[Federal Register Volume 63, Number 61 (Tuesday, March 31, 1998)]
[Notices]
[Pages 15422-15423]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-8343]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30 Day-10-98]
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) 639-7090. Send written
comments to CDC, Desk Officer; Human Resources and Housing Branch, New
Executive Office Building, Room 10235; Washington, DC 20503. Written
comments should be received within 30 days of this notice.
Proposed Projects
1. National Hospital Ambulatory Medical Care Survey--(0920-0278)--
Extension--The National Hospital Ambulatory Medical Care Survey
(NHAMCS) has been conducted annually since 1992 by the Division of
Health Care Statistics, National Center for Health Statistics, CDC. The
NHAMCS is the principal source of data on the approximately 158 million
visits to hospital emergency and outpatient departments and is the only
source of nationally representative estimates on the demographic
characteristics of outpatients, diagnoses, diagnostic services,
medication therapy, and the patterns of use of care in hospitals which
differ in size, location, and ownership. Additionally, the NHAMCS is
the only source of national estimates on non-fatal causes of injury in
the emergency department.
These data complement the data on visits to non-Federal physicians
in office-based practices collected through the NHAMCS (0920-0234),
together providing data on approximately 90 percent of the ambulatory
care provided in the U.S. Data collected through the NHAMCS are
essential for the planning of health services, for improving medical
education, determining health care work force needs and assessing the
health status of the population. Users of NHAMCS data include, but are
not limited to, congressional offices, Federal agencies such as NIH,
various private associations such as the American Heart Association, as
well as universities and state health departments. Total annual burden
hours are 7,062.
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No. of Avg. burden/
Form name No. of responses/ response (in Total burden
respondents respondent hrs.) (in hrs.)
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Hospital-Induction (NHAMCS-101):
Noneligible........................................ 50 1 0.25 13
Eligible........................................... 440 1 1 440
Ambulatory Unit Induction (ED) (NHAMCS-101/U).......... 425 1 1 425
Ambulatory Unit Induction (OPD) (NHAMCS-101/U)......... 275 4 1 1100
ED Patient Record form................................. 425 50 0.06666 1,417
OPD Patient Record form................................ 275 200 0.066666 3,667
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2. National Ambulatory Medical Care Survey--(0920-0234)--
Extension--The National Ambulatory Medical Care Survey (NAMCS) was
conducted annually from 1973 to 1981, again in 1985, and resumed as an
annual survey in 1989. It is directed by the Division of Health Care
Statistics, National Center for Health Statistics, CDC. 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. Ambulatory services are rendered in a wide variety of settings,
including physicians' offices and hospital outpatient and emergency
departments. The NAMCS target population consists of all office visits
within the United States 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. The complement portion of data collection consists of the
remaining physicians in the AMA and AOA files; that is, physicians who
AMA and AOA classify as being federally employed, or in the three
specialties excluded from the traditional NAMCS, or as not spending the
majority of their professional time in office-based practice. Since
more than 80 percent of all direct ambulatory medical care visits occur
in physicians' offices, the NAMCS provides data on the majority of
ambulatory medical care services. To complement these data, in 1992
NCHS initiated the National Hospital Ambulatory Medical Care Survey
(NHAMCS, OMB No. 0920-0278) to provide data concerning patient visits
to hospital outpatient and emergency departments. The NAMCS, together
with the NHAMCS constitute the ambulatory component of the National
Health Care Survey (NHCS), and will provide coverage of more than 90
percent of ambulatory medical care.
The 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 and medical problems,
and the physicians' diagnostic services, therapeutic prescriptions and
disposition decisions. These data, together with trend data, may be
used to monitor the effects of change in the health care system,
provide new insights into ambulatory medical care,
[[Page 15423]]
and stimulate further research on the use, organization, and delivery
of ambulatory care.
Users of NAMCS data include congressional and other Federal
government agencies (e.g. NIMH, NIAAA, NCI, HRSA), State and local
governments, medical schools, schools of public health, colleges and
universities, private businesses, nonprofit foundations and
corporations, professional associations, as well as individual
practitioners, researchers, administrators and health planners. Users
vary from the inclusion of a few selected statistics in a large
research effort, to an in-depth analysis of the entire NAMCS data set
covering several years. Total annual burden hours are 3,350.
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No. of Avg. burden/
Form name No. of responses/ response (in Total burden
respondents respondent hrs.) (in hrs.)
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NAMCS:
Induction.......................................... 2,500 1 0.25 625
Patient Record..................................... 2,500 30 0.0333 2,500
COMPLEMENT:
Induction.......................................... 500 1 0.25 125
Patient Record..................................... 100 30 0.0333 100
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Charles Gollmar,
Acting Associate Director for Policy, Planning, and Evaluation Centers
for Disease Control and Prevention (CDC).
[FR Doc. 98-8343 Filed 3-30-98; 8:45 am]
BILLING CODE 4163-18-P
