Building an Implementation Toolset for E-Prescribing

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Form #5 Physician and staff questionnaire	Form and Instruction	New	Repair queued
Form Form #4 Post-test on-site observation guide	Form and Instruction	New	Repair queued
Form Form #3 Post-test interview guide	Form and Instruction	New	Repair queued
Form Form #2 Pre-test on-site observation guide	Form and Instruction	New	Repair queued
Form Form #1 Pre-test interview guide	Form and Instruction	New	Repair queued
Supporting Statement Part B -- Building an Implementation Toolset for E-Prescribing 6-18-2009.doc	Supporting Statement B	Uploaded 2009-07-02	Repair queued
Attachment F3 - Interview oral consent.PDF	Supplementary Document	Uploaded 2009-07-02	Repair queued
Attachment F2 - Practice oral consent.PDF	Supplementary Document	Uploaded 2009-07-02	Repair queued
Attachment A -- Healthcare Research and Quality Act of 1999.pdf	Supplementary Document	Uploaded 2009-07-02	Repair queued
Attachment F1 - Advance information sheet.pdf	Supplementary Document	Uploaded 2009-07-02	Repair queued
Supporting Statement Part A -- Building an Implementation Toolset for E-Prescribing 6-18-2009.doc	Supporting Statement A	Uploaded 2009-07-02	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
190083	Physician and staff questionnaire	Form and Instruction	New
190082	Post-test on-site observation guide	Form and Instruction	New
190081	Post-test interview guide	Form and Instruction	New
190080	Pre-test on-site observation guide	Form and Instruction	New
190079	Pre-test interview guide	Form and Instruction	New

ICR Details

OMB Control No:	ICR Reference No: 200907-0935-002
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: HHS/AHRQ	Agency Tracking No:
Title: Building an Implementation Toolset for E-Prescribing
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OIRA Conclusion Action: Withdrawn	Conclusion Date: 02/17/2010
	Date Received in OIRA: 07/24/2009
Terms of Clearance: This ICR is withdrawn per agency request.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		12 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this project is to develop and test an electronic prescribing (e-prescribing) toolset to provide information and tools of sufficient detail to act as a "how-to guide" for implementing e-prescribing across various organizational settings. The current system of prescribing and dispensing medications in the United States poses widespread safety and efficiency problems. E-prescribing systems have the potential to avert some of the more than 2 million adverse drug events (ADEs) annually, of which 130,000 are life threatening. E-prescribing also has enormous potential to create savings in health care costs, both through reducing ADEs and through more efficient work processes of prescribers and pharmacists. One recent study estimated the potential savings at $27 billion per year in the United States. [Johnston D, Pan E, Middleton B, Walker J, Bates DW. The value of computerized provider order entry in ambulatory settings. 2003 [cited 2003/12/10]. Available from: http://www.citl.org/research/ACPOE_Executive_Preview.pdf.]

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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 18722	04/24/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 31281	06/30/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Pre-test interview guide	Form #1	Pre-test interview guide
Pre-test on-site observation guide	Form #2	Pre-test on-site observation guide
Post-test interview guide	Form #3	Post-test interview guide
Post-test on-site observation guide	Form #4	Post-test on-site observation guide
Physician and staff questionnaire	Form #5	Physician and staff questionnaire

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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 Request

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Annual Cost to Federal Government: $119,976

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: 07/24/2009

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