80 FR 19325 - Agency Information Collection Activities: Proposed Collection: Public Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration Federal Register Volume 80, Issue 69 (April 10, 2015)
Health Resources and Services Administration
Federal Register Volume 80, Issue 69 (April 10, 2015)
| Page Range | 19325-19326 | |
| FR Document | 2015-08284 |
[Federal Register Volume 80, Number 69 (Friday, April 10, 2015)] [Notices] [Pages 19325-19326] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-08284] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Agency Information Collection Activities: Proposed Collection: Public Comment Request AGENCY: Health Resources and Services Administration. ACTION: Notice. ----------------------------------------------------------------------- SUMMARY: In compliance with the requirement for opportunity for public comment on proposed data collection projects (Section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995), the Health Resources and Services Administration (HRSA) announces plans to submit an Information Collection Request (ICR), described below, to the Office of Management and Budget (OMB). Prior to submitting the ICR to OMB, HRSA seeks comments from the public regarding the burden estimate, below, or any other aspect of the ICR. DATES: Comments on the Information Collection Request must be received no later than June 9, 2015. ADDRESSES: Submit your comments to [email protected] or mail the HRSA Information Collection Clearance Officer, Room 10-29, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857. FOR FURTHER INFORMATION CONTACT: To request more information on the proposed project or to obtain a copy of the data collection plans and draft instruments, email [email protected] or call the HRSA Information Collection Clearance Officer at (301) 443-1984. SUPPLEMENTARY INFORMATION: When submitting comments or requesting information, please include the information request collection title for reference. Information Collection Request Title: Providing Primary Care and Preventative Medical Services in Ryan White-funded Medical Care Settings: OMB No. 0915-xxxx--New. Abstract: Since Congress passed the Ryan White Comprehensive AIDS Resource Emergency (CARE) Act in 1990, the Ryan White HIV/AIDS Program (Ryan White Program) has funded the provision of care eligible to persons living with HIV (PLWH). Many Ryan White-funded clinics have long promoted the medical home model, which involves the provision of comprehensive and coordinated care services, including prevention and other non-medical care services to promote access and adherence to HIV/ AIDS treatment. As PLWH live longer and normal lives with effective antiretroviral treatment, this model has become more complex. In recent years, clinics providing care to PLWH are also seeing their patients develop other common chronic diseases such as diabetes, heart disease, and hypertension associated with normal and aging populations. Guidelines \1\ on primary care for PLWH have recently been released to help providers navigate the integration of primary and preventative care into HIV care. With already limited budgets, staffing and other resources, Ryan White-funded clinics may struggle to provide primary and preventative care services in-house or have insufficient referral systems. However, under the Affordable Care Act, most PLWH can obtain more affordable health insurance which can alleviate some burden on [[Page 19326]] clinics and improve accessibility to primary and preventative care services. --------------------------------------------------------------------------- \1\ JA Aberg, JE Gallant, KG Ghanem, P Emmanuel, BS Zingman and MA Horberg. Primary Care Guidelines for the Management of Persons Infected with HIV: 2013 Update by the HIV Medicine Association of the Infectious Disease Society of America; CID 201_58 (January 1, 2014). New York State Department of Health AIDS Institute, Office of the Medical Director. Primary Care Approach to the HIV-infected Patient; http://www.hivguidelines.org/clinical-guidelines/adults/primary-care-approach-to-the-hiv-infected-patinet/ (Updated November 2014). --------------------------------------------------------------------------- This study will examine how Ryan White-funded clinics are integrating the provision of primary and preventative care services to the overall HIV care model. Specifically, it will look at the protocols and strategies used by clinics to manage care for PLWH, specifically care coordination, referral systems, and patient-centered strategies to keep PLWH in care. Need and Proposed Use of the Information: The proposed study will provide the HRSA HIV/AIDS Bureau (HAB) and policymakers with a better understanding of how the Ryan White Program currently provides primary and preventative care to PLWH. The first online survey will be targeted to clinic directors from a sample of about 160 Ryan White-funded clinics and will collect data on care models used; primary care services, including preventative services; and coordination of care. Data collected from this survey will provide a general overview of the various HIV care models used as well as insight to possible facilitators and barriers to providing primary and preventative care services. More in-depth data collection will be conducted with a smaller number of 30 clinics representing clinic type (publicly funded community health organization, other community-based organization, health department, and hospital or university-based) and size. There will be three data collection instruments used: (1) An online survey completed by three clinicians at each of the clinics (clinician survey); (2) a data extraction of select primary and preventative care services; and (3) a telephone interview with the medical director. The clinician survey will provide a more in-depth look at the clinic protocols and strategies and how they are being used and implemented by the clinicians. The data extraction will provide quantitative information on the provision of select primary and preventative care services within a certain time period. With these data, the study team can assess the accuracy of information provided in the online surveys on the provision of care as well as the frequency at which primary and preventative care screenings are provided. Lastly, the interviews with the medical director will allow the study team to follow-up on the results of the clinician survey and data extraction and collect qualitative data and more in-depth details on the provision of primary and preventative care services from a clinic wide perspective, specifically any facilitators and barriers. These data will provide HAB the background to make informed policies and changes to the Ryan White Program in this new era when the well-being of PLWH demands a more complex and long-term HIV care model. Likely Respondents: Clinics funded by the Ryan White Program. Burden Statement: Burden in this context means the time expanded by persons to generate, maintain, retain, disclose or provide the information requested. This includes the time needed to review instructions; to develop, acquire, install and utilize technology and systems for the purpose of collecting, validating and verifying information, processing and maintaining information, and disclosing and providing information; to train personnel and to be able to respond to a collection of information; to search data sources; to complete and review the collection of information; and to transmit or otherwise disclose the information. The total annual burden hours estimated for this Information Collection Request are summarized in the table below. Total Estimated Annualized Burden Hours ---------------------------------------------------------------------------------------------------------------- Average Number of Number of Total burden per Total burden Form name respondents responses per responses response (in hours respondent hours) ---------------------------------------------------------------------------------------------------------------- Clinic Director of Online Survey 130 1 130 1 130 Clinician Online Survey......... 30 1 30 1 30 Data Extraction................. 30 1 30 3 90 Medical Director Interview...... 30 1 30 1 30 ------------------------------------------------------------------------------- Total....................... 220 .............. 220 6 280 ---------------------------------------------------------------------------------------------------------------- HRSA specifically requests comments on (1) the necessity and utility of the proposed information collection for the proper performance of the agency's functions, (2) the accuracy of the estimated burden, (3) ways to enhance the quality, utility, and clarity of the information to be collected, and (4) the use of automated collection techniques or other forms of information technology to minimize the information collection burden. Jackie Painter, Director, Division of the Executive Secretariat. [FR Doc. 2015-08284 Filed 4-9-15; 8:45 am] BILLING CODE 4165-15-P
![Federal Register / Vol. 80, No. 69 / Friday, April 10, 2015 / Notices 19325
information into its data system, along persons to generate, maintain, retain, and providing information; to train
with the projected amount for the disclose or provide the information personnel and to be able to respond to
monthly stipend, to determine the requested. This includes the time a collection of information; to search
amount of each scholarship award. needed to review instructions; to data sources; to complete and review
Likely Respondents: Nurse Corps SP develop, acquire, install and utilize the collection of information; and to
scholars in school, graduates, technology and systems for the purpose transmit or otherwise disclose the
educational institutions, and critical of collecting, validating and verifying information. The total annual burden
shortage facility employers. information, processing and hours estimated for this ICR are
Burden Statement: Burden in this
maintaining information, and disclosing summarized in the table below.
context means the time expended by
TOTAL ESTIMATED ANNUALIZED BURDEN—HOURS
Average
Number of
Number of Total burden per Total burden
Form name responses per
respondents responses response hours
respondent (in hours)
Eligible Applications/Application Program Guidance ........... 2,600 1 2,600 2 5,200
School Enrollment Verification Form ................................... 500 4 2,000 20/60 667
Confirmation of Interest Form .............................................. 250 1 250 12/60 50
DCW Form ........................................................................... 500 1 500 1 500
Graduation Close Out Form ................................................ 200 1 200 10/60 33
Initial Employment Verification Form ................................... 500 1 500 25/60 208
Service Verification Form—Employer .................................. 500 2 1,000 8/60 133
Service Verification Form—Participant ................................ 500 2 1,000 6/60 100
Total .............................................................................. ........................ ........................ ........................ ........................ 6,891
HRSA specifically requests comments below, to the Office of Management and promoted the medical home model,
on (1) the necessity and utility of the Budget (OMB). Prior to submitting the which involves the provision of
proposed information collection for the ICR to OMB, HRSA seeks comments comprehensive and coordinated care
proper performance of the agency’s from the public regarding the burden services, including prevention and other
functions, (2) the accuracy of the estimate, below, or any other aspect of non-medical care services to promote
estimated burden, (3) ways to enhance the ICR. access and adherence to HIV/AIDS
the quality, utility, and clarity of the DATES: Comments on the Information treatment. As PLWH live longer and
information to be collected, and (4) the Collection Request must be received no normal lives with effective antiretroviral
use of automated collection techniques later than June 9, 2015. treatment, this model has become more
or other forms of information ADDRESSES: Submit your comments to complex. In recent years, clinics
technology to minimize the information paperwork@hrsa.gov or mail the HRSA providing care to PLWH are also seeing
collection burden. Information Collection Clearance their patients develop other common
Jackie Painter, Officer, Room 10–29, Parklawn chronic diseases such as diabetes, heart
Director, Division of the Executive Secretariat. Building, 5600 Fishers Lane, Rockville, disease, and hypertension associated
[FR Doc. 2015–08285 Filed 4–9–15; 8:45 am]
MD 20857. with normal and aging populations.
BILLING CODE 4165–15–P
FOR FURTHER INFORMATION CONTACT: To Guidelines 1 on primary care for PLWH
request more information on the have recently been released to help
proposed project or to obtain a copy of providers navigate the integration of
DEPARTMENT OF HEALTH AND the data collection plans and draft primary and preventative care into HIV
HUMAN SERVICES instruments, email paperwork@hrsa.gov
care. With already limited budgets,
or call the HRSA Information Collection
Health Resources and Services staffing and other resources, Ryan
Clearance Officer at (301) 443–1984.
Administration White-funded clinics may struggle to
SUPPLEMENTARY INFORMATION: When
provide primary and preventative care
submitting comments or requesting
Agency Information Collection services in-house or have insufficient
information, please include the
Activities: Proposed Collection: Public information request collection title for referral systems. However, under the
Comment Request reference. Affordable Care Act, most PLWH can
AGENCY: Health Resources and Services Information Collection Request Title: obtain more affordable health insurance
Administration. Providing Primary Care and which can alleviate some burden on
ACTION: Notice. Preventative Medical Services in Ryan
White-funded Medical Care Settings: 1 JA Aberg, JE Gallant, KG Ghanem, P Emmanuel,
SUMMARY: In compliance with the OMB No. 0915–xxxx—New. BS Zingman and MA Horberg. Primary Care
Guidelines for the Management of Persons Infected
mstockstill on DSK4VPTVN1PROD with NOTICES
requirement for opportunity for public Abstract: Since Congress passed the
with HIV: 2013 Update by the HIV Medicine
comment on proposed data collection Ryan White Comprehensive AIDS Association of the Infectious Disease Society of
projects (Section 3506(c)(2)(A) of the Resource Emergency (CARE) Act in America; CID 201_58 (January 1, 2014). New York
Paperwork Reduction Act of 1995), the 1990, the Ryan White HIV/AIDS State Department of Health AIDS Institute, Office of
Health Resources and Services Program (Ryan White Program) has the Medical Director. Primary Care Approach to the
HIV-infected Patient; http://www.hivguidelines.org/
Administration (HRSA) announces funded the provision of care eligible to clinical-guidelines/adults/primary-care-approach-
plans to submit an Information persons living with HIV (PLWH). Many to-the-hiv-infected-patinet/ (Updated November
Collection Request (ICR), described Ryan White-funded clinics have long 2014).
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![19326 Federal Register / Vol. 80, No. 69 / Friday, April 10, 2015 / Notices
clinics and improve accessibility to representing clinic type (publicly preventative care services from a clinic
primary and preventative care services. funded community health organization, wide perspective, specifically any
This study will examine how Ryan other community-based organization, facilitators and barriers.
White-funded clinics are integrating the health department, and hospital or These data will provide HAB the
provision of primary and preventative university-based) and size. There will be background to make informed policies
care services to the overall HIV care three data collection instruments used: and changes to the Ryan White Program
model. Specifically, it will look at the (1) An online survey completed by three in this new era when the well-being of
protocols and strategies used by clinics clinicians at each of the clinics PLWH demands a more complex and
to manage care for PLWH, specifically (clinician survey); (2) a data extraction long-term HIV care model.
care coordination, referral systems, and of select primary and preventative care Likely Respondents: Clinics funded
patient-centered strategies to keep services; and (3) a telephone interview by the Ryan White Program.
PLWH in care. with the medical director. The clinician
Need and Proposed Use of the Burden Statement: Burden in this
survey will provide a more in-depth context means the time expanded by
Information: The proposed study will
look at the clinic protocols and persons to generate, maintain, retain,
provide the HRSA HIV/AIDS Bureau
(HAB) and policymakers with a better strategies and how they are being used disclose or provide the information
understanding of how the Ryan White and implemented by the clinicians. The requested. This includes the time
Program currently provides primary and data extraction will provide quantitative needed to review instructions; to
preventative care to PLWH. The first information on the provision of select develop, acquire, install and utilize
online survey will be targeted to clinic primary and preventative care services technology and systems for the purpose
directors from a sample of about 160 within a certain time period. With these of collecting, validating and verifying
Ryan White-funded clinics and will data, the study team can assess the information, processing and
collect data on care models used; accuracy of information provided in the maintaining information, and disclosing
primary care services, including online surveys on the provision of care and providing information; to train
preventative services; and coordination as well as the frequency at which personnel and to be able to respond to
of care. Data collected from this survey primary and preventative care a collection of information; to search
will provide a general overview of the screenings are provided. Lastly, the data sources; to complete and review
various HIV care models used as well as interviews with the medical director the collection of information; and to
insight to possible facilitators and will allow the study team to follow-up transmit or otherwise disclose the
barriers to providing primary and on the results of the clinician survey information. The total annual burden
preventative care services. More in- and data extraction and collect hours estimated for this Information
depth data collection will be conducted qualitative data and more in-depth Collection Request are summarized in
with a smaller number of 30 clinics details on the provision of primary and the table below.
TOTAL ESTIMATED ANNUALIZED BURDEN HOURS
Average
Number of
Number of Total burden per Total burden
Form name responses per
respondents responses response hours
respondent (in hours)
Clinic Director of Online Survey .......................................... 130 1 130 1 130
Clinician Online Survey ........................................................ 30 1 30 1 30
Data Extraction .................................................................... 30 1 30 3 90
Medical Director Interview ................................................... 30 1 30 1 30
Total .............................................................................. 220 ........................ 220 6 280
HRSA specifically requests comments DEPARTMENT OF HEALTH AND by agenda items to be discussed at the
on (1) the necessity and utility of the HUMAN SERVICES 68th World Health Assembly. Your
proposed information collection for the input will contribute to U.S. positions
proper performance of the agency’s Office of Global Affairs Stakeholder as we negotiate these important health
functions, (2) the accuracy of the Listening Session in Preparation for topics with our international colleagues.
estimated burden, (3) ways to enhance the 68th World Health Assembly The listening session will be
the quality, utility, and clarity of the Time and date: May 8, 2015, 10:30– organized around the interests and
information to be collected, and (4) the 12:00 p.m. EST. perspectives of stakeholder
use of automated collection techniques Place: Room 705A, U.S. Department communities, including, but not limited
or other forms of information of Health & Human Services, 200 to:
technology to minimize the information Independence Ave SW., Washington, • Public health and advocacy groups;
collection burden. DC, 20201. • State, local, and Tribal groups;
Status: Open, but requiring RSVP to • Private industry;
• Minority health organizations; and
mstockstill on DSK4VPTVN1PROD with NOTICES
Jackie Painter, OGA.RSVP@hhs.gov.
Director, Division of the Executive Secretariat. Purpose: The Stakeholder Listening • Academic and scientific
[FR Doc. 2015–08284 Filed 4–9–15; 8:45 am] Session will help the HHS Office of organizations.
BILLING CODE 4165–15–P
Global Affairs prepare for the World It will allow public comment on all
Health Assembly by taking full agenda items to be discussed at the 68th
advantage of the knowledge, ideas, World Health Assembly: http://
feedback, and suggestions from all apps.who.int/gb/ebwha/pdf_files/
communities interested in and affected WHA68/A68_1-en.pdf
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Document Created: 2018-02-21 10:08:56
Document Modified: 2018-02-21 10:08:56
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice. | |
| Dates | Comments on the Information Collection Request must be received no later than June 9, 2015. | |
| Contact | To request more information on the proposed project or to obtain a copy of the data collection plans and draft instruments, email [email protected] or call the HRSA Information Collection Clearance Officer at (301) 443-1984. | |
| FR Citation | 80 FR 19325 |
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