Electronic Health Record demonstration. This demonstration is a high-priority Administration of this initiative. The purpose of this demonstration project is to reward the delivery of high-quality care supported by the adoption and use of electronic health records in small to medium-sized primary care physician practices. While this initiative is separate and distinct from the Medicare Care Management Performance (MCMP) Demonstration, it expands upon the foundation created by the MCMP Demonstration, which was mandated by Section 649 of the Medicare Prescription Drug, Improvement and Modernization Act of 2003. The electronic health record demonstration will be operational for a 5-year period and will be operated under section 402 demonstration waiver authority.
The information to be obtained as part of the application form is necessary to document basic information for physician practices that intend to participate in this demonstration initiative. This information will be used to establish that the practices meet basic eligibility requirements for participation in this initiative. The application form requests basic physician office information (e.g., number of physicians in the practice, specialties, organizational structure, Medicare Provider Identification Number, tax identification number, contact information, etc. Practices that apply will be expected to sign a data sharing consent form that will accompany the form. It is expected that up to 2,400 application forms will be submitted by physician practices in 12 states for subsequent randomization to treatment and control groups.
PL:
Pub.L. 108 - 173 649
Name of Law: Medicare Care Management Performance (MCMP) Demonstration
This demonstration is a high-priority Administration initiative conducted under section 402 demonstration waiver authority. Only physician practices that respond and express interest in participating will complete the application. The burden associated with the proposed collection of information is completely voluntary; however, it should be noted that physician practices that voluntarily respond may ultimately be eligible to earn substantial financial rewards as part of their subsequent participation in this demonstration initiative.
$312,000
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Bonnie Harkless 4107865666
Reginfo record details
No
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.
Form CMS-10165 Electronic Health Record Demonstration
RESPONSE_60day_comment_020508.docx
CMS-10165 Description of Changes to Form_FINAL.doc
Electronic Health Record Demonstration