[Federal Register Volume 75, Number 19 (Friday, January 29, 2010)]
[Notices]
[Pages 4824-4825]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-1937]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-10-0234]
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
the CDC Reports Clearance Officer at (404) 639-5960 or send an e-mail
to [email protected]. Send written comments to CDC Desk Officer, Office of
Management and Budget, Washington, DC 20503 or by fax to (202) 395-
5806. Written comments should be received within 30 days of this
notice.
[[Page 4825]]
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. The major reason for
this revision request is to add the collection of state level data on
physician use of electronic medical records (EMRs), described in more
detail below.
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 EMR 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.
Starting in 2010, the EMR mail survey will have a five-fold increase
from the 2009 sample to collect state-level data.
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 estimated annualized burden hours are 7,372.
Estimated Annualized Burden Table
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Number of
Type of respondent Form name Number of responses per Hours per
respondents respondent response
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Core NAMCS
Office-based physicians/CHC Physician Induction 3,657 1 28/60
providers. Interview (NAMCS-1).
Community Health Center Directors. Community Health Center 104 1 20/60
Induction Interview
(NAMCS-201).
Office-based physicians/CHC Patient Record form 738 30 9/60
providers/staff. (NAMCS-30).
Office/CHC staff.................. Pulling, re-filing 650 30 1/60
Patient Record form
(NAMCS-30).
Office-based physicians/CHC Cervical Cancer 464 1 15/60
providers/staff. Screening Supplement
(NAMCS-CCS).
Office-based physicians........... EMR/EHR Mail Survey..... 5,604 1 20/60
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Dated: January 25, 2010.
Maryam I. Daneshvar,
Acting Reports Clearance Officer, Centers for Disease Control and
Prevention.
[FR Doc. 2010-1937 Filed 1-28-10; 8:45 am]
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