on a 4 point scale)

  • How would you rate the quality of service you received – Excellent, Good, Fair, Poor (# respondents, average rating)

  • If a colleague were in need of similar help, would you recommend our program to him or her – No, definitely not, No, I don’t think so, Yes, I think so, Yes definitely (# respondents, average rating)

  • In an overall, general sense, how satisfied are you with the services you have received – Very satisfied, Mostly satisfied, Indifferent or mildly dissatisfied, Quite dissatisfied (# respondents, average rating)

  • If you were to seek help again, would you come back to our program – No, definitely not, No, I don’t think so, Yes, I think so, Yes, definitely (# respondents, average rating)

  • Tools/Materials/Resources (# developed, # distributed)


4: Types of Services Provided by TRC


Training/Education and Outreach

  • # of Conferences/Meetings ___

    • Total # of conferences/meetings hosted by TRC ____

    • Total # of participants ___

    • Total # of TRC presentations at conferences/meetings ____

  • # of Trainings ___

    • Total # of trainings hosted by TRC ____

    • Total # of participants ___

  • # of Webinars ___

    • Total # of webinars hosted by TRC ____

    • Total # of participants ___

    • Total # requested by HRSA

    • Total # requested by other Federal Agency ____

  • # of Other ____

    • Describe other


Communications/Promotional Activities

  • Exhibit booths at conferences

    • # of booths ___

    • # of contacts ___

    • # of hours managing exhibit ___

  • General Media

    • # interviews ___ (decimal/fraction)

    • # articles ___ (decimal/fraction)


Tools/Materials/Resources

  • Newsletter

    • # of newsletters ___

    • # of subscribers ___

  • Website

    • # website visits ___

  • Fact Sheets/One Pagers

    • # of fact sheets/one pagers ___

  • Online Education

    • # Video Modules ___

      • # of views ____

    • # of Toolkits ____

      • # of views ____

    • # of Course Modules ____

      • # of people accessing ____

  • Issue Briefs (# of issue briefs) ____ (decimal/fraction)

  • Other (list type and #) ____


5. New telehealth sites or services developed

Category

  • Number of new telehealth sites established as a result of TRC TA

  • Number of new telehealth services initiated as a result of TRC TA






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