OMB control number

Evidence Based Telehealth Network Program Measures

OMB 0906-0043 · HHS/HRSA.

OMB 0906-0043

This Information Collection Request is for a revision of currently approved information collection of measures for the Office for the Advancement of Telehealth (OAT)’s Evidence Based Telehealth Network Program, under which OAT administers cooperative agreements in accordance with section 330I of the Public Health Service Act (42 U.S.C. 254c-14), as amended. The purpose of this program is to fund evidence-based projects that utilize telehealth technologies through telehealth networks to expand access to, and improve access to and the quality of, health care services. This program will work to help assess the effectiveness of evidence-based practices with the use of telehealth for patients, providers, and payers. In the Evidence-Based Telehealth Network Program Report, the adjusted data collection instrument includes the addition, removal and revision of measures, with 27 total data elements addressing patient encounter information. The current measures focus on behavioral health, and the proposed adjusted measures allow for the inclusion of broader health care services and expanded outcome measures. Five data elements were updated to specify data collection that allows for deeper understanding of outcomes related to socioeconomic indicators. The estimated burden for the Evidence-Based Telehealth Network Program Report has decreased since the data collection frequency is changing from monthly to quarterly. In addition, the information collected from grantees in the Performance Improvement and Measurement System (PIMS) more closely aligns measures with the Notice of Funding Opportunity and will assist in clarifying program measures and impact. These adjustments allow OAT to gain a more thorough understanding of how to utilize telehealth technologies through telehealth to improve access to, and improve the quality of, health care services.

The latest form for Evidence Based Telehealth Network Program Measures expires 2027-01-31 and can be found here.

OMB Details

Evidence Based Telehealth Network Program Report

Federal Enterprise Architecture: Health - Health Care Services

Form 1RTRC Data Element DictionaryFillable FileableForm and instruction

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