Approved for use
through 12/94 under the condition that AHCPR agrees to present the
results of this study as information specific to the States of
California and Iowa, and does not attempt to generalize thes
results in policy making to other States or regions of the country.
Though this study's design may control for variances within
institutio and specific States, it does not address differences in
medical practi between States. For instance, Medicare PRO policies
historically have been premised upon the assumption that
perceptions of appropriate care vary significantly by locality and
region. Therefore, OMB believ that this study's results should be
used as the basis for a more comprehensive, national effort. In
addition, in its final report AHCP should analyze the non response
characteristics for those respondents who do not have home phones.
In its supporting statement, AHCPR attempts to predict the
characteristics of these respondents, and asserts that initial
contact and follow-up will minimize any problems. OMB believes that
nonrespondents without phones may include the most vulnerable
populations. Finally, AHCPR should attempt to understand the extent
to which patient outcomes are influenced by facility experience
levels in performing each of the procedures. For example, Medicare
transplant coverage policy already assumes that facilities
performing procedures more frequently may provide enhanced quality
of care. AHCPR should submit this study's final report to OMB.
Inventory as of this Action
Requested
Previously Approved
12/31/1994
12/31/1994
4,320
0
0
2,343
0
0
0
0
0
THIS RESEARCH PROJECT WILL STUDY THE
VARIATIONS AND CORRELATES OF SPECIFIC DIAGNOSTIC AND TREATMENT
PROCEDURES USED IN MANAGING LABOR AN DELIVERY. OF PARTICULAR
INTEREST IS THE DECISION WHETHER OR NOT TO DELIVER BY CESAREAN
SECTION, INCLUDING THE OUTCOMES OF THAT DECISION. THE PROJECT WILL
YIELD INFORMATION TO HELP IMPROVE MEDICAL CARE IN CHILDBIRTH,
IMPROVE MATERNAL AND INFANT HEALTH, AND REDUCE COSTS.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.