P-0015A COVID-19 Facility Supplement

Medicare Current Beneficiary Survey (MCBS) COVID-19 Rapid Response Supplement (CMS-P-0015A)

Attachment 3. MCBS Fall 2020 COVID-19 Facility Supplement_clean

Fall COVID-19 Supplement

OMB: 0938-1379

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MCBS Facility COVID-19 Fall Supplement Questions



Variable Name

Question Text

Response Options

Routing

Facility-Level Questions


Thank you for agreeing to participate in this short survey about (FACILITYS’ NAME) experiences during the coronavirus pandemic, also known as COVID-19 or SARS-CoV-2.


(01) CONTINUE

NEXT QUESTION

SUSINTRO

As of today, are any in-person services currently suspended, inside or outside of (FACILITY NAME), due to the coronavirus pandemic?


[IF NEEDED: Please include only in-person services.]


[IF NEEDED: Suspension of in-person services means these services are not currently being provided in-person.]


  1. NO, NOT SUSPENDED

  2. YES, SUSPENDED

(-8) DON’T KNOW

(-9) REFUSED

(00) TELINTRO

(01) NEXT QUESTION

(-8) TELINTRO

(-9) TELINTRO

OUTDRSUS

[As of today] are in-person primary care visits with a doctor or other health professional outside this facility currently suspended due to the coronavirus pandemic?


[IF NEEDED: Primary care visits are for treating common medical conditions and may be for regular check-ups.]


  1. NO, NOT SUSPENDED

  2. YES, SUSPENDED

  3. NOT APPLICABLE

(-8) DON’T KNOW

(-9) REFUSED

NEXT QUESTION

OUTDRSP

[As of today] are in-person specialty care visits with a doctor or other health professional outside this facility currently suspended due to the coronavirus pandemic?


[IF NEEDED: Specialty care visits may be for more complex health issues, such as chronic conditions.]


(00) NO, NOT SUSPENDED

(01) YES, SUSPENDED

  1. NOT APPLICABLE

(-8) DON’T KNOW

(-9) REFUSED

NEXT QUESTION

INDRSUSP

[As of today] are in-person primary care visits with a doctor or other health professional inside this facility currently suspended due to the coronavirus pandemic?


[IF NEEDED: Primary care visits are for treating common medical conditions and may be for regular check-ups.]


  1. NO, NOT SUSPENDED

  2. YES, SUSPENDED

  3. NOT APPLICABLE

(-8) DON’T KNOW

(-9) REFUSED

NEXT QUESTION

INDRSPEC

[As of today] are in-person specialty care visits with a doctor or other health professional inside this facility currently suspended due to the coronavirus pandemic?


[IF NEEDED: Specialty care visits may be for more complex health issues, such as chronic conditions.]

(00) NO, NOT SUSPENDED

(01) YES, SUSPENDED

  1. NOT APPLICABLE

(-8) DON’T KNOW

(-9) REFUSED

NEXT QUESTION

OTHSUSPE

[As of today] are any of the following in-person services, both inside and outside this facility, currently suspended due to the coronavirus pandemic?


Ask YES/NO for each:

  • Dental visits

  • Psychiatrist or other mental health professional visits

  • Podiatrist visits

  • Educational or habilitational services

  • Any other types of services


(00) NO, NOT SUSPENDED

  1. YES, SUSPENDED

  2. NOT APPLICABLE

(-8) DON’T KNOW

(-9) REFUSED

NEXT QUESTION

TELINTRO

Did (FACILITY NAME) offer any services through telehealth before the coronavirus pandemic?

  1. NO

  2. YES

(-8) DON’T KNOW

(-9) REFUSED

(00) TELCOVID

(01) NEXT QUESTION

(-8) TELCOVID

(-9) TELCOVID

OUTDRTEL

Were doctor or other health professional visits outside this facility offered through telehealth before the coronavirus pandemic? Please include outside visits for both primary and specialty care.


VISITS SHOULD INCLUDE BOTH PRIMARY AND SPECIALTY CARE. IF SERVICES WERE OFFERED THROUGH TELEHEALTH FOR EITHER PRIMARY OR SPECIALITY CARE OUTSIDE THE FACILITY ANSWER “YES”.

(00) NO

(01) YES

(02) NOT APPLICABLE

(-8) DON’T KNOW

  1. (-9) REFUSED

NEXT QUESTION

INDRTELE

Were doctor or other health professional visits inside this facility offered through telehealth before the coronavirus pandemic?


VISITS SHOULD INCLUDE BOTH PRIMARY AND SPECIALTY CARE. IF SERVICES WERE OFFERED THROUGH TELEHEALTH FOR EITHER PRIMARY OR SPECIALITY CARE INSIDE THE FACILITY ANSWER “YES”.

(00) NO

(01) YES

(02) NOT APPLICABLE

(-8) DON’T KNOW

(-9) REFUSED

NEXT QUESTION

TELMED1

Which of the following services, both inside and outside this facility, were offered through telehealth before the coronavirus pandemic?


Ask YES/NO for each:

  • Dental visits

  • Psychiatrist or other mental health professional visits

  • Podiatrist visits

  • Educational or habilitational services

  • Any other types of services


[IF NEEDED: Other types of services inside or outside the facility may include dieticians, nurse practitioners, physician’s assistants, registered nurses, or social workers.]


  1. NO

  2. YES

  3. NOT APPLICABLE

(-8) DON’T KNOW

(-9) REFUSED

NEXT QUESTION

TELCOVID

As of today, are any services provided through telehealth by (FACILITY NAME) due to the coronavirus pandemic?

  1. NO

  2. YES

(-8) DON’T KNOW

(-9) REFUSED

(00) TELEMDS

(01) NEXT QUESTION

(-8) TELEMDS

(-9) TELEMDS

OUTDRTEL

[As of today] are doctor or other health professional visits outside this facility currently offered through telehealth due to the coronavirus pandemic? Please include outside visits for both primary and specialty care.


VISITS SHOULD INCLUDE BOTH PRIMARY AND SPECIALTY CARE. IF SERVICES ARE OFFERED THROUGH TELEHEALTH FOR EITHER PRIMARY OR SPECIALITY CARE OUTSIDE THE FACILITY ANSWER “YES”.

(00) NO

(01) YES

(02) NOT APPLICABLE

(-8) DON’T KNOW

(-9) REFUSED

NEXT QUESTION

INDRTELE

[As of today] are doctor or other health professional visits inside this facility currently offered through telehealth due to the coronavirus pandemic? Please include inside visits for both primary and specialty care.


VISITS SHOULD INCLUDE BOTH PRIMARY AND SPECIALTY CARE. IF SERVICES ARE OFFERED THROUGH TELEHEALTH FOR EITHER PRIMARY OR SPECIALITY CARE INSIDE THE FACILITY ANSWER “YES”.

(00) NO

(01) YES

(02) NOT APPLICABLE

(-8) DON’T KNOW

(-9) REFUSED

NEXT QUESTION

TELMED2

[As of today] which of the following services, both inside and outside this facility, are currently offered through telehealth due to the coronavirus pandemic?


Ask YES/NO for each:

  • Dental visits

  • Psychiatrist or other mental health professional visits

  • Podiatrist visits

  • Educational or habilitational services

  • Any other types of services


[IF NEEDED: Other types of services inside or outside the facility may include dieticians, nurse practitioners, physician’s assistants, registered nurses, or social workers.]


(00) NO

(01) YES

(02) NOT APPLICABLE

(-8) DON’T KNOW

(-9) REFUSED

NEXT QUESTION

TELEMDS

Due to the coronavirus pandemic, is (FACILITY NAME) currently conducting any section of the Minimum Data Set Resident Assessment and Care Screenings, also known as the MDS, via video calls, voice calls, or conferencing over the internet, such as with Zoom, Skype, or FaceTime?

  1. NO

  2. YES

  3. NOT APPLICABLE

(-8) DON’T KNOW

(-9) REFUSED

NEXT QUESTION

ACTINTRO

Now I would like to ask you about activities this facility may be using to prevent the spread of COVID-19.

(01) CONTINUE

NEXT QUESTION

PREVVIS1

As of today, does (FACILITY NAME) currently allow visitation, such as by family, friends, or volunteers?


[IF NEEDED: Some examples may include allowing visitation for end of life situations, making visitation decisions on a case by case basis, or not restricting visitation at all.]


  1. NO

  2. YES

(-8) DON’T KNOW

(-9) REFUSED

(00) PREVVIS4

(01) NEXT QUESTION

(-8) PREVVIS4

(-9) PREVVIS4

PREVVIS3

If visitors are permitted inside, are they required to...


Ask YES/NO for each:

  • Wear a face mask

  • Restrict their visit to the resident's room

  • Frequently wash hands


(00) NO

(01) YES

(-8) DON’T KNOW

(-9) REFUSED

NEXT QUESTION

PREVVIS4

Does this facility provide alternative methods for visitation such as video conferencing for residents?

  1. NO

  2. YES

(-8) DON’T KNOW

(-9) REFUSED

NEXT QUESTION

PREVHCP1

Does this facility monitor health care personnel adherence to…


Ask YES/NO for each:

  • Hand hygiene

  • Use of Personal Protective Equipment (PPE)

  • Cleaning and disinfecting environmental surfaces

  1. NO

  2. YES

(-8) DON’T KNOW

(-9) REFUSED

NEXT QUESTION

HCPFLUVC

What is (FACILITY NAME)’s policy about the flu shot for health care personnel? READ RESPONSE OPTIONS ALOUD:

  • Flu shot is required

  • Flu shot is recommended

  • Neither

(01) VACCINE IS REQUIRED

(02) VACCINE IS RECOMMENDED

(03) NEITHER

(-8) DON’T KNOW

(-9) REFUSED


NEXT QUESTION

HCPCOVVC

What will the (FACILITY NAME)’s policy be about the Coronavirus vaccine for health care personnel? READ RESPONSE OPTIONS ALOUD:

  • Vaccine will be required

  • Vaccine will be recommended

  • Neither

  • DON’T KNOW

(01) VACCINE IS/WILL BE REQUIRED

(02) VACCINE IS/WILL BE RECOMMENDED

(03) NEITHER

(-8) DON’T KNOW

(-9) REFUSED


NEXT QUESTION

PREVRES1

Does this facility educate residents about…


Ask YES/NO for each:

  • COVID-19 symptoms and transmission

  • Actions they can take to protect themselves such as hand washing

  • Actions the facility is taking to keep them safe

(00) NO

(01) YES

(-8) DON’T KNOW

(-9) REFUSED


NEXT QUESTION

RESFLUVC

What is (FACILITY NAME)’s policy about the flu shot for residents? READ RESPONSE OPTIONS ALOUD:

  • Flu shot is required

  • Flu shot is recommended

  • Neither

(01) VACCINE IS REQUIRED

(02) VACCINE IS RECOMMENDED

(03) NEITHER

(-8) DON’T KNOW

(-9) REFUSED


NEXT QUESTION

RESCOVVC

What will the (FACILITY NAME)’s policy be about the Coronavirus vaccine for residents? READ RESPONSE OPTIONS ALOUD:

  • Vaccine will be required

  • Vaccine will be recommended

  • Neither

  • Don’t know

(01) VACCINE IS/WILL BE REQUIRED

(02) VACCINE IS/WILL BE RECOMMENDED

(03) NEITHER

(-8) DON’T KNOW

(-9) REFUSED


NEXT QUESTION

FACLABCS

As of today, is there at least one laboratory-confirmed COVID-19 case in (FACILITY NAME)? Please include residents and facility staff.

(00) NO

(01) YES

(-8) DON’T KNOW

(-9) REFUSED

NEXT QUESTION

ALTPROV1

As of today, have additional health care personnel been recruited in (FACILITY NAME) beyond the usual health care personnel in this facility in response to the coronavirus pandemic?


[IF NEEDED: Health care personnel may have been recruited because facility staff have been sick with or exposed to COVID-19.]


(00) NO

(01) YES

(-8) DON’T KNOW

(-9) REFUSED

(00) MENTHLTH

(01) ALTPROV2

(-8) MENTHLTH

(-9) MENTHLTH

ALTPROV2

What kind of health care personnel was that? SELECT ALL THAT APPLY.


CODE BASED ON THE RESPONSE FACILITY RESPONDENT GIVES:


(01) EMERGENCY MEDICAL SERVICE PERSONNEL

(02) NURSES

(03) NURSING ASSISTANTS

(04) NURSE PRACTITIONERS

(05) PHARMACISTS

(06) PHLEBOTOMISTS

(07) PHYSICIANS

(08) TECHNICIANS

(09) THERAPISTS

(10) NATIONAL GUARD

(11) OTHER

(-8) DON’T KNOW

(-9) REFUSED

NEXT QUESTION

MENTHLTH

The next questions are about mental health services.


(01) CONTINUE

NEXT QUESTION

MENTFAC

Does this facility offer…


Ask YES/NO to each:

  • Individual Therapy Sessions

  • Group Therapy Sessions

  • Support Groups

  • Art Therapy

  • Other

(00) NO

(01) YES

(-8) DON’T KNOW

(-9) REFUSED

IF YES TO AT LEAST ONE SUPPORT SERVICE GO TO SUSPCOV


ELSE GO TO SOCINTRO

SUSPCOV

Are any of these support services currently suspended due to the coronavirus pandemic?

(00) NO

(01) YES

(-8) DON’T KNOW

(-9) REFUSED

NEXT QUESTION

MTELESER

Are any of these support services currently shifted to an online platform, such as Zoom, Skype, or FaceTime due to the coronavirus pandemic?

(00) NO

(01) YES

(-8) DON’T KNOW

(-9) REFUSED

NEXT QUESTION

SOCINTRO

The next questions are about social and recreational activities.


(01) CONTINUE


ACTINFAC

Does this facility usually provide social and recreational activities within the facility?

(00) NO

(01) YES

(-8) DON’T KNOW

(-9) REFUSED

NEXT QUESTION

ACTOUTFAC

Does this facility usually provide social and recreational activities outside the facility?


“OUTSIDE THE FACILITY” REFERS TO ACTIVITES THAT OCCUR OFF THE FACILITY PREMISES.

(00) NO

(01) YES

(-8) DON’T KNOW

(-9) REFUSED

BOX 1

BOX 1

IF ACTINFAC or ACTOUTFAC = (01) YES go to ACTSUSP

ELSE go to CVDINTRO



ACTSUSP

Are any of these activities currently suspended due to the coronavirus pandemic?

(00) NO

(01) YES

(-8) DON’T KNOW

(-9) REFUSED

NEXT QUESTION

ACTTELE

Are any of these activities currently shifted to an online platform, such as Zoom, Skype, or FaceTime due to the coronavirus pandemic?

(00) NO

(01) YES

(-8) DON’T KNOW

(-9) REFUSED

NEXT QUESTION

Beneficiary-Level Questions


CVDINTRO

I am now going to ask you some questions about different types of coronavirus tests (SP) may have had.

CONTINUE

NEXT QUESTION

CVDTEST


Since (REFERENCE DATE) has (SP) been tested to see whether (he/she) was infected with coronavirus or COVID-19 at the time of the test?


[IF NEEDED: For example, the test can be done by swabbing someone’s nose. This may also be called a PCR test or a rapid test. It is not the same as an antibody test, which looks at someone’s blood to see if they have ever been infected.]


DO NOT INCLUDE ANTIBODY TESTS, WHICH TEST WHETHER SOMEONE HAS EVER BEEN INFECTED WITH CORONAVIRUS.


(00) NO
(01) YES
(-8) Don't Know
(-9) Refused

(00) ANTICVD

(01) NEXT QUESTION

(-8) ANTICVD

(-9) ANTICVD

TESTRES

Did the test find that (SP) had Coronavirus or COVID-19?


(01) YES, THE TEST SHOWED R HAD COVID-19
(02) NO, THE TEST SHOWED R DID NOT HAVE COVID-19
(03) NO RESULTS YET
(-8) DON’T KNOW
(-9) REFUSED

NEXT QUESTION

ANTICVD

Since (REFERENCE DATE) has (SP) received an antibody test to determine if (he/she) had Coronavirus or COVID-19 in the past?


[IF NEEDED: An antibody test looks at someone’s blood to see if they have ever been infected with the coronavirus.]

(00) NO
(01) YES
(-8) Don't Know
(-9) Refused

(00) MEDICARE

(01) NEXT QUESTION

(-8) MEDICARE

(-9) MEDICARE

ANTIRES

Did the test find that (SP) had Coronavirus or COVID-19?


(01) YES, THE TEST SHOWED R HAD COVID-19
(02) NO, THE TEST SHOWED R DID NOT HAVE COVID-19
(03) NO RESULTS YET
(-8) DON’T KNOW
(-9) REFUSED

NEXT QUESTION

MEDICARE

Since (REFERENCE DATE) has (SP) received medical care (either inside or outside this (facility/home)) for the coronavirus or COVID-19?


[IF NEEDED: Please include services provided by all health care personnel.]

(00) NO
(01) YES
(-8) Don't Know
(-9) Refused

(00) CDCVAC1

(01) NEXT QUESTION

(-8) CDCVAC1

(-9) CDCVAC1

PROVTYP

What kind of provider did (he/she) receive care from for the coronavirus or COVID-19?SELECT ALL THAT APPLY.


CODE BASED ON THE RESPONSE FACILITY RESPONDENT GIVES:


(01) EMERGENCY MEDICAL SERVICE PERSONNEL

(02) NURSES

(03) NURSING ASSISTANTS

(04) PHARMACISTS

(05) PHLEBOTOMISTS

(06) PHYSICIANS

(07) TECHNICIANS

(08) THERAPISTS

(09) OTHER

(-8) DON’T KNOW

(-9) REFUSED

NEXT QUESTION

CDCVAC1

Since (DATE of COVID-19 vaccine availability) has (SP) had a COVID-19 vaccination?

(00) NO
(01) YES
(-8) DON’T KNOW

(-9) REFUSED

(01) NEXT QUESTION

(00), (-8), (-9) MDSINTRO


CVDVACNUM

How many COVID-19 vaccinations has (SP) had?

(01) One vaccination

(02) Two vaccinations

(-8) DON’T KNOW

(-9) REFUSED

(01), (02) NEXT QUESTION

(-8), (-9) MDSINTRO

DOSEDAT1

Date of first dose of COVID-19 vaccination received – Complete date and skip to the next section if response to question two was 1; continue to next question if the response to question two was 2. Month/Year

MONTH (VACMON1)


YEAR (VACYR1)

IF RESPONSE TO CVDVACNUM =(02) GO TO DOSEDAT2.

ELSE GO TO MDSINTRO.

DOSEDAT2

Date of second COVID-19 vaccination received – Complete date and skip to the next section  Month/Year

MONTH (VACMON2)


YEAR (VACYR2)

NEXT QUESTION

MDSINTRO

MOOD

The next section is concerning (SP)’s mood on or around (HS REF DATE).

(01) CONTINUE

NEXT QUESTION

PHQINTRO

MOOD

[3.0, D0100]


On or around (HS REF DATE) was a Resident Mood Interview conducted for (SP)?


[IF NEEDED: This is sometimes referred to as the Patient Health Questionnaire-9 or PHQ-9©. If an MDS has been conducted for the resident, it can be found in section D0100.]

(00) NO
(01) YES
(-8) DON’T KNOW

(-9) REFUSED

(00) PHQSYMPT

(01) PHQSCORE

(-8) PHQSYMPT

(-9) PHQSYMPT


PHQSCORE

MOOD

[3.0, D0300]


ENTER SYMPTOM FREQUENCY SCORE (00-27) FROM PHQ-9.


ENTER “99” IF THE RESIDENT WAS UNABLE TO COMPLETE THE INTERVIEW.


(_ _) CONTINUOUS RESPONSE

(99) UNABLE TO COMPLETE INTERVIEW

THANKEND

PHQSYMPT

MOOD

[3.0, D0500]


Over the last 2 weeks, did the resident have any of the following problems or behaviors?


IF THE FACILITY RESPONDENT IS UNSURE AND THIS INFORMATION CANNOT BE FOUND IN THE MEDICAL CHART, BUT THERE IS AN MDS AVAILABLE, YOU CAN REFERENCE THE MDS ITEM [3.0, D0500].


Ask YES/NO for each:

A. Little interest or pleasure in doing things.

B. Feeling or appearing down, depressed, or hopeless.

C. Trouble falling or staying asleep, or sleeping too much.

D. Feeling tired or having little energy.

E. Poor appetite or overeating.

F. Indicating that s/he feels bad about self, is a failure, or has let self or family down.

G. Trouble concentrating on things, such as reading the newspaper or watching television.

H. Moving or speaking so slowly that other people have noticed. Or the opposite - being so fidgety or restless that s/he has been moving around a lot more than usual.

I. States that life isn't worth living, wishes for death, or attempts to harm self.

J. Being short-tempered, easily annoyed.


(00) NO
(01) YES
(-8) DON’T KNOW

(-9) REFUSED

If (01) YES TO ANY, GO TO PHQSYMFQ.


ELSE GO TO THANKEND

PHQSYMFQ

MOOD

[3.0, D0500]


Over the last 2 weeks, would you say [INSERT PROBLEM OR BEHAVIOR FROM PHQSYMPT] was exhibited never or 1 day, for 2 to 6 days (several days), for 7 to 11 days (half or more of the days), or for 12-14 days (nearly every day)?


COLLECT SYMPTOM FREQUENCY FOR EACH PROBLEM/BEHAVIOR THAT IS REPORTED “YES”

(00) Never or 1 day

(01) 2-6 days (several days)

(02) 7-11 days (half or more of the days)

(03) 12-14 days (nearly every day)

NEXT QUESTION

THANKEND

Thank you for participating in this important survey.






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