Withdrawn to
upload revised versions of the instruments and supporting
statements.
Inventory as of this Action
Requested
Previously Approved
03/31/2014
36 Months From Approved
03/31/2014
301,244
0
301,244
96,125
0
96,125
0
0
0
The overall purpose of the VHA Office
of Quality and Performance Survey of Health Experience of Patients
(SHEP) Survey Program is to systematically obtain information from
patients that can be used to identify problems or complaints that
need attention and to improve the quality of health care services
delivered to Veterans. Information obtained from the SHEP Program
is one component of a larger Network Directors Performance
Agreement system in VHA that culminates in the annual Network
Performance Report. Results of each of the customer satisfaction
surveys are made readily available to VA Central Office (VACO),
Veterans Integrated Service Network (VISN), VHA field staff, and
stakeholders as part of the Network Performance Report and via the
VA Intranet. Data is used to demonstrate that VA is providing
timely, high quality health care services to patients and to
measure improvement toward the goal of matching or exceeding the
non-VA external benchmark performance.
EO: EO
12862 Name/Subject of EO: Setting Customer Service Standards
US Code:
38 USC Section 3305 Name of Law: Confidentiality of Medical
Quality-Assurance Records
The program change is due to
the inclusion of VA Forms 10-1465-5 and 10-1465-6, respectively the
C&G PCMH short and long forms. The increase in burden hours is
23,333. However, VHA reduced the amount of SHEP Outpatient Short
form surveys (10-1465-4) mailed, such that there will be a net
decrease of 25,340 burden hours. VHA is undertaking a new
initiative to implement a patient-centered medical home model of
care at all VHA Primary Care sites, and is referred to as Patient
Aligned Care Teams (PACT). This initiative supports VHA's Universal
Health Care Services Plan to redesign VHA healthcare delivery
through increasing access, coordination, communication, and
continuity of care. PACT provides accessible, coordinated,
comprehensive, patient-centered care, and is managed by primary
care providers with the active involvement of other clinical and
non-clinical staff. PACT allows patients to have a more active role
in their health care and is associated with increased quality
improvement, patient satisfaction, and a decrease in hospital costs
due to fewer hospital visits and readmissions. Currently VHA has no
mechanism in place to measure the effectiveness of the PACT model
from the patients' perspective. The inclusion of these 2 new forms
will fill that void.
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.