Approved for use
as a comprehensive field test through 2/93 under the following
conditions: 1) ASPE includes a sample validation of self reported
resident outcome and utilization based upon Medicare/Medicaid
claims data and/or health care provider medical records. OMB
believes reliance on resident recal and self reporting is being
tested in other HHS instruments (by HCFA a AHCPR) and has not been
fully evaluated to date. Also, the informati from this instrument
will serve as the basis for ongoing discussions regarding
appropriate quality measures for board and care homes, including
outcome measures. OMB prefers health outcome and satisfacti
measures and wants to ensure HHS makes all attempts to maximize
their usefulness and validity; 2) ASPE validates the response to
Question 46 of the Operator Intervie Instrument using State
sanction records; 3) In the field test, ASPE invests in enhanced
recruitment efforts and more aggressive refusal conversion; OMB is
concerned about maintaining a sufficiently high response rate; 4)
ASPE field tests equivalent resident satisfaction questions fo all
physical plant questions in the Walk Through instrument (e.g. Q 91
5) ASPE amends Questions 1 and 2 of the Operator Supplemental
Instrume - Staffing ... to include additional probes as to the
reason regulator mandates are important or unimportant;
Inventory as of this Action
Requested
Previously Approved
02/28/1993
02/28/1993
4,900
0
0
2,079
0
0
0
0
0
THIS STUDY WILL EXAMINE THE EFFECTS OF
DIFFERENT STATE REGULATORY SYSTEMS ON THE PERFORMANCE OF BOARD AND
CARE HOMES IN THE 10 STUDY STATES. THE STUDY WILL ALSO EXAMINE THE
EFFECT OF LICENSURE ON THE QUALITY OF CARE IN THE HOMES AND PROVIDE
DESCRIPTIVE DATA ABOUT THE HOMES, OWNER/OPERATORS, STAFF, AND
RESIDENTS.
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.