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OMB Control No: 0935-0252	ICR Reference No: 202004-0935-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/AHRQ	Agency Tracking No:
Title: Evaluating the Implementation of PCOR to Increase Referral, Enrollment, and Retention through Automatic Referral to Cardiac Rehabilitation (CR) with Care Coordinator
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/21/2020
	Date Received in OIRA: 04/15/2020
Terms of Clearance: AHRQ shall ensure that the information from the PRA Burden Statement is included in correspondence to respondents in such a way as to ensure that the collection "informs and provides reasonable notice" of that information.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2023	36 Months From Approved
Responses	803	0	0
Time Burden (Hours)	333	0	0
Cost Burden (Dollars)	0	0	0

Abstract: The project “Implementing PCOR [Patient Centered Outcomes Research] to Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation (CR) through Automatic Referral with Care Coordinator” fully supports AHRQ’s mission. This topic was nominated for consideration under AHRQ’s Dissemination and Implementation (D and I) Initiative. The nominators were Million Hearts® (an initiative co-led by the Centers for Disease Control and Prevention (CDC) and the Centers for Medicare & Medicaid Services (CMS). AHRQ’s D and I initiative responded to a congressional mandate and funded under the PCOR-Trust Fund. The nomination featured PCOR evidence on the value of cardiac rehabilitation after myocardial infarction or coronary revascularization and an evidence-based implementation strategy, automatic referral with liaison. AHRQ judged the nomination to have a high level of fit with AHRQ’s criteria of having a substantial evidence base, high potential impact, and high feasibility for wide dissemination and implementation Outreach with stakeholders indicates that this initiative aligns well but does not duplicate work by NIH; PCORI; CMS and CDC. After launch, AHRQ named its CR project “TAKEheart.” Successful execution of the TAKEheart project can contribute directly to the nation’s health. Currently over two-thirds of eligible cardiac patients are not referred to CR despite extensive evidence of its effectiveness in preventing subsequent morbidity; national estimates of referral range from 10-34%.1 To help improve CR rates, the Million Hearts® Cardiac Rehabilitation Collaborative developed a Cardiac Rehabilitation Change Package (CRCP) and established a national goal of 70% participation in CR by 2022 for eligible patients.2 The aim of this project is to raise awareness about the benefits of CR, then to spread knowledge about CRCP resources, and finally to increase CR uptake. The project will facilitate implementation of Automatic Referral with Care Coordinator in selected, diverse hospitals nationwide which demonstrate their readiness. AHRQ will evaluate TAKEHeart to: 1. Assess the extent and effectiveness of the dissemination and implementation efforts, including the uptake and usage of CRCP components including but not limited to Automatic Referral with Care Coordination, and 2. Measure changes in CR referral, enrollment, and retention.

Authorizing Statute(s): US Code: 42 USC 299 Name of Law: Healthcare Research and Quality Act of 1999

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 6190	02/04/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 20502	04/13/2020
Did the Agency receive public comments on this ICR? No

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	803	803
Annual Time Burden (Hours)	333	333
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new data collection

Annual Cost to Federal Government: $394,123

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Erwin Brown 301 427-1652 erwin.brown@ahrq.hhs.gov

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