Table of Proposed Changes to the SECAP II Survey Instruments (2010 submission) |
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Questions to be dropped from the survey instrument previously approved for OMB 0920-0590 (based on initial approval of 0920-0539) |
Questions to be added to the proposed SECAP II survey instrument (current reinstatement request for 0920-0539) |
Capacity Questions (directly asking for numbers on current, past, potential volume or numbers used in calculating annual capacity) |
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Q2 – weeks/year site has normal operations Q7 – # procedures in 2009 Q49 – procedural volumes based on electronic medical records |
Questions Related to Capacity (e.g., # procedure rooms, limiting factors, steps to increase capacity, waiting time) |
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Q4 - # procedure rooms available for lower endoscopies Q16 a-k – limiting factors, colonoscopies Q17 primary limiting factor, colonoscopies Q33 a-j – limiting factors, flexible sigmoidoscopies Q34 primary limiting factor, flexible sigmoidoscopies |
Other Questions (i.e., descriptive information about providers, polyps, incompletes, type of facility, etc.) |
Q2 – all endoscopy sites in hospital Q6 – medical specialty and # of physicians at site Q19 – biopsy during a flexible sigmoidoscopy? Q20 – action taken for polyps of various sizes during a flexible sigmoidoscopy Q36 – waiting time for a colonoscopy referral appointment at another clinic Q41 – to whom reimbursement sent when a non-physician endoscopist performs a flexible sigmoidoscopy or colonoscopy Q42 – Q45, Q47 patient characteristics Q49 – Q50 medical specialty/sub-specialty of physician respondent Q51 race/ethnicity of physicians |
Q8 – type of sedation used for colonoscopy, flexible sigmoidoscopies Q9 – who typically monitors sedation Q13 - % of colonoscopies for surveillance & diagnostic Q22 – quality measures routinely monitored Q26 – number of colonoscopies that are follow-up to a CTC Q47 – professional services Medicare classification Q48 – facility Medicare classification Q53 – single/multi-specialty ASC? Q55 – hospital department/lab serve outpatients only? Q56 – hospital voluntary non-profit, government, or proprietary for profit facility? |
File Type | application/msword |
File Title | State SECAP Year 3 survey question numbers |
Author | Battelle |
Last Modified By | Thelma Elaine Sims |
File Modified | 2010-05-05 |
File Created | 2010-05-05 |