[Federal Register Volume 78, Number 165 (Monday, August 26, 2013)]
[Notices]
[Pages 52769-52770]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-20644]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-13-13AFV]


Proposed Data Collections Submitted for Public Comment and 
Recommendations

    In compliance with the requirement of Section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995 for opportunity for public comment on 
proposed data collection projects, the Centers for Disease Control and 
Prevention (CDC) will publish periodic summaries of proposed projects. 
To request more information on the proposed projects or to obtain a 
copy of the data collection plans and instruments, call 404-639-7570 or 
send comments to LeRoy Richardson, 1600 Clifton Road, MS-D74, Atlanta, 
GA 30333 or send an email to [email protected].
    Comments are invited on: (a) Whether the proposed collection of 
information is necessary for the proper performance of the functions of 
the agency, including whether the information shall have practical 
utility; (b) the accuracy of the agency's estimate of the burden of the 
proposed collection of information; (c) ways to enhance the quality, 
utility, and clarity of the information to be collected; and (d) ways 
to minimize the burden of the collection of information on respondents, 
including the use of automated collection techniques or other forms of 
information technology. Written comments should be received within 60 
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. The purpose of the 
National Electronic Health Record Survey (NEHRS) is to collect data 
annually from office-based physicians to measure progress in adopting 
electronic health records (EHRs) into their practices. Questions about 
the use of EHRs have been asked in the National Ambulatory Medical Care 
Survey (NAMCS) (OMB No. 0920-0234) since 2001. NAMCS NEHRS has been 
conducted as a mail survey supplement under NAMCS since 2008. NCHS is 
now seeking OMB approval to make NAMCS NEHRS an independent survey. The 
content will be similar to what was previously collected. A three-year 
approval is requested.
    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 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.
    NAMCS NEHRS, a voluntary survey, collects information on 
characteristics of physicians and their practices; the functionalities 
that are available in those practices' EHR systems; and information on 
physicians' intent to apply for meaningful use incentive payments. 
Physician Identification Number is collected to link NAMCS NEHRS data 
with available administrative data. These data, together with data from 
previous years, may be used to monitor the adoption of EHR as well as 
assessing what factors are associated with EHR adoption.
    In addition to the regular NEHRS questionnaire, which will be 
fielded annually, in 2014 half the sample will receive the expanded 
NAMCS NEHRS which has additional questions related to effects that EHRs 
have on clinical workflow and efficiencies, as well as questions on 
access, quality, and costs associated with the delivery of health care. 
All 2014 NEHRS respondents (to either questionnaire) may receive the 
expanded survey in 2015 and 2016, as a follow-up to evaluate the effect 
of EHR adoption on the delivery of health care over time.
    The table below provides the average annual burden for this survey. 
The first line represents an average of the half sample for 2014 and 
full samples for 2015 and 2016 that receive the regular NEHRS 
questionnaire. The second line represents the 2014 half sample that 
will receive the expanded questionnaire. The third line represents the 
full 2014 sample that will be followed up with the expanded 
questionnaire in 2015 and 2016. All of these are averaged over three 
years.
    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. There is no cost to 
respondents other than their time.

                                                            Estimated Annualized Burden Table
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                                                                                                             Number of
              Type of respondent                               Form name                    Sample size    responses per     Hours per     Total burden
                                                                                                            respondent       response         (hours)
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Office-based physicians......................  Regular NEHRS............................           8,585               1           20/60           2,862
Office-based physicians......................  Expanded NEHRS...........................           1,717               1           30/60             859

[[Page 52770]]

 
Office-based physicians......................  NEHRS expansion (Follow-up)..............           6,868               1           30/60           3,434
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    Total....................................  .........................................  ..............  ..............  ..............           7,155
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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. 2013-20644 Filed 8-23-13; 8:45 am]
BILLING CODE 4163-18-P