Care Coordination Quality Measure for Patients in the Primary Care Setting

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 3 MHI-LV: Non-physician clinician	Form and Instruction	New	Available
Form 2 MHI-LV1: Physician/administrator	Form and Instruction	New	Available
Form 1 Appendix A: CCQM-PC Survey	Form and Instruction	New	Available
Planned Parent Public Comment (2).pdf	Supplementary Document	Uploaded 2014-10-30	Available
AAFP Public Comment (1).pdf	Supplementary Document	Uploaded 2014-10-30	Available
Appendix_E_stakeholders list_UPD2.pdf	Supplementary Document	Uploaded 2014-10-30	Available
Appendix_C_Draft recruitment and consent_UPD4 12 19 14.pdf	Supplementary Document	Uploaded 2015-01-12	Available
CC_OMB_Supporting Statement Part B_FINAL.docx	Supporting Statement B	Uploaded 2014-10-30	Available
CC_OMB_Supporting Statement Part A_FINAL 2 12 19 2014.docx	Supporting Statement A	Uploaded 2015-01-12	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
213678	MHI-LV: Non-physician clinician	Form and Instruction	New
213676	MHI-LV1: Physician/administrator	Form and Instruction	New
213632	Appendix A: CCQM-PC Survey	Form and Instruction	New

ICR Details

OMB Control No: 0935-0227	ICR Reference No: 201410-0935-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/AHRQ	Agency Tracking No:
Title: Care Coordination Quality Measure for Patients in the Primary Care Setting
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: 01/16/2015
	Date Received in OIRA: 10/31/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2018	36 Months From Approved
Responses	4,560	0	0
Time Burden (Hours)	2,007	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The project, entitled "Care Coordination Measure Development- Phase III", will develop a patient survey of the quality of care coordination for adults in primary care settings, i.e., the Care Coordination Quality Measure for Primary Care (CCQM-PC). The project will update the Care Coordination Measures Atlas (http://www.ahrq.gov/professionals/systems/long-termcare/ resources/coordination/atlas/index.html). In combination with primary research, the project will use the Atlas and prior work that identified gaps in the measurement of care coordination to develop and pilot test a rigorous and psychometrically sound patient assessment (from the perspective of patient and family) of the quality of care coordination for adults within primary care settings-the CCQM-PC. The survey will address key care coordination domains; be appropriate for research; will set the stage for the future development of measures for quality reporting, accountability, and payment purposes; and be consistent with Consumer Assessment of Healthcare Providers and Systems (CAHPS) ® principles. The instrument is to be developed, cognitively tested, revised and pilot tested. A stakeholder panel will provide input throughout the phases of the project. There are five explicit objectives for our analysis of the pilot-test data: • Evaluate the quality of the responses to the CCQM-PC survey (through item functioning analysis). • Determine how the items that ask for reports of patient experiences could be summarized into a smaller set of composite measures (through factor analysis). • Evaluate the measurement properties of the composite scales (assessment of reliability, validity, and variability of the measure). • Identify information (i.e., case mix adjusters) that should be used to adjust scores to ensure valid comparisons among primary care practices (PCPs). • Determine how CCQM-PC scores vary among practices that self-report processes of care that are more or less aligned with a medical home model. This study is being conducted by AHRQ through its contractor, American Institutes for Research (AIR), pursuant to AHRQ's statutory authority to conduct and support research on healthcare and on systems for the delivery of such care, including activities with respect to quality measurement and improvement. 42 U.S.C. 299a(a)(1) and (2).

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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:
	79 FR 44172	07/30/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 62152	10/16/2014
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
MHI-LV1: Physician/administrator	2	MHI-LV1: Physician/administrator
MHI-LV: Non-physician clinician	3	MHI-LV: Non-physician clinician
Appendix A: CCQM-PC Survey	1	CCQM-PC

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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	4,560	0	0	4,560	0	0
Annual Time Burden (Hours)	2,007	0	0	2,007	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 data collection.

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Annual Cost to Federal Government: $568,924

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

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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: 10/31/2014

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