Health Center Controlled Networks Progress Reports

ICR 201212-0915-002

OMB: 0915-0360

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
New
Supplementary Document
2012-11-20
Supporting Statement A
2012-11-20
IC Document Collections
ICR Details
0915-0360 201212-0915-002
Historical Active
HHS/HSA
Health Center Controlled Networks Progress Reports
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 03/20/2013
Retrieve Notice of Action (NOA) 12/07/2012
  Inventory as of this Action Requested Previously Approved
03/31/2016 36 Months From Approved
60 0 0
1,662 0 0
0 0 0

A priority for HRSA's Bureau of Primary Health Care is to provide grants to Health Ccenter Controlled Networks (HCCN) to support and advance the adoption, implementation, and meaningful use of Health Information Technology to improve the quality of care provided by existing Health Center Program grantees. HCCNs will support participating health centers through their participation in the current and future stages of meaningful use included in the Medicare and Medicaid EHR Incentive Programs. The CMS EHR Incentive Program provides incentive payments to the eligible health care providers as they adopt, implement, upgrade and demonstrate meaningful use of certified EHR technology. Stage 1 sets the baseline for electronic data capture and information sharing. Also, Stage 1 meaningful use criteria focus heavily on establishing the functionalities in certified EHR technology that will allow for continuous quality improvement and ease of information exchange. There are two progress report forms and both are designed to collect aggregate performance data from grantees funded. The Project Work Plan Update and Annual Progress/Interim Evaluation Progress Report forms have three parts: 1) Adoption and Implementation of HIT (including EHR); 2) Attainment of Meaningful Use Requirements; and 3) Quality improvement measures (e.g., Healthy People 2020 clinical quality measures, PCMH recognition status).

US Code: 42 USC 254(b) Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  77 FR 39711 07/05/2012
77 FR 72870 12/06/2012
No

1
IC Title Form No. Form Name
Health Center Controlled Networks Progress Reports 1, 2 Work Plan ,   Progress Report

  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 60 0 0 60 0 0
Annual Time Burden (Hours) 1,662 0 0 1,662 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new information collection.

$406,667
No
No
No
No
No
Uncollected
Jodi Duckhorn 301 443-1984

  No

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.
12/07/2012


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