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Information Collection Request

EVALUATION OF EFFECTIVENESS AND COSTS OF ADULT DAY HEALTH CARE (ADHC)

ICR 198703-2900-007 · OMB 2900-0479 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
148302 EVALUATION OF EFFECTIVENESS AND COSTS OF ADULT DAY HEALTH CARE (ADHC) Form Migrated
ICR Details
2900-0479 198703-2900-007
Historical Active
VA
EVALUATION OF EFFECTIVENESS AND COSTS OF ADULT DAY HEALTH CARE (ADHC)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 06/02/1987
Retrieve Notice of Action (NOA) 03/04/1987
OMB HAS APPROVED THE STUDY WITH THE FOLLOWING CONDITIONS OF APPROVAL. 1. TO FULFILL THE CONGRESSIONAL MANDATE, OMB REQUIRES THAT THE INITIAL POPULATION POOL FOR THE STUDY WILL CONSIST ONLY OF THOSE PATIENTS WHO AGREE TO ENTER EITHER AN ADHC OR A NH, (NOT TO CUSTOMARY CARE). THIS CRITERION WILL BE ADDED TO EXISTING CRITERIA. FURTHERMORE, DURING THE RANDOMIZED ASSIGNMENT PORTION OF THE STUDY, THE VA PATIENT WILL BE ASSIGNED TO AN ADHC OR NH, (NOT TO AN ADHC OR CC). 2. THE VA WILL SEPERATELY PRESENT, IN THEIR ANALYSIS, ALL ADHC AND NH PATIENTS AS ASSIGNED. THESE DATA WILL BE SEPERATELY ANALYZED FROM THE DATA ON THOSE WHO REJECTED THE ASSIGNED TREATMENT CONDITION AND WHO CHOSE CC OR NH. 3. BECAUSE THE ADL SCALE FALLS SHORT OF ALWAYS MEASURING MEDICAL DETERIORATION, VA MUST INCLUDE THE FOLLOWING ADDITIONAL ITEMS. --REASONS FOR AND NUMBER OF HOSPITILIZATION DAYS AND OUTPATIENT VISITS --NUMBER AND TYPE OF PRESCRIPTION DRUGS USED. 4. HOSPITALIZATION SPECIFICALLY RESULTING FROM AWAITING ENTRY INTO ADH OR NH WILL NOT BE INCLUDED IN THE HOSPITALIZATION DAY MEASURE, BUT SHOULD BE PRESENTED SEPERATELY. 5. THE DIAGNOSIS WILL BE TAKEN FROM EACH PATIENT'S MEDICAL RECORD AND AND THE RELATIONSHIP OF DIAGNOSIS TO THE ABOVE MEDICAL DATA WILL BE ANALYZED. THE VA WILL INCLUDE IN ITS REPORTS AN ANALYSIS OF UTILIZATIO RATES AND CORRESPONDING DIAGNOSES IN THE STUDY. (CONTINUED ON PAGE 2).
  Inventory as of this Action Requested Previously Approved
06/30/1990 06/30/1990
4,647 0 0
1,687 0 0
0 0 0
THIS STUDY IS DESIGNED TO EVALUATE THE MEDICAL EFFICACY AND COST OF PROVIDING ADHC TO FRAIL ELDERLY VETERANS AT HIGH RISK FOR NURSING HOME PLACEMENT AS MANDATED BY CONGRESS. THE FINDINGS WILL BE USED BY THE VA TO MAKE DECISIONS REGARDING THE FUTURE ROLE OF ADHC IN THE LONG-TERM CARE CONTINUUM.
None
None
No
1
IC Title Form No. Form Name
EVALUATION OF EFFECTIVENESS AND COSTS OF ADULT DAY HEALTH CARE (ADHC) THROUGH, K, 10-20818A
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 4,647 0 0 4,647 0 0
Annual Time Burden (Hours) 1,687 0 0 1,687 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
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.
03/04/1987