Protocols and Guidelines Manual, Version 3.0 has been Posted and Other Resourceful Documents have been Updated
11/7/2018 10:56 AM
Version 3.0 of the Protocols and Guidelines Manual has been
released on the OAS CAHPS Website as well as revised versions of the
standalone documents available on the Survey Materials page, including the
CATI script in Spanish and FAQs for telephone interviewers in English and
Spanish, and Model QAP Outline document available under "For Vendors."
Version 2.0 of the Website User and Data Submission Manual has
also been posted and is available on the Data Submission Resources page.
The following is a summary of the main differences between Version 2.0 and
Version 3.0 of the Protocols and Guidelines Manual.
Refined text regarding the extended period of voluntary implementation
of the OAS CAHPS Survey for the CY 2020 payment determination (2018
data collection) and until further action in the rulemaking; added text indicating additional
resources available on the public access pages of the OAS CAHPS
Added information explaining that it is permissible for facilities
participating in the American College of Surgeons' National Surgical
Quality Improvement Project to administer the OAS CAHPS Survey in
conjunction with the NSQIP post-operative survey (also added to Chapter IV); moved clarification on the placement of
supplemental questions in the OAS CAHPS Questionnaire from survey
administrative chapters; added a disaster recovery plan for survey data
to the list of security policies vendors applicants are required to
describe; and modified the language of the vendor requirements to
parallel the latest version of the Minimum Business Requirements.
Added text explaining protocols for removing non-eligible patients from
monthly patient information files; clarified and updated protocols for
handling missing procedural codes on patient information files received
by facilities; and updated figures in Table 4.2 and in
Added text explaining the protocols for displaying an HOPD or ASC logo
or name on outgoing envelopes; added a requirement that a unique,
randomly generated SID number must be assigned and appear on the survey
cover letter for tracking purposes; added text explaining that proxies
are not permitted for deceased respondents; and clarified requirements
for revisions to the OAS CAHPS Survey response data once a survey has
been processed (keyed or scanned).
: Added text explaining that proxies are not permitted for deceased
respondents; and clarified the protocol for revising or correcting
response data once a telephone interview has been completed.
Added text explaining the protocols for displaying an HOPD or ASC
logo or name on outgoing envelopes; added a requirement that a
unique, randomly generated SID number must be assigned and appear
on the survey cover letter for tracking purposes; clarified
requirements for revisions to the mail response data once a survey
has been processed (keyed or scanned); and clarified the protocol
for revising or correcting response data once a telephone interview
has been completed.
Added guidance on electronic data backup storage and development of a
disaster recovery plan; and added text explaining that the OAS CAHPS
Survey Coordination Team should be notified as soon as possible
following a breach of confidential data.
: Updated diagram in Exhibit 10.1; updated screenshots
throughout, where needed; added text indicating additional resources
available on the public access pages of the OAS CAHPS website; updated
dates in vendor authorization example; and added text explaining how
users can reset their password for the OAS CAHPS website.
Clarified text explaining how facilities determine the Number of
Added information about the Facility Preview Report and the
document "Understanding the Preview Reports" on the OAS CAHPS website.
Updated titles of the OAS CAHPS measures; added footnote about the
status of the Preparing for Discharge and Recovery composite; clarified
that OAS CAHPS Survey results are reported with top-, middle-, and
bottom-box scores; added text clarifying where users can access OAS
CAHPS Survey results during voluntary participation; updated Table 14.1 (Crosswalk of Composite Measures and Global
Ratings); added text explaining that OAS CAHPS star ratings are
currently under development; updated information aboutFacility Preview Reports; and updated Table 14.2 (Data Submission Deadlines Linked to the
Public Reporting Period) by adding 4 additional quarters to the bottom.
Added guidance for additional allowable exception to the OAS CAHPS
Survey: displaying the HOPD or ASC's name or logo on the outgoing
Updated to match the latest version of the online Vendor Application
Added a comma (",") to the third response category for Q31 in the CATI
instrument (now reads: "Cubano(a), o").
Appendix H & I:
Added probe options for telephone interviewers to use when a respondent
answers "Yes" instead of "Yes, Definitely" or "Yes, Somewhat;" and text
for interviewers to use when asked where can they see the study
Added new requirement under Data Security, Confidentiality, and Privacy
Plan about including a general description of the disaster recovery
plan the vendor has in place for OAS CAHPS Survey data.
Added references to the
OAS CAHPS Survey Website and Data Submission Manual, Version 2.0
; updated the CPT code citation year to read "CPT only copyright 2019
American Medical Association. All rights reserved;" and streamlined
and/or refined text, where appropriate.
If you have questions, you can contact the OAS CAHPS Survey Coordination
Team via e-mail at firstname.lastname@example.org
or call 1-866-590-7468.