Form Approved
OMB Control No.: 0920-XXXX
Expiration date: XX/XX/XXXX
LHDs with Review Only Capacity
Interview Guide
TITLE OF INFORMATION COLLECTION: Interview Guide for soliciting feedback from local health departments (LHDs) on CDC’s Interim Local Health Department (LHD) Strategy for Response, Control, and Prevention of Healthcare Associated Infections (HAI) and Antibiotic Resistance (AR).
PURPOSE: CDC will collect feedback from LHDs on the interim strategy and supplemental materials to inform updates to the strategy based on the needs and experiences of LHDs.
INTRO: Thank you for reviewing the strategy as part of the pilot program. As a reviewer of the strategy materials, we will be asking some questions to understand how your LHD would anticipate using the strategy and any challenges, successes, or suggestions you foresee. To this end, we have a few questions today to capture feedback on how our team can refine the strategy to better support LHDs. We are hoping to:
Understand how your LHD anticipates using the strategy
Identify successes and challenges your LHD foresees with implementing the strategy
Capture any best practices or lessons learned from your experience as a pilot participant
Identify ways that the CDC can support your organization in HAI and AR efforts in the short-term and long-term
We value your privacy and would like to assure you that all responses will be aggregated with those from other participants and deidentified before they are shared. Insights from these interviews will be used to inform updates to the strategy and considerations for supplemental resources. We would appreciate your candid experiences and perspectives. This call should take no more than 60 minutes of your time. With your permission, we would like to record this interview for transcription purposes.
Do we have your permission to record?
☐Yes
☐No
Do you have any questions before we get started?
Introductory Information: This section is to be populated before the interview.
INTERVIEWEE INFORMATION |
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Interviewee Name(s): |
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LHD Name: |
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Title/Role: |
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Interviewer: |
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Note-Taker: |
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LOGISTICS |
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Date: |
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Time: |
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CONTEXTUAL INFORMATION |
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Audience Type: |
Review Only Capacity |
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NACCHO Funded Site? (If yes, which program) |
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LHD Governance Type |
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Size of Population Served |
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Urban, Rural, or Both |
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INTERVIEW QUESTIONS & NOTES: LHDS WITH REVIEW ONLY CAPACITY
INTERVIEW QUESTIONS |
RESPONSES |
LHD CONTEXTUAL INFORMATION
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Follow up: If you answered rarely, can you please describe why working with the state program is limited?
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HOW YOUR LHD ANTICIPATES USING THE STRATEGY
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Using the Strategy Questions | Intended Outcomes:
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SUCCESSES AND CHALLENGES
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Please explain how the above solution(s) would alleviate challenges faced by your LHD.
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Follow up: If you answered other, can you please explain what success factors or enablers at your LHD might help you implement the strategy?
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Successes and Challenges Questions | Intended Outcomes:
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BEST PRACTICES FOR STRATEGY IMPLEMENTATION
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Best Practices Questions | Intended Outcomes:
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HOW CDC CAN SUPPORT YOUR ORGANIZATION IN HAI AND AR EFFORTS
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CDC Support Questions | Intended Outcomes:
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FOLLOW-UP QUESTIONS (TIME PERMITTING)
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Follow Up Questions | Intended Outcomes:
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WRAP- UP
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Thank you for your time today. We really appreciate you letting us speak with you! We may follow up with you briefly if needed. |
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Public reporting burden of this collection of information is estimated to average 120 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB Control Number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA 0920-XXXX
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Clark, James A. (CDC/OD/OADC) |
File Modified | 0000-00-00 |
File Created | 2023-08-26 |