United States Department of Health and Human Services Office of the Assistant Secretary for Planning and Evaluation

Office of Disability, Aging and Long-Term Care Policy (DALTCP) INSTRUMENTS

This page alphabetically lists instruments, questionnaires, and other survey/project development forms produced through DALTCP-funded research. (Some projects were funded when DALTCP was known as the Office of Social Services Policy or the Office of Family, Community and Long-Term Care Policy.) [The instruments are in the Portable Document Format (PDF). You will need a copy of the Acrobat Reader in order to view it.] The project the instrument was developed for is listed after the PDF link.

We will continue working towards putting ALL versions of Full Reports and Instruments online.)

Instrumentss are Listed in This Section Alphabetically (by Title):
A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z

A

• Applicant Screen (1981) [http://aspe.hhs.gov/daltcp/instruments/AppSc.pdf] -- National Long-Term Care Channeling Demonstration

C

• Client Contact Log [Full PDF Report] -- National Long-Term Care Channeling Demonstration
• Client Tracking Form (1982) [http://aspe.hhs.gov/daltcp/instruments/ClTracFm.pdf] -- National Long-Term Care Channeling Demonstration
• Clinical Assessment and Research Baseline Instrument: Community Version (1982) [http://aspe.hhs.gov/daltcp/instruments/carbicv.pdf] -- National Long-Term Care Channeling Demonstration
• Clinical Baseline Assessment Instrument: Community Version (1983) [http://aspe.hhs.gov/daltcp/instruments/cbaicv.pdf] -- National Long-Term Care Channeling Demonstration

F

• Facility Screening Questionnaire (1998) [Full PDF Report] -- National Study of Assisted Living for the Frail Elderly

H

• Health Information Technology Round Two Screener [Full PDF Report] -- Electronic Health Information Technology Systems: Costs and Benefits

S

• Screening Identification Sheet (1982) [http://aspe.hhs.gov/daltcp/instruments/ScrIDSh.pdf] -- National Long-Term Care Channeling Demonstration

T

• Time Sheet [Full PDF Report] -- National Long-Term Care Channeling Demonstration

Last revised: August 31, 2007

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