AHRQ proposes a three year project to
(1) assess the challenges facing Medicaid and State Children's
Health Insurance Programs (SCHIP) agencies nationwide as they plan
and implement health information technology (health IT) and health
information exchange (HIE) programs and (2) provide the agencies
with technical assistance to help them overcome these challenges.
Health IT refers to the set of electronic tools and methods used
for managing information about the health and health care of
individuals, groups of individuals, and communities. HIE refers to
organized efforts at the local, state, or regional levels to
establish the necessary policy, business, operating, and technical
mechanisms and structures that allow, support, and promote the
exchange of health care information electronically across
organizations. Health IT and HIE hold great promise for improving
the quality and efficiency of health care in the United States.
Medicaid and SCHIP agencies, which receive federal and state
funding, serve the most medically and financially vulnerable
populations. More than sixty percent of Medicaid beneficiaries have
one or more chronic or disabling diseases. In addition, Medicaid
and SCHIP beneficiaries frequently experience gaps in eligibility
for benefits that cause beneficiaries to seek care from multiple
settings, which compromises the accuracy and completeness of their
health care records. These populations have much to gain from the
coordination of care that can be realized from the adoption of
health IT and HIE. Furthermore, as the largest health care
purchaser in the United States, Medicaid can influence the adoption
of health IT and HIE by providers of care. However, Medicaid and
SCHIP agencies face considerable challenges in the implementation
of health IT and HIE.
US Code:
42
USC 299 Name of Law: The Healthcare Research and Quality Act of
1999
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.