2018 NAMCS Advance LETTERS

Att K1-2018 NAMCS Advance Letters.pdf

National Ambulatory Medical Care Survey (NAMCS)

2018 NAMCS Advance LETTERS

OMB: 0920-0234

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Attachment K1: 2018 NAMCS Advance Letters
U.S. Department of
Health and Human Services
Centers for Disease
Control and Prevention

National Center for Health Statistics
3311 Toledo Road, Room 3409
Hyattsville, Maryland 20782

Month, Day, Year

Name
Additional Info
Street Address
City, State, Zip

NAMCS Endorsing
Organizations
American Academy of Ambulatory
Care Nursing
American Academy of Dermatology
American Academy of Family
Physicians
American Academy of Neurology
American Academy of Ophthalmology
American Academy of Otolaryngology–
Head and Neck Surgery
American Academy of Pediatrics
American Academy of Physical
Medicine and Rehabilitation
American College of Cardiology
American College of Obstetricians and
Gynecologists
American College of Physicians
American College of Preventive
Medicine
American College of Surgeons
American Osteopathic Association
American Psychiatric Association

Dear Dr. (last name),
The Centers for Disease Control and Prevention’s National Center for Health Statistics
(NCHS) is conducting the National Ambulatory Medical Care Survey (NAMCS). This
annual study, which has been in the field since 1973, collects information about
the large portion of ambulatory care provided by physicians and midlevel providers
throughout the United States. Research using NAMCS helps to inform physicians,
health care researchers, and policy makers about the changing characteristics of
ambulatory health care in this country. The information that we will request includes
data about patient visits (e.g., demographics, diagnoses, services, and treatments);
physician practice characteristics (e.g., practice type); and use of electronic medical
records.
Many organizations and leaders in the health care community, including those
providing the enclosed letter of endorsement, have expressed their support and join me
in urging your participation in this meaningful study. You will be asked to allow the
abstraction of a sample of about 30 patient encounters during a randomly assigned, 1week reporting period. Additionally, there is a short interview (approximately 30
minutes) with you about the nature of your practice. We intend to conduct additional
health care research by linking National Provider Identifiers (NPI) and Federal Tax
Identification Numbers collected in this study to health care-related data such as
Medicare records. Participation is voluntary, and you or your staff may refuse to answer
any question or stop participating at any time without penalty or loss of benefits.
The following are some key points about the survey:
•

Data collection for NAMCS is authorized by Section 306 of the Public Health
Service Act (Title 42, U.S. Code, 242k).

•

All information collected will be held in confidence according to Section
308(d) of the Public Health Service Act (Title 42, U.S. Code, 242m(d)) and the
Confidential Information Protection and Statistical Efficiency Act

American Society of Clinical Oncology
American Society of Plastic Surgeons
American Urological Association
National Association of Community
Health Centers

NAMCS Endorsing
Organizations
American Academy of Ambulatory
Care Nursing
American Academy of Dermatology

(Title 5 of PL 107–347). This information will be used for statistical purposes
only. No patient names, social security numbers, or addresses are collected.
•

NCHS complies with the Federal Cybersecurity Enhancement Act of 2015
(6 U.S.C. §§ 151 and 151 note). The Act permits monitoring of information
systems for the purpose of protecting a network from hacking, denial of service
attacks and other security vulnerabilities. The software used for monitoring may
scan information that is transiting, stored on, or processed by the system. If the
information triggers a cyber-threat indicator, the information may be intercepted
and reviewed for cyber threats. The Cybersecurity Act specifies if any information
that is scanned by the cybersecurity software programs is found to be suspicious, it
may be reviewed for specific threats by computer network experts working for the
government (or contractors or agents who have governmental authority to do so).
The Act further specifies that such information may only be used for the purpose of
protecting information and information systems from cybersecurity risks.

•

In addition, NAMCS conforms to the Privacy Rule (45 CFR Part 160 and Subparts
A and E of Part 164) as mandated by HIPAA (Public Law 104-191) because
disclosure of patient data is permitted for public health purposes, and the NCHS
Research Ethics Review Board has approved NAMCS.

•

U.S. Census Bureau employees, who administer the study, are required by law to
keep all information about your practice and patients confidential.

•

Disclosure of this information is also subject to all of the published routine uses as
identified in the Privacy Act System of Records Notice 09-20-0167 Health
Resources Utilization Statistics.

American Academy of Family
Physicians
American Academy of Neurology
American Academy of Ophthalmology
American Academy of Otolaryngology–
Head and Neck Surgery
American Academy of Pediatrics
American Academy of Physical
Medicine and Rehabilitation
American College of Cardiology
American College of Obstetricians and
Gynecologists
American College of Physicians
American College of Preventive
Medicine
American College of Surgeons
American Osteopathic Association
American Psychiatric Association
American Society of Clinical Oncology
American Society of Plastic Surgeons
American Urological Association
National Association of Community
Health Centers

A Census Bureau employee, acting as our agent, will call you to schedule an
appointment regarding the details of your participation. If you have any questions,
please call a NAMCS representative at 1–800–392–2862. You can also find additional
information on the survey by visiting the NAMCS participant website at:
https://www.cdc.gov/nchs/ahcd/namcs_participant.htm.
You may have questions about your rights as a participant in this research study.
If so, please call the Research Ethics Review Board at 1–800–223–8118. Please leave
a brief message with your name and phone number and say that you are calling about
Protocol 2016–03. Your call will be returned as soon as possible.
We greatly appreciate your cooperation.
Sincerely,

Charles J. Rothwell
Director

U.S. Department of
Health and Human Services
Centers for Disease
Control and Prevention

National Center for Health Statistics
3311 Toledo Road, Room 3409
Hyattsville, Maryland 20782

Month, Day, Year

Name
Additional Info
Street Address
City, State, Zip

NAMCS Endorsing
Organizations
American Academy of Ambulatory
Care Nursing
American Academy of Dermatology
American Academy of Family
Physicians
American Academy of Neurology
American Academy of Ophthalmology
American Academy of Otolaryngology–
Head and Neck Surgery
American Academy of Pediatrics
American Academy of Physical
Medicine and Rehabilitation
American College of Cardiology
American College of Obstetricians and
Gynecologists
American College of Physicians
American College of Preventive
Medicine
American College of Surgeons
American Osteopathic Association
American Psychiatric Association

Dear Provider,
The Centers for Disease Control and Prevention’s National Center for Health
Statistics (NCHS) is conducting the National Ambulatory Medical Care Survey
(NAMCS). This annual study, which has been in the field since 1973, collects
information about the large portion of ambulatory care provided by physicians and
midlevel providers throughout the United States. Research using NAMCS helps to
inform physicians, health care researchers, and policy makers about the changing
characteristics of ambulatory health care in this country. The information that
we will request includes data about patient visits (e.g., demographics, diagnoses,
services, and treatments); physician practice characteristics (e.g., practice type); and
use of electronic medical records.
Many organizations and leaders in the health care community, including those
providing the enclosed letter of endorsement, have expressed their support and join
me in urging your participation in this meaningful study. You will be asked
to allow the abstraction of a sample of about 30 patient encounters during a
randomly assigned, 1-week reporting period. Additionally, there is a short interview
(approximately 30 minutes) with you about the nature of your practice. We intend to
conduct additional health care research by linking National Provider Identifiers (NPI)
and Federal Tax Identification Numbers collected in this study to health care-related
data such as Medicare records. Participation is voluntary, and you or your staff may
refuse to answer any question or stop participating at any time without penalty or
loss of benefits.
The following are some key points about the survey:
•

Data collection for NAMCS is authorized by Section 306 of the Public Health
Service Act (Title 42, U.S. Code, 242k).

•

All information collected will be held in confidence according to Section
308(d) of the Public Health Service Act (Title 42, U.S. Code, 242m(d)) and the
Confidential Information Protection and Statistical Efficiency Act

American Society of Clinical Oncology
American Society of Plastic Surgeons
American Urological Association
National Association of Community
Health Centers

NAMCS Endorsing
Organizations

(Title 5 of PL 107–347). This information will be used for statistical purposes
only. No patient names, social security numbers, or addresses are collected.

American Academy of Ambulatory
Care Nursing
American Academy of Dermatology

•

NCHS complies with the Federal Cybersecurity Enhancement Act of 2015
(6 U.S.C. §§ 151 and 151 note). The Act permits monitoring of information
systems for the purpose of protecting a network from hacking, denial of service
attacks and other security vulnerabilities. The software used for monitoring may
scan information that is transiting, stored on, or processed by the system. If the
information triggers a cyber-threat indicator, the information may be intercepted
and reviewed for cyber threats. The Cybersecurity Act specifies if any information
that is scanned by the cybersecurity software programs is found to be suspicious, it
may be reviewed for specific threats by computer network experts working for the
government (or contractors or agents who have governmental authority to do so).
The Act further specifies that such information may only be used for the purpose of
protecting information and information systems from cybersecurity risks.

•

In addition, NAMCS conforms to the Privacy Rule (45 CFR Part 160 and Subparts
A and E of Part 164) as mandated by HIPAA (Public Law 104-191) because
disclosure of patient data is permitted for public health purposes, and the NCHS
Research Ethics Review Board has approved NAMCS.

•

U.S. Census Bureau employees, who administer the study, are required by law to
keep all information about your practice and patients confidential.

•

Disclosure of this information is also subject to all of the published routine uses as
identified in the Privacy Act System of Records Notice 09-20-0167 Health
Resources Utilization Statistics.

American Academy of Family
Physicians
American Academy of Neurology
American Academy of Ophthalmology
American Academy of Otolaryngology–
Head and Neck Surgery
American Academy of Pediatrics
American Academy of Physical
Medicine and Rehabilitation
American College of Cardiology
American College of Obstetricians and
Gynecologists
American College of Physicians
American College of Preventive
Medicine
American College of Surgeons
American Osteopathic Association
American Psychiatric Association
American Society of Clinical Oncology
American Society of Plastic Surgeons
American Urological Association
National Association of Community
Health Centers

A Census Bureau employee, acting as our agent, will call you to schedule an
appointment regarding the details of your participation. If you have any questions,
please call a NAMCS representative at 1–800–392–2862. You can also find additional
information on the survey by visiting the NAMCS participant website at:
https://www.cdc.gov/nchs/ahcd/namcs_participant.htm.
You may have questions about your rights as a participant in this research study.
If so, please call the Research Ethics Review Board at 1–800–223–8118. Please leave
a brief message with your name and phone number and say that you are calling about
Protocol 2016–03. Your call will be returned as soon as possible.
We greatly appreciate your cooperation.
Sincerely,

Charles J. Rothwell
Director

U.S. Department of
Health and Human Services
Centers for Disease
Control and Prevention

National Center for Health Statistics
3311 Toledo Road, Room 3409
Hyattsville, Maryland 20782

Month, Day, Year

Name
Additional Info
Street Address
City, State, Zip

NAMCS Endorsing
Organizations
American Academy of Ambulatory
Care Nursing
American Academy of Dermatology
American Academy of Family
Physicians
American Academy of Neurology
American Academy of Ophthalmology
American Academy of Otolaryngology–
Head and Neck Surgery
American Academy of Pediatrics
American Academy of Physical
Medicine and Rehabilitation
American College of Cardiology
American College of Obstetricians and
Gynecologists
American College of Physicians
American College of Preventive
Medicine
American College of Surgeons
American Osteopathic Association
American Psychiatric Association

Dear Sir or Madam,
The Centers for Disease Control and Prevention’s National Center for Health Statistics
(NCHS) is conducting the National Ambulatory Medical Care Survey (NAMCS). This
annual study, which has been in the field since 1973, collects information about
the large portion of ambulatory care provided by physicians and midlevel providers
throughout the United States. Research using NAMCS helps to inform physicians, health
care researchers, and policy makers about the changing characteristics of ambulatory
health care in this country. In addition to the regular sample of physicians, NAMCS is
once again specifically sampling providers from a national sample of community health
centers (CHCs).
Your CHC location has been selected and we are requesting a short interview
(approximately 30 minutes) with you to obtain information that would allow us to
sample up to three physicians or midlevel providers in your health center. From these
providers we will collect information from a sample of patient visits
(e.g.,demographics, diagnoses, services, and treatments); and provider demographic and
practice characteristics. We intend to conduct additional health care research by linking
National Provider Identifiers (NPI) and Federal Tax Identification Numbers collected in
this study to health care-related data such as Medicare records.
Many organizations and leaders in the health care community, including those providing
the enclosed letter of endorsement, have expressed their support and join me in urging
your participation in this meaningful study. Participation is voluntary, and you or your
staff may refuse to answer any question or stop participating at any time without penalty
or loss of benefits.
The following are some key points about the survey:

American Society of Clinical Oncology
American Society of Plastic Surgeons
American Urological Association
National Association of Community
Health Centers

•

Data collection for NAMCS is authorized by Section 306 of the Public Health
Service Act (Title 42, U.S. Code, 242k).

•

All information collected will be held in confidence according to Section
308(d) of the Public Health Service Act (Title 42, U.S. Code, 242m(d)) and the
Confidential Information Protection and Statistical Efficiency Act

NAMCS Endorsing
Organizations

(Title 5 of PL 107–347). This information will be used for statistical purposes
only. No patient names, social security numbers, or addresses are collected.

American Academy of Ambulatory
Care Nursing
American Academy of Dermatology

•

NCHS complies with the Federal Cybersecurity Enhancement Act of 2015
(6 U.S.C. §§ 151 and 151 note). The Act permits monitoring of information
systems for the purpose of protecting a network from hacking, denial of service
attacks and other security vulnerabilities. The software used for monitoring may
scan information that is transiting, stored on, or processed by the system. If the
information triggers a cyber-threat indicator, the information may be intercepted
and reviewed for cyber threats. The Cybersecurity Act specifies if any information
that is scanned by the cybersecurity software programs is found to be suspicious, it
may be reviewed for specific threats by computer network experts working for the
government (or contractors or agents who have governmental authority to do so).
The Act further specifies that such information may only be used for the purpose
of protecting information and information systems from cybersecurity risks.

•

In addition, NAMCS conforms to the Privacy Rule (45 CFR Part 160 and Subparts
A and E of Part 164) as mandated by HIPAA (Public Law 104-191) because
disclosure of patient data is permitted for public health purposes, and the NCHS
Research Ethics Review Board has approved NAMCS.

•

U.S. Census Bureau employees, who administer the study, are required by law to
keep all information about your CHC and patients confidential.

•

Disclosure of this information is also subject to all of the published routine uses as
identified in the Privacy Act System of Records Notice 09-20-0167 Health
Resources Utilization Statistics.

American Academy of Family
Physicians
American Academy of Neurology
American Academy of Ophthalmology
American Academy of Otolaryngology–
Head and Neck Surgery
American Academy of Pediatrics
American Academy of Physical
Medicine and Rehabilitation
American College of Cardiology
American College of Obstetricians and
Gynecologists
American College of Physicians
American College of Preventive
Medicine
American College of Surgeons
American Osteopathic Association
American Psychiatric Association
American Society of Clinical Oncology
American Society of Plastic Surgeons
American Urological Association
National Association of Community
Health Centers

A Census Bureau employee, acting as our agent, will call you to schedule an
appointment regarding the details of your participation. If you have any questions,
please call a NAMCS representative at 1–800–392–2862. You can also find additional
information on the survey by visiting the NAMCS participant website at:
https://www.cdc.gov/nchs/ahcd/namcs_participant.htm.
You may have questions about your rights as a participant in this research study.
If so, please call the Research Ethics Review Board at 1–800–223–8118. Please leave
a brief message with your name and phone number and say that you are calling about
Protocol 2016–03. Your call will be returned as soon as possible.
We greatly appreciate your cooperation.
Sincerely,

Charles J. Rothwell
Director


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