RRFSS Membership Procedure and Application Form

RRFSS Membership Procedure and Application Form

Health organizations can request to join the RRFSS at any time. Health organizations participating in RRFSS will sign a contract with the Institute for Social Research (ISR), York University. Annual RRFSS contracts run for one or more calendar years (i.e., January 1st to December 31st) and cover the creation of a CATI (computer assisted telephone interview) system, data collection and the creation of data sets. Beginning in 2016, health organizations will have the option of including a web survey component and/or a cell phone sample component to their data collection plan.

Since ISR contracts directly with each health organization, there are many cost options for RRFSS that members can chose depending on their needs and budget.Costs may vary due to differences in interview length, the number of completed interviews per cycle, the use of an advanced letter, the use of refusal conversions, and data analysis options. For example, the annual cost for a 15 minute interview of 1,200 interviews, without an advanced letter, is $48,457. However, a member could instead chose 720 interviews at 10 minutes per interview for $24,645. Custom surveys based on members’ individual budgets are also available. For further information on cost options please contact the RRFSS Coordinator.

In addition to the contract fees payable to ISR, an annualcoordination (membership) fee will be charged to cover the cost of the RRFSS coordination. In 2016, this fee will be $6,000 for each RRFSS participating health organization for the contract year or pro-rated to $2,000 per cycle for new health organizations joining part way through the contract year.

All inquiries from health organizations regarding membership or joining RRFSS should be directed to the RRFSS Coordinator. The following procedure isfor new health organizations wishing to join RRFSS:

Procedure for New Health Organizations Joining RRFSS:

• Health organizations wishing to join RRFSS must submit a RRFSS Membership Application Form (below) to the RRFSS Coordinator, by the timelines specified below.

• The RRFSS Coordinator will present the RRFSS Steering Group with the completed RRFSS Membership ApplicationForm for approval.

• The RRFSS Steering Group will review all applicationsusing the following criteria:

-The degree to which the health organization demonstrates organizational capacity to join RRFSS as outlined in the RRFSS Membership ApplicationForm.

-The current allocation of availableresources and the estimated use of the resources by ISR for new health organizations to join.

• The RRFSS Steering Group Chair will notify the requesting health organization(s) of the decision to accept or reject the application.
• Ifthe health organization’s RRFSS Membership Application Form has been approved, ISR will contact the health organization to finalize contract specifications and payments.

RRFSS Membership Application Form

RRFSS Membership Application Form

Name of Health Organization: ______

ContactName: ______

Title/Positions:______

Date of Request: ______

Requested date to join RRFSS: ______

Requested data collection cycles: ______

Requested sample size: ______Requested length of interview: ______

Requested data collection methodology (land line, cell phone, web survey, advanced letters, refusal conversion): ______

Requested sample area/geographic area: ______

1) Have you designated one staff member in your health organization to be the Primary RRFFS Contact Person/RRFSS Representative?

Yes No

If yes, who? ______

2) RRFSS data is disseminated to health organizations on a regular basis (i.e. every 4 months). Have you designated one or more staff in your health organization to be responsible for data quality and data analysis?

Yes No

If yes, who? ______

3) Data dissemination & promotion of RRFSS results is an important part of the overall goal of RRFSS. Have you considered ways to disseminate RRFSS results?

Yes No

If yes, how? ______

Applicants Signature:______Date:______

Please return the completed form to the RRFSS Coordinator