Developing a Self-Assessment Toolfor Culturally - Office of Minority ...

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the study, including information on options for accessing and completing the questionnaire,through electronic mail, Internet web site, facsimile, or postal mail.4. Develop an alternate contact letter for sending two follow-up questionnaires to oneindividual staff member (to distribute to others in the organization). On one occasion during thepilot, the senior executive requested to recommend only one individual to receive theinformation for both the Staffing and Membership Questionnaires. This single designee was toreceive the contact materials and then distribute the two questionnaires to the appropriate staff inthe organization. To accommodate these unforseen circumstances, a third (alternate) contactletter from OMH was developed to use under these conditions.The final data collection methodology that resulted from information learned through theliterature review; discussions and deliberations among the research team, OMH staff, and thetwo advisory groups; and the pilot administration, is presented in Exhibit 2.2.2 Incorporating Efforts to Maximize Response Rate and Reduce RespondentBurdenBecause of the changing landscape of the health care system at that time, as well as theirconcerns about obtaining a high response rate, members of the expert panel advised the researchteam and OMH staff that obtaining the needed sample size of 240 MCOs would be difficult atbest. With this caution, a significant attempt was made to anticipate reasons for non-responseand incorporate strategies for increasing response rate into the data collection design prior togoing into the field. The initial strategies that were included in the original data collection planare described below. Additional strategies to increase response rate were utilized after the actualdata collection process started.Sample Over-recruitment. To ensure an adequate sample size and account for attrition, theinitial sample of MCOs was over-recruited from the universe of MCOs. The original studysample size was 240, but an over-sampling strategy was employed prior to sample selection toincrease the sample size by 20 percent (48 additional organizations).Respondent Contact Materials and Protocols Provide Clear Descriptions of the Study, itsPurpose, and its Importance. To stress the study’s importance, a formal introductory lettersigned by the Deputy Assistant Secretary for Minority Health would be mailed to all identifiedsenior executives of MCOs selected for study participation. The letter would announce anddescribe the study, its purpose, and its importance. Several enclosures would accompany theletter to emphasize the credibility of the study. The enclosures would include: 1) a letter from asenior representative of AAHP stating the organization’s support for the study and encouragingparticipation of each MCO; and 2) membership lists of the study’s two advisory committees. Allmaterials to be received by respondents (including questionnaires, letters, and postcards), wouldprovide assurance of confidentiality and anonymity. Also, respondents would be assured datawould be reported as aggregated summaries without individual or organizational identification.COSMOS Corporation, December 2003 G-7
Exhibit 2DATA COLLECTION PROCESSSeniorSeniorExecutiveExecutiveTelephoneTelephoneInterviewInterviewInitial contactwith MCODetermineappropriatesenior executivecontactConductconfirmationpre-callMail introductoryletter to contactPurpose of studyContactsenior executiveConductinterview previewConducttelephone interviewObtain staffingand membershipImportance of theirparticipationPossible uses ofinformation gainedScheduleappointmentfor interviewpersonnel contactrecommendationsAnonymity andconfidentialityStaffingStaffingandMail introductoryandMembershipletter toMembershiprecommendedPersonnel SurveysPersonnel SurveyscontactPurpose ofPersonalizedstudyintroductory letterImportance ofInstructions fortheir participationaccessing andreturningPossible uses ofquestionnairesinformation gained(Internet, e-mail,facsimile, andAnonymity andpostal mail options)confidentialityMail follow-uppostcardsRestateimportance ofrespondent’ssparticipationOffer toredistribute surveyinstrumentConduct follow-uptelephone callsRestateimportance ofrespondent’ssparticipationOffer toredistribute surveyinstrumentReceivecompletedsurveysVaried Modes of Administration and Submission. To minimize individual burden and, asa result, increase the study response rate, the Staffing and Membership Questionnaires weredesigned so that more than one individual may share the completion of each survey. Eachquestionnaire would include four color-coded sections, representing the most likely divisions forsharing (e.g., Management Information Systems and Staff Recruitment and Retention). Thistechnique enables the materials to be readily passed to the most knowledgeable informant withthe understanding that each individual is responsible for completing only a relatively smallportion of the form. 1 In addition, multiple options would be made available to respondents forsubmitting completed questionnaires, including Internet web site submission, an option to submitvia electronic mail with the questionnaire attached, and options for facsimile or postal mailreturn with postage paid.Thorough Follow-up Contact Procedures. Extensive and aggressive follow-up contactprocedures would be utilized in an attempt to increase the study response rate. The dates of1 The color-coding technique has an additional benefit in that the questionnaire is both attractive and attentiongetting,thus making it less likely to be overlooked and forgotten, should the respondent temporarily set it aside uponreceipt.COSMOS Corporation, December 2003 G-8
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Developing a Self-Assessment Toolfo
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ContentsChaptersPage1. Introduction
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Chapter 1Introduction
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While many LPHAs currently provide
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LPHAs include: adult and child immu
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Professions Education Partnership A
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Chapter 2Methodology for Developing
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Public Health Practice Program Offi
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assess their own beliefs and have k
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communicate with, and clearly under
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2.1.6 Identifying Key Components of
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Given these persistent disparities
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(Exhibit 2-2, Continued)DOMAIN / KE
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limited to the actual clinical enco
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Chapter 3Project Results and Recomm
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local board of health. PEP and PAG
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numerous promising CLAS practices a
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References
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Becker, M.H., and L.A. Maiman, “S
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Frye, B., “Health Care Decision M
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Marin, G., “Defining Culturally A
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Perkins, Jane, “Overcoming Langua
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U.S. Bureau of the Census, “Censu
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Appendix AMembership Lists of the P
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Appendix A-1Developing a Self-Asses
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Appendix A-2Developing a Self-Asses
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Appendix B-1Overview of Eight CLAS
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Domain 3: Culturally Inclusive Heal
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understanding of diversity issues i
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Appendix B-2Conceptual Framework fo
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Appendix CLPHA Director or Designee
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Pre-Interview Script for LPHA Direc
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3b. Which of the following are refl
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Page 69 and 70: 10. Which of the following describe
Page 71 and 72: Post-Interview Script for LPHA Dire
Page 73 and 74: Appendix DStaffing Questionnaire
Page 75 and 76: A. QUALITY MONITORING AND IMPROVEME
Page 77 and 78: B. MANAGEMENT INFORMATION SYSTEMS (
Page 79 and 80: 7. Please indicate, if you know, th
Page 81 and 82: 1c. Please indicate for which categ
Page 83 and 84: 6. Please indicate for which catego
Page 85 and 86: 10. Which of the following topical
Page 87 and 88: 17. Which of the following benefits
Page 89 and 90: 4. Which of the following strategie
Page 91 and 92: Appendix EClient Services Questionn
Page 93 and 94: A. QUALITY MONITORING AND IMPROVEME
Page 95 and 96: 6b.Which of the following community
Page 97 and 98: 3. Please report or estimate what p
Page 99 and 100: 3. Which of the following practices
Page 101 and 102: Oral Interpretation Services10. Whi
Page 103 and 104: 16. At which of the following key e
Page 105 and 106: 3. Which of the following kinds of
Page 107 and 108: Appendix FPilot Test Response Form
Page 109 and 110: RESPONDENT EVALUATIONOF THE QUESTIO
Page 111 and 112: Appendix GCLAS in MCOs Study Data C
Page 113 and 114: position, as titles will likely var
Page 115 and 116: complex and uncertain at the time t
Page 117: 1. Incorporate a confirmation pre-c
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