Notice2022-05757
Proposed Data Collection Submitted for Public Comment and Recommendations
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
March 18, 2022
Issuing agencies
Health and Human Services DepartmentCenters for Disease Control and Prevention
Abstract
The Centers for Disease Control and Prevention (CDC), as part of its continuing effort to reduce public burden and maximize the utility of government information, invites the general public and other federal agencies the opportunity to comment on a proposed and/or continuing information collection, as required by the Paperwork Reduction Act of 1995. This notice invites comment on a proposed information collection project titled the National Ambulatory Medical Care Survey (NAMCS). The goal of this project is to assess the health of the population through patient use of physician and advanced practice provider offices and health centers (HCs), and to monitor the characteristics of physician and provider practices.
Full Text
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<title>Federal Register, Volume 87 Issue 53 (Friday, March 18, 2022)</title>
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[Federal Register Volume 87, Number 53 (Friday, March 18, 2022)]
[Notices]
[Pages 15429-15430]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-05757]
[[Page 15429]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60-Day-22-0234; Docket No. CDC-2022-0038]
Proposed Data Collection Submitted for Public Comment and
Recommendations
AGENCY: Centers for Disease Control and Prevention (CDC), Department of
Health and Human Services (HHS).
ACTION: Notice with comment period.
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SUMMARY: The Centers for Disease Control and Prevention (CDC), as part
of its continuing effort to reduce public burden and maximize the
utility of government information, invites the general public and other
federal agencies the opportunity to comment on a proposed and/or
continuing information collection, as required by the Paperwork
Reduction Act of 1995. This notice invites comment on a proposed
information collection project titled the National Ambulatory Medical
Care Survey (NAMCS). The goal of this project is to assess the health
of the population through patient use of physician and advanced
practice provider offices and health centers (HCs), and to monitor the
characteristics of physician and provider practices.
DATES: CDC must receive written comments on or before May 17, 2022.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2022-
0038 by either of the following methods:
<bullet> Federal eRulemaking Portal: <a href="http://Regulations.gov">Regulations.gov</a>. Follow the
instructions for submitting comments.
<bullet> Mail: Jeffrey M. Zirger, Information Collection Review
Office, Centers for Disease Control and Prevention, 1600 Clifton Road
NE, MS H21-8, Atlanta, Georgia 30329.
Instructions: All submissions received must include the agency name
and Docket Number. CDC will post, without change, all relevant comments
to regulations.gov.
Please note: Submit all comments through the Federal eRulemaking
portal (regulations.gov) or by U.S. mail to the address listed above.
FOR FURTHER INFORMATION CONTACT: To request more information on the
proposed project or to obtain a copy of the information collection plan
and instruments, contact Jeffrey M. Zirger, Information Collection
Review Office, Centers for Disease Control and Prevention, 1600 Clifton
Road NE, MS H21-8, Atlanta, Georgia 30329; phone: 404-639-7570; Email:
<a href="/cdn-cgi/l/email-protection#c5aaa8a785a6a1a6eba2aab3"><span class="__cf_email__" data-cfemail="3d52505f7d5e595e135a524b">[email protected]</span></a>.
SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995
(PRA) (44 U.S.C. 3501-3520), federal agencies must obtain approval from
the Office of Management and Budget (OMB) for each collection of
information they conduct or sponsor. In addition, the PRA also requires
federal agencies to provide a 60-day notice in the Federal Register
concerning each proposed collection of information, including each new
proposed collection, each proposed extension of existing collection of
information, and each reinstatement of previously approved information
collection before submitting the collection to the OMB for approval. To
comply with this requirement, we are publishing this notice of a
proposed data collection as described below.
The OMB is particularly interested in comments that will help:
1. Evaluate whether the proposed collection of information is
necessary for the proper performance of the functions of the agency,
including whether the information will have practical utility;
2. Evaluate the accuracy of the agency's estimate of the burden of
the proposed collection of information, including the validity of the
methodology and assumptions used;
3. Enhance the quality, utility, and clarity of the information to
be collected;
4. Minimize the burden of the collection of information on those
who are to respond, including through the use of appropriate automated,
electronic, mechanical, or other technological collection techniques or
other forms of information technology, e.g., permitting electronic
submissions of responses; and
5. Assess information collection costs.
Proposed Project
National Ambulatory Medical Care Survey (NAMCS) (OMB Control No.
0920-0234, Exp. 07/31/2024)--Revision--National Center for Health
Statistics (NCHS), Centers for Disease Control and Prevention (CDC).
Background and Brief Description
The National Ambulatory Medical Care Survey (NAMCS) was conducted
intermittently from 1973 through 1985, and annually since 1989. The
survey is conducted under authority of Section 306 of the Public Health
Service Act (42 U.S.C. 242k). NAMCS is part of the ambulatory care
component of the National Health Care Surveys (NHCS), a family of
provider-based surveys that capture health care utilization from a
variety of settings, including hospital inpatient and long-term care
facilities. NCHS surveys of health care providers include NAMCS, the
National Hospital Ambulatory Medical Care Survey (NHAMCS) (OMB Control
No. 0920-0278, Exp. 09/30/2023), the National Hospital Care Survey
(NHCS) (OMB Control No. 0920-0212, Exp. 03/31/2022), and National Post-
acute and Long-term Care Study (NPALS) (OMB Control No. 0920-0943, Exp.
09/30/2023).
An overarching 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; this fulfills one of NCHS'
missions, to monitor the nation's health. In addition, NAMCS provides
ambulatory medical care data to study: (1) Performance of the U.S.
health care system, (2) care for the rapidly aging population, (3)
changes in services such as health insurance coverage change, (4)
introduction of new medical technologies, and (5) use of electronic
health records (EHRs). Ongoing societal changes have led to
considerable diversification in the organization, financing, and
technological delivery of ambulatory medical care. This diversification
is evidenced by the proliferation of insurance and benefit alternatives
for individuals, the development of new forms of physician group
practices and practice arrangements (such as office-based practices
owned by hospitals), the increasing role of advanced practice providers
delivering clinical care, and growth in the number of alternative sites
of care.
Ambulatory services are rendered in a wide variety of settings,
including physician/provider offices and hospital outpatient and
emergency departments. Since more than 65% of ambulatory medical care
visits occur in physician offices, NAMCS provides data on the majority
of ambulatory medical care services. In addition to health care
provided in physician offices and outpatient and emergency departments,
health centers (HCs) play an important role in the health care
community by providing care to people who might not be able to afford
it otherwise. HCs are local, non-profit, community-owned health care
settings, which serve approximately 28 million individuals throughout
the United States.
This Revision seeks approval to conduct changes to all three
components of NAMCS. We plan to adjust the HC Component and Provider
Interview sample sizes. In 2022 the goal is to sample 5,000 physicians,
5,000 advanced practice providers, and 110 HCs. In 2023, we plan to
sample up to 10,000 physicians, 20,000 advanced
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practice providers, and 210 HCs, if funds allow. Lastly, if funds
allow, in 2024 we will sample up to 20,000 physicians, 40,000 advanced
practice providers, and 310 HCs. For 2022-2024, there will be an
additional 3,000 physicians sampled yearly for the Provider Electronic
Component. Questions on the Health Center Facility Interview will be
modified. After 2021, the Physician Induction Interview will shift to a
redesigned Ambulatory Care Provider Interview. Visit data collection
via abstraction will be placed on a hold and the reinterview study will
be discontinued. The provider incentive experiment will also no longer
be taking place, as we will begin to conduct other methodological work
to improve upon the survey.
CDC requests OMB approval for an estimated 32,302 annual burden
hours. There are no costs to respondents other than their time to
participate.
Estimated Annualized Burden Hours
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Number of Avg. burden
Type of respondents Form name Number of responses per per response Total burden
respondents respondent (in hrs.) (in hrs.)
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Physician or Staff............ Office-Based 500 1 30/60 250
Physician
Induction
Interview.
Reinterview 42 1 15/60 11
Study.
HC's Staff.................... Prepare and 17 4 60/60 68
transmit EHR
for Visit Data
(quarterly).
Set-up fee 17 1 15/60 4
questionnaire.
Physician or Staff............ ACPI............ 11,667 1 30/60 5,834
Advanced Practice Provider or ACPI............ 21,667 1 30/60 10,834
Staff.
Ambulatory Care Provider's or PFI............. 3,000 1 45/60 2,250
Group's or Conglomerate's Prepare and 3,000 4 60/60 12,000
Staff. transmit
Electronic
Visit Data
(quarterly).
HC's Staff.................... HC Facility 210 1 45/60 158
Interview.
Prepare and 210 4 60/60 840
transmit EHR
for Visit Data
(quarterly).
Set-up fee 210 1 15/60 53
questionnaire.
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Total..................... ................ .............. .............. .............. 32,302
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Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific
Integrity, Office of Science, Centers for Disease Control and
Prevention.
[FR Doc. 2022-05757 Filed 3-17-22; 8:45 am]
BILLING CODE 4163-18-P
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