Evaluation of the Medicare Care Management Performance Demonstration and the Electronic Health Records Demonstration

Forms and Documents

Document Name	Status
Form CMS-10273 Evaluation of the Electronic Health Records Demonstration (Office System Survey) Form and Instruction	New
Form CMS-10273 Evaluation of the Electronic Health Records Demonstration (Office System Survey Val Form) Form and Instruction	New
1-EHRDPRAOMB_C.pdf Supporting Statement B	2010-01-27
1-EHRDPRAOMB_A_B.pdf Supporting Statement A	2010-01-27

IC Document Collections

IC ID	Document Title	Status
191859	Evaluation of the Electronic Health Records Demonstration (Office System Survey) Form and Instruction	New
191858	Evaluation of the Electronic Health Records Demonstration (Office System Survey Val Form) Form and Instruction	New
189571	Evaluation of the Medicare Care Management Performance Demonstration (Office System Survey)	Modified

ICR Details

OMB Control No: 0938-1072	ICR Reference No: 201001-0938-007
Status: Historical Active	Previous ICR Reference No: 200906-0938-009
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Evaluation of the Medicare Care Management Performance Demonstration and the Electronic Health Records Demonstration
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/27/2010
	Date Received in OIRA: 01/27/2010
Terms of Clearance: OMB approval is granted for the Office Systems Survey and Validation Instrument only, as we await revisions to the Site Visit Protocol (and future submission of physician and beneficiary surveys). Approval for the full demonstration study is contingent on the implementation of plans to robustly analyze critical policy questions such as the unintended consequences that may arise in a P4P environment and the differences in intermediate health outcomes between patients at the treatment and control sites. To this end, CMS acknowledges that one of the meaningful use criteria under ARRA will be submission of clinical quality measures to CMS. CMS agrees that to the extent that these data become available they will be linked to EHRD treatment and control group practices participating in ARRA and included in the impact analysis. CMS further agrees to conduct statistical analyses to disentangle effects of the demonstration and ARRA funds on these outcomes measures. As agreed, CMS will resubmit this ICR for the remainder of the EHR demonstration when those materials and additional justification materials are ready. All previous terms of clearance for the MCMP and EHR demos remain in effect, including those for the OSS survey component of the MCMP demo submitted as a separate ICR, as well as those associated with the underlying ICR package.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2013	36 Months From Approved	10/31/2012
Responses	1,577	0	980
Time Burden (Hours)	844	0	470
Cost Burden (Dollars)	0	0	0

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Abstract: CMS is conducting an evaluation of the Medicare Care Management Performance (MCMP) Demonstration. The MCMP demonstration is a pay-for performance demonstration with physician practices that provide primary care for at least 50 traditional fee-for-service (FFS) Medicare beneficiaries with congestive heart failure, coronary artery disease, diabetes, and other selected chronic diseases. The goals of the demonstration are to (1) improve quality of care to eligible fee-for-service Medicare beneficiaries and (2) to encourage the implementation and use of health information technology (HIT). Participating practices will receive an incentive payment for improving quality of care and an additional bonus for electronic submission of quality measures. CMS is also conducting an evaluation of the Electronic Health Records Demonstration (EHRD) which expands upon the MCMP demonstration and has the same goals. The demonstration also targets physician practices providing primary care to at least 50 Medicare beneficiaries with congestive heart failure, coronary artery disease, diabetes and other chronic conditions. In this demonstration, physician practices will receive an incentive payment for using electronic health records and an incentive payment for improving quality of care.

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Authorizing Statute(s): PL: Pub.L. 108 - 173 649 Name of Law: Medicare Care Management Performance Demonstration
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 4202	01/23/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 27040	06/05/2009
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Evaluation of the Electronic Health Records Demonstration (Office System Survey Val Form)	CMS-10273	Office System Survey Validation Form
Evaluation of the Medicare Care Management Performance Demonstration (Office System Survey)
Evaluation of the Electronic Health Records Demonstration (Office System Survey)	CMS-10273	Office System Survey

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,577	980	0	597	0	0
Annual Time Burden (Hours)	844	470	0	374	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The Electronic Health Records Demonstration is an agency initiated demonstration

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Annual Cost to Federal Government: $425,312

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 01/27/2010

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