US Administration on Aging
PERFORMANCE OUTCOMES MEASURES PROJECT

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Performance Measurement Surveys
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POMP Archive
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Project Overview

This archive provides a summary of the work of the past four years, including earlier versions of the performance measure questionnaires and their technical assistance materials.
 

Capacity Building

Capacity Building (System Service Development) Survey (Version: March 8, 2000)
 

Caregiver

POMP V (Year 2004)

Caregiver Satisfaction (Telephone) Survey (Version: June 3, 2004)
Caregiver Satisfaction (Mail) Survey (Version: June 9, 2004)

Cross-cutting Questionnaires
Emotional Well-being Survey for 2004 (Version: March 10, 2004)
Physical Functioning and Health Survey for 2004 (Version: March 10, 2004)
Social Functioning Survey for 2004 (Version: March 10, 2004)

POMP IV (Year 2003)

Caregiver Satisfaction (Telephone) Survey (Version: April 15, 2003)
Caregiver Satisfaction (Mail) Survey (Version: April 21, 2003)

Cross-cutting Questionnaires
Emotional Well-being Survey for 2003 (Version: February 26, 2003)
Physical Functioning and Health Survey for 2003 (Version: February 26, 2003)
Social Functioning Survey for 2003 (Version: February 26, 2003)

Data Collection Instructions
Data Collection Overview (Version: April 16, 2003)
Implementation Instructions (Version: April 15, 2003)
Service Definitions Card (Version: April 15, 2003)
Sampling Procedures Report (Version: April 22, 2003)
Sample List with Results (Version: April 15, 2003)
Coder Checklist for Caregiver Section (Version: April 25, 2003)
Caregiver Codebook (Version: April 25, 2003)

POMP III (Year 2002)

Caregiver Satisfaction Survey 2002 (Version: April 30, 2002)

Data Collection Instructions
Data Collection Summary (Version: May 2, 2002)
Implementation Instructions (Version: July 2, 2001)
Record of Contact (Version: May 2, 2002)

POMP II (Year 2001)

Caregiver Satisfaction Survey 2001 (Version: August 20, 2001)

Data Collection Instructions
Caregiver Data Collection Flyer (Version: July 2, 2001)
Caregiver Data Collection Script (Version: July 2, 2001)
Caregiver Logbook Example (Version: July 5, 2001)

POMP I (Year 2000)

Caregiver Satisfaction Survey 2000 (Version: September 14, 2000)

Data Collection Instructions
Caregiver Data Collection Flyer (Version: September 18, 2000)
Caregiver Data Collection Script (Version: September 18, 2000)
Caregiver Logbook Example (Version: July 10, 2000)
 

Demographics

Demographics Survey for 2004 (Version: May 18, 2004)
Demographics Codebook for 2004 (Version: May 18, 2004)
 
Demographics Survey for 2003 (Version: February 28, 2003)
Demographics Codebook for 2003 (Version: March 20, 2003)
Demographics Coder Checklist for 2003 (Version: March 12, 2003)
 
Demographics Survey 2002 (Version: February 25, 2002)
Demographic Intake Form 2001 (Version: February 1, 2001)
 

Emotional Well-Being

Emotional Well-being Survey for 2004 (Version: March 10, 2004)
Emotional Well-being Codebook for 2004 (Version: March 10, 2004)
 
Emotional Well-being Survey for 2003 (Version: February 26, 2003)
Emotional Well-being Codebook for 2003 (Version: March 20, 2003)
Emotional Well-being Coder Checklist for 2003 (Version: March 17, 2003)
 
Emotional Well-being Survey 2002 (Version: March 15, 2002)
Emotional Well-being Survey 2001 (Version: January 30, 2001)
Emotional Well-being Survey 2000 (Version: March 1, 2000)
 

Information and Assistance

POMP IV (Year 2003)

Information and Assistance Satisfaction Survey 2003 (Version: March 13, 2003)

Data Collection Instructions
Data Collection Overview (Version: March 13, 2003)
Implementation Instructions (Version: March 13, 2003)
Sampling Procedures Report (Version: March 13, 2003)
Logbook (a.k.a. Sample List) (Version: March 13, 2003)
Interview Coder Checklist for I&A Section (Version: March 13, 2003)
Interview Coder Checklist for Demographics Section (Version: March 12, 2003)
Information and Assistance Codebook (Version: April 15, 2003)
Demographics Codebook (Version: March 20, 2003)

POMP III (Year 2002)

Information and Assistance Satisfaction Survey 2002 (Version: April 4, 2002)

Cross-cutting Questionnaires
Demographics Survey for 2002 (Version: February 25, 2002)

Data Collection Instructions
Data Collection Summary (Version: April 4, 2002)
Operator Instructions (Version: April 4, 2002)
Implementation Instructions (Version: April 4, 2002)
Daily Caller Logbook (Version: April 4, 2002)
Record of Contact (Version: April 4, 2002)

POMP II (Year 2001)

Information and Assistance Satisfaction Survey 2001 (Version: September 28, 2001)

Data Collection Instructions
I&A Data Collection Flyer (Version: September 24, 2001)
I&A Data Collection Script (Version: September 24, 2001)
I&A Operator Instructions (Version: September 24, 2001)
I&A Daily Caller Logbook Example (Version: September 24, 2001)
I&A Sample List Example (Version: September 24, 2001)

POMP I (Year 2000)

Information and Assistance Satisfaction Survey 2000 (Version: July 10, 2000)

Cross-cutting Questionnaires
I&A Demographics Intake Form (Version: August 1, 2000)

Data Collection Instructions
I&A Data Collection Flyer (Version: July 14, 2000)
I&A Data Collection Script (Version: July 14, 2000)
I&A Operator Instructions (Version: July 14, 2000)
I&A Daily Caller Logbook Example (Version: July 14, 2000)
I&A Sample List Example (Version: July 14, 2000)
 

Nutrition

POMP V (Year 2004)

Congregate Meals Survey 2004: Core Module (Version: April 19, 2004)
Congregate Meals Survey 2004: Extended Module (Version: April 19, 2004)
Congregate Meals Survey 2004: Satisfaction Module (Version: April 15, 2004)

Home Delivered Meals Survey 2004: Core Module (Version: April 19, 2004)
Home Delivered Meals Survey 2004: Extended Module (Version: April 19, 2004)
Home Delivered Meals Survey 2004: Satisfaction Module (Version: April 15, 2004)

Cross-cutting Questionnaires
Demographics Survey for 2004 (Version: May 18, 2004)
Emotional Well-being Survey for 2004 (Version: March 10, 2004)
Physical Functioning and Health Survey for 2004 (Version: March 10, 2004)
Social Functioning Survey for 2004 (Version: March 10, 2004)

Data Collection Instructions
Data Collection Overview (Version: April 15, 2004)
 
CGM Sampling Procedures Report (Version: April 15, 2004)
CGM Sample List with Results (Version: April 15, 2004)
CGM Codebook for Congregate Meals (Version: April 19, 2004)
CGM Codebook for Congregate Meals: Satisfaction Module(Version: June 17, 2004)
 
HDM Sampling Procedures Report (Version: April 15, 2004)
HDM Sample List with Results (Version: April 15, 2004)
HDM Codebook for Home Delivered Meals (Version: April 19, 2004)
HDM Codebook for Home Delivered Meals: Satisfaction Module (Version: April 15, 2004)

POMP IV (Year 2003)

Congregate Meals Survey 2003 (Version: April 18, 2003)
Home Delivered Meals Survey 2003 (Version: April 18, 2003)
Food Security Module 2003 (Version: May 6, 2003)

Cross-cutting Questionnaires
Emotional Well-being Survey for 2003 (Version: February 26, 2003)
Physical Functioning and Health Survey for 2003 (Version: February 26, 2003)
Social Functioning Survey for 2003 (Version: February 26, 2003)

Data Collection Instructions
Nutrition Survey Data Collection Procedures (Version: April 3, 2003)
Demographics Survey for 2003 (Version: February 28, 2003)
Demographics Codebook (Version: March 20, 2003)
Demographics Coder Checklist (Version: March 12, 2003)
Sampling Procedures Report for Congregate Meals (Version: April 3, 2003)
Sample List with Results for Congregate Meals Survey (Version: April 3, 2003)
Congregate Meals Coder Checklist (Version: April 23, 2003)
Congregate Meals Codebook (Version: April 23, 2003)
Food Security Module Codebook (Version: May 6, 2003)
Sampling Procedures Report for Home Delivered Meals (Version: April 3, 2003)
Sample List with Results for Home Delivered Meals Survey (Version: April 3, 2003)
Home Delivered Meals Coder Checklist (Version: April 23, 2003)
Home Delivered Meals Codebook (Version: April 23, 2003)

POMP III (Year 2002)

Nutritional Risk Survey for Home Delivered Meals 2002 (Version: March 21, 2002)
Nutritional Risk Survey for Congregate Meals 2002 (Version: March 21, 2002)

Cross-cutting Questionnaires
Demographics Survey for 2002 (Version: February 25, 2002)
Emotional Well-being Survey 2002 (Version: March 15, 2002)
Social Functioning Survey (Short Form) for 2002 (Version: January 29, 2001)

Data Collection Instructions
Nutritional Risk Survey Overview (Version: March 21, 2002)
Nutritional Risk Survey Cover Sheet (Version: March 21, 2002)

POMP II (Year 2001)

Nutritional Outcome Survey 2001 (Version: January 30, 2001)

Cross-cutting Questionnaires
Demographic Intake Form (Version: February 1, 2001)
Emotional Well-being Survey 2001 (Version: January 30, 2001)
Physical Functioning Survey (Version: January 29, 2001)
Social Functioning Survey - Enrollment Version (Version: January 29, 2001)
Social Functioning Survey - Follow-up Version (Version: January 30, 2001)

Data Collection Instructions
Nutritional Outcome Survey Data Collection Summary Flyer (Version: January 30, 2001)
Nutritional Outcome Survey Enrollment Instructions (Version: January 29, 2001)
Nutritional Outcome Survey Follow-up Instructions (Version: January 29, 2001)

POMP I (Year 2000)

Nutritional Risk Survey 2000 (Version: March 16, 2000)

Cross-cutting Questionnaires
Emotional Well-being Survey (Version: March 1, 2000)
Social Functioning Survey for the Nutritional Risk Clients (Version: March 16, 2000)
NR Paper-Logbook (Optional)
Demographic Intake Form (Version: August 15, 2000)

Data Collection Instructions
Nutritional Risk Data Collection Summary Flyer (Version: March 15, 2000)
Nutritional Risk Enrollment Instructions (Version: March 22, 2000)
NR Client Data Form (Optional)
Nutritional Risk Data Collection Script (Version: March 15, 2000)
Nutritional Risk Data Collection Script with Emotional Well-being and Social Functioning Instructions (Version: March 15, 2000)
Emotional Well-being Survey (Version: March 1, 2000)
 

Physical Functioning

Physical Functioning and Health Survey for 2004 (Version: March 10, 2004)
Physical Functioning Codebook for 2004 (Version: March 10, 2004)
 
Physical Functioning and Health Survey for 2003 (Version: February 26, 2003)
Physical Functioning Codebook for 2003 (Version: March 20, 2003)
Physical Functioning Coder Checklist for 2003 (Version: March 17, 2003)
 
Physical Functioning and Health Survey 2002 (Version: February 5, 2002)
Physical Functioning Survey 2001 (Version: January 29, 2001)
 

Social Functioning

Social Functioning Survey for 2004 (Version: March 20, 2004)
Social Functioning Codebook for 2004 (Version: March 20, 2004)
 
Social Functioning Survey for 2003 (Version: February 26, 2003)
Social Functioning Codebook for 2003 (Version: March 20, 2003)
Social Functioning Coder Checklist for 2003 (Version: March 17, 2003)
 
Social Functioning Survey 2002 (Version: January 29, 2001)
Social Functioning Survey 2001 (Version: January 31, 2001)
Social Functioning Survey 2000 (Version: March 1, 2000)
 

Transportation

POMP IV (Year 2003)

Transportation Satisfaction (Phone) Survey 2003 (March 12, 2003)
Transportation Satisfaction (Mail) Survey 2003 (Version: March 12, 2003)

Cross-cutting Questionnaires
Emotional Well-being Survey for 2003 (Version: February 26, 2003)
Physical Functioning and Health Survey for 2003 (Version: February 26, 2003)
Social Functioning Survey for 2003 (Version: February 26, 2003)

Data Collection Instructions
Data Collection Overview (Version: March 12, 2003)
Implementation Instructions (Version: March 12, 2003)
Sampling Procedures Report (Version: March 12, 2003)
Sample List with Results (Version: March 12, 2003)
Interviewer Checklist for Transportation Section (Version: March 12, 2003)
Coder Checklist for Transportation Section (Version: March 12, 2003)
Transportation Codebook (Updated: April 2, 2003)

POMP III (Year 2002)

Transportation Satisfaction (Phone) Survey 2002 (Version: April 24, 2002)
Transportation Satisfaction (Mail) Survey 2002 (Version: April 24, 2002)

Cross-cutting Questionnaires
Emotional Well-being Survey 2002 (Version: March 15, 2002)
Social Functioning Survey (Short Form) for 2002 (Version: January 29, 2001)

Data Collection Instructions
Data Collection Summary (Version: April 18, 2002)
Implementation Instructions (Version: April 10, 2002)

POMP II (Year 2001)

Transportation Satisfaction (Phone) Survey 2001 (Version: May 7, 2001)
Transportation Satisfaction (Mail) Survey 2001 (Version: June 1, 2001)

Cross-cutting Questionnaires
Emotional Well-being (Phone) Survey 2001 for Transportation (Version: May 8, 2001)
Social Functioning (Phone) Survey 2001 for Transportation (Version: May 8, 2001)
Emotional Well-being (Mail) Survey 2001 for Transportation (Version: May 8, 2001)
Social Functioning (Mail) Survey 2001 for Transportation (Version: May 8, 2001)

POMP I (Year 2000)

Transportation Satisfaction Survey 2000 (Version: June 1, 2000)

Cross-cutting Questionnaires
Emotional Well-being Survey 2000 (Version: March 1, 2000)
Social Functioning Survey 2000 for Transportation (Version: April 7, 2000)

Data Collection Instructions
Transportation Data Collection Flyer 2000 (Version: June 1, 2000)
Transportation Data Collection Script 2000 (Version: June 1, 2000)
Transportation Caller Logbook Example 2000 (Version: June 1, 2000)
 

Supporting Materials

Project Flyer (Version: Jan. 28, 2000)
Data Collection Overview (Version: Jan. 28, 2000)
Generating a Master Client List (Version: Jan. 28, 2000)
General Sampling Plan (Version: April 5, 2000)
Summary of 4 Step Sampling Process (Version: June 1, 2000)
Sample Size Calculator Instructions (Version: March 16, 2004)
Sample Size Calculator (Version: March 16, 2004)