Separate from Cover letters must be separate from the Questionnaire questionnaire, so that no personally identifiable information (PII) is returned with n/a the questionnaire when the respondent sends it back to the vendor. Content of The OMB disclosure notice (see Appendix G) letters must be printed on the questionnaire or n/a either in the cover letters. Vendors may not offer sample members the opportunity to complete the survey over the telephone. Telephone interviews may only be n/a conducted as part of the nonresponse Must contain language describing the purpose n/a of the survey. Must contain a statement that participation is voluntary and will not affect any benefits the n/a sample member receives or expects to receive. Must contain language indicating that responses from all the survey participants will be grouped together and these grouped data n/a may be shared with the HOPD or ASC, for purposes of quality improvement. Must contain language stating that if the respondent needs help in reading the n/a questions or marking responses, a friend or family member can assist them. Must contain a toll-free customer support telephone number, which will be staffed by n/a the survey vendor. Printing The HOPD or ASC name (or logo) must appear on the letters or the survey. Note that survey vendors cannot include any promotional messages or materials on the OAS CAHPS cover letter, questionnaire, or n/a outgoing or incoming mailing envelopes. This includes indications that either the facility or the survey vendor has been approved by the Better Business Bureau.
Separate from Questionnaire Cover letters must be separate from the questionnaire, so that no personally identifiable information (PII) is returned with the questionnaire when the respondent sends it back to the vendor. n/a Content of letters The OMB disclosure notice (see Appendix G) must be printed either on the questionnaire or in the cover letters. n/a Vendors may not offer sample members the opportunity to complete the survey over the telephone. Telephone interviews may only be conducted as part of the nonresponse n/a Must contain language describing the purpose of the survey. n/a Must contain a statement that participation is voluntary and will not affect any benefits the sample member receives or expects to receive. n/a Must contain language indicating that responses from all the survey participants will be grouped together and these grouped data may be shared with the HOPD or ASC, for purposes of quality improvement. n/a Must contain language stating that if the respondent needs help in reading the questions or marking responses, a friend or family member can assist them. n/a Must contain a toll-free customer support telephone number, which will be staffed by the survey vendor. n/a Printing The HOPD or ASC name (or logo) must appear on the letters or the survey. 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
OASCAHPS_ProtocolsGuidelinesManual_v1.1.docx