CAHPS Field Test of Proposed Health Information Technology Questions and Methodology

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Form #1 CAHPS Clinician & Group Survey, Adult Primary Care Questionnaire	Form and Instruction	New	Available
Final Cognitive Report CSR.pdf	Supplementary Document	Uploaded 2009-11-06	Available
AIR Cog Test results _9 Feb 08_.pdf	Supplementary Document	Uploaded 2009-11-06	Available
HIT_Field_Test_Eng_6pt_Web3.doc	Supplementary Document	Uploaded 2009-11-09	Available
HIT_Field_Test_Eng_4pt_Mail3.doc	Supplementary Document	Uploaded 2009-11-09	Available
HIT_Field_Test_Eng_4pt_Web3.doc	Supplementary Document	Uploaded 2009-11-09	Available
HIT_Field_Test_Eng_6pt_Mail3.doc	Supplementary Document	Uploaded 2009-11-09	Available
Memo from CAHPS team 13 oct 2009_1.doc	Supplementary Document	Uploaded 2009-11-03	Available
RAND_Yale_HIT_R1_FindingsV3.doc	Supplementary Document	Uploaded 2009-11-03	Available
Response to OMB Comments ICR_CAHPSHealthIT 26aug09(2).doc	Supplementary Document	Uploaded 2009-11-06	Available
Supporting Statement Part B -- CAHPS Fieldtest of Proposed HIT Questions Methodology 6-16-2009.doc	Supporting Statement B	Uploaded 2009-06-18	Available
Attachment D -- 30 Day Federal Register Notice.pdf	Supplementary Document	Uploaded 2009-06-18	Available
Attachment A -- Healthcare Research and Quality Act of 1999.pdf	Supplementary Document	Uploaded 2009-06-18	Available
Attachment C Subject Correspondence Documents 6-16-2009.doc	Supplementary Document	Uploaded 2009-06-18	Available
Supporting Statement Part A -- CAHPS Fieldtest of Proposed HIT Questions 11-9-2009.doc	Supporting Statement A	Uploaded 2009-11-09	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
189786	CAHPS Clinician & Group Survey, Adult Primary Care Questionnaire	Form and Instruction	New

ICR Details

OMB Control No: 0935-0158	ICR Reference No: 200907-0935-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/AHRQ	Agency Tracking No:
Title: CAHPS Field Test of Proposed Health Information Technology Questions and Methodology
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/09/2009
	Date Received in OIRA: 07/01/2009
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2010	12 Months From Approved
Responses	7,200	0	0
Time Burden (Hours)	2,400	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Consumer Assessment of Healthcare Providers and Systems (CAHPS) program is a multi-year initiative of the Agency for Healthcare Research and Quality. AHRQ first launched the program in October 1995 in response to concerns about the lack of good information about the quality of health plans from the enrollees' perspective. Numerous public and private organizations collected information on enrollee and patient satisfaction, but the surveys varied from sponsor to sponsor and often changed from year to year. The CAHPS program was designed to: o Make it possible to compare survey results across sponsors and over time; and o Generate tools and resources that sponsors can use to produce understandable and usable comparative information for consumers. Over time, the program has expanded beyond its original focus on health plans to address a range of health care services and meet the various needs of health care consumers, purchasers, health plans, providers, and policymakers. Based on the literature review and an assessment of currently available survey instruments, AHRQ identified the need to develop a new health information technology module of the CAHPS? survey. The intent of the planned module is to examine in greater detail than previously patients' perspective on health information technology use by their health care professionals. The intent of the new module is to provide information to clinicians, group practices, health plans, and other interested parties regarding the impact of the use of health information technology on patients' experiences with care. The set of questions about health information technology will be tested as a part of CAHPS Clinician & Group Survey, Adult Primary Care Questionnaire.

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Authorizing Statute(s): US Code: 42 USC 299 Name of Law: Healthcare Research and Quality Act of 1999
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 14560	03/31/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 28502	06/16/2009
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
CAHPS Clinician & Group Survey, Adult Primary Care Questionnaire	Form #1, Form #2	4 Point Scale Questionnaire ,   6 Point Scale Questionnaire

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ICR Summary of Burden

table that charts list of burden

	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	7,200	0	0	7,200	0	0
Annual Time Burden (Hours)	2,400	0	0	2,400	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new information collection.

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Annual Cost to Federal Government: $780,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 07/01/2009

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