Translation Only CMS-approved translations of the OAS Survey are permitted. If facilities choose to add n/a their own supplemental questions, vendors will be responsible for translating these questions. Logo and other The HOPD or ASC name or logo must appear on information the survey or the cover letter. Note that survey about the vendors cannot include any promotional messages HOPD or ASC or materials on the OAS CAHPS cover letter, n/a questionnaire, or outgoing or incoming mailing envelopes. This includes indications that either the facility or the survey vendor has been approved by the Better Business Bureau. The vendor’s name and mailing address must be printed at the bottom of the last page of the OAS CAHPS Survey questionnaire, in case the n/a respondent does not use the enclosed business reply envelope. OMB Number The OMB number shown in must be Appendix G printed on the questionnaire cover. If there is no n/a cover, then the OMB number must be printed on the first page of the questionnaire. Cover Letter Requirements and Recommendations Examples of cover letters in English, Spanish, and Chinese are provided in the appendices with the survey instruments (see Vendors may choose to develop their own cover Appendices C–F). letters as well, provided that the following requirements are met: Requirement Recommendation Personalization Cover letters must be personalized with the n/a name and address of the sample member. Cover letters must contain the date of the surgery/procedure and the name of the location where the surgery was received. (The monthly patient information file must contain n/a the date of surgery, facility name, and location name because the name recognized by the patient may differ from the facility’s official name.)
Translation Only CMS-approved translations of the OAS Survey are permitted. If facilities choose to add their own supplemental questions, vendors will be responsible for translating these questions. n/a Logo and other information about the HOPD or ASC The HOPD or ASC name or logo must appear on the survey or the cover letter. Note that survey vendors cannot include any promotional messages or materials on the OAS CAHPS cover letter, questionnaire, or outgoing or incoming mailing envelopes. This includes indications that either the facility or the survey vendor has been approved by the Better Business Bureau. n/a The vendor’s name and mailing address must be printed at the bottom of the last page of the OAS CAHPS Survey questionnaire, in case the respondent does not use the enclosed business reply envelope. n/a OMB Number The OMB number shown in Appendix G must be printed on the questionnaire cover. If there is no cover, then the OMB number must be printed on the first page of the questionnaire. n/a Cover Letter Requirements and Recommendations Examples of cover letters in English, Spanish, and Chinese are provided in the appendices with the survey instruments (see Appendices C–F). Vendors may choose to develop their own cover letters as well, provided that the following requirements are met: Requirement Recommendation Personalization Cover letters must be personalized with the name and address of the sample member. n/a Cover letters must contain the date of the surgery/procedure and the name of the location where the surgery was received. (The monthly patient information file must contain the date of surgery, facility name, and location name because the name recognized by the patient may differ from the facility’s official name.) n/a
OASCAHPS_ProtocolsGuidelinesManual_v1.1.docx