OMB Number: 0915-0366; Expiration date: XX/XX/202X
Entities Survey: Module 8
Number of questions: 5
NPDB Query
Q 8.1. Have you ever queried the NPDB on behalf of your organization (without using an authorized agent)?
Yes
No
Other (Please explain) ________
If “yes”, skip to Q 8.4. Otherwise, go to Q 8.2.
Q 8.2. Has your organization ever queried the NPDB (without an authorized agent)?
Yes
No
Other (Please explain) ________
If “yes”, go to Q 8.3.
If “no” or “other”, skip to Q 8.5.
Q 8.3. As you have not queried the NPDB, but your organization has, please provide the name and contact information for the person in your organization who submits queries to the NPDB so that they can answer the query related survey questions.
First name: ____________
Last name: ____________
Telephone number: ____________
Email address: ____________
Skip to Q 8.5 after Q 8.3. Responses to Q 8.3 will be monitored each week and survey link will be sent to these individuals.
Q 8.4. When was the last time you conducted an NPDB query on behalf of your organization (without an authorized agent)?
In the last month
Between 1 month to 3 months ago
Between 3 to 6 months ago
Between 6 to 12 months ago
Between 1 to 2 years ago
Between 2 to 3 years ago
Between 3 to 4 years ago
More than 4 years ago
Q 8.5. Does your organization contract with an authorized agent to query the NPDB?
Yes
No
Other (Please Explain) __________
Piping logic:
If the respondents query through an agent (“yes” to Q 8.5) but not directly (not “yes” to Q 8.1), they will be directed to Module 9 and then 10 and then 13.
If they query through an agent but also query directly (“yes” to both Q 8.1 and Q 8.5), they will be directed to Module 9, then 10, 11, 12 and 13.
If they query directly (“yes” to Q 8.1) but not through an agent (not “yes” to Q 8.5), they will be directed to Module 10, then 11, 12 and 13.
If they have not queried themselves (not “yes” to Q 8.1), their organization has queried (“yes” to Q 8.2), and their organization uses an agent (“yes” to Q 8.5), they will be directed to Module 9, then 10, then 13 about perceptions.
If they have not queried themselves (not “yes” to Q 8.1), their organization has queried (“yes” to Q 8.2), and their organization does not use an agent (not “yes” to Q 8.5), they will be directed to Module 13 about perceptions.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Microsoft User |
File Modified | 0000-00-00 |
File Created | 2021-04-12 |