Attachment G: Example Screen Shots of Nursing Home Survey on Patient Safety Culture Data Submission Web Site Information Collection

AHRQ Nursing Home Survey on Patient Safety Culture Comparative Database, Supporting Statement B

Attachment G: Example Screen Shots of Nursing Home Survey on Patient Safety Culture Data Submission Website Information Collection

Figure 1: Submit Data Use Agreement (DUA) and Link DUA to Nursing Home(s)

Figure 1: Submit Data Use Agreement (DUA) and Link DUA to Nursing Home(s), continued

Figure 1: Submit Data Use Agreement (DUA) and Link DUA to Nursing Home(s), continued

Figure 2: Submit Questionnaire and Link Questionnaire to Nursing Home(s)

Figure 2: Submit Questionnaire and Link Questionnaire to Nursing Home(s), continued

Figure 3: Upload Data File for Each Participating Nursing Home

Figure 3: Upload Data File for Each Participating Nursing Home, continued