2019 NAMCS Advance Letters

Att K2-2019 NAMCS Advance Letters.pdf

National Ambulatory Medical Care Survey (NAMCS)

2019 NAMCS Advance Letters

OMB: 0920-0234

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Attachment K2: 2019 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, Date, Year

Name Here
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
American Society of Clinical Oncology
American Society of Plastic Surgeons

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 advanced practice
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 advanced practice 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 demographics and CHC 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. In the weeks following the completion of the
survey with your sampled providers, they may be contacted again for a re-interview
study, which is conducted as a quality control measure.
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:
•

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

American Urological Association
National Association of Community
Health Centers

Conﬁdential Information Protection and Statistical Eﬃciency Act (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.

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

•

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

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.

American Psychiatric Association

We greatly appreciate your cooperation.

American Society of Clinical Oncology

Sincerely,

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

Jennifer Madans, Ph.D.
Acting 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, Date, Year

Name Here
Additional Info
Street Address
City, State, Zip

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 advanced practice
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. In the weeks
following the completion of this study, you may be contacted again for a re-interview
study, which is conducted as a quality control measure. 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.

American Osteopathic Association

The following are some key points about the survey:

American Psychiatric Association

•

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

NAMCS Endorsing
Organizations

•

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 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

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,

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

Jennifer Madans, Ph.D.
Acting 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, Date, Year

Name Here
Additional Info
Street Address
City, State, Zip

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 advanced practice
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., total physicians at community health center); and
use of electronic medical records.

American College of Surgeons

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. In the weeks
following the completion of this study, you may be contacted again for a re-interview
study, which is conducted as a quality measure. 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.

American Osteopathic Association

The following are some key points about the survey:

American Psychiatric Association

•

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

•

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

NAMCS Endorsing
Organizations

•

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 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

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,

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

Jennifer Madans, Ph.D.
Acting Director

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