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Workstream 2: Data Documentation Submission and Sampling

The purpose of this survey is to record feedback from all SBEs participating in IPPTA, measure how each workstream was delivered, and determine whether the goals and purposes for each stage of the IPPTA program have been achieved. Participation is voluntary; however, feedback provided during this process may be used to make improvements or otherwise inform any future improper payment measurement program.  Survey response data will not be shared outside of CMS and will be held internally on CMS servers.

Please answer the following questions and provide any additional context as applicable. 

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1.SBE Name:Single line text. 
2.Responder Name:Single line text. 
3.Responder Title:Single line text. 
4.Responder Email:Single line text. 
5.CMS clearly communicated data documentation requirements to provide SBE’s with a clear understanding of what was needed to tailor processes and requirements for IPPTA.
Single choice. 
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
6.Please provide any additional context:Multi Line Text. 
7.How many staff members were involved in collecting the requested data documentation and submitting it to CMS? Single line text. 
8.How many total staff hours were expended to complete this activity?Single line text. 
9.1.1.  Assuming your SBE would not need to submit documentation already provided for IPPTA (unless there were material updates), how many total staff hours would you anticipate being required to collect and provide SBE data documentation to support a planned measurement program?
Single line text. 
10.Does your SBE have any recommendations for streamlining or improving the data documentation collection process?Multi Line Text. 
11.CMS clearly communicated the purpose and instructions for data mapping to facilitate the successful completion of the required data mapping activities.
Single choice. 
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
12.Please provide any additional context:Multi Line Text. 
13.Which of the following materials, if used by the SBE, were most helpful in completing data mapping activities?Likert. 

Not at all helpful
Slightly helpful
Moderately helpful
Very helpful
Extremely helpful
Not used
14.How many staff members were involved in conducting the data mapping from your SBE's data repositories to the IPPTA Data Collection Instrument? Single line text. 
15.How many total staff hours were expended to complete this activity?Single line text. 
16.The IPPTA sampling phase provided adequate time to effectively conduct sampling and provide sample data.Single choice. 
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
17.How many staff members were involved in extracting the sampled unit data from state data repositories and transferring them to the IPPTA Data Collection Instrument? Single line text. 
18.How many total staff hours were expended to complete this activity?Single line text. 
19.Did your SBE need to perform any system modifications to extract data from your source system to complete the IPPTA Data Collection InstrumentSingle choice. 
Yes
No
Submit

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