Applying Novel Methods to Better Understand the Relationship between Health IT and Ambulatory Care Workflow Redesign

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Form #2 Focus Group Guide	Form and Instruction	New	Available
Form Form #1 Semi-Structured Interview Guide	Form and Instruction	New	Available
SS Part B -- Applying Novel Methods to Better Understand the Relationship Between HIT 4-17-2013.docx	Supporting Statement B	Uploaded 2013-04-18	Available
Attachment F Federal Register Notice.pdf	Supplementary Document	Uploaded 2013-04-18	Available
Attachment E Consent Form.docx	Supplementary Document	Uploaded 2013-04-18	Available
Attachment B Screenshot of the Time and Motion Data Collection Tool.docx	Supplementary Document	Uploaded 2013-04-18	Available
Attachment A Observation Guide.docx	Supplementary Document	Uploaded 2013-04-18	Available
SS Part A -- Applying Novel Methods to Better Understand the Relationship Between HIT 4-17-2013.docx	Supporting Statement A	Uploaded 2013-04-18	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
206593	Focus Group Guide	Form and Instruction	New
206592	Semi-Structured Interview Guide	Form and Instruction	New

ICR Details

OMB Control No: 0935-0209	ICR Reference No: 201304-0935-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/AHRQ	Agency Tracking No: 19289
Title: Applying Novel Methods to Better Understand the Relationship between Health IT and Ambulatory Care Workflow Redesign
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 without change	Conclusion Date: 05/23/2013
	Date Received in OIRA: 04/19/2013
Terms of Clearance: Please ensure that results are shared with ONC, CMS, and NCHS.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2016	36 Months From Approved
Responses	120	0	0
Time Burden (Hours)	105	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The Agency for Healthcare Research and Quality (AHRQ) requests that the Office of Management and Budget (OMB) approve, under the Paperwork Reduction Act of 1995, AHRQ's collection of information for the project Applying Novel Methods to Better Understand the Relationship between Health IT and Ambulatory Care Workflow Redesign. The data to be collected consists of interviews and focus groups with clinical, non-clinical, and management staff about their experiences with new health information technology (IT) in an ambulatory care facility. The overall goal of this study is to characterize the relationship between health IT implementation and health care workflow in six (6) small and medium-sized ambulatory care practices implementing patient-centered medical homes (PCMH), with a focus on the influence of behavioral and organizational factors and the effects of disruptive events.

---

Authorizing Statute(s): US Code: 42 USC 299 Name of Law: Healthcare Research and Quality Act of 1999
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 5807	01/28/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 22880	04/17/2013
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Semi-Structured Interview Guide	Form #1	Semi-Structured Interview Guide
Focus Group Guide	Form #2	Focus Group Guide

---

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	120	0	0	120	0	0
Annual Time Burden (Hours)	105	0	0	105	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.

---

Annual Cost to Federal Government: $266,338

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)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(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: 04/19/2013

---