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[Medicare Research GenIC#13-TRIPTK] Homework_Journey Map_IDI_11.24.25
ICR 202609-0938-011 · OMB 0938-1382 · Object 172933100.
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Document Metadata
| File Type | application/pdf |
|---|---|
| File Title | [Medicare Research GenIC#13-TRIPTK] Homework_Journey Map_IDI_11.24.25 |
| Last Modified By | |
| File Modified | 2025-12-02 |
| File Created | 2025-12-02 |
| Conversion State | complete |
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Medicare Experience Journey Overview OMB Control Number: 0938-1382 GenIC #13 - TRIPTK Hello! We'd like to get a better understanding of the moments that have made up your experience with Medicare (we're calling that your Medicare Journey.) There is no right or wrong way to fill this out .. this is solely from your perspective, so we want you to include in your journey the moments that are/were most impactful to you. This exercise should take 15 minutes and can be completed at a time that is convenient for you. If needed, we can help you to complete it. Once you complete the homework, we will ask for you to share it back prior to your meeting with the researchers. If you are unable to send it back, we will work with you to ensure a process that best meet your needs. Think of this exercise as an opportunity to detail the key moments or big chapters you encountered along the way – where it all started through to where you are now. These moments can be positive, negative, or in-between - what's most important is that you are describing what was true for you. For each chapter, go from top to bottom answering the following prompts: What is the chapter: what would you call this phase in your journey? Your word or phrase can be a label, like a chapter heading, an emotion (what this chapter felt like), or any word that comes to mind that describes what it was like. Key moments: describe what was happening in that moment that made it stand out. Remember - these can be challenges or highlights! Support and tools: who or what (people, places, technology etc) helped you in that moment? Mood: tell us (or draw!) how you were feeling during that chapter? This can be words, sketches, emojis, etc - whatever gets the feeling across. PRA Disclosure Statement According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0938-1382 (Expires 12/31/2026). This is a voluntary information collection. Although CMS is not invoking statutory support for confidentiality, the quality of this type of information requires respondent candor and anonymity. Therefore, CMS pledges to keep the information collected private unless otherwise required by law. Respondents will be notified on the data collection form that their information will only be reported in aggregated form and no personally identifiable responses will be publicly released. The time required to complete this information collection is estimated to average 3 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850. Medicare Experience Journey Map GenIC #13 - TRIPTK Chapters If your experience was a book, what would you name each chapter? It can be a phrase, a feeling, a single word, etc… Key Moments What are the big moments that have occurred along the way? Highs, lows, surprises, etc.. Support Where did you go to get the support you needed. Who or what supported you? This might be a person, place, written materials, websites, etc… Mood How did you feel during each chapter? Use words or drawings to share your feelings.