Electronic Clinical Quality Measure Development

Comprehensive Communication Campaign for HITECH ACT

OMB: 0955-0005

IC ID: 211483

Documents and Forms
Document Name
Document Type
Other-questionaire
Instruction
Instruction
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Electronic Clinical Quality Measure Development
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-questionaire 0955-0005 Facilitator question guide 4_02_14.doc No   Paper Only
Instruction 0955-0005_Patient Focus Group Overview Guide_CHF_04 02 2014 (3).docx No   Printable Only
Instruction 0955-0005 instructions_Patient Recruitment Protocols _03 25 2014.docx No   Printable Only

Health Public Health Monitoring

 

100 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 100 0 100 0 0 0
Annual IC Time Burden (Hours) 200 0 200 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Letter 0955-0005 Letter, Agenda, Overview 3_14_14.doc 05/01/2014
Pilot Site 0955-0005 PilotSitePowerPoint 3_14_14.ppt 05/01/2014
consent 0955-0005 Informed Consent PFG_CHF Goals_03 19 2014 clean (3).docx 05/01/2014
Electronic Clinical Quality Measure Development Supporting Statement ONC HITECH_Fast-Track-PRA-Submission-Short-Form_FSACHF_2014_05_13.doc 05/23/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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