This survey is
approved for use through 6/93. The survey fulfills conference
report language recommending follow-up on the 1975 NCHS study. The
conference report, however, suggests that AHCPR conduct a study to
evaluate how comprehensive hospital information systems can affect
"cost control, nursing shortages, liability, and other quality of
care issues." It is unclear whether: 1) this study has been designe
to evaluate these considerations; and 2) whether the 1975 survey
desig anticipated these areas of analysis and would allow for such
an analysis. This instrument is cleared with the understanding that
it may serve only as a case study and may allow AHCPR to evaluate
changes in satisfaction over time. The survey results, however, are
not generalizable to all hospitals and health information systems
(HISs). addition, as AHCPR admits, this effort fails to control for
the significant changes in the last decade in the structure of the
health care industry, investment/financial relationships, and
service delivery systems. An effective HIS must link ambulatory
with institu tional health care settings. Finally, no later than
6/93, AHCPR must brief OMB on potential broader research that can
be conducted to accurately describe and evaluate computerization in
health care settings. In the course of such research, AHCPR would
need to identif uniform organizational, financial, and patient
outcomes that reflect enhanced health care delivery and efficient
information systems.
Inventory as of this Action
Requested
Previously Approved
06/30/1993
06/30/1993
540
0
0
178
0
0
0
0
0
THIS SURVEY WILL IDENTIFY THE
STRENGTHS AND LIMITATIONS OF THE COMPREHENSIVE HOSPITAL INFORMATION
SYSTEM IN INCREASING THE QUALITY AN COSTS EFFECTIVENESS OF PATIENT
CARE. THE SURVEY WILL EXPLORE USER SATISFACTION AND ATTITUDES ABOUT
THE SYSTEM AND USEABILITY AND BARRIER TO USE OF THE
SYSTEM.
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:
(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;
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.