Physician Workflow and EHR Survey - advance letters

EMR Attach 2a&b-0112 2011.docx

NCHS Questionnaire Design Research Laboratory

Physician Workflow and EHR Survey - advance letters

OMB: 0920-0222

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Attachment 2a – Advance letter


DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service

Centers for Disease Control and Prevention

Shape1 National Center for Health Statistics

3311 Toledo Road

Hyattsville, Maryland 20782

Date


Full name

Street address

City, State, Zip


Dear [Fill]:


Recently, you participated in the NAMCS Supplement on Electronic Medical Records. The Questionnaire Design Research Laboratory at the National Center for Health Statistics is looking for volunteers to evaluate a questionnaire about office practices and the adoption of electronic medical records in ambulatory care settings. These research interviews will be used to help us to improve the survey questions before they are fielded.


You will be asked to participate in a one hour one-on-one survey research interview and you will receive $100 for your participation.


Participation is voluntary, and you may refuse to answer any question or may stop participating at any time without penalty or loss of benefits.


You will be called to ascertain your interest in participating in this important study and to discuss details of your participation. If you have any questions regarding this study, please call me at 301-458-4335. We greatly appreciate your cooperation.



Sincerely,



Liz Zarate

Questionnaire Design Research Laboratory

Centers for Disease Control and Prevention

National Center for Health Statistics

3311 Toledo Road

Hyattsville, MD 20782

Phone: 301-458-4335

Email: EZarate@cdc.gov


Attachment 2b – Advance letter


DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service

Centers for Disease Control and Prevention

Shape2 National Center for Health Statistics

3311 Toledo Road

Hyattsville, Maryland 20782

Date


Full name

Street address

City, State, Zip


Dear [Fill]:


The Questionnaire Design Research Laboratory at the National Center for Health Statistics is looking for volunteers to evaluate a questionnaire about office practices and the adoption of electronic medical records in ambulatory care settings. These research interviews will be used to help us to improve the survey questions before they are fielded.


You will be asked to participate in a one hour one-on-one survey research interview and you will receive $100 for your participation.


Participation is voluntary, and you may refuse to answer any question or may stop participating at any time without penalty or loss of benefits.


You will be called to ascertain your interest in participating in this important study and to discuss details of your participation. If you have any questions regarding this study, please call me at 301-458-4335. We greatly appreciate your cooperation.



Sincerely,



Liz Zarate

Questionnaire Design Research Laboratory

Centers for Disease Control and Prevention

National Center for Health Statistics

3311 Toledo Road

Hyattsville, MD 20782

Phone: 301-458-4335

Email: EZarate@cdc.gov



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