The concept of
this submission is approved. OMB does not approve init tion of the
survey design or instrument at this time, however, due to several
significant reservations that necessitate further discussions with
PHS. First, OMB is concerned about PHS' unclear focus on particular
treatment modes for schizophrenia. A well articulated and
integrated focus could expand the number of eligible states and
shift more resources to a comparison between a few select
treatments. Secon the sample may be biased by self selection,
replacement, and reimburse ment. OMB needs to understand planned
survey and recruitment techni- ques that may address these issues.
Third, OMB is concerned that the proposed sample does not provide a
nationally representative sample of persons under treatment of
schizophrenia. OMB did not have the opportunity to evaluate this
policy in the RFP. Fourth, OMB is concerned that Medicaid claims
files were not used in the selection of participating states,
perhaps due to HCFA's reluctance to timely assis PHS in this
effort. Related to this issue, is PHS' reliance on Medica claims
data from state Medicaid offices, thereby limiting PORT partici
tion to eight states, rather than all states participating in
HCFA's 2082 dump. Finally, this effort was piloted tested only with
outpatie clients familiar with the Lickert scale. PHS should
schedule a meetin with OMB to discuss methodologies for guidelines
evaluation before submitting further PORTs for PRA review.
Inventory as of this Action
Requested
Previously Approved
01/31/1995
01/31/1995
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THIS SURVEY OF 1,200 PERSONS UNDER
CARE FOR SCHIZOPHRENIA IN TWO STATES WILL ASSESS THEIR TREATMENT
EXPERIENCES AND NEEDS AND OUTCOMES OF CARE. THE FINDINGS WILL BE
USED TO DEVELOP TREATMENT RECOMMENDATIO FOR SCHIZOPHRENIA. THE
DISSEMINATION OF THE RECOMMENDATIONS TO PRACTITIONERS AND THE
PUBLIC WILL BE EVALUATED FOR CHANGES IN PATIENT OUTCOMES, PRACTICE
PATTERNS, PUBLIC KNOWLEDGE AND ATTITUDES, AND
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.