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This comprehensive 45-question survey, designed as a baseline record for new
Medicare-aged health plan members, covers:
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Prior heath care utilization
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Health conditions
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Activities of daily living
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Health promotion
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Sociodemographics
The three-step survey process, including an initial form, reminder postcard, and
final form to non-respondents, uses a customized cover letter (based on minimum
order) and envelopes to improve recognition and yield up to a 92% response
rate. HSQ software and instruction booklet are provided to load, report, and
query response data. Data is sent to your organization weekly for one year
after each initial mailing.
The Health Status Questionnaire is a quick and efficient way to build a database
of information about new members so their care can be as tailored as possible
and the health plan's costs minimized.
Services with mailed surveys
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Frailty and risk of hospital re-admission calculation
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Microsoft Access®-based Software
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Summary sheet
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Aggregate reports
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Secure Web file transfer
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Postcard reminder
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Consulting services
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Address changes and termination information
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Points of interest for healthy aging
Print Version
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