[Federal Register: May 15, 2009 (Volume 74, Number 93)]
[Notices]
[Page 22935-22936]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr15my09-77]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-09-0234)
Agency Forms Undergoing Paperwork 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 requirement of
Section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995. To
request a copy of these requirements, call the CDC Reports Clearance
Officer at 404-639-5960 or send comments to CDC/ATSDR Assistant Reports
Clearance Officer, 1600 Clifton Road, MS-D74, Atlanta, GA 30333 or send
an e-mail to omb@cdc.gov. Written comments should be received within 30
days of this notice.
Proposed Project
National Ambulatory Medical Care Survey (NAMCS) (OMB No. 0920-
0234)--Revision--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 was
conducted annually from 1973 to 1981, again in 1985, and resumed as an
annual survey in 1989. The purpose of NAMCS is to meet the needs and
demands for statistical information about the provision of ambulatory
medical care services in the United States. NCHS is seeking OMB
approval to extend this survey for three years.
Ambulatory services are rendered in a wide variety of settings,
including physician offices and hospital outpatient and emergency
departments. The NAMCS target universe consists of all office visits
made by ambulatory patients to non-Federal office-based physicians
(excluding those in the specialties of anesthesiology, radiology, and
pathology) who are engaged in direct patient care.
In 2006, physicians and mid-level providers (i.e., nurse
practitioners, physician assistants, and nurse midwives) practicing in
community health centers (CHCs) were added to the NAMCS sample, and
these data will continue to be collected. To complement NAMCS data,
NCHS initiated the National Hospital Ambulatory Medical Care Survey
(NHAMCS, OMB No. 0920-0278) in 1992 to provide data concerning patient
visits to hospital outpatient and emergency departments. NAMCS and
NHAMCS are the principal sources of data on ambulatory care provided in
the United States.
NAMCS provides a range of baseline data on the characteristics of
the users and providers of ambulatory medical care. Data collected
include the patients' demographic characteristics, reason(s) for visit,
provider diagnoses, diagnostic services, medications, and visit
disposition. In addition, information on cervical cancer screening
practices in physician offices will continue to be collected through
the Cervical Cancer Screening Supplement (CCSS), which was added in
2006. It will allow CDC's National Center for Chronic Disease
Prevention and Health Promotion (NCCDPHP) to evaluate cervical cancer
screening methods and the use of Human Papillomavirus DNA tests.
A supplemental mail survey on the adoption and use of electronic
medical records (EMRs) in physician offices was added to NAMCS in 2008,
and will continue. These data were requested by the Office of the
National Coordinator for Health Information Technology (ONC),
Department of Health and Human Services, to measure progress toward
goals for EMR adoption. The mail survey will collect information on
characteristics of physician practices and the capabilities of EMRs
used in those practices.
In 2009, in addition to conducting the on-going survey, NAMCS will
include an additional sample of 70 physicians to pretest additional
questionnaire items on laboratory values. These new items were
requested by the Division of Heart Disease and Stroke Prevention within
NCCDPHP to better understand the extent to which ambulatory health care
providers identify and control abnormal values before and after
cardiovascular disease. Users of NAMCS 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.
There is no cost to respondents other than their time to
participate. The total
[[Page 22936]]
estimated annualized burden hours are 5,932.
Estimated Annualized Burden Table
----------------------------------------------------------------------------------------------------------------
Number of
Type of form Type of Form name Number of responses per Hours per
respondent respondents respondent response
----------------------------------------------------------------------------------------------------------------
Core NAMCS Forms............. Office-based Physician 3,657 1 28/60
physicians/CHC Induction
providers. Interview
(NAMCS-1).
Community Health Community 104 1 20/60
Center Health Center
Directors. Induction
Interview
(NAMCS-201).
Office-based Patient Record 738 30 9/60
physicians/CHC form (NAMCS-
providers/staff. 30).
Office/CHC staff Pulling, re- 650 30 1/60
filing Patient
Record form
(NAMCS-30).
Office-based Cervical Cancer 464 1 15/60
physicians/CHC Screening
providers/staff. Supplement
(NAMCS-CCS).
Office-based EMR/EHR Mail 1,143 1 20/60
physicians. Survey.
Lab Values Pre-test Forms.... Office-based Physician 23 1 28/60
physicians. Induction
Interview
(NAMCS-1).
Office-based Patient Record 8 30 9/60
physicians/ form (NAMCS-
staff. 30).
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Maryam I. Daneshvar,
Acting Reports Clearance Officer, Office of the Chief Science Officer,
Centers for Disease Control and Prevention.
[FR Doc. E9-11379 Filed 5-14-09; 8:45 am]
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