[Federal Register Volume 79, Number 26 (Friday, February 7, 2014)]
[Notices]
[Pages 7459-7460]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-02667]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-14-13AFV]
Agency Forms Undergoing Paperwork Reduction Act Review
The Centers for Disease Control and Prevention (CDC) publishes a
list of information collection requests under review by the Office of
Management and Budget (OMB) in compliance with the Paperwork Reduction
Act (44 U.S.C. Chapter 35). To request a copy of these requests, call
(404) 639-7570 or send an email to [email protected]. Send written comments
to CDC Desk Officer, Office of Management and Budget, Washington, DC or
by fax to (202) 395-5806. Written comments should be received within 30
days of this notice.
Proposed Project
The National Ambulatory Medical Care Survey (NAMCS) National
Electronic Health Record Survey (NEHRS)--New--National Center for
Health Statistics (NCHS), Centers for Disease Control and Prevention
(CDC).
Background and Brief Description
Section 306 of the Public Health Service (PHS) Act (42 U.S.C.
242k), as amended, authorizes that the Secretary of Health and Human
Services (DHHS), acting through NCHS, shall collect statistics on
``utilization of health care'' in the United States. NAMCS NEHRS has
been conducted annually since 2008 as a mail survey supplement under
NAMCS. Questions in NAMCS NEHRS have been asked in NAMCS starting in
2001. NCHS is seeking OMB approval to make NAMCS NEHRS as an
independent survey for the next three years.
The purpose of NEHRS is to measure progress toward goals for
electronic health records (EHRs) adoption. NAMCS NEHRS target universe
consists of all non-Federal office-based physicians (excluding those in
the specialties of anesthesiology, radiology, and pathology) who are
engaged in direct patient care.
NAMCS NEHRS was initiated as a mail survey supplement under NAMCS.
NAMCS NEHRS is the principal source of data on national and state-level
EHR adoption in the United States. In 2008 and 2009, the sample size
was 2,000 physicians annually. Starting in 2010, the annual sample size
was increased five-fold, from 2,000 physicians to 10,302 physicians.
The increased sample size allows for more reliable national estimates
as well as state-level estimates on EHR adoption without having to be
combined with NAMCS. For these reasons, it is our intent to have NEHRS
stand as an independent survey, not as a supplement under NAMCS.
NAMCS NEHRS collects information on characteristics of physician
practices, the capabilities of EHRs in those practices, and intent to
apply for meaningful use incentive payments. These data, together with
trend data, may be used to monitor the adoption of EHR as well as
accessing factors associated with EHR adoption.
[[Page 7460]]
Additionally, half the sample will receive additional content related
to effects that EHRs have on clinical workflow, efficiencies, and may
address issues of access, quality, and costs of associated with the
delivery of health care. Subsequent years of the entire 2014 NEHRS may
receive longitudinal follow-up to evaluate the effect of EHR on the
delivery of health care over time.
Users of NAMCS NEHRS data include, but are not limited to,
Congressional offices, Federal agencies, state and local governments,
schools of public health, colleges and universities, private industry,
nonprofit foundations, professional associations, clinicians,
researchers, administrators, and health planners.
NAMCS NEHRS will survey 10,302 physicians a year, for eligibility.
It is expected that all physicians will participate in an interview
annually. In 2014, one-half of the physicians will receive the regular
NAMCS NEHRS and one-half of the physicians will receive an expanded
NAMCS NEHRS. All the 2014 eligible physicians (10,302) will be asked to
take the follow-up NAMCS NEHRS in 2015 and 2016.
There are no costs to the respondents other than their time. The
total estimated annual burden hours are 7,155.
Estimated Annualized Burden Hours
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Average
Number of Responses per burden per
Type of respondent Form name respondents respondent response (in
hours)
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Office-based physicians............ Regular NAMCS NEHRS........ 8,585 1 20/60
Expanded NAMCS NEHRS....... 1,717 1 30/60
NAMCS NEHRS expansion 6,868 1 30/60
(Follow-up).
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Leroy A. Richardson,
Chief, Information Collection Review Office, Office of Scientific
Integrity, Office of the Associate Director for Science, Office of the
Director, Center for Disease Control and Prevention.
[FR Doc. 2014-02667 Filed 2-6-14; 8:45 am]
BILLING CODE 4163-18-P