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Funding the Big Idea: How to Build a Coalition to Effect Health System Change The Connecticut Health Care Survey The Connecticut Health Care Survey Office of Survey Research y University of Massachusetts Medical School A full-service


  1. Funding the Big Idea: How to Build a Coalition to Effect Health System Change The Connecticut Health Care Survey The Connecticut Health Care Survey

  2. Office of Survey Research y University of Massachusetts Medical School • A full-service survey research center with focus on health services and population health se v ces a popu at o ea t • Survey research team includes senior methodologists on the Medical School faculty • In-house Operations Center with sophisticated survey systems and bilingual interviewing staff • Academic focus, supporting research activities such as NIH-funded projects 2

  3. The Connecticut Health Care Survey The Connecticut Health Care Survey Project Goals: • Assess gaps in patient experiences and needs within the Connecticut health care system • Provide state and county-level data to better inform the development of health care policies and program interventions  Instead of conducting a typical investigator-proposed research project, we collaborate with the funders and community representatives in fine-tuning research goals and steps p g g p 3

  4. The Connecticut Health Care Survey The Connecticut Health Care Survey Survey Advisory Committee: • Members are representative of professional organizations, consumer advocates, data users, and funders in Connecticut  Advise on all phases of the project: planning, instrument development, fielding, analysis and dissemination • Executive Subcommittee members representing the funders  When decisions are needed to move forward with the project 4

  5. The Connecticut Health Care Survey The Connecticut Health Care Survey Questionnaire Design (I) • Most of the questions from existing national surveys Most of the questions from existing national surveys • New questions, based on needs of Connecticut residents and stakeholders • Cognitive testing: unclear words, questions, and answers Cognitive testing: unclear words, questions, and answers • Pilot testing, using a small random sample • Ensure comparability of English & Spanish versions 5

  6. The Connecticut Health Care Survey The Connecticut Health Care Survey Questionnaire Design (II) • Survey domains selected based on Survey Advisory Survey domains selected based on Survey Advisory Committee’s top choices of policy brief topics • Balancing: topical coverage vs. survey length Counseling  Health Insurance  Coordination of  Unmet Need  Care  Oral Health  Health Status Access to Care  Demographics  Usual Source of  Trust in Physicians y  Care Usage of Information  Continuity of Care  Technology  Provider-Patient Communication Communication 6

  7. The Connecticut Health Care Survey The Connecticut Health Care Survey Sampling (I) • Dual-frame to Dual-frame to include landlines and cell phones for better coverage of better coverage of the Connecticut population • Landlines: 3600 • Landlines: 3600 • Cell phones: 400 7

  8. The Connecticut Health Care Survey The Connecticut Health Care Survey Sampling (II) • Stratified sample:  450 completes for each county • Oversample municipalities:  reliable estimates for major municipalities  better representation of p minority groups • Diverse communities: Urban centers, manufact-uring , g centers, diverse suburbs, wealthy suburbs, mill towns, and rural towns towns, and rural towns 8

  9. The Connecticut Health Care Survey The Connecticut Health Care Survey Analysis and Dissemination • Analysis plan: Feedback from the Survey Advisory Committee Analysis plan: Feedback from the Survey Advisory Committee • Deliverables: Chart book, policy briefs, and peer-reviewed publications • Focus on Policy Briefs: Topics to be selected by the Survey • Focus on Policy Briefs: Topics to be selected by the Survey Advisory Committee 9

  10. The Connecticut Health Care Survey The Connecticut Health Care Survey Questions? 10

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