Evaluating the Implementation of PCOR to Increase Referral, Enrollment, and Retention through Automatic Referral to Cardiac Rehabilitation (CR) with Care Coordinator

Forms and Documents

Document Name	Status
Form 5 Attachment H – Learning Community Follow-up Survey Form and Instruction	New
Form 4 Attachment G – Learning Community Participant Survey Form and Instruction	New
Form 3 Attachment E – Interviews with Partner Hospital cardiologists Form and Instruction	New
Form 2 Interviews with Partner Hospital Champions Form and Instruction	New
Form 1 Attachment C – Partner Hospital Champion Survey Form and Instruction	New
Attachment A. Acronyms (2020-01-08).docx Supplementary Document	2020-04-14
CR Supporting Statement Part A (2020-01-09).docx Supporting Statement A	2020-04-14
CR Supporting Statement Part B (2020-01-07).docx Supporting Statement B	2020-04-14

IC Document Collections

IC ID	Document Title	Status
241336	Attachment H – Learning Community Follow-up Survey Form and Instruction	New
241335	Attachment G – Learning Community Participant Survey Form and Instruction	New
241334	Attachment F – Interviews with Partner Hospitals that withdraw Instruction	New
241333	Attachment E – Interviews with Partner Hospital cardiologists Form and Instruction	New
241331	Interviews with Partner Hospital Champions Form and Instruction	New
241312	Attachment C – Partner Hospital Champion Survey Form and Instruction	New

ICR Details

OMB Control No: 0935-0252	ICR Reference No: 202004-0935-002
Status: Active	Previous ICR Reference No:
Agency/Subagency: HHS/AHRQ	Agency Tracking No:
Title: Evaluating the Implementation of PCOR to Increase Referral, Enrollment, and Retention through Automatic Referral to Cardiac Rehabilitation (CR) with Care Coordinator
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: 07/21/2020
	Date Received in OIRA: 04/15/2020
Terms of Clearance: AHRQ shall ensure that the information from the PRA Burden Statement is included in correspondence to respondents in such a way as to ensure that the collection "informs and provides reasonable notice" of that information.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2023	36 Months From Approved
Responses	803	0	0
Time Burden (Hours)	333	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The project “Implementing PCOR [Patient Centered Outcomes Research] to Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation (CR) through Automatic Referral with Care Coordinator” fully supports AHRQ’s mission. This topic was nominated for consideration under AHRQ’s Dissemination and Implementation (D and I) Initiative. The nominators were Million Hearts® (an initiative co-led by the Centers for Disease Control and Prevention (CDC) and the Centers for Medicare & Medicaid Services (CMS). AHRQ’s D and I initiative responded to a congressional mandate and funded under the PCOR-Trust Fund. The nomination featured PCOR evidence on the value of cardiac rehabilitation after myocardial infarction or coronary revascularization and an evidence-based implementation strategy, automatic referral with liaison. AHRQ judged the nomination to have a high level of fit with AHRQ’s criteria of having a substantial evidence base, high potential impact, and high feasibility for wide dissemination and implementation Outreach with stakeholders indicates that this initiative aligns well but does not duplicate work by NIH; PCORI; CMS and CDC. After launch, AHRQ named its CR project “TAKEheart.” Successful execution of the TAKEheart project can contribute directly to the nation’s health. Currently over two-thirds of eligible cardiac patients are not referred to CR despite extensive evidence of its effectiveness in preventing subsequent morbidity; national estimates of referral range from 10-34%.1 To help improve CR rates, the Million Hearts® Cardiac Rehabilitation Collaborative developed a Cardiac Rehabilitation Change Package (CRCP) and established a national goal of 70% participation in CR by 2022 for eligible patients.2 The aim of this project is to raise awareness about the benefits of CR, then to spread knowledge about CRCP resources, and finally to increase CR uptake. The project will facilitate implementation of Automatic Referral with Care Coordinator in selected, diverse hospitals nationwide which demonstrate their readiness. AHRQ will evaluate TAKEHeart to: 1. Assess the extent and effectiveness of the dissemination and implementation efforts, including the uptake and usage of CRCP components including but not limited to Automatic Referral with Care Coordination, and 2. Measure changes in CR referral, enrollment, and retention.

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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:
	85 FR 6190	02/04/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 20502	04/13/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

IC Title	Form No.	Form Name
Attachment C – Partner Hospital Champion Survey	1	Attachment C – Partner Hospital Champion Survey
Interviews with Partner Hospital Champions	2	Interviews with Partner Hospital Champions
Attachment E – Interviews with Partner Hospital cardiologists	3	Attachment E – Interviews with Partner Hospital cardiologists
Attachment F – Interviews with Partner Hospitals that withdraw
Attachment G – Learning Community Participant Survey	4	Attachment G – Learning Community Participant Survey
Attachment H – Learning Community Follow-up Survey	5	Attachment H – Learning Community Follow-up Survey

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ICR Summary 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	803	0	0	803	0	0
Annual Time Burden (Hours)	333	0	0	333	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: $394,123

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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? No

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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: 04/15/2020

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