Consumer Assessment of Healthcare Providers and Systems Outpatient and Ambulatory Surgery (OAS CAHPS) Survey (CMS-10500)

ICR 201510-0938-003

OMB: 0938-1240

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Unchanged
Justification for No Material/Nonsubstantive Change
2015-12-22
Justification for No Material/Nonsubstantive Change
2015-10-28
IC Document Collections
ICR Details
0938-1240 201510-0938-003
Historical Active 201505-0938-003
HHS/CMS
Consumer Assessment of Healthcare Providers and Systems Outpatient and Ambulatory Surgery (OAS CAHPS) Survey (CMS-10500)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved with change 12/22/2015
Retrieve Notice of Action (NOA) 10/29/2015
*
  Inventory as of this Action Requested Previously Approved
07/31/2018 07/31/2018 07/31/2018
2,823,073 0 2,823,073
687,511 0 687,511
0 0 0

Outpatient surgeries and procedures performed at Ambulatory Surgery Centers (ASC) have increased significantly in the past two decades with the advances in technology and medical care that allow the procedures to be safely performed outside of the hospital outpatient surgery department (HOSD) setting. There is currently no standardized survey administered by all ASCs and HOSDs to assess patients' experiences of care. Considering the large number of patients who receive outpatient surgery in both ASCs and HOSDs, a standardized survey of outpatient surgery patients that will produce statistically valid survey comparative results is imperative. The Outpatient and Ambulatory Surgery Experience of Care Survey will support the Affordable Care Act and enhance Medicare's capacity to evaluate HOSDs and ASCs by assessing patients' experiences with outpatient and ambulatory surgery. This submission is in support of a field test of the survey. The field test will examine how well questions in the survey perform under real-world survey administration conditions and how appropriate they are for making objective comparisons between ASCs and HOSDs across the U.S. In addition, CMS plans to submit the instrument for certification as a Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey, which requires a field test as part of the certification process. The target population for the Outpatient and Ambulatory Surgery Experience of Care Survey is patients who had an outpatient surgery or procedure at an HOSD or ASC. A rigorous, well-designed outpatient and ambulatory surgery experience of care survey will allow us to understand patients' experiences in HOSDs and ASCs. This information will be used to help improve the quality of outpatient care patients receive from HOSDs and ASCs.

PL: Pub.L. 111 - 148 931 Name of Law: Quality Measure Development, Patient Protection and Affordable Care Act
  
PL: Pub.L. 111 - 148 931 Name of Law: Quality Measure Development, Patient Protection and Affordable Care Act

Not associated with rulemaking

  80 FR 2430 01/16/2015
80 FR 24935 05/01/2015
Yes

3
IC Title Form No. Form Name
Mode Experiment
National Implementation
Preparing Patient Records CMS-10500 Outpatient and Ambulatory Surgery OAS CAHPS Survey

  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 2,823,073 2,823,073 0 0 0 0
Annual Time Burden (Hours) 687,511 687,511 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$1,557,632
Yes Part B of Supporting Statement
No
Yes
No
No
Uncollected
Mitch Bryman 410 786-5258 [email protected]

  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.
10/29/2015


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