This assessment included one mailed self-administered questionnaire (SAQ), which was sent to members of state, local, and tribal health organizations. Each individual was asked to complete the one-time survey, lasting approximately 15 minutes. Survey results were then summarized within and across organization type.
The survey was designed to ascertain how state, local, and tribal health organizations use HealthierUS and/or HP2010. The surveys also sought to understand how state, local, and tribal health organizations perceive the utility of HealthierUS and HP2010. The questionnaire consisted of five sections, which are outlined below.
- Background. Captures data about organizational characteristics such as type, size, and health priorities of organization, as well as the job title of the respondent.
- HealthierUS. Captures data about whether the organization uses HealthierUS, how it uses the initiative, and factors that enable or hinder its use within the organization.
- HealthierUS: Non-users. Captures data – from respondents who report their organization does not use HealthierUS – on why it does not use the initiative, barriers to use, and ascertains general perceptions about the initiative.
- HP2010. Captures data about whether the organization uses HP2010, how it uses the initiative, and factors that enable or hinder its use within the organization.
- HP2010: Non-users. Captures data – from respondents who report their organization does not use HP2010 – on why it does not use the initiative, barriers to use, and ascertains general perceptions about the initiative.
The final questionnaire is included as Appendix 1. The study questionnaire and a follow-up cognitive questionnaire were mailed to three tribal and three local health officials for pre-testing during the OMB comment period. Findings from the pretest were incorporated into the final study questionnaire.
In order to obtain additional information regarding HealthierUS and HP2010 from users, NORC conducted follow-up telephone interviews with a sample of survey respondents. Key questions centered on the means of obtaining information from HHS, use of DATA2010, Regional Health Administrator (RHA) involvement, and integration of HealthierUS and HP2010. We selected a non-random sample for follow-up from respondents to the initial assessment who reported using HealthierUS and/or HP2010. All tribal users were included in the sample (n=12) with the remaining 33 cases split between state and local health departments, for a total sample of 45. These 45 organizations were selected to maximize program diversity and population size, region, and HealthierUS and HP2010 usage.