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OAS CAHPS Survey 2022 Annual QAP Update
folder_openOther Announcementscalendar_todayPosted April 29, 2022

This is a friendly reminder that the deadline for OAS CAHPS Survey vendors to submit their Annual Quality Assurance Plan (QAP) is 11:59 PM Eastern Time on May 31, 2022.

Please note that if your operations temporarily changed due to COVID-19, those changes do not need to be detailed in the QAP at this time. As a reminder, documentation of plans to work remotely during the COVID-19 impact period are reviewed by CMS via an Exceptions Request Form. If you are implementing permanent changes to your operations, (beyond the COVID-19 impact period), please describe these in the QAP.

To ensure prompt review and acceptance of your QAP upon submission, please follow the procedures listed below:

  • Locate the version of your most recently approved QAP; that is, the version that was accepted by CMS and the Coordination Team for 2021.
  • Make a document copy of that version (MS Word preferred) and accept all tracked changes, creating a clean copy of your QAP.
  • Make any updates to this clean version using track changes, so that your document reflects only the new changes made since your last approved QAP.
  • Make sure to include updates to your QAP if your organization has had changes in OAS CAHPS Survey personnel, changes to protocols or procedures, and/or changes in approved survey mode(s).
    • NOTE: applications updated to include new web modes must be approved before updates to the QAP are made.
  • Make sure your QAP follows the format shown in the Model QAP posted on the OAS CAHPS website. Also make sure that you provide information for every topic included in the Model QAP.
  • Before submitting your annual QAP, check it carefully to make sure that it reflects all OAS CAHPS Survey protocols disseminated via announcements posted on the OAS CAHPS website and/or described in the latest version of the Protocols and Guidelines Manual.
  • Submit your QAP online via the OAS CAHPS website (https://oascahps.org/).

Remember that you must also update your online OAS CAHPS Vendor Application Form if you have been approved to changed key personnel and/or subcontractors, and/or have changed your business name or location.

Please contact the OAS CAHPS Survey Coordination Team at 1-866-590-7468 or via email at oascahps@rti.org if you have any questions about the QAP submission or review process.

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Process to Suppress OAS CAHPS Survey Data from Public Reporting for July 2022 Refresh
folder_openPublic Reportingcalendar_todayPosted April 18, 2022

During voluntary implementation, CMS will allow participating hospital outpatient departments (HOPDs) and ambulatory surgery centers (ASCs) to have their data suppressed, that is, not displayed on data.CMS.gov/provider-data.

OAS CAHPS Survey data are scheduled refresh in July 2022, which includes data from Quarter 1, 2021 - Quarter 4, 2021.

For the July 2022 refresh, vendors must notify the OAS CAHPS Survey Coordination Team (via email at oascahps@rti.org) by May 16, 2022 of any CCNs that choose to exclude their data from public reporting. Please note that the deadline for suppression is earlier than the date by which the Preview Reports are posted on oascahps.org.

The email message to the Coordination Team should include the HOPD's or ASC's name and CMS Certification Number (CCN).

Please contact the OAS CAHPS Survey Coordination Team via email at oascahps@rti.org or call toll-free (866) 590-7468, if you have any questions.

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OAS CAHPS Preview Reports Available for Quarter 4, 2020 through Quarter 3, 2021
folder_openPublic Reportingcalendar_todayPosted April 13, 2022

The purpose of this announcement is to alert hospital outpatient departments (HOPDs) and ambulatory surgery centers (ASCs) that Preview Reports reflecting results from the Outpatient and Ambulatory Surgery CAHPS (OAS CAHPS) Survey for October 2020 through September 2021 (Q4, 2020-Q3, 2021) are now available on the OAS CAHPS website.

Please note OAS CAHPS Survey results will not be refreshed on CMS' Provider Data Catalog (PDC) website this quarter. These data will only be available via the OAS CAHPS Survey Preview Reports on the OAS CAHPS website. (See previous announcement on this topic - Public Reporting of OAS CAHPS Data will not be refreshed in April 2022: https://oascahps.org/General-Information/Announcements/entryid/1283)

The following are some frequently asked questions and answers about the Preview Reports. More information about the OAS CAHPS Survey Preview Reports can be found in the "Understanding the Preview Reports" link under the For Facilities menu tab on the OAS CAHPS website.

  1. Who has access to a facility's Preview Report?
    HOPDs and ASCs participating in the OAS CAHPS Survey have access to their own reports. The Preview Report is not available to OAS CAHPS Survey vendors or to anyone other than the facility staff registered through the https://oascahps.org website. If facility staff want to share the Preview Report with their OAS CAHPS Survey vendor or with anyone else, they can export the results to a Microsoft Excel File and distribute it.
  1. How does a facility user access its Preview Report?
    The Preview Reports are posted on the secured (private) link on https://oascahps.org/. To access a facility's report, an authorized user must first log into the OAS CAHPS website with their registered username and password. Then, select the "Survey Preview Report" link under the "For Facilities" menu tab. All of the user's registered CMS Certification Numbers (CCNs) are displayed on the Preview Report webpage for review.
  1. What results are shown in the Preview Reports?
    For each CCN, the Preview Report shows the results for each variable and measure shown below:
    1. The number of patients who were sampled; the number of completed surveys; and the response rate percentage during the reporting period;
    2. The percentage of patients who rated the overall care they received at the HOPD or ASC a "9" or "10" on a scale of 0 (worst care possible) to 10 (best care possible);
    3. The percentage of patients who reported YES, they would definitely recommend the HOPD or ASC to friends and family;
    4. The percentage of patients who reported that the HOPD or ASC staff gave care in a professional way and the facility was clean;
    5. The percentage of patients who reported that the HOPD or ASC staff definitely communicated with them about what to expect during and after the procedure; and
    6. The percentage of patients who reported that the HOPD or ASC staff definitely gave them information about what to do if they had pain, nausea or vomiting, bleeding, or possible signs of infection as a result of the procedure or the anesthesia, if any of these outcomes were experienced. NOTE: While CMS reviews the data, Composite 3 will not be publicly reported on data.medicare.gov. At this time, this composite score is only available directly to each facility through the Preview Report.
    More information about the OAS CAHPS Survey measures in the Preview Reports can be found in Chapter XVI of the OAS CAHPS Survey Protocols and Guidelines Manual available under the Survey Materials menu tab on the OAS CAHPS website.
  1. Which sample months are included in the Preview Report results?
    The results included in the current Preview Report are based on OAS CAHPS Survey response data from patients who had an outpatient surgery or procedure October 2020 through September 2021. The future anticipated public reporting periods are provided in Table 16.2 of the OAS CAHPS Survey Protocols and Guidelines Manual.
  1. My facility participated in the OAS CAHPS Survey, but there are no results shown. Why?
    OAS CAHPS Survey results are publicly reported when an HOPD or ASC has 4 quarters of OAS CAHPS Survey data. An HOPD or ASC must have had survey response data (patients who responded to the survey) in all 4 quarters included in the public reporting period for results to be publicly reported.

Please contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468, if you have any questions.

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Final Calendar Year (CY) 2021, Quarter 4 Data Submission Deadline Reminder – April 13, 2022
folder_openData Submissioncalendar_todayPosted April 6, 2022

This announcement serves as the final reminder that the data submission deadline for submitting Quarter 4 of calendar year 2021 data (CY21, Q4) to the OAS CAHPS Data Center is Wednesday, April 13, 2022. We thank those OAS CAHPS Survey vendors who have already begun submitting CY21, Q4 data for their client facilities. If you have not submitted any data for Quarter 4, we encourage you to begin submitting your files as soon as possible.

As we approach the next data submission deadline, please note the important points provided below.

  • Continue using the 2021 version of the XML data file layout for the Quarter 4, 2021 data submission.
  • Check your Vendor Authorization Report to make sure that all client facilities have authorized your organization to submit data on their behalf.
  • CMS will not accept any data files for the October, November and/or December 2021 sample months after 8:00 PM Eastern Time on April 13, 2022.
  • Survey vendors should start submitting their data files as soon as possible to allow adequate time to re-submit data, if needed. You may submit files as many times as needed as long as the final file submission is successfully uploaded by the deadline.
  • Each time a data file for an HOPD or ASC is submitted, it overwrites any previously submitted data for that same facility for that survey period.
  • You must still submit an XML data file for an HOPD or ASC facility even if the corresponding monthly patient information file does not have any patients eligible to be sampled.
  • After each file upload, you will receive an email confirmation within several minutes notifying you whether the upload was successful.
  • All submitted files will go through validation checks. After the validation check is conducted, you will receive a second e-mail confirmation message notifying you whether your file has been accepted or rejected. The confirmation e-mail message will contain a hyperlink to a Data Submission Report, which shows details of the validation check and any file errors that were identified.
  • Survey vendors can access the Data Submission Reports on the project website by selecting "History" through the "Data Submission Reports" link in the Data Submission menu.
  • If you do not receive an e-mail message confirming that your file was successfully uploaded, an e-mail message providing the results of the validation checks, or you cannot view the Data Submission Reports on files that you have submitted, please contact the OAS CAHPS Data Center at oascahps@rti.org.

For additional information about data file preparation and data submission processes, please review Chapter XIII of the OAS CAHPS Survey Protocols and Guidelines Manual available under the Survey Materials tab on the OAS CAHPS website. Please contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468 if you have any questions or trouble submitting data files.

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Calendar Year (CY) 2021, Quarter 4 Data Submission Deadline Reminder – April 13, 2022
folder_openData Submissioncalendar_todayPosted March 30, 2022

The data submission deadline for submitting Quarter 4 of calendar year 2021 data (CY21, Q4) to the OAS CAHPS Data Center is Wednesday, April 13, 2022. We thank those OAS CAHPS Survey vendors who have already begun submitting CY21, Q4 data for their client facilities. If you have not submitted any data for Quarter 4, we encourage you to begin submitting your files as soon as possible.

As we approach the next data submission deadline, please note the important points provided below.

  • Continue using the 2021 version of the XML data file layout for the Quarter 4, 2021 data submission.
  • Check your Vendor Authorization Report to make sure that all client facilities have authorized your organization to submit data on their behalf.
  • CMS will not accept any data files for the October, November and/or December 2021 sample months after 8:00 PM Eastern Time on April 13, 2022.
  • Survey vendors should start submitting their data files as soon as possible to allow adequate time to re-submit data, if needed. You may submit files as many times as needed as long as the final file submission is successfully uploaded by the deadline.
  • Each time a data file for an HOPD or ASC is submitted, it overwrites any previously submitted data for that same facility for that survey period.
  • You must still submit an XML data file for an HOPD or ASC facility even if the corresponding monthly patient information file does not have any patients eligible to be sampled.
  • After each file upload, you will receive an email confirmation within several minutes notifying you whether the upload was successful.
  • All submitted files will go through validation checks. After the validation check is conducted, you will receive a second e-mail confirmation message notifying you whether your file has been accepted or rejected. The confirmation e-mail message will contain a hyperlink to a Data Submission Report, which shows details of the validation check and any file errors that were identified.
  • Survey vendors can access the Data Submission Reports on the project website by selecting "History" through the "Data Submission Reports" link in the Data Submission menu.
  • If you do not receive an e-mail message confirming that your file was successfully uploaded, an e-mail message providing the results of the validation checks, or you cannot view the Data Submission Reports on files that you have submitted, please contact the OAS CAHPS Data Center at oascahps@rti.org.

For additional information about data file preparation and data submission processes, please review Chapter XIII of the OAS CAHPS Survey Protocols and Guidelines Manual available under the Survey Materials tab on the OAS CAHPS website. Please contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468 if you have any questions or trouble submitting data files.

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Calendar Year (CY) 2021, Quarter 4 Data Submission Deadline Reminder – April 13, 2022
folder_openData Submissioncalendar_todayPosted March 16, 2022

The data submission deadline for submitting Quarter 4 of calendar year 2021 data (CY21, Q4) to the OAS CAHPS Data Center is Wednesday, April 13, 2022. We thank those OAS CAHPS Survey vendors who have already begun submitting CY21, Q4 data for their client facilities. If you have not submitted any data for Quarter 4, we encourage you to begin submitting your files as soon as possible.

As we approach the next data submission deadline, please note the important points provided below.

  • Continue using the 2021 version of the XML data file layout for the Quarter 4, 2021 data submission.
  • Check your Vendor Authorization Report to make sure that all client facilities have authorized your organization to submit data on their behalf.
  • CMS will not accept any data files for the October, November and/or December 2021 sample months after 8:00 PM Eastern Time on April 13, 2022.
  • Survey vendors should start submitting their data files as soon as possible to allow adequate time to re-submit data, if needed. You may submit files as many times as needed as long as the final file submission is successfully uploaded by the deadline.
  • Each time a data file for an HOPD or ASC is submitted, it overwrites any previously submitted data for that same facility for that survey period.
  • You must still submit an XML data file for an HOPD or ASC facility even if the corresponding monthly patient information file does not have any patients eligible to be sampled.
  • After each file upload, you will receive an email confirmation within several minutes notifying you whether the upload was successful.
  • All submitted files will go through validation checks. After the validation check is conducted, you will receive a second e-mail confirmation message notifying you whether your file has been accepted or rejected. The confirmation e-mail message will contain a hyperlink to a Data Submission Report, which shows details of the validation check and any file errors that were identified.
  • Survey vendors can access the Data Submission Reports on the project website by selecting "History" through the "Data Submission Reports" link in the Data Submission menu.
  • If you do not receive an e-mail message confirming that your file was successfully uploaded, an e-mail message providing the results of the validation checks, or you cannot view the Data Submission Reports on files that you have submitted, please contact the OAS CAHPS Data Center at oascahps@rti.org.

For additional information about data file preparation and data submission processes, please review Chapter XIII of the OAS CAHPS Survey Protocols and Guidelines Manual available under the Survey Materials tab on the OAS CAHPS website. Please contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468 if you have any questions or trouble submitting data files.

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"Say Yes" Phone Scam FAQ for Telephone Interviewers
folder_openSurvey Specifications and Guidelinescalendar_todayPosted March 8, 2022

The purpose of this announcement is to provide guidance on how telephone interviewers can help respondents feel more comfortable answering the OAS CAHPS Survey questions via telephone mode. When a respondent is concerned about saying the word "yes" for fear of being scammed, it can be difficult to complete the survey questions. Therefore, CMS is issuing a new Frequently Asked Question (FAQ) that interviewers can use to address a respondent's concern.

"I'm concerned the survey might be a "scam."

NOTE: IF A NOTIFICATION LETTER WAS SENT IN ADVANCE, REMIND THE RESPONDENT THAT A LETTER EXPLAINING THE SURVEY, WAS MAILED TO THEM FROM <FACILITY NAME>.

I understand your concern, just as a reminder, this survey is being done on behalf of <FACILITY NAME> and they would like to get your input on your recent procedure. If you are more comfortable, you can tell me the number that fits your answer. For example, say 1 for "Yes, definitely," 2 for "Yes, somewhat," or 3 for "No." When we get to questions that ask for a Yes/No answer, I will remind you to choose 1 for "Yes" and 2 for "No." Let's try this again with the first question. PROCEED WITH THE NEXT QUESTION AND READ THE RESPONSE OPTIONS AS DESCRIBED ABOVE.

Spanish and Chinese translations of this FAQ will be available in the standalone documents on the "Survey Materials" webpage soon.

Please contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468, if you have any questions.

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Public Reporting of OAS CAHPS Data will not be refreshed in April 2022
folder_openPublic Reportingcalendar_todayPosted March 2, 2022

In accordance with the Quality Reporting announcement (below), the Hospital Public Reporting measure data, including OAS CAHPS Survey results, will not be updated in April 2022 on CMS' websites (Provider Data Catalog [PDC] and Care Compare). OAS CAHPS data posted in January 2022 will remain until the next update, which is scheduled for July 2022. Preview reports with the April refresh data will be posted for the participating HOPDs and ASCs.

Please contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468, if you have any questions.

--------------------------------------------------------------------------------------------------------------------

From: Quality Reporting Notification < hiqr-notify@mailer.qualitynet.org >
Sent: Friday, February 11, 2022 8:25 AM
To: hiqr-notify@mailer.qualitynet.org
Subject: [Hiqr-notify] 2021 OP-10 Data will be Updated to Correct Identified Error; Overall Hospital Quality Star Rating Publication and Hospital Public Reporting measure data will not be updated in April 2022...

The Centers for Medicare & Medicaid Services (CMS) has identified an error in the calculation of OP-10 (Abdomen Computed Tomography [CT]-Use of Contrast Material) measure results used for calendar year (CY) 2021 public reporting with a measurement period of July 1, 2019 - December 1, 2019 under the Hospital Outpatient Quality Reporting (OQR) Program[1]. As a result of this issue and a commitment to data accuracy, CMS will update the 2021 OP-10 measure results as well as the Overall Hospital Quality Star Ratings on Care Compare in July 2022 to correct the error and reflect the accurate results. Note, data for the Hospital Value- Based Purchasing Program will be updated in the Provider Data Catalog in April 2022.

Impact to the Hospital OQR Program

CMS is correcting the calculation error and will update the CY 2021 OP-10 measure results. Hospitals will then have the opportunity to preview their updated CY 2021 OP-10 measure results in the Spring 2022 Facility-Specific Reports (FSRs) prior to public reporting the updated results in Summer 2022.

The CY 2021 OP-10 measure results were used for CY 2022 payment determination under the OQR program. No additional data or other actions are required from hospitals to re-calculate the OP-10 measure, and will not impact CY 2022 payment determinations. In addition, there are no impacts to the other CY 2021 Outpatient Imaging Efficiency (OIE) measures because their results are correct.

To minimize stakeholder confusion, CMS is also delaying the public reporting of CY 2022 OP-10 measure results. These measure results are for CY 2023 payment determination, and were initially scheduled for preview release in Spring 2022. CMS intends for the calculation error to be corrected in this and in future reporting of results for the OP-10 measure.

Impact to Care Compare Overall Hospital Quality Star Ratings

As the July 2021 measure data are used in the calculation of the 2022 Overall Star ratings, CMS will not update Overall Hospital Quality Star Ratings on Care Compare in April 2022, as scheduled.

Instead, CMS anticipates providing updated Overall Star Ratings Hospital-Specific Reports (HSRs) in Spring 2022 and publicly reporting updated Overall Star Ratings results in Summer 2022.

The OP-10 measure data is included in the Timely & Effective Measure Group of the Overall Star Ratings. To ensure the most accurate calculation of the Overall Star Ratings, CMS aims to include the corrected OP-10 measure results in the 2022 Overall Star Ratings.

For More Information

Additional details and technical specifications for the OIE measures are available by visiting the Imaging Efficiency Measures landing page on QualityNet.

If you have questions related to the OIE measures, please submit your inquiry to the QualityNet Q&A Tool (select "OQR-Outpatient Quality Reporting" in the Program dropdown menu).

For questions related to impacts to the Care Compare overall rating, please submit your inquiry to the Overall Star Rating Team via the QualityNet Question and Answer tool. (select "Overall Star Ratings" in the Program dropdown menu).

[1] Per March 27, 2020 guidance memo regarding exceptions and extensions, CMS granted an exception for reporting requirements under the Hospital Outpatient Quality Reporting (OQR) Program per 42 CFR 419.46(d)(2) for all claims-based measures data from encounters occurring from January 1, 2020-June 30, 2020.

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OAS CAHPS Public Reporting Results Refreshed on Provider Data Catalog (Quarter 3, 2020 through Quarter 2, 2021)
folder_openPublic Reportingcalendar_todayPosted January 26, 2022

Outpatient and Ambulatory Surgery CAHPS (OAS CAHPS) Survey results based on responses from patients who received an outpatient surgery or procedure between July 2020 and June 2021 are now publicly available on the Provider Data Catalog (PDC) website (formerly known as Data.Medicare.gov). The PDC website provides downloadable datasets (direct link: https://data.cms.gov/provider-data/). OAS CAHPS data are also referenced on Care Compare, which points to the downloadable datasets on the PDC website under "Resources & Information" (direct link: https://www.medicare.gov/care-compare/).

You can access OAS CAHPS Survey results at the facility, state and national levels.

As a reminder, OAS CAHPS Survey results are updated quarterly, as shown inTable 16.2 of the OAS CAHPS Survey Protocols and Guidelines Manual, Version 6.0, available here.

For more information about how the data were analyzed and for the patient-mix adjustment factors that were used to statistically adjust the results that are currently being publicly reported, click on the "Patient Mix Adjustment Factors" in the Quick Links box on the Home page.

If you have any questions, please contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468.

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Summary of changes to the XML data file layouts
folder_openData Submissioncalendar_todayPosted January 20, 2022

This announcement details the changes made to the Standard XML Data File Layout and Disproportionate Stratified Random Sampling (DSRS) XML Data File Layout take effect with the January 2022 sample month. The OAS CAHPS Survey data for Quarter 1, 2022 are due on July 13, 2022. The updated Data Submission Tool on the OAS CAHPS website will be available starting in May 2022. An announcement will be posted when the submission tool and XML Schema Validation Tool (available on the "Data Submission Resources" webpage) are available.

If needed, you can review Appendices J (XML Data File Layout for Standard Header Record) and K (XML Data File Layout for DSRS Header Record) in the OAS CAHPS Survey Protocols and Guidelines Manual, Version 6.0 for more information.

Please contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468, if you have any questions.

Section of XML

Original Variable

Change(s) Made

Header Record

Survey Mode
<surveymode>

The survey mode, either mail only, phone only, mail with telephone follow-up, web with mail follow-up, or web with telephone follow-up, must be the same for all sample members in each sample month in the calendar quarter for all of the HOPD or ASC locations under the same CCN.

1 = Mail only
2 = Telephone only
3 = Mixed mode Mail with Telephone Follow-Up
4 = Web with Mail Follow-Up
5 = Web with Telephone Follow-Up

Patient Administrative Record

Survey Mode
<surveymode>

This is the mode of data collection the patient used to complete the survey.

1 = Mail only
2 = Telephone only
3 = Web
X = NOT APPLICABLE

Patient Administrative Record

Final Survey Status
<finalstatus>

110 = Completed Mail Survey
120 = Completed Phone Survey
130 = Completed Web Survey
210 = Ineligible: Deceased
220 = Ineligible: Does not Meet Eligibility criteria
230 = Ineligible: Language Barrier
240 = Ineligible: Mentally or Physically Incapacitated
310 = Breakoff
320 = Refusal
330 = Bad Address/ Undeliverable Mail
340 = Wrong/Disc/No Telephone Number
350 = No response after Maximum attempts

Patient Response Record

Q15 Pain Info
<paininfo>

Yes , definitely ........... 1
Yes, somewhat.......... 2
No........................... 2 3
MISSING/DK.............. M

Patient Response Record

Q17 Nausea
<nausea>

Yes , definitely ........... 1
Yes, somewhat.......... 2
No........................... 2 3
MISSING/DK.......... M

Patient Response Record

Q19 Bleeding Instruction
<bleedinginstruction>

Yes , definitely ........... 1
Yes, somewhat.......... 2
No........................... 2 3
MISSING/DK.......... M

Patient Response Record

Q21 Infection Info
<infectioninfo>

Yes , definitely ........... 1
Yes, somewhat.......... 2
No........................... 2 3
MISSING/DK.......... M

Patient Response Record

Q27 Age
<age>

REMOVED.

Patient Response Record

Q28 Gender
<gender>

REMOVED.

Patient Response Record

Q29 Education
<education>

Data element renumbered:
Q27 Education
<education>

Patient Response Record

Q30 Ethnicity
<ethnicity>

Data element renumbered:
Q28 Ethnicity
<ethnicity>

Patient Response Record

Q31 Group
<group>

Data element renumbered:
Q29 Group
<group>

Patient Response Record

Q32 Race [Category]-mail
<race[category]-mail>

Each "mail" data element for race question renumbered:
Q30 Race [Category]-mail
<race[category]-mail>

Patient Response Record

Q32 Race [Category]-phone
<race[category]-phone>

Each "phone" data element for this race question renumbered and removed "phone" label since these apply to telephone and web modes:
Q30 Race [Category] -phone
<race[category] -phone>

Patient Response Record

Q32a Race [Category]-phone

<race[category]-phone>

Each "phone" data element for this race question renumbered and removed "phone" label since these apply to telephone and web modes:
Q30a Race [Category] -phone
<race[category] -phone>

Patient Response Record

Q32b Race [Category]-phone
<race[category]-phone>

Each "phone" data element for this race question renumbered and removed "phone" label since these apply to telephone and web modes:
Q30b Race [Category] -phone
<race[category] -phone>

Patient Response Record

Q33 Speak English
<speakenglish>

Data element renumbered:
Q31 Speak English
<speakenglish>

Patient Response Record

Q34 Speak Other
<speakother>

Valid values:

Yes, speak language other than English.............. 1
No, speak English at home............................ 2

Data element renumbered:
Q32 Speak Other
<speakother>

Valid values changed:

Yes, speak language other than English 1
No, speak English at home Spanish 2
Chinese..................... 3
Russian..................... 4
Vietnamese............... 5
Portuguese................ 6
German..................... 7
Some other language.. 9

MISSING/DK M

Patient Response Record

Q35 Speak Other Specify
<speakotherspecify>

REMOVED.

Patient Response Record

Q36 Help-mail
<help>

Each "mail" data element for this proxy question renumbered and added "andweb" to the label since these apply to mail and web modes:
Q33 Help-mailandweb
<help>

Patient Response Record

Q37 Help [Category]-mail
<help[category]>

Each "mail" data element for this proxy follow-up question renumbered and added "andweb" to the label since these apply to mail and web modes:
Q34 Help [Category]-mailandweb
<helpread>

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