Hospital Preparedness Program (HPP) Trauma Center Association of America (TCAA) Member Survey

Form Approved

OMB No. 0990-0391

Exp. Date 05/31/2018

Draft Trauma Center Survey Questions – December 2017

Note that text in brackets [ ] are notes for programming in Survey Monkey and should not be included in the distributed version.

Survey Purpose

The purpose of this survey is to gather information from trauma centers about their participation in health care coalitions, to gauge their perception of the Hospital Preparedness Program (HPP)’s impact, and to gauge their interest in serving as an HPP awardee. The survey will be sent to 352 Trauma Center Association of America (TCAA) members using a TCAA survey distribution system.

Survey Questions

Theme

Question

HCC Participation

1. Is your trauma center a health care coalition member?

• Yes [**skip to Q2]

• Not sure [**skip to Q3]

• No

  1. Why isn’t your trauma center a health care coalition member? (Select one) [**Respondents only receive this question if answer to Q1 is “No”]

     • My Trauma Center does not know what a health care coalition is

     • My Trauma Center is unaware of a health care coalition in our area

     • My Trauma Center is interested in participating in our local health care coalition, but we don’t know how to get involved

     • My Trauma Center does not believe engaging in a health care coalition is valuable

1. Would you please share why your Trauma Center does not believe engaging in a health care coalition is valuable? [**Respondents only receive this question if answer to Q1a is “My Trauma Center does not believe engaging in a health care coalition is valuable’]

• Other: _______________________

HCC Participation

2. What do you believe are the three most valuable contributions your Trauma Center makes to your region by participating in a health care coalition (e.g., providing space and resources for coalition exercises involving acute patient care)? (Please list 3) [**Respondents only receive this question if answer to Q1 is “Yes”]

HPP Impact

3. Please indicate your level of agreement with the following statements:

	Strongly Disagree	Disagree	Agree	Strongly Agree	I Don’t Know
Regional health care system preparedness efforts and coordination, such as health care coalitions and local/regional exercises, are critical to national preparedness.
HPP funding, guidance, and technical support through ASPR TRACIE are critical to developing and maintaining national health care preparedness and response readiness.

1. Please provide an example: [**Respondents only receive this question if answer to Q3b is “Agree” or “Strongly Agree”]

Serving as an Awardee

HPP’s current awardees include the public health departments of all 62 U.S. states, territories, directly-funded cities (Washington D.C., Chicago, Los Angeles County and New York City), and freely-associated states. ASPR has proposed that Congress allow for competition for HPP cooperative agreement funds by allowing state and directly-funded cities governmental public health departments, academic medical centers, health care systems, and state and local hospital associations to apply to serve as the direct federal awardee for their jurisdiction. Each funded state and jurisdiction (directly-funded city, territory, or freely associated state) will still only receive one award; however, this proposal will create competition between governmental public health departments, academic medical centers, and state and local hospital associations within each state and jurisdiction for the award and allow HPP to fund the entity that presents the most innovative approaches to health care delivery system readiness.

4. Based on this proposal, please indicate your Trauma Center’s level of interest in serving as a state- or jurisdiction-wide HPP awardee, (Please note this is a proposal, and your response not binding):

Not interested	Potentially Interested	Interested	I Don’t Know

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0990-0379. The time required to complete this information collection is estimated to average 10 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, to review and complete the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer