Barriers to Meaningful Use in Medicaid

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Form #4 Virtual Focus Groups EHR Non-users only	Form and Instruction	New	Available
Form Form #3 Virtual Focus Groups EHR Users only	Form and Instruction	New	Available
Form Form #2 In-Person Focus Groups EHR Users only	Form and Instruction	New	Available
Form Form #1 Screening Questionnaire	Form and Instruction	New	Available
Response to OMB comments on Barriers to Meaningful Use in Medicaid project.docx	Supplementary Document	Uploaded 2011-09-26	Available
Attachment E -- Moderators Guide for Use with Virtual Focus Groups with EHR Non-Users_8-16-2011.docx	Supplementary Document	Uploaded 2011-09-26	Available
Supporting Statement Part B -- Barriers to Meaningful Use in Medicaid_8-16-2011.docx	Supporting Statement B	Uploaded 2011-09-26	Available
Attachment N -- AHRQs Response to Public Comments.docx	Supplementary Document	Uploaded 2011-06-03	Available
Attachment M -- Public Comments.pdf	Supplementary Document	Uploaded 2011-06-03	Available
Attachment L -- Pretest Study Report.pdf	Supplementary Document	Uploaded 2011-06-03	Available
Attachment K -- Fact Sheet.docx	Supplementary Document	Uploaded 2011-06-03	Available
Attachment J -- Confirmation Letter.docx	Supplementary Document	Uploaded 2011-06-03	Available
Attachment I -- Study Announcement.docx	Supplementary Document	Uploaded 2011-06-03	Available
Attachment H -- Consent Form.docx	Supplementary Document	Uploaded 2011-06-03	Available
Attachment G -- Federal Register Notice.pdf	Supplementary Document	Uploaded 2011-06-03	Available
Attachment F -- Show Cards.docx	Supplementary Document	Uploaded 2011-06-03	Available
Supporting Statement Part A -- Barriers to Meaningful Use in Medicaid_8-16-2011.docx	Supporting Statement A	Uploaded 2011-09-26	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
198007	Virtual Focus Groups EHR Non-users only	Form and Instruction	New
198006	Virtual Focus Groups EHR Users only	Form and Instruction	New
198005	In-Person Focus Groups EHR Users only	Form and Instruction	New
198004	Screening Questionnaire	Form and Instruction	New

ICR Details

OMB Control No: 0935-0186	ICR Reference No: 201106-0935-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/AHRQ	Agency Tracking No:
Title: Barriers to Meaningful Use in Medicaid
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: 10/12/2011
	Date Received in OIRA: 06/07/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2013	24 Months From Approved
Responses	389	0	0
Time Burden (Hours)	228	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Health Information Technology for Economic and Clinical Health (HITECH) Act, Title XIII of Division A and Title IV of Division B of the American Recovery and Reinvestment Act of 2009 (ARRA) (Pub. L. 111-5), provides for financial incentives for Medicaid providers to adopt and "meaningfully use" certified electronic health record (EHR) technologies. To ensure that eligible professionals (EPs) are able to qualify for and access these incentives, AHRQ proposes a 2-year project with the objective of understanding the barriers that Medicaid health providers encounter along the way to achieving the meaningful use of EHRs. This proposed information collection will allow AHRQ to synthesize knowledge regarding the barriers that EPs encounter when attempting to achieve meaningful use and translate that knowledge to develop technical assistance and support implementation and use of EHRs.

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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:
	76 FR 2911	01/18/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 32208	06/03/2011
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Screening Questionnaire	Form #1	Screening Questionnaire and Participant Information Form
In-Person Focus Groups EHR Users only	Form #2	Moderator's Guide for Use with In-Person Focus Groups with EHR Users
Virtual Focus Groups EHR Users only	Form #3	Moderator's Guide for Use with Virtual Focus Groups with EHR Users
Virtual Focus Groups EHR Non-users only	Form #4	Moderator's Guide for Use with Virtual Focus Groups with EHR Non-Users

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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	389	0	0	389	0	0
Annual Time Burden (Hours)	228	0	0	228	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 request.

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Annual Cost to Federal Government: $212,247

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Yes

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: 06/07/2011

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