80_FR_53691 80 FR 53519 - Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request

80 FR 53519 - Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration

Federal Register Volume 80, Issue 172 (September 4, 2015)

Page Range53519-53520
FR Document2015-22058

In compliance with Section 3507(a)(1)(D) of the Paperwork Reduction Act of 1995, the Health Resources and Services Administration (HRSA) has submitted an Information Collection Request (ICR) to the Office of Management and Budget (OMB) for review and approval. Comments submitted during the first public review of this ICR will be provided to OMB. OMB will accept further comments from the public during the review and approval period.

Federal Register, Volume 80 Issue 172 (Friday, September 4, 2015)
[Federal Register Volume 80, Number 172 (Friday, September 4, 2015)]
[Notices]
[Pages 53519-53520]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-22058]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Submission to OMB for 
Review and Approval; Public Comment Request

AGENCY: Health Resources and Services Administration, HHS.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: In compliance with Section 3507(a)(1)(D) of the Paperwork 
Reduction Act of 1995, the Health Resources and Services Administration 
(HRSA) has submitted an Information Collection Request (ICR) to the 
Office of Management and Budget (OMB) for review and approval. Comments 
submitted during the first public review of this ICR will be provided 
to OMB. OMB will accept further comments from the public during the 
review and approval period.

DATES: Comments on this ICR should be received no later than October 5, 
2015.

ADDRESSES: Submit your comments, including the Information Collection 
Request Title, to the desk officer for HRSA, either by email to 
[email protected] or by fax to 202-395-5806.

FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance 
requests submitted to OMB for review, email the HRSA Information 
Collection Clearance Officer at [email protected] or call (301) 443-
1984.

SUPPLEMENTARY INFORMATION:

Information Collection Request Title: Providing Primary Care and 
Preventive Medical Services in Ryan White-Funded Medical Care Settings, 
OMB No. 0915-xxxx--New

    Abstract: Since 1990, the Ryan White HIV/AIDS Program (Ryan White 
Program) has funded the provision of HIV care to eligible persons 
living with HIV (PLWH). With the advent of effective antiretroviral 
treatment, PLWH are living longer and normal lives. With this shift, 
PLWH are beginning to experience typical health issues that come with 
aging. Ryan White Program-funded clinics are seeing their patients 
develop other common preventable chronic diseases such as diabetes, 
heart disease, and hypertension. In addition, clinicians need to 
address non-primary care issues such mental health and substance abuse 
issues that are prevalent to PLWH and interferes with managing and 
treating HIV and other conditions. By shifting HIV care into a broader 
system of primary care, including preventative care, clinics can offer 
a more holistic approach to further improving the lives of PLWH.
    However, with limited resources, these Ryan White-funded clinics 
may struggle to provide primary and preventative care services in-house 
or have insufficient referral systems. 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 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 preventive services; and coordination of care. Data 
collected from this survey will provide the HIV/AIDS Bureau with 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, (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. Lastly, the interviews with the medical director 
will allow the study team to follow-up on the results of the survey and 
data extraction and collect qualitative data and more in-depth details 
on the provision of primary and preventative

[[Page 53520]]

care services, specifically any facilitators and barriers. These data 
will provide the HIV/AIDS Bureau with 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 HIV/AIDS 
Program.
    Burden Statement: Burden in this context means the time expended 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 ICR are summarized in the table below.
    Total Estimated Annualized Burden--Hours

----------------------------------------------------------------------------------------------------------------
                                                     Number of                    Average burden   Total burden
            Form name                Number of     responses per       Total       per response    hours for all
                                     responses      respondents      responses      (in hours)       responses
----------------------------------------------------------------------------------------------------------------
Clinic Director Online Survey...             130               1             130             0.5              65
Clinician Online Survey.........              90               1              90             0.5              45
Data Extraction.................              30               1              30             4.0             120
Medical Director Interview Guide              30               1              30             0.5              15
                                 -------------------------------------------------------------------------------
    Total.......................             280  ..............             280  ..............             245
----------------------------------------------------------------------------------------------------------------


Jackie Painter,
Director, Division of the Executive Secretariat.
[FR Doc. 2015-22058 Filed 9-3-15; 8:45 am]
 BILLING CODE 4165-15-P



                                                                              Federal Register / Vol. 80, No. 172 / Friday, September 4, 2015 / Notices                                             53519

                                                  is authorized by subsection 511(g)(1) of                DEPARTMENT OF HEALTH AND                              broader system of primary care,
                                                  Title V of the Social Security Act (42                  HUMAN SERVICES                                        including preventative care, clinics can
                                                  U.S.C. 711(g)(1)) as added by section                                                                         offer a more holistic approach to further
                                                  2951 of the Patient Protection and                      Health Resources and Services                         improving the lives of PLWH.
                                                  Affordable Care Act of 2010 (Pub. L.                    Administration                                           However, with limited resources,
                                                  111–148) (Affordable Care Act) and                                                                            these Ryan White-funded clinics may
                                                                                                          Agency Information Collection                         struggle to provide primary and
                                                  amended by Public Law 114–10                            Activities: Submission to OMB for
                                                  (Medicare Access and CHIP                                                                                     preventative care services in-house or
                                                                                                          Review and Approval; Public Comment                   have insufficient referral systems. This
                                                  Reauthorization Act of 2015), Section                   Request                                               study will examine how Ryan White-
                                                  218.
                                                                                                          AGENCY: Health Resources and Services                 funded clinics are integrating the
                                                     The purpose of the Committee is to                                                                         provision of primary and preventative
                                                                                                          Administration, HHS.
                                                  review, and make recommendations on,                                                                          care services to the overall HIV care
                                                                                                          ACTION: Notice.
                                                  the design and plan for the evaluation                                                                        model. Specifically, it will look at the
                                                  required under paragraph 511(g)(2);                     SUMMARY:   In compliance with Section                 protocols and strategies used by clinics
                                                  maintain and advise the Secretary                       3507(a)(1)(D) of the Paperwork                        to manage care for PLWH, specifically
                                                  regarding the progress of the evaluation;               Reduction Act of 1995, the Health                     care coordination, referral systems, and
                                                  and comment, if the Committee so                        Resources and Services Administration                 patient-centered strategies to keep
                                                  desires, on the report submitted to                     (HRSA) has submitted an Information                   PLWH in care.
                                                  Congress under subsection 511(g)(3).                    Collection Request (ICR) to the Office of                Need and Proposed Use of the
                                                                                                          Management and Budget (OMB) for                       Information: The proposed study will
                                                     The Department of Health and Human                                                                         provide the HRSA HIV/AIDS Bureau
                                                  Services has contracted with MDRC                       review and approval. Comments
                                                                                                          submitted during the first public review              and policymakers with a better
                                                  (formerly known as Manpower                                                                                   understanding of how the Ryan White
                                                                                                          of this ICR will be provided to OMB.
                                                  Demonstration Research Corporation), a                                                                        Program currently provides primary and
                                                                                                          OMB will accept further comments from
                                                  nonprofit, nonpartisan education and                    the public during the review and                      preventative care to PLWH. The first
                                                  social policy research organization, to                 approval period.                                      online survey will be targeted to clinic
                                                  conduct the evaluation of the MIECHV                                                                          directors from a sample of about 160
                                                                                                          DATES: Comments on this ICR should be
                                                  program.                                                                                                      Ryan White-funded clinics and will
                                                                                                          received no later than October 5, 2015.
                                                     As specified in the legislation, the                                                                       collect data on care models used;
                                                                                                          ADDRESSES: Submit your comments,
                                                  evaluation provided a state-by-state                                                                          primary care services, including
                                                                                                          including the Information Collection                  preventive services; and coordination of
                                                  analysis of the needs assessments and                   Request Title, to the desk officer for                care. Data collected from this survey
                                                  the States’ actions in response to the                  HRSA, either by email to OIRA_                        will provide the HIV/AIDS Bureau with
                                                  assessments. Additionally, as specified                 submission@omb.eop.gov or by fax to                   a general overview of the various HIV
                                                  in the legislation, the evaluation will                 202–395–5806.                                         care models used as well as insight to
                                                  provide an assessment of: (a) The effect                FOR FURTHER INFORMATION CONTACT: To                   possible facilitators and barriers to
                                                  of early childhood home visiting                        request a copy of the clearance requests              providing primary and preventative care
                                                  programs on outcomes for parents,                       submitted to OMB for review, email the                services. More in-depth data collection
                                                  children, and communities with respect                  HRSA Information Collection Clearance                 will be conducted with a smaller
                                                  to domains specified in the authorizing                 Officer at paperwork@hrsa.gov or call                 number of 30 clinics representing clinic
                                                  legislation (such as maternal and child                 (301) 443–1984.                                       type (publicly funded community
                                                  health status, school readiness, and                    SUPPLEMENTARY INFORMATION:                            health organization, other community-
                                                  domestic violence, among others); (b)                                                                         based organization, health department,
                                                                                                          Information Collection Request Title:
                                                  the effectiveness of such programs on                                                                         and hospital or university-based) and
                                                                                                          Providing Primary Care and Preventive
                                                  different populations, including the                                                                          size. There will be three data collection
                                                                                                          Medical Services in Ryan White-
                                                  extent to which the ability to improve                                                                        instruments used: (1) an online survey
                                                                                                          Funded Medical Care Settings, OMB
                                                  participant outcomes varies across                                                                            completed by three clinicians at each of
                                                                                                          No. 0915–xxxx—New
                                                  programs and populations; and (c) the                                                                         the clinics, (2) a data extraction of select
                                                                                                             Abstract: Since 1990, the Ryan White               primary and preventative care services,
                                                  potential for the activities conducted
                                                                                                          HIV/AIDS Program (Ryan White                          and (3) a telephone interview with the
                                                  under such programs, if scaled broadly,
                                                                                                          Program) has funded the provision of                  medical director. The clinician survey
                                                  to enhance health care practices,                       HIV care to eligible persons living with              will provide a more in-depth look at the
                                                  eliminate health disparities, improve                   HIV (PLWH). With the advent of                        clinic protocols and strategies and how
                                                  health care system quality, and reduce                  effective antiretroviral treatment, PLWH              they are being used and implemented by
                                                  costs.                                                  are living longer and normal lives. With              the clinicians. The data extraction will
                                                  Naomi Goldstein,                                        this shift, PLWH are beginning to                     provide quantitative information on the
                                                  Director, Office of Planning, Research, and
                                                                                                          experience typical health issues that                 provision of select primary and
                                                  Evaluation, ACF.                                        come with aging. Ryan White Program-                  preventative care services within a
                                                                                                          funded clinics are seeing their patients              certain time period. With these data, the
                                                  Michael Lu,
                                                                                                          develop other common preventable                      study team can assess the accuracy of
                                                  Associate Administrator, Maternal and Child
mstockstill on DSK4VPTVN1PROD with NOTICES




                                                                                                          chronic diseases such as diabetes, heart              information provided in the online
                                                  Health Bureau, HRSA.                                    disease, and hypertension. In addition,               surveys on the provision of care. Lastly,
                                                  [FR Doc. 2015–21332 Filed 9–3–15; 8:45 am]              clinicians need to address non-primary                the interviews with the medical director
                                                  BILLING CODE 4184–74–P                                  care issues such mental health and                    will allow the study team to follow-up
                                                                                                          substance abuse issues that are                       on the results of the survey and data
                                                                                                          prevalent to PLWH and interferes with                 extraction and collect qualitative data
                                                                                                          managing and treating HIV and other                   and more in-depth details on the
                                                                                                          conditions. By shifting HIV care into a               provision of primary and preventative


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                                                  53520                                  Federal Register / Vol. 80, No. 172 / Friday, September 4, 2015 / Notices

                                                  care services, specifically any                                              Burden Statement: Burden in this                              and providing information; to train
                                                  facilitators and barriers. These data will                                 context means the time expended by                              personnel and to be able to respond to
                                                  provide the HIV/AIDS Bureau with the                                       persons to generate, maintain, retain,                          a collection of information; to search
                                                  background to make informed policies                                       disclose or provide the information                             data sources; to complete and review
                                                  and changes to the Ryan White Program                                      requested. This includes the time                               the collection of information; and to
                                                  in this new era when the well-being of                                     needed to review instructions; to                               transmit or otherwise disclose the
                                                  PLWH demands a more complex and                                            develop, acquire, install, and utilize                          information. The total annual burden
                                                  long-term HIV care model.                                                  technology and systems for the purpose                          hours estimated for this ICR are
                                                                                                                             of collecting, validating and verifying                         summarized in the table below.
                                                    Likely Respondents: Clinics funded by                                    information, processing and                                        Total Estimated Annualized Burden—
                                                  the Ryan White HIV/AIDS Program.                                           maintaining information, and disclosing                         Hours

                                                                                                                                                                                                                  Average
                                                                                                                                                                    Number of                                                           Total burden
                                                                                                                                                Number of                                       Total           burden per
                                                                                     Form name                                                                    responses per                                                         hours for all
                                                                                                                                                responses                                    responses           response
                                                                                                                                                                   respondents                                                           responses
                                                                                                                                                                                                                 (in hours)

                                                  Clinic Director Online Survey ...............................................                             130                         1            130                       0.5                 65
                                                  Clinician Online Survey ........................................................                           90                         1             90                       0.5                 45
                                                  Data Extraction ....................................................................                       30                         1             30                       4.0                120
                                                  Medical Director Interview Guide .........................................                                 30                         1             30                       0.5                 15

                                                        Total ..............................................................................                280   ........................           280     ........................             245



                                                  Jackie Painter,                                                               All Atomic Weapons Employees who                             by section 1890(b)(5) of the Social
                                                  Director, Division of the Executive Secretariat.                           worked at the facility owned by                                 Security Act, which was created by
                                                                                                                             Westinghouse Electric Corp., in Bloomfield,                     section 183 of the Medicare
                                                  [FR Doc. 2015–22058 Filed 9–3–15; 8:45 am]
                                                                                                                             New Jersey, during the period from February
                                                  BILLING CODE 4165–15–P                                                                                                                     Improvements for Patients and
                                                                                                                             1, 1958, through May 31, 1958, or during the
                                                                                                                             period from June 1, 1959, through June 30,                      Providers Act of 2008 (MIPPA) and
                                                                                                                             1959, for a number of work days aggregating                     amended by section 3014 of the Patient
                                                  DEPARTMENT OF HEALTH AND                                                   at least 250 work days, occurring either                        Protection and Affordable Care Act of
                                                  HUMAN SERVICES                                                             solely under this employment, or in                             2010. The statute requires the Secretary
                                                                                                                             combination with work days within the                           to review and publish the report in the
                                                  Final Effect of Designation of a Class                                     parameters established for one or more other                    Federal Register together with any
                                                  of Employees for Addition to the                                           classes of employees included in the Special                    comments of the Secretary on the report
                                                  Special Exposure Cohort                                                    Exposure Cohort.                                                not later than six months after receiving
                                                                                                                               This designation became effective on                          the report. This notice fulfills those
                                                  AGENCY: National Institute for
                                                                                                                             August 27, 2015. Therefore, beginning                           requirements.
                                                  Occupational Safety and Health
                                                                                                                             on August 27, 2015, members of this                             FOR FURTHER INFORMATION CONTACT:
                                                  (NIOSH), Centers for Disease Control
                                                                                                                             class of employees, defined as reported                         Corette Byrd, (410) 786–1158.
                                                  and Prevention, Department of Health
                                                                                                                             in this notice, became members of the                             The order in which information is
                                                  and Human Services (HHS).
                                                                                                                             SEC.                                                            presented in this notice is as follows:
                                                  ACTION: Notice.
                                                                                                                             John Howard,                                                    I. Background
                                                  SUMMARY:   HHS gives notice concerning                                     Director, National Institute for Occupational                   II. The 2015 Annual Report to Congress and
                                                  the final effect of the HHS decision to                                    Safety and Health.                                                    the Secretary: ‘‘National Quality Forum
                                                  designate a class of employees from the                                                                                                          Report of 2014 Activities to Congress and
                                                                                                                             [FR Doc. 2015–22042 Filed 9–3–15; 8:45 am]
                                                  Westinghouse Electric Corp. in                                                                                                                   the Secretary of the Department of
                                                                                                                             BILLING CODE 4163–19P                                                 Health and Human Services’’
                                                  Bloomfield, New Jersey, as an addition                                                                                                     III. Secretarial Comments on the 2015 Annual
                                                  to the Special Exposure Cohort (SEC)                                                                                                             Report to Congress and the Secretary
                                                  under the Energy Employees                                                 DEPARTMENT OF HEALTH AND                                        IV. Future Steps
                                                  Occupational Illness Compensation                                          HUMAN SERVICES                                                  V. Collection of Information Requirements
                                                  Program Act of 2000.
                                                  FOR FURTHER INFORMATION CONTACT:                                           Secretarial Review and Publication of                           I. Background
                                                  Stuart L. Hinnefeld, Director, Division                                    the Annual Report to Congress and the                              In recent years we have seen
                                                  of Compensation Analysis and Support,                                      Secretary Submitted by the                                      significant improvements in many
                                                  NIOSH, 1090 Tusculum Avenue, MS                                            Consensus-Based Entity Regarding                                important dimensions of the quality of
                                                  C–46, Cincinnati, OH 45226–1938,                                           Performance Measurement                                         the nation’s health care. The 2014
                                                  Telephone 877–222–7570. Information                                        AGENCY: Office of the Secretary of                              National Quality and Disparities Report,
                                                  requests can also be submitted by email                                    Health and Human Services, HHS.                                 published in April 2015 by the Agency
                                                  to DCAS@CDC.GOV.                                                           ACTION: Notice.                                                 for Healthcare Research and Quality and
mstockstill on DSK4VPTVN1PROD with NOTICES




                                                  SUPPLEMENTARY INFORMATION:                                                                                                                 available at http://www.ahrq.gov/
                                                    Authority: 42 U.S.C. 7384q(b). 42                                        SUMMARY:   This notice acknowledges the                         research/findings/nhqrdr/nhqdr14/
                                                  U.S.C. 7384l(14)(C).                                                       Secretary of the Department of Health                           index.html, shows, for example,
                                                    On July 28, 2015, as provided for                                        and Human Services’ (HHS) receipt and                           significant improvement in the quality
                                                  under 42 U.S.C. 7384l(14)(C), the                                          review of the 2015 Annual Report to                             of hospital care in 2013, with an
                                                  Secretary of HHS designated the                                            Congress and the Secretary submitted by                         estimated 1.3 million fewer harmful
                                                  following class of employees as an                                         the consensus-based entity (CBE) in                             conditions acquired by patients while in
                                                  addition to the SEC:                                                       contract with the Secretary as mandated                         the hospital and 50,000 fewer deaths


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Document Created: 2015-12-15 09:58:36
Document Modified: 2015-12-15 09:58:36
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesComments on this ICR should be received no later than October 5, 2015.
ContactTo request a copy of the clearance requests submitted to OMB for review, email the HRSA Information Collection Clearance Officer at [email protected] or call (301) 443- 1984.
FR Citation80 FR 53519 

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