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6 Tailoring Collection of Information from Group Quarters
Pages 79-90

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From page 79...
... The Census Bureau has found the collection, estimation, and analysis of GQ information to be quite challenging over this decade. For example, the small representation of group quarters in the monthly ACS samples has affected the quality of the estimates in many small areas that have large GQ populations relative to the total population.
From page 80...
... She defined group quarters, provided background on ACS GQ data collection and the questionnaire items on the ACS form, and reported on the analysis and recommendations of an internal Census Bureau study to determine the feasibility of developing a GQ-specific questionnaire. Group quarters, according to the official definition, are places where people live or stay in a group living arrangement that is owned and managed by an entity or organization that provides housing or services for its residents.
From page 81...
... If that fails, the Census staff member swears in a contact person at the facility, commissioning the contact person to drop the questionnaires off with the sample residents, and the field staff returns upon completion. As a last resort, field staff can use the facility's administrative records after obtaining permission from a Census Bureau regional office.
From page 82...
... Even responses to the eight questionnaire items proposed for removal in a paper version had relatively low missing data rates for these items, suggest to her that respondents were not burdened by the extra questionnaire items. Developing and implementing a paper questionnaire for GQs would present operational issues related to the additional workload involved in assembling, distributing, and controlling paper questionnaires.
From page 83...
... Anderson discussed the needs of the two main user communities for GQ data -- municipalities, which are mainly concerned with average values and distributions, and researchers who want to build models and run multi­ variate models using the PUMS data. Her perception is that there has been overwhelmingly more concern for the needs of municipalities than PUMS data users.
From page 84...
... Starting in 2012, NCHS replaced the National Nursing Home Survey and its other existing long-term care provider surveys with the Biennial National Study of Long-Term Care Providers, which covered the supply, use, and characteristics of five major sectors of paid, regulated long-term care including nursing facilities. For the nursing facilities sector, NCHS now uses only administrative data from the Centers for Medicare & Medicaid Services (CMS)
From page 85...
... Another scenario, rather than complete substitution for all sample nursing facility residents, would be to use administrative data sources after data collection for cases with specific survey items that have historically high missing rates. 1  MDS 3.0 is an assessment done by nursing homes at regular intervals on every resident in a Medicare- or Medicaid-certified nursing home.
From page 86...
... According to the 2014 National Study of Long-Term Care Providers, half of nursing home residents have Alzheimer's or other dementias, a likely cause of the fact that proxies complete about one-half of ACS nursing facility resident questionnaires. It would be useful to gain further understanding of the ACS Group Quarter Resident Questionnaire completion process in nursing facilities regarding the quality of data under the three main scenarios: where the resident self-completes, where the questionnaire is completed by a proxy who is a relative of the selected respondent, or where he survey is completed by a proxy who is a nursing facility staff.
From page 87...
... All these sources of error need to be measured and balanced against other changes in the survey, because any time an intervention or a change in protocol is made to affect burden, at least some of the other components will be affected. He said the Census Bureau could use two different paper forms to minimize the unnecessary questions; another alternative would be to embed additional skip logic.
From page 88...
... • For institutional GQs, eliminate the CAPI interview and the paper instrument, and import administrative records or, where adminis trative data are not available, use CAPI. On the noninstitutional side, he supported the Internet option particularly for college student facilities and military barracks.
From page 89...
... A participant asked how the Census Bureau would conduct sampling at GQs if, as has NCHS, administrative records become the primary means of obtaining information from nursing facilities and field representatives no longer physically go to the locations. Harris-Kojetin responded that when NCHS transitioned to using only administrative data from CMS for the nursing home sector, sampling was no longer required.
From page 90...
... 90 REDUCING RESPONSE BURDEN IN THE ACS ongoing basis throughout the year and the census was clearly defined as being on the first of April. This would lead to confusion.


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