OMB approval is granted for the Office Systems Survey and Validation Instrument only, as we await revisions to the Site Visit Protocol (and future submission of physician and beneficiary surveys). Approval for the full demonstration study is contingent on the implementation of plans to robustly analyze critical policy questions such as the unintended consequences that may arise in a P4P environment and the differences in intermediate health outcomes between patients at the treatment and control sites. To this end, CMS acknowledges that one of the meaningful use criteria under ARRA will be submission of clinical quality measures to CMS. CMS agrees that to the extent that these data become available they will be linked to EHRD treatment and control group practices participating in ARRA and included in the impact analysis. CMS further agrees to conduct statistical analyses to disentangle effects of the demonstration and ARRA funds on these outcomes measures. As agreed, CMS will resubmit this ICR for the remainder of the EHR demonstration when those materials and additional justification materials are ready. All previous terms of clearance for the MCMP and EHR demos remain in effect, including those for the OSS survey component of the MCMP demo submitted as a separate ICR, as well as those associated with the underlying ICR package.
table that charts list comparision
Inventory as of this Action
Requested
Previously Approved
01/31/2013
36 Months From Approved
10/31/2012
1,577
0
980
844
0
470
0
0
0
CMS is conducting an evaluation of the Medicare Care Management Performance (MCMP) Demonstration. The MCMP demonstration is a pay-for performance demonstration with physician practices that provide primary care for at least 50 traditional fee-for-service (FFS) Medicare beneficiaries with congestive heart failure, coronary artery disease, diabetes, and other selected chronic diseases. The goals of the demonstration are to (1) improve quality of care to eligible fee-for-service Medicare beneficiaries and (2) to encourage the implementation and use of health information technology (HIT). Participating practices will receive an incentive payment for improving quality of care and an additional bonus for electronic submission of quality measures.
CMS is also conducting an evaluation of the Electronic Health Records Demonstration (EHRD) which expands upon the MCMP demonstration and has the same goals. The demonstration also targets physician practices providing primary care to at least 50 Medicare beneficiaries with congestive heart failure, coronary artery disease, diabetes and other chronic conditions. In this demonstration, physician practices will receive an incentive payment for using electronic health records and an incentive payment for improving quality of care.
PL:
Pub.L. 108 - 173 649
Name of Law: Medicare Care Management Performance Demonstration
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-10273 Evaluation of the Electronic Health Records Demonstration (Office System Survey)
1-EHRDPRAOMB_C.pdf
Evaluation of the Electronic Health Records Demonstration (Office System Survey)