Information Collection Request

Technical Assistance for Health IT and Health Information Exchange in Medicaid and SCHIP

ICR 200805-0935-001 · OMB 0935-0137 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form Form #3 Web-based seminar evaluations Form and Instruction New Repair queued
Form Form #2 Workshop evaluations Form and Instruction New Available
Form Form #1 Needs Assessment Form and Instruction New Repair queued
Supporting Statement Part B 4-21-2008.doc Supporting Statement B Uploaded 2008-04-28 Available
Attachment J_Thank you letter from Contractor final.doc Supplementary Document Uploaded 2008-04-28 Available
Attachment I_Consent Form 04-14-08.doc Supplementary Document Uploaded 2008-04-28 Repair queued
Attachment H_Script for Agency contactors_final.doc Supplementary Document Uploaded 2008-04-28 Available
Attachment G3_AHRQ magnet.jpg Supplementary Document Uploaded 2008-04-28 Repair queued
Attachment G2_SHOWCARDs final.doc Supplementary Document Uploaded 2008-04-28 Available
Attachment G1_Contractor cover letter for needs assessment_final.doc Supplementary Document Uploaded 2008-04-28 Available
Attachment F7_Pilot cover letter final.doc Supplementary Document Uploaded 2008-04-28 Repair queued
Attachment F6_Topics for Needs Assessment Interview_final.doc Supplementary Document Uploaded 2008-04-28 Available
Attachment F5_Resource List final.doc Supplementary Document Uploaded 2008-04-28 Available
Attachment F4_FastFacts on AHRQ TA contract_AHRQ_OCKT approved final.doc Supplementary Document Uploaded 2008-04-28 Available
Attachment F3_NASMD cover letter final.doc Supplementary Document Uploaded 2008-04-28 Available
Attachment F2_ Contractor lead letter final.doc Supplementary Document Uploaded 2008-04-28 Repair queued
Attachment F1_AHRQ cover letter_withsig.pdf Supplementary Document Uploaded 2008-04-28 Available
Attachment B_60 Day FR Notice -- Technical Assistance for HIT.pdf Supplementary Document Uploaded 2008-04-28 Available
Supporting Statement Part A 4-25-2008.doc Supporting Statement A Uploaded 2008-04-28 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
184801 Web-based seminar evaluations Form and Instruction New
184800 Workshop evaluations Form and Instruction New
184799 Needs Assessment Form and Instruction New
ICR Details
0935-0137 200805-0935-001
Historical Active
HHS/AHRQ
Technical Assistance for Health IT and Health Information Exchange in Medicaid and SCHIP
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 07/01/2008
Retrieve Notice of Action (NOA) 05/06/2008
  Inventory as of this Action Requested Previously Approved
07/31/2011 36 Months From Approved
315 0 0
258 0 0
0 0 0

AHRQ proposes a three year project to (1) assess the challenges facing Medicaid and State Children's Health Insurance Programs (SCHIP) agencies nationwide as they plan and implement health information technology (health IT) and health information exchange (HIE) programs and (2) provide the agencies with technical assistance to help them overcome these challenges. Health IT refers to the set of electronic tools and methods used for managing information about the health and health care of individuals, groups of individuals, and communities. HIE refers to organized efforts at the local, state, or regional levels to establish the necessary policy, business, operating, and technical mechanisms and structures that allow, support, and promote the exchange of health care information electronically across organizations. Health IT and HIE hold great promise for improving the quality and efficiency of health care in the United States. Medicaid and SCHIP agencies, which receive federal and state funding, serve the most medically and financially vulnerable populations. More than sixty percent of Medicaid beneficiaries have one or more chronic or disabling diseases. In addition, Medicaid and SCHIP beneficiaries frequently experience gaps in eligibility for benefits that cause beneficiaries to seek care from multiple settings, which compromises the accuracy and completeness of their health care records. These populations have much to gain from the coordination of care that can be realized from the adoption of health IT and HIE. Furthermore, as the largest health care purchaser in the United States, Medicaid can influence the adoption of health IT and HIE by providers of care. However, Medicaid and SCHIP agencies face considerable challenges in the implementation of health IT and HIE.

US Code: 42 USC 299 Name of Law: The Healthcare Research and Quality Act of 1999
  
None

Not associated with rulemaking

  73 FR 9334 02/20/2008
73 FR 21351 04/21/2008
No

3
IC Title Form No. Form Name
Needs Assessment Form #1 Needs Assessment
Workshop evaluations Form #2 Workshop evaluations
Web-based seminar evaluations Form #3 Web-based seminar evaluations

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 315 0 0 315 0 0
Annual Time Burden (Hours) 258 0 0 258 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new information collection.

$996,864
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
Doris Lefkowitz 3014271477

  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.
05/06/2008