CAHPS® Hospice Survey

Training Registration Form
     

 

CAHPS Hospice Survey Training Registration Process

The Centers for Medicare & Medicaid Services (CMS) will offer Introduction to the CAHPS Hospice Survey Training the week of September 16, 2019 and CAHPS Hospice Survey Update Training on September 26, 2019. These training sessions are intended for hospices, survey vendors that participate in the CAHPS Hospice Survey, as well as other interested individuals and organizations. Please see the list of required organizations for each training session below.  

Training Registration for both trainings will close by 5:00 PM EDT on Wednesday, August 21, 2019. You must register to have access to the training session(s).

Introduction to CAHPS Hospice Survey Training

When: Monday, September 16 through Thursday, September 19, 2019 (via self-training module)

Who is Required to Participate:

  • Required: Survey vendors that have been conditionally approved CAHPS Hospice Survey vendors, as well as their subcontractors and other organizations with responsibility for major survey administration functions
  • Required: New Project Managers for currently approved vendors
  • Optional: Recommended as a training/refresher course for new staff members at hospices or organizations that are currently approved to administer the CAHPS Hospice Survey

Steps to Meet This Requirement:

Organizations must:

  • Register for Introduction to CAHPS Hospice Survey Training
  • Review the training slides, submit an Attestation Form upon completion, and complete and submit an online quiz and evaluation form. 

Accessing the Self-training Module:

A link to the “Introduction to CAHPS Hospice Survey Training” page will be sent to registered organizations the week prior to training. The training page will provide access to the slides, agenda and the Attestation Form.

  • The link and page will only be available Monday, September 16 through Thursday, September 19, 2019 until 5:00PM EDT 
  • The Attestation Form must be completed and submitted by September 19, 2019, 5:00 PM EDT
  • The post-training quiz will be provided automatically upon submission of the Attestation Form and will be available for a period of 24 hours. The post-training quiz must be completed and submitted within this 24 hour period.

CAHPS Hospice Survey Update Training

When: September 26, 2019, 11:00 am – 1:15 pm EDT (via Webinar)

Who is Required to Participate:

  • Required: All survey vendors currently conditionally approved to administer the CAHPS Hospice Survey, who have successfully completed the Introduction to CAHPS Hospice Survey training
  • Required: All survey vendors currently approved to administer the CAHPS Hospice Survey
  • Required: Subcontractors or other organizations who are responsible for major functions of CAHPS Hospice Survey administration (e.g., mail/telephone). Survey vendors must ensure that their subcontractors participate in the appropriate CAHPS Hospice Survey Training.
  • Optional: Hospices, as well as other interested individuals and organizations

Due to limited availability of Webinar lines, multiple staff participating from one location should use a single shared computer line and telephone access. It is permissible for an organization to use the same pin code from different locations. Please be sure to provide the names of all staff that will be participating in the training session. Please note that all times listed are EDT. Be sure to convert the times and plan accordingly for your time zone. CAHPS Hospice Survey Training registration will close August 21, 2019 at 5:00p.m. EDT.  If you have any questions or require further information, contact the CAHPS Hospice Survey Project Team at 1-844-472-4621 or hospicecahpssurvey@HCQIS.org.

At a minimum, the Project Manager is required to attend the training session; however, it is strongly recommended that all staff involved in the CAHPS Hospice Survey administration participate in the training. Complete the information below to register. Please note that you must click the "Add Additional Staff" button to register at least one participant prior to submitting the training registration form. 

 

CAHPS Hospice Survey Training Registration Form
I. General Registration Information
1. Organization
The Name of the Organization is required.
Too few characters. Must be 6 characters Too many characters. Must be 6 characters
The Address is required.
The City is required.
The State is required.
The Zip Code is required.
Telephone is required. Must be a minimum of 10 digits.
Must be a minimum of 10 digits.

2. Type of Organization *
Organization Type is required.

3. Contact Person
First Name is required.
Last Name is required.
Title is required.
Mailing Address 1 is required.
City is required.
State is required.
Zip Code is required.
Telephone is required. Must be a minimum of 10 digits.
Must be a minimum of 10 digits.
Email is required.
Confirm Email is required. Emails must match.

4. Additional Webinar Training Participant(s) (NOTE: Please fill out all of the information below before clicking the "Add Additional Staff" button.)
Participant Name is required.
Participant Title is required.
Participant Address is required.
Participant City is required.
Participant State is required.
Participant Zip Code is required. Must be a minimum of 5 digits.
Participant Telephone is required. Must be a minimum of 10 digits.
Must be a minimum of 10 digits.
Participant Email is required.
Participant Confirm Email is required. Emails must match.
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(click on a row in the grid to edit it)
II. Training Sessions

During the week prior to each training session, the contact person at your organization, who is identified on your Training Registration Form, will receive an email confirmation with the instructions and unique link for the Introduction to CAHPS Hospice Survey Training and/or the telephone dial-in number and pin code as well as a pass code for the Webinar session for the CAHPS Hospice Survey Update Training session. 

Please note that all times listed are Eastern Daylight Time (EDT). Be sure to convert the times and plan accordingly for your time zone.

Remember to put the solution to the math problem in the box below before submitting the form.


Introduction to CAHPS Hospice Survey Training

Please Note: To access the training, participants will need Internet connection 56K kbps connection or better, Netscape 4.x or Internet Explorer 4.x.

Session

Date

Introduction to CAHPS Hospice Survey Self-Training Module

September 16 - 19, 2019
Self-Training Module

 

CAHPS Hospice Survey Update Training

Please Note: To access the training, participants will need Internet connection 56K kbps connection or better, Netscape 4.x or Internet Explorer 4.x.

Session

Date

CAHPS Hospice Survey Update Training

September 26, 2019
11:00 AM - 1:15 PM

At least one training is required.
 
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