Attachment A - 2022 NHAMCS Hospital Induction Changes

Attachment A

Changes to 2022-2023 NHAMCS Hospital Induction Questions

Proposed changes are highlighted in red; variable names are in [ ]. Each row represents a change type proposed for 2022-2023. Former versions of modified questions are presented in the section “Modified Hospital Questions.”

Modification Number	Modification Type	2022-2023
	Added	[CONG]: Is this facility part of a conglomerate or group? 1='Yes' (Skip to CONGNM) 2='No' (Go to INTRO_AB)
	Added	[CONGNM]: Enter conglomerate or group name
	Added	[CONGID]: We have identified you as part of the [FILL] conglomerate or group. Is that true? 1='Yes' (Go to INTRO_AB) 2='No' (Skip to CONGNM)
	Added	[MEDRSEPT]: Can the medical records from the sample hospital be separated from all OTHER hospitals within the group or conglomerate? 1='Yes' 2='No' 3='Unknown'
	Modified (See Modified Hospital Induction Questions for previous version)	[COVID_INTRO]: Now I would like to ask you a few questions about characteristics of your emergency department, including the utilization of telemedicine. After these questions, I will then ask a few questions about the coronavirus disease (COVID-19) and the impact it had on operations in your emergency department and on your staff.
	Added	[TELEMED_USE]: During the past four weeks, did your emergency department use telemedicine technology (e.g., audio, audio with video, web videoconference) for patient visits? 1= ‘Yes’ 2= ‘No (Skip to COVID_TURNAWAY)’ 3= ‘Don’t know’ (Skip to COVID_TURNAWAY)’
	Added	[TELEMED_TYPE]: During the past four weeks, what type(s) of telemedicine tool(s) did you use for patient visits? Select all that apply 1= ‘Telephone audio’ 2= ‘Videoconference software with audio (e.g., Zoom, Webex, Facetime)’ 3= ‘Telemedicine platform NOT integrated with Electronic Health Record (EHR) (e.g., Doxy.me)’ 4= ‘Telemedicine platform integrated with EHR (e.g., update clinical documentation during telemedicine visit)’ 5= ‘Other tool(s):’_____ 6= ‘Don’t know’
	Added	[TELEMED_PERCENT]: During the past four weeks, what percentage of this hospital’s emergency department patient visits were through telemedicine technology? 1= ‘Less than 25%’ 2= ‘25% to 49%’ 3= ‘50%to 74%’ 4= ‘75% or more’ 5= ‘Don’t know’
	Added	[TELEMED_STOP]: Does your emergency department plan to discontinue using telemedicine visits in the next year? 1= ‘Yes’ 2= ‘No’ 3= ‘Don’t know’
	Modified (See Modified Hospital Induction Questions for previous version)	[COVID_TURNAWAY]: During the past four weeks, did your emergency department need to turn away or refer elsewhere any patients with confirmed or suspected COVID-19 infection? 1 = ‘No COVID-19 patients were turned away or referred elsewhere’ 2 = ‘Some COVID-19 patients were turned away or referred elsewhere’ 3 = ‘Most COVID-19 patients were turned away or referred elsewhere’ 4 = ‘All COVID-19 patients were turned away or referred elsewhere’ 5 = ‘Not applicable – the emergency department did not have any COVID-19 patients.’ 6 = ‘Don’t know’
	Added	[COVID_REQUIRED]: Has your hospital ever required or mandated COVID-19 vaccination for healthcare personnel/staff? 1= ‘Yes’ 2= ‘No’ 3= ‘Don’t know’
	Added	[COVID_OFFER]: Did your hospital ever offer COVID-19 vaccinations to healthcare personnel/staff? 1= ‘Yes’ 2= ‘No’ (Skip to PERMPART) 3= ‘Don’t know’
	Added	[COVID_VACCINE]: Which COVID-19 vaccine were ever offered to healthcare personnel/staff at your hospital? (Select all that apply) 1 = ‘Moderna’ 2 = ‘Johnson & Johnson/Janssen’ 3 = ‘Pfizer’ 4 = ‘AstraZeneca’ 5 = ‘Other (Specify):’ 6 = ‘Don’t know’
	Removed	[COVID_SHORT]: During the past four weeks, did your emergency department experience shortages of coronavirus disease (COVID-19) tests for any patients with presumptive positive COVID-19 infection? 1 = ‘Never’ 2 = ‘Some of the time’ 3 = ‘Most of the time’ 4 = ‘All of the time’ 5 = ‘Not applicable – did not need to do any COVID-19 testing’ 6 = ‘Don’t know’
	Removed	[COVID_SCREEN]: During the past four weeks, did your hospital create areas outside the emergency department entrance to screen patients for coronavirus disease (COVID-19) infection? 1 = ‘Yes’ 2 = ‘No’ 3 = ‘Don’t Know’
	Removed	[COVID_POSITIVE_PH]: During the past four weeks, did any of the following clinical care providers in your emergency department test positive for coronavirus disease (COVID-19) infection? Physicians: 1 = ‘Yes’ 2 = ‘No’ 3 = ‘Not applicable – did not have such provider type onsite’ 4 = ‘Don’t know’
	Removed	[COVID_POSITIVE_PA]: During the past four weeks, did any of the following clinical care providers in your emergency department test positive for coronavirus disease (COVID-19) infection? Physician assistants: 1 = ‘Yes’ 2 = ‘No’ 3 = ‘Not applicable – did not have such provider type onsite’ 4 = ‘Don’t know’
	Removed	[COVID_POSITIVE_NURSE]: During the past four weeks, did any of the following clinical care providers in your emergency department test positive for coronavirus disease (COVID-19) infection? Nursing practitioners: 1 = ‘Yes’ 2 = ‘No’ 3 = ‘Not applicable – did not have such provider type onsite’ 4 = ‘Don’t know’
	Removed	[COVID_POSITIVE_NMW]: During the past four weeks, did any of the following clinical care providers in your emergency department test positive for coronavirus disease (COVID-19) infection? Certified Nurse-Midwives: 1 = ‘Yes’ 2 = ‘No’ 3 = ‘Not applicable – did not have such provider type onsite’ 4 = ‘Don’t know’
	Removed	[COVID_POSITIVE_LPN]: During the past four weeks, did any of the following clinical care providers in your emergency department test positive for coronavirus disease (COVID-19) infection? Registered Nurses/Licensed Practical Nurses: 1 = ‘Yes’ 2 = ‘No’ 3 = ‘Not applicable – did not have such provider type onsite’ 4 = ‘Don’t know’
	Removed	[COVID_POSITIVE_OTHER]: During the past four weeks, did any of the following clinical care providers in your emergency department test positive for coronavirus disease (COVID-19) infection? Other clinical care providers (if yes, please specify): ________________________________: 1 = ‘Yes’ 2 = ‘No’ 3 = ‘Not applicable – did not have such provider type onsite’ 4 = ‘Don’t know’
	Modified (See Modified Hospital Induction Questions for previous version)	Assurance of confidentiality –We take your privacy very seriously. All information that relates to or describes identifiable characteristics of individuals, a practice, or an establishment will be used only for statistical purposes. NCHS staff, contractors, and agents will not disclose or release responses in identifiable form without the consent of the individual or establishment in accordance with section 308(d) of the Public Health Service Act (42 U.S.C. 242m(d)) and the Confidential Information Protection and Statistical Efficiency Act of 2018 (CIPSEA Pub. L. No. 115-435, 132 Stat. 5529 § 302). In accordance with CIPSEA, every NCHS employee, contractor, and agent has taken an oath and is subject to a jail term of up to five years, a fine of up to $250,000, or both if he or she willfully discloses ANY identifiable information about you. In addition, NCHS complies with the Federal Cybersecurity Act of 2015 (6 U.S.C. §§ 151 & 151 note). This law requires the federal government to protect federal computer networks by using computer security programs to identify cybersecurity risks like hacking, internet attacks, and other security weaknesses. If information sent through government networks triggers a cyber threat indicator, the information may be intercepted and reviewed for cyber threats by computer network experts working for, or on behalf of, the government.

Modified Hospital Induction Questions/Statements

[COVID_INTRO ] – OLD	[COVID_INTRO] – NEW
Now I would like to ask you a few questions about the coronavirus disease (COVID-19) and the impact it had on operations in your emergency department and on your staff. After these questions, I will then ask a few questions about characteristics of your emergency department.	Now I would like to ask you a few questions about characteristics of your emergency department, including the utilization of telemedicine. After these questions, I will then ask a few questions about the coronavirus disease (COVID-19) and the impact it had on operations in your emergency department and on your staff.
[COVID_TURNAWAY] – OLD	[COVID_TURNAWAY] – NEW
During the past four weeks, did your emergency department need to turn away or refer elsewhere any patients with confirmed or presumptive positive coronavirus disease (COVID-19) infection? 1 = ‘No COVID-19 patients were turned away or referred elsewhere’ 2 = ‘Some COVID-19 patients were turned away or referred elsewhere’ 3 = ‘Most COVID-19 patients were turned away or referred elsewhere’ 4 = ‘All COVID-19 patients were turned away or referred elsewhere’ 5 = ‘Not applicable – the emergency department did not have any COVID-19 patients.’ 6 = ‘Don’t know’	During the past four weeks, did your emergency department need to turn away or refer elsewhere any patients with confirmed or suspected COVID-19 infection? 1 = ‘No COVID-19 patients were turned away or referred elsewhere’ 2 = ‘Some COVID-19 patients were turned away or referred elsewhere’ 3 = ‘Most COVID-19 patients were turned away or referred elsewhere’ 4 = ‘All COVID-19 patients were turned away or referred elsewhere’ 5 = ‘Not applicable – the emergency department did not have any COVID-19 patients.’ 6 = ‘Don’t know’
[START] – OLD	[START] – NEW
Assurance of confidentiality – We take your privacy very seriously. All information that relates to or describes identifiable characteristics of individuals, a practice, or an establishment will be used only for statistical purposes. NCHS staff, contractors, and agents will not disclose or release responses in identifiable form without the consent of the individual or establishment in accordance with section 308(d) of the Public Health Service Act (42 U.S.C. 242m (d)) and the Confidential Information Protection and Statistical Efficiency Act (Title III of the Foundations for Evidence-Based Policymaking Act of 2018 (Pub. L. No. 115-435, 132 Stat. 5529 § 302)). In accordance with CIPSEA, every NCHS employee, contractor, and agent has taken an oath and is subject to a jail term of up to five years, a fine of up to $250,000, or both if he or she willfully discloses ANY identifiable information about you.	Assurance of confidentiality –We take your privacy very seriously. All information that relates to or describes identifiable characteristics of individuals, a practice, or an establishment will be used only for statistical purposes. NCHS staff, contractors, and agents will not disclose or release responses in identifiable form without the consent of the individual or establishment in accordance with section 308(d) of the Public Health Service Act (42 U.S.C. 242m(d)) and the Confidential Information Protection and Statistical Efficiency Act of 2018 (CIPSEA Pub. L. No. 115-435, 132 Stat. 5529 § 302). In accordance with CIPSEA, every NCHS employee, contractor, and agent has taken an oath and is subject to a jail term of up to five years, a fine of up to $250,000, or both if he or she willfully discloses ANY identifiable information about you. In addition, NCHS complies with the Federal Cybersecurity Act of 2015 (6 U.S.C. §§ 151 & 151 note) which protects Federal information systems from cybersecurity risks by screening their networks.

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