Approved for use
through 9/96 with the understanding that this effort is preliminary
in nature and its methodology (in particular, reliance on a
potentially unrepresentative subset of Medicare fiscal interme-
diaries for case selection) may not be an appropriate sampling
approac for future outcomes evaluations. As discussed in its
response to OMB concerns dated 8/11/94, AHCPR notes the wide
variation between fiscal intermediaries for discharge disposition
and limitations in Medicare discharge data. In addition, AHCPR
notes existing limitations in the use of ICD-9 administrative data,
particularly for comorbidities and complications. Although AHCPR
will validate these data using medical records, persistent
discrepencies in these data could confound the study's results. OMB
expects that: 1) AHCPR thoroughly will caveat dissemination of
these data with explanations of its limitations; and 2)
methodologies presented in future outcomes studies will reflect
AHCPR's enhanced understanding from this study of data limitations
and variances between hospitals in discharge practices.
Inventory as of this Action
Requested
Previously Approved
09/30/1996
09/30/1996
10/31/1994
2,690
0
2,690
2,206
0
2,206
0
0
0
THE POST-HOSPITALIZATION OUTCOMES
STUDIES WILL PROVIDE INFORMATION ABO THE EXPERIENCE OF MEDICARE
BENEFICIARIES FOLLOWING HOSPITALIZATION FOR ELECTIVE TOTAL HIP
REPLACEMENT AND CHOLECYSTECTOMY. THIS INFORMATION, LINKED TO
MEDICARE DATA, CAN DEVELOP KNOWLEDGE ABOUT: 1) THE NATURAL HISTORY
OF DISEASE, 2) THE EFFECTIVENESS OF TREATMENT, AND 3)
INDICATO
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.