Overall Crosswalk of changes

Crosswalk for Changes to
Evaluation of the CMS Network of Quality Improvement and Innovation Contractors Program (NQIIC)
(CMS-10769)
Section # on Current
CMS-10769
Appendix A Nursing Home
Survey Instrument

Type of Change
Slight changes in wording for
questions

Appendix B Hospital
Survey Instrument

Slight changes in wording for
questions

Supporting Statement A,
Section 5 Small Business

Increased number of small
businesses

Supporting Statement A,
Section 8 Federal Register/
Outside Consultation

Included information about a
question that came in during the 60
day comment period. Also updated
to reflect completion of the pretesting.
Updated to reflect completion of the
pre-testing.

Supporting Statement A,
Section 9 Payments/Gifts to
Respondents
Supporting Statement A,
Section 12 Estimated
Burden
Supporting Statement A,
Background Table 1 and
Supporting Statement B,
Section 1 Respondent
Universe and Sampling
Method

Hours per response for hospital
survey changed from 0.25 to 0.33,
resulting in change to total estimated
burden
Strata for hospital survey sample
changed from level of participation
to participation/no participation
Also provided additional detail
regarding sampling and statistical
methodology.

Rationale for Change
Changes recommended during
pretesting; see Nursing Home
Survey Questions Crosswalk
Changes recommended during
pretesting; see Hospital Survey
Questions Crosswalk
Changed due to new
enrollment information for
hospitals
Changed to make the section
reflect what has occurred since
the submission for the 60 day
comment period.
Changed to make the section
reflect what has occurred since
the submission for the 60 day
comment period.
Pretesting trials averaged
closer to 20 minutes
No data available to inform on
level of participation, as
originally planned.
Statistical method has been
more clearly determined.