Web Survey Invitation Email

Attachment V — Web Survey Invitation Email
[Send via email or print on CMS CONTRACTOR letterhead and mail via first class mail]
Dear Participant:
Thank you for agreeing to complete the National Provider Survey of Home Health
Agencies, sponsored by the Centers for Medicare & Medicaid Services (CMS). Every
three years, CMS is required by law to assess the quality and efficiency impact of its
use of performance measures (e.g., quality, safety, patient experience) that are being
deployed to improve care for Medicare beneficiaries.
As part of the assessment, CMS is interested in learning about home health agencies’
experiences as they participate in CMS performance measurement programs and the
changes agencies are making to drive improvements in care. Your home health
agency’s response to the survey will help CMS understand:
• How the CMS performance measures are changing the way in which your home
health agency is delivering care.
• Factors that are driving your agency’s investments in performance improvement.
• Issues your agency faces related to reporting the CMS measures.
• Potential undesired effects associated with the measures.
• Challenges your agency faces related to improvement on the CMS measures.
CMS recognizes that your home health agency devotes significant resources to
collecting data, reporting, and improving your agency’s performance on the CMS
measures displayed on the CMS Home Health Compare website. Your feedback is
very important and will be used to improve the functioning of measurement programs so
that they work well for both providers and their patients.
CMS has asked [CMS CONTRACTOR(s)] to conduct and analyze this web survey.
Completing the survey will take approximately 60 minutes. You may need to consult
with others in your agency to complete the survey. To complete the survey online,
please go to the following URL and enter your PIN:
Survey URL: [ADD SURVEY LINK]
PIN: XXXX
We ask that you complete the survey before [DATE]. You may complete the online
survey in different sessions. Remember to save your responses. When you log in to
complete any pending questions, you will be taken to the last unanswered question.
A copy of the survey is available to download so you can preview the survey questions.
As you complete the survey, you may want to refer to the Home Health Quality
Reporting Program (HHQRP) measures that are enclosed with the survey and
accessible at the following link:

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https://www.cms.gov/Medicare/Quality-Initiatives-Patient-AssessmentInstruments/HomeHealthQualityInits/Home-Health-Quality-Measures.html
All of the information you provide will be held in confidence by [CMS CONTRACTOR(s)]
to the extent allowed by law. [CMS CONTRACTOR(s)] will combine your survey
answers with the answers from other home health agencies that complete the survey
and will produce only summary results across all home health agencies. When
presenting survey results to CMS, [CMS CONTRACTOR(s)] will not include your name
or any other information that could identify you or your agency. Please note that:
• Your home health agency’s participation in the survey is voluntary.
• Your decision to participate or not to participate will have no effect on your (or
your organization’s) relationship with CMS.
• You can skip any question you do not want to answer.
• [CMS CONTRACTOR(s)] will not share your information with anyone, except as
required by law.
• [CMS CONTRACTOR(s)] will not share your individual responses with your
employer or with CMS.
Further details about this survey are available at [PLACEHOLDER FOR Reginfo.gov].
[PLACEHOLDER FOR OMB CONTROL NUMBER AND EXPIRATION DATE]
If you have any questions, comments, or concerns about the survey, or if you would like
to receive a hard copy of the survey, please contact [CMS CONTRACTOR CONTACT
NAME] at [CONTRACTOR EMAIL ADDRESS] or at [CONTRACTOR PHONE
NUMBER]. If you have any questions about your rights as a research subject, please
contact [CONTRACTOR’S] institutional review board (IRB) at [CONTRACTOR IRB
PHONE NUMBER] and ask to speak to [IRB CONTACT NAME].
Thank you in advance for your help with this important survey!
Sincerely,

[NAME OF PROJECT DIRECTOR AT CMS CONTRACTOR]
Survey Project Director

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