Discussions with the survey agency staff, provider associations, ombudsman and nursing facility staff took place at their respective offices or on-site at the nursing facility and generally lasted approximately two hours per conversation. In each case, the research team encouraged the organization, agency or nursing facility to include as many of their staff as they thought would be interested or would have valuable information to share. The research team was able to observe a portion of a technical assistance survey on site. During a break in the technical assistance survey, the research team met briefly to talk with the surveyors and then observed the technical assistance process as surveyors discussed their findings with the facility staff.
Discussions were generally structured with one researcher presenting both prepared and spontaneous questions while the other researchers recorded responses in writing.