80 FR 29323 - Final Priority. National Institute on Disability, Independent Living, and Rehabilitation Research-Rehabilitation Research and Training Centers
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Community Living Federal Register Volume 80, Issue 98 (May 21, 2015)
Administration for Community Living
Federal Register Volume 80, Issue 98 (May 21, 2015)
| Page Range | 29323-29325 | |
| FR Document | 2015-12308 |
[Federal Register Volume 80, Number 98 (Thursday, May 21, 2015)] [Notices] [Pages 29323-29325] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-12308] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Community Living [CFDA Number: 84.133B-6] Final Priority. National Institute on Disability, Independent Living, and Rehabilitation Research--Rehabilitation Research and Training Centers AGENCY: Administration for Community Living, Department of Health and Human Services. ACTION: Final priority. ----------------------------------------------------------------------- SUMMARY: The Administrator of the Administration for Community Living announces a priority for the Rehabilitation Research and Training Center (RRTC) Program administered by the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR). Specifically, we announce a priority for an RRTC on Outcomes Measurement for Home and Community Based Services. The Administrator of the Administration for Community Living may use this priority for competitions in fiscal year (FY) 2015 and later years. We take this action to focus research attention on an area of national need. We intend for this priority to contribute to improved home and community based services for individuals with disabilities. DATES: Effective Date: This priority is effective June 22, 2015. FOR FURTHER INFORMATION CONTACT: Marlene Spencer, U.S. Department of Health and Human Services, 400 Maryland Avenue SW., Room 5133, Potomac Center Plaza (PCP), Washington, DC 20202-2700. Telephone: (202) 245- 7532 or by email: marlene.spencer@acl.hhs.gov. If you use a telecommunications device for the deaf (TDD) or a text telephone (TTY), call the Federal Relay Service (FRS), toll free, at 1- 800-877-8339. SUPPLEMENTARY INFORMATION: Purpose of Program: The purpose of the Disability and Rehabilitation Research Projects and Centers Program is to plan and conduct research, demonstration projects, training, and related activities, including international activities, to develop methods, procedures, and rehabilitation technology that maximize the full inclusion and integration into society, employment, independent living, family support, and economic and social self-sufficiency of individuals with disabilities, especially individuals with the most severe disabilities, and to improve the effectiveness of services authorized under the Rehabilitation Act of 1973, as amended (Rehabilitation Act). Rehabilitation Research and Training Centers The purpose of the RRTCs, which are funded through the Disability and Rehabilitation Research Projects and Centers Program, is to achieve the goals of, and improve the effectiveness of, services authorized under the Rehabilitation Act through well-designed research, training, technical assistance, and dissemination activities in important topical areas as specified by NIDILRR. These activities are designed to benefit rehabilitation service providers, individuals with disabilities, family members, policymakers and other research stakeholders. Additional information on the RRTC program can be found at: http://www2.ed.gov/programs/rrtc/index.html#types. Program Authority: 29 U.S.C. 762(g) and 764(b)(2)(A). Applicable Program Regulations: 34 CFR part 350. We published a notice of proposed priority (NPP) for this program in the Federal Register on February 25, 2015 (80 FR 10099). That notice contained background information and our reasons for proposing the particular priority. There are differences between the proposed priority and this final priority. Public Comment: In response to our invitation in the notice of proposed priority, one party submitted comments on the proposed priority. Generally, we do not address technical and other minor changes. In addition, we do not address general comments that raised concerns not directly related to the proposed priority. Analysis of the Comments and Changes: An analysis of the comments and of any changes in the priority since publication of the NPP follows. Comment: One commenter asked whether the RRTC's work should apply to elderly users of home and community based services (HCBS), as well as people with disabilities who use HCBS. Discussion: NIDILRR's priority does not specify the age range of people with disabilities who are to be the focus of the RRTC's work. Throughout the priority we refer to people with disabilities, or people with disabilities who use or receive HCBS. NIDILRR's ultimate intent is to build HCBS outcomes measurement capacity that is relevant to HCBS recipients of all ages. Given the early stage of outcomes development work in this area, the limited resources of this RRTC, and the broad populations served by HCBS, it is up to applicants to describe their target population(s) of HCBS users. The peer review process will determine the merits of each application. Changes: None. Comment: One commenter agreed with the priority's requirement that measures to be developed by the RRTC should minimize data collection burden on HCBS recipients. At the same time, the commenter noted the critical importance of gathering information directly from HCBS users to determine the impact of those services on the quality of their lives. The commenter cautioned NIDILRR and the eventual RRTC against minimizing data collection burden to such an extent that data on HCBS users' experiences and outcomes aren't available for such quality improvement purposes. Discussion: NIDILRR agrees with the commenter that gathering outcomes information directly from HCBS recipients is critically important. The priority consistently emphasizes the importance of creating outcome measurement tools that focus on HCBS users' experiences and outcomes. By requiring the RRTC to minimize data collection burden on HCBS end users, NIDILRR is simply recognizing the potential for lengthy, duplicative, and overly burdensome data collection methods. With this requirement we are also highlighting the existence of advanced item-scaling and person-centered measurement techniques such as computerized adaptive tests, as well as the existence of administrative data that can be relevant to the measurement of person-centered outcomes. Changes: None. Comment: One commenter noted that different groups of HCBS users have different needs, and that the importance placed on different outcome domains may vary across subgroups of HCBS users. The commenter questioned whether the measures developed by the RRTC should be tailored to the needs of subgroups of HCBS users. Discussion: NIDILRR agrees with the commenter that different subgroups of HCBS users may have outcome domains [[Page 29324]] that are particularly important to them. Given the early stage of outcomes development work in this area, the limited resources of this RRTC, and the broad populations served by HCBS, it is up to applicants to describe their target population(s) of HCBS users. It is also up to applicants to describe the extent to which their proposed outcomes development work will address potential variation in how subgroups prioritize different HCBS outcome domains. The peer review process will determine the merits of each application. Changes: None. Comment: One commenter asked whether NIDILRR intends the RRTC to evaluate interventions to determine whether they are associated with positive HCBS outcomes. Discussion: NIDILRR does not intend the RRTC to evaluate interventions to determine whether they are associated with positive HCBS outcomes. The primary intent of the research requirements under paragraph (a) is the development and testing of HCBS outcome measures-- which will serve as infrastructure for future testing of interventions. Changes: NIDILRR has made minor modifications to paragraph (a) to clarify that our intent for this RRTC is the development and testing of HCBS outcome measures--and not the testing of HCBS interventions. Comment: One commenter recommended that the RRTC be required to provide technical assistance to a range of stakeholders, with the aim of promoting the use of new HCBS outcomes measures and resulting data for HCBS system improvement. Discussion: NIDILRR agrees that technical assistance toward promoting the use of new HCBS outcomes measures is an important task for the RRTC. In the opening paragraph of the priority we state that ``Ultimately, the RRTC's development of non-medical, person-centered outcome measures is intended to inform the design, implementation, and continuous improvement of Federal and state policies and programs related to the delivery of HCBS to people with disabilities.'' Paragraph (b)(3) requires direct collaboration with a wide range of stakeholder groups to develop, evaluate, or implement strategies to increase the use of new HCBS outcomes measures. Similarly, paragraph (c)(1) requires the provision of technical assistance related to HCBS outcome and measurement. Changes: None. Comment: One commenter recommended that the RRTC develop data formats that are accessible to a range of stakeholders. Discussion: The primary aim of this priority is the development and testing of person-centered HCBS outcome measures that generate data that is reliable, valid, and usable. This foundational work of creating reliable and valid HCBS outcomes measures precedes the development of databases and multiple data formats. While some applicants may choose to specify the formats of data that new outcomes measures can generate, the RRTC has no basis for requiring all applicants to take this step. Changes: None. Final Priority The Administrator of the Administration for Community Living establishes a priority for the RRTC on Outcomes Measurement for Home and Community Based Services. The RRTC will engage in research, development, and testing of measures to assess the quality of HCBS in terms of the person-centered outcomes achieved by people with disabilities who use the services in home and community settings. The RRTC will also engage in knowledge translation, development of informational products, and dissemination to enhance the field's capacity to measure the extent to which HCBS leads to improved outcomes in community living and independent living areas that are important to people with disabilities and other stakeholders. Ultimately, the RRTC's development of non-medical, person-centered outcome measures is intended to inform the design, implementation, and continuous improvement of Federal and state policies and programs related to the delivery of HCBS to people with disabilities. The RRTC must contribute to these outcomes by: (a) Identifying or developing measures, and then testing the reliability, validity, and usability of those proposed measures to assess the person-centered outcomes of individuals with disabilities who are receiving home and community-based services. HCBS measures developed under this priority must be non-medical and must focus on the end-users' experience of community living, independent living, social integration, community participation, and other similar outcomes. The measures developed under this priority must also be designed to minimize data collection burden on HCBS recipients. Possible methods for minimizing this burden include, but are not limited to, use of relevant administrative data, modifying administrative data to include person-centered goals as well as fields to assess progress toward those goals, and use of advanced item-scaling and person-centered measurement techniques that can be implemented as computerized adaptive tests (CAT). (b) Increasing incorporation of the RRTC's HCBS outcome measures into practice and policy. The RRTC must contribute to this outcome by-- (1) Working closely with NIDILRR and the Administration for Community Living (ACL) at each stage of the measure development and testing processes to ensure that its activities are informing and informed by other HCBS quality initiatives taking place within ACL and other relevant Federal and state agencies. This specifically includes the work taking place under the National Quality Forum's work with the Department of Health and Human Services (http://www.qualityforum.org/ProjectDescription.aspx?projectID=77692). (2) Developing procedures and mechanisms for applying HCBS outcome measures in policy and service delivery settings to maximize quality and appropriateness of HCBS from the end-user perspective. (3) Collaborating with stakeholder groups to develop, evaluate, or implement strategies to increase utilization of new HCBS outcome measures. Stakeholder groups include but, are not limited to, people with disabilities, Federal- and state-level policymakers; home and community based service providers; advocacy organizations; and Centers for Independent Living. (4) Collaborating with relevant NIDILRR-sponsored knowledge translation grantees to help promote the uptake of RRTC products by relevant stakeholders and embed the outcome measures into the overall health care measurement system. (c) Serving as a national resource center related to person- centered measurement of HCBS outcomes: (1) Disseminating information and providing technical assistance related to HCBS outcome and quality measurement to policymakers, service providers, people with disabilities and their representatives, and other key stakeholders; and (2) Providing relevant and appropriate training, including graduate, pre-service, and in-service training, to HCBS providers, researchers and quality-measurement personnel, and other disability service providers, to facilitate more effective delivery of HCBS to people with disabilities. This training may be provided through conferences, workshops, public education programs, [[Page 29325]] in-service training programs, and similar activities. Types of Priorities When inviting applications for a competition using one or more priorities, we designate the type of each priority as absolute, competitive preference, or invitational through a notice in the Federal Register. The effect of each type of priority follows: Absolute priority: Under an absolute priority, we consider only applications that meet the priority (34 CFR 75.105(c)(3)). Competitive preference priority: Under a competitive preference priority, we give competitive preference to an application by (1) awarding additional points, depending on the extent to which the application meets the priority (45 CFR part 75); or (2) selecting an application that meets the priority over an application of comparable merit that does not meet the priority (45 CFR part 75). Invitational priority: Under an invitational priority, we are particularly interested in applications that meet the priority. However, we do not give an application that meets the priority a preference over other applications (45 CFR part 75). This notice does not preclude us from proposing additional priorities, requirements, definitions, or selection criteria, subject to meeting applicable rulemaking requirements. Note: This notice does not solicit applications. In any year in which we choose to use this priority, we invite applications through a notice in the Federal Register. Executive Orders 12866 and 13563 Electronic Access to This Document: The official version of this document is the document published in the Federal Register. Free Internet access to the official edition of the Federal Register and the Code of Federal Regulations is available via the Federal Digital System at: www.thefederalregister.org/fdsys. At this site you can view this document, as well as all other documents of ACL published in the Federal Register, in text or Adobe Portable Document Format (PDF). To use PDF you must have Adobe Acrobat Reader, which is available free at the site. You may also access documents of the Department published in the Federal Register by using the article search feature at: www.federalregister.gov. Specifically, through the advanced search feature at this site, you can limit your search to documents published by the Department. Dated: May 18, 2015. John Tschida, Director, National Institute on Disability, Independent Living, and Rehabilitation Research. [FR Doc. 2015-12308 Filed 5-20-15; 8:45 am] BILLING CODE 4154-01-P
![Federal Register / Vol. 80, No. 98 / Thursday, May 21, 2015 / Notices 29323
Statutory Authority: The statutory Research Projects and Centers Program Discussion: NIDILRR’s priority does
authority is title II, section 203(b) of the is to plan and conduct research, not specify the age range of people with
Child Abuse Prevention and Treatment and demonstration projects, training, and disabilities who are to be the focus of
Adoption Reform Act of 1978 (42 U.S.C. related activities, including the RRTC’s work. Throughout the
5113(b)(3)), as most recently amended by
CAPTA Reauthorization Act of 2010.
international activities, to develop priority we refer to people with
methods, procedures, and rehabilitation disabilities, or people with disabilities
Mark Greenberg, technology that maximize the full who use or receive HCBS. NIDILRR’s
Acting Commissioner, Administration on inclusion and integration into society, ultimate intent is to build HCBS
Children, Youth and Families. employment, independent living, family outcomes measurement capacity that is
[FR Doc. 2015–12418 Filed 5–20–15; 8:45 am] support, and economic and social self- relevant to HCBS recipients of all ages.
BILLING CODE 4184–01–P sufficiency of individuals with Given the early stage of outcomes
disabilities, especially individuals with development work in this area, the
the most severe disabilities, and to limited resources of this RRTC, and the
DEPARTMENT OF HEALTH AND improve the effectiveness of services broad populations served by HCBS, it is
HUMAN SERVICES authorized under the Rehabilitation Act up to applicants to describe their target
of 1973, as amended (Rehabilitation population(s) of HCBS users. The peer
Administration for Community Living Act). review process will determine the
[CFDA Number: 84.133B–6] merits of each application.
Rehabilitation Research and Training Changes: None.
Centers Comment: One commenter agreed
Final Priority. National Institute on
Disability, Independent Living, and The purpose of the RRTCs, which are with the priority’s requirement that
Rehabilitation Research— funded through the Disability and measures to be developed by the RRTC
Rehabilitation Research and Training Rehabilitation Research Projects and should minimize data collection burden
Centers Centers Program, is to achieve the goals on HCBS recipients. At the same time,
of, and improve the effectiveness of, the commenter noted the critical
AGENCY: Administration for Community services authorized under the importance of gathering information
Living, Department of Health and Rehabilitation Act through well- directly from HCBS users to determine
Human Services. designed research, training, technical the impact of those services on the
ACTION: Final priority. assistance, and dissemination activities quality of their lives. The commenter
in important topical areas as specified cautioned NIDILRR and the eventual
SUMMARY: The Administrator of the by NIDILRR. These activities are RRTC against minimizing data
Administration for Community Living designed to benefit rehabilitation collection burden to such an extent that
announces a priority for the service providers, individuals with data on HCBS users’ experiences and
Rehabilitation Research and Training disabilities, family members, outcomes aren’t available for such
Center (RRTC) Program administered by policymakers and other research quality improvement purposes.
the National Institute on Disability, stakeholders. Additional information on Discussion: NIDILRR agrees with the
Independent Living, and Rehabilitation the RRTC program can be found at: commenter that gathering outcomes
Research (NIDILRR). Specifically, we http://www2.ed.gov/programs/rrtc/ information directly from HCBS
announce a priority for an RRTC on index.html#types. recipients is critically important. The
Outcomes Measurement for Home and Program Authority: 29 U.S.C. 762(g) priority consistently emphasizes the
Community Based Services. The and 764(b)(2)(A). importance of creating outcome
Administrator of the Administration for Applicable Program Regulations: 34 measurement tools that focus on HCBS
Community Living may use this priority CFR part 350. users’ experiences and outcomes. By
for competitions in fiscal year (FY) 2015 We published a notice of proposed requiring the RRTC to minimize data
and later years. We take this action to priority (NPP) for this program in the collection burden on HCBS end users,
focus research attention on an area of Federal Register on February 25, 2015 NIDILRR is simply recognizing the
national need. We intend for this (80 FR 10099). That notice contained potential for lengthy, duplicative, and
priority to contribute to improved home background information and our reasons overly burdensome data collection
and community based services for for proposing the particular priority. methods. With this requirement we are
individuals with disabilities. There are differences between the also highlighting the existence of
DATES: Effective Date: This priority is proposed priority and this final priority. advanced item-scaling and person-
effective June 22, 2015. Public Comment: In response to our centered measurement techniques such
FOR FURTHER INFORMATION CONTACT:
invitation in the notice of proposed as computerized adaptive tests, as well
Marlene Spencer, U.S. Department of priority, one party submitted comments as the existence of administrative data
Health and Human Services, 400 on the proposed priority. that can be relevant to the measurement
Generally, we do not address of person-centered outcomes.
Maryland Avenue SW., Room 5133,
technical and other minor changes. In Changes: None.
Potomac Center Plaza (PCP), Comment: One commenter noted that
addition, we do not address general
Washington, DC 20202–2700. different groups of HCBS users have
comments that raised concerns not
Telephone: (202) 245–7532 or by email: different needs, and that the importance
directly related to the proposed priority.
marlene.spencer@acl.hhs.gov. Analysis of the Comments and placed on different outcome domains
If you use a telecommunications Changes: An analysis of the comments may vary across subgroups of HCBS
device for the deaf (TDD) or a text
tkelley on DSK3SPTVN1PROD with NOTICES
and of any changes in the priority since users. The commenter questioned
telephone (TTY), call the Federal Relay publication of the NPP follows. whether the measures developed by the
Service (FRS), toll free, at 1–800–877– Comment: One commenter asked RRTC should be tailored to the needs of
8339. whether the RRTC’s work should apply subgroups of HCBS users.
SUPPLEMENTARY INFORMATION: to elderly users of home and community Discussion: NIDILRR agrees with the
Purpose of Program: The purpose of based services (HCBS), as well as people commenter that different subgroups of
the Disability and Rehabilitation with disabilities who use HCBS. HCBS users may have outcome domains
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![Federal Register / Vol. 80, No. 98 / Thursday, May 21, 2015 / Notices 29325
in-service training programs, and Dated: May 18, 2015. • $135,000 to Washington State
similar activities. John Tschida, Department of Social & Health
Director, National Institute on Disability, Services
Types of Priorities
Independent Living, and Rehabilitation • $135,000 to Wisconsin Department of
When inviting applications for a Research. Health Services
competition using one or more [FR Doc. 2015–12308 Filed 5–20–15; 8:45 am] Project Period: 9/30/2015 to 9/30/
priorities, we designate the type of each BILLING CODE 4154–01–P 2016
priority as absolute, competitive Award Type: Cooperative Agreement
preference, or invitational through a
notice in the Federal Register. The DEPARTMENT OF HEALTH AND Statutory Authority: The statutory
HUMAN SERVICES authority for grants under this funding
effect of each type of priority follows: opportunity is contained in Title IV of the
Absolute priority: Under an absolute Older Americans Act (OAA) (42U.S.C. 3032),
Administration for Community Living
priority, we consider only applications as amended by the Older Americans Act
that meet the priority (34 CFR Notice of Intent To Award a Single Amendments of 2006, P.L. 109–365. Title II
75.105(c)(3)). Section 202b of the OAA (Pub. L. 109–365)
Source Non-competing Continuation specifically authorizes the Assistant
Competitive preference priority: Cooperative Agreement for Eight Grant Secretary for Aging to work with the
Under a competitive preference priority, Projects Under the ‘‘Part A: The Administrator of the Centers for Medicare &
we give competitive preference to an Enhanced ADRC Options Counseling Medicaid Services to: ‘‘implement in all
application by (1) awarding additional Program’’ Funded in 2012 states Aging and Disability Resource
points, depending on the extent to Centers.’’
which the application meets the priority AGENCY: Administration for Community
Catalog of Federal Domestic Assistance
(45 CFR part 75); or (2) selecting an Living, Department of Health and
(CFDA) Number: 93.048 Discretionary
application that meets the priority over Human Services. Projects
an application of comparable merit that ACTION: Notice.
does not meet the priority (45 CFR part I. Program Description
75). SUMMARY: In 2012, ACL, in partnership
with the Centers for Medicare & ACL, in partnership with the Centers
Invitational priority: Under an for Medicare & Medicaid Services (CMS)
invitational priority, we are particularly Medicaid Services (CMS) and the
Veterans Health Administration (VHA), and the Veterans Health Administration
interested in applications that meet the (VHA) have supported state efforts to
priority. However, we do not give an issued a special funding opportunity
known as the ‘‘Part A: The Enhanced create ‘‘one-stop-shop’’ access programs
application that meets the priority a for people seeking long term services
preference over other applications (45 ADRC Options Counseling Program’’
(Part A). The Part A grants were and supports (LTSS) through a No
CFR part 75). Wrong Door (NWD) System. A NWD
awarded to eight states (CT, MA, MD,
This notice does not preclude us from System makes it easy for people of all
NH, OR, VT, WI and WA) to develop a
proposing additional priorities, ages, disabilities and income levels to
NWD System in their state so the federal
requirements, definitions, or selection learn about and access the services and
partners could leverage the experience
criteria, subject to meeting applicable supports they need. A NWD System also
and models emerging in these states to
rulemaking requirements. provides states with a vehicle for better
serve as the basis for the development
Note: This notice does not solicit of national standards. The one year coordinating and integrating existing
applications. In any year in which we choose extension will enable the 8 Part A state multiple access functions associated
to use this priority, we invite applications with their various state administered
grantees to continue their work with
through a notice in the Federal Register. programs that pay for LTSS.
ACL, CMS and VHA specifically to
further refine the tools, metrics and key Justification: In order to achieve
Executive Orders 12866 and 13563 original goals of the funding
elements of a NWD System and pilot the
Electronic Access to This Document: Person Centered Counseling training opportunity, ACL with its federal
The official version of this document is program. partners will utilize this additional time
the document published in the Federal and funds to continue to work with the
DATES: Estimated Project Period— Part A grantees using a learning
Register. Free Internet access to the
September 30, 2015 through September collaborative approach to pilot the
official edition of the Federal Register
30, 2016. Person Centered Counseling training
and the Code of Federal Regulations is
available via the Federal Digital System SUPPLEMENTARY INFORMATION: program and further refine the key
at: www.gpo.gov/fdsys. At this site you Program Name: No Wrong Door elements for the NWD System, along
can view this document, as well as all System/Aging and Disability Resource with a set of tools, metrics, and best
other documents of ACL published in Centers practices, all states could use to develop
the Federal Register, in text or Adobe Award Amount: a single ‘‘high performing’’ NWD system
Portable Document Format (PDF). To • $135,000 to Connecticut Department of Access to LTSS that would effectively
use PDF you must have Adobe Acrobat of Social Services serve all populations.
Reader, which is available free at the • $135,000 to Maryland Department of FOR FURTHER INFORMATION CONTACT: For
site. Aging further information or comments
You may also access documents of the • $135,000 to Massachusetts Executive regarding this action, contact Lori
tkelley on DSK3SPTVN1PROD with NOTICES
Department published in the Federal Office of Elder Affairs Gerhard, U.S. Department of Health and
Register by using the article search • $135,000 to New Hampshire Human Services, Administration for
feature at: www.federalregister.gov. Department of Health & Human Community Living, Center for
Specifically, through the advanced Services Consumer Access and Self-
search feature at this site, you can limit • $135,000 to State of Oregon Determination, Office of Integrated
your search to documents published by • $135,000 to Vermont Agency of Programs, One Massachusetts Avenue,
the Department. Human Services NW. Washington, DC 20001; telephone
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Document Created: 2018-10-24 10:25:54
Document Modified: 2018-10-24 10:25:54
| 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 | Final priority. | |
| Dates | Effective Date: This priority is effective June 22, 2015. | |
| Contact | Marlene Spencer, U.S. Department of Health and Human Services, 400 Maryland Avenue SW., Room 5133, Potomac Center Plaza (PCP), Washington, DC 20202-2700. Telephone: (202) 245- 7532 or by email: [email protected] | |
| FR Citation | 80 FR 29323 |
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