80_FR_69449 80 FR 69233 - Agency Information Collection Activities: Proposed Collection; Comment Request

80 FR 69233 - Agency Information Collection Activities: Proposed Collection; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration

Federal Register Volume 80, Issue 216 (November 9, 2015)

Page Range69233-69234
FR Document2015-28415

Federal Register, Volume 80 Issue 216 (Monday, November 9, 2015)
[Federal Register Volume 80, Number 216 (Monday, November 9, 2015)]
[Notices]
[Pages 69233-69234]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-28415]



[[Page 69233]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Substance Abuse and Mental Health Services Administration


Agency Information Collection Activities: Proposed Collection; 
Comment Request

    In compliance with section 3506(c)(2)(A) of the Paperwork Reduction 
Act of 1995 concerning opportunity for public comment on proposed 
collections of information, the Substance Abuse and Mental Health 
Services Administration (SAMHSA) will publish periodic summaries of 
proposed projects. To request more information on the proposed projects 
or to obtain a copy of the information collection plans, call the 
SAMHSA Reports Clearance Officer at (240) 276-1243.
    Comments are invited on (a) whether the proposed collections of 
information are necessary for the proper performance of the functions 
of the agency, including whether the information shall have practical 
utility; (b) the accuracy of the agency's estimate of the burden of the 
proposed collection of information; (c) ways to enhance the quality, 
utility, and clarity of the information to be collected; and (d) ways 
to minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques or other 
forms of information technology (IT).

Proposed Project: Screening, Brief Intervention, and Referral to 
Treatment (SBIRT) Cross-Site Evaluation--New

    SAMHSA is conducting a cross-site external evaluation of the impact 
of programs of screening, brief intervention (BI), brief treatment 
(BT), and referral to treatment (RT) on patients presenting at various 
health care delivery units with a continuum of severity of substance 
use. SAMHSA's SBIRT program is a cooperative agreement grant program 
designed to help states and Tribal Councils expand the continuum of 
care available for substance misuse and use disorders. The program 
includes screening, BI, BT, and RT for persons at risk for dependence 
on alcohol or drugs. This evaluation will provide a comprehensive 
assessment of SBIRT implementation; the effects of SBIRT on patient 
outcomes, performance site practices, and treatment systems; and the 
sustainability of the program. This information will allow SAMHSA to 
determine the extent to which SBIRT has met its objectives of 
implementing a comprehensive system of identification and care to meet 
the needs of individuals at all points along the substance use 
continuum.
    To evaluate the success of SBIRT implementation at the site level, 
a web-based survey will be administered to staff in sites where SBIRT 
services are being delivered--referred to as performance sites. The 
Performance Site Survey will be distributed to individuals who directly 
provide SBIRT services and staff who interact regularly with SBIRT 
providers and patients receiving SBIRT services. The types of staff 
surveyed will include intake staff, medical providers, behavioral 
health providers, social workers, and managerial and administrative 
staff who oversee these staff. Since cross-site evaluation team members 
will be traveling to selected SBIRT providers and coordinating with 
state and site administrators on a yearly basis, there is an 
opportunity to complete a near-census of all SBIRT-related staff at 
performance sites with a minimal level of burden.
    The 78 question web survey includes the collection of basic 
demographic information, questions about the organization's readiness 
to implement SBIRT, and questions about the use of health information 
technology (HIT) to deliver SBIRT services. The demographic questions 
were tailored from a previous cross-site evaluation survey to fit the 
current set of cross-site grantees. The organizational readiness 
questions were developed through a review of the extant implementation 
science research literature (e.g., Chaudoir, Dugan, & Barr, 2013; 
Damschroder et al., 2009; Garner, 2009; Greenhalgh, MacFarlane, & 
Kyriakidou, 2004; Weiner, 2009; Weiner, Belden, Bergmire, & Johnston, 
2011). Based on this review, the Organizational Readiness for 
Implementation Change (ORIC) (Shea, Jacobs, Esserman, Bruce, & Weiner, 
2014) and the Implementation Climate Scale (ICS) (Jacobs, Weiner, & 
Bunger, 2014) were identified as the two most appropriate instruments. 
In addition to questions from these two instruments, the survey 
includes questions to assess satisfaction, capacity, and infrastructure 
to implement SBIRT screening, BI, and BT.
    To identify relevant HIT measures, the cross-site evaluation team 
modified measures from socio-technical frameworks (Kling, 1980), 
including the DeLone and McClean framework (DeLone & McLean, 2004), the 
Public Health Informatics Institute Framework (PHII, 2005), and the 
Human Organization and Technology (Hot)-FIT Framework (Yusof, 2008). 
Across these three frameworks, the survey captures measures of system 
availability, information availability, organizational structure and 
environment, utilization, and user satisfaction.

                               Total Burden Hours for the Performance Site Survey
----------------------------------------------------------------------------------------------------------------
                                     Number of       Number of
           Respondent               respondents     responses/     Total number      Hours per     Annual burden
                                        (a)         respondent     of responses    response (b)        hours
----------------------------------------------------------------------------------------------------------------
Intake/front desk staff.........             215               1             215            0.22           47.30
Performance site administrators.             191               1             191            0.22           42.02
Clinical supervisors............             101               1             101            0.22           22.22
Medical providers...............             571               1             571            0.22          125.62
Behavioral health providers.....             211               1             211            0.22           46.42
Social workers..................             118               1             118            0.22           25.96
                                 -------------------------------------------------------------------------------
    Total.......................           1,407  ..............           1,407  ..............          309.54
----------------------------------------------------------------------------------------------------------------
(a) The maximum number of annual respondents has been based on an estimates from cross-site evaluation site
  visits.
(b) The average burden per response was estimated based on independent review of the instrument by contractor
  staff.

    Send comments to Summer King, SAMHSA Reports Clearance Officer, 
Room 2-1057, One Choke Cherry Road, Rockville, MD 20857 OR email a copy 
to [email protected].

[[Page 69234]]

Written comments should be received by January 8, 2016.

Summer King,
Statistician.
[FR Doc. 2015-28415 Filed 11-6-15; 8:45 am]
BILLING CODE 4162-20-P



                                                                                     Federal Register / Vol. 80, No. 216 / Monday, November 9, 2015 / Notices                                                                             69233

                                                DEPARTMENT OF HEALTH AND                                                   and referral to treatment (RT) on                                performance sites with a minimal level
                                                HUMAN SERVICES                                                             patients presenting at various health                            of burden.
                                                                                                                           care delivery units with a continuum of                             The 78 question web survey includes
                                                Substance Abuse and Mental Health                                          severity of substance use. SAMHSA’s                              the collection of basic demographic
                                                Services Administration                                                    SBIRT program is a cooperative                                   information, questions about the
                                                                                                                           agreement grant program designed to                              organization’s readiness to implement
                                                Agency Information Collection                                              help states and Tribal Councils expand                           SBIRT, and questions about the use of
                                                Activities: Proposed Collection;                                           the continuum of care available for                              health information technology (HIT) to
                                                Comment Request                                                                                                                             deliver SBIRT services. The
                                                                                                                           substance misuse and use disorders.
                                                   In compliance with section                                              The program includes screening, BI, BT,                          demographic questions were tailored
                                                3506(c)(2)(A) of the Paperwork                                             and RT for persons at risk for                                   from a previous cross-site evaluation
                                                Reduction Act of 1995 concerning                                           dependence on alcohol or drugs. This                             survey to fit the current set of cross-site
                                                opportunity for public comment on                                          evaluation will provide a                                        grantees. The organizational readiness
                                                proposed collections of information, the                                   comprehensive assessment of SBIRT                                questions were developed through a
                                                Substance Abuse and Mental Health                                          implementation; the effects of SBIRT on                          review of the extant implementation
                                                Services Administration (SAMHSA)                                           patient outcomes, performance site                               science research literature (e.g.,
                                                will publish periodic summaries of                                         practices, and treatment systems; and                            Chaudoir, Dugan, & Barr, 2013;
                                                proposed projects. To request more                                         the sustainability of the program. This                          Damschroder et al., 2009; Garner, 2009;
                                                information on the proposed projects or                                    information will allow SAMHSA to                                 Greenhalgh, MacFarlane, & Kyriakidou,
                                                to obtain a copy of the information                                        determine the extent to which SBIRT                              2004; Weiner, 2009; Weiner, Belden,
                                                collection plans, call the SAMHSA                                          has met its objectives of implementing                           Bergmire, & Johnston, 2011). Based on
                                                Reports Clearance Officer at (240) 276–                                    a comprehensive system of                                        this review, the Organizational
                                                1243.                                                                      identification and care to meet the                              Readiness for Implementation Change
                                                   Comments are invited on (a) whether                                     needs of individuals at all points along                         (ORIC) (Shea, Jacobs, Esserman, Bruce,
                                                the proposed collections of information                                                                                                     & Weiner, 2014) and the
                                                                                                                           the substance use continuum.
                                                are necessary for the proper                                                                                                                Implementation Climate Scale (ICS)
                                                performance of the functions of the                                           To evaluate the success of SBIRT                              (Jacobs, Weiner, & Bunger, 2014) were
                                                agency, including whether the                                              implementation at the site level, a web-                         identified as the two most appropriate
                                                information shall have practical utility;                                  based survey will be administered to                             instruments. In addition to questions
                                                (b) the accuracy of the agency’s estimate                                  staff in sites where SBIRT services are                          from these two instruments, the survey
                                                of the burden of the proposed collection                                   being delivered—referred to as                                   includes questions to assess satisfaction,
                                                of information; (c) ways to enhance the                                    performance sites. The Performance Site                          capacity, and infrastructure to
                                                quality, utility, and clarity of the                                       Survey will be distributed to                                    implement SBIRT screening, BI, and BT.
                                                information to be collected; and (d)                                       individuals who directly provide SBIRT                              To identify relevant HIT measures,
                                                ways to minimize the burden of the                                         services and staff who interact regularly                        the cross-site evaluation team modified
                                                collection of information on                                               with SBIRT providers and patients                                measures from socio-technical
                                                respondents, including through the use                                     receiving SBIRT services. The types of                           frameworks (Kling, 1980), including the
                                                of automated collection techniques or                                      staff surveyed will include intake staff,                        DeLone and McClean framework
                                                other forms of information technology                                      medical providers, behavioral health                             (DeLone & McLean, 2004), the Public
                                                (IT).                                                                      providers, social workers, and                                   Health Informatics Institute Framework
                                                                                                                           managerial and administrative staff who                          (PHII, 2005), and the Human
                                                Proposed Project: Screening, Brief                                         oversee these staff. Since cross-site                            Organization and Technology (Hot)-FIT
                                                Intervention, and Referral to Treatment                                    evaluation team members will be                                  Framework (Yusof, 2008). Across these
                                                (SBIRT) Cross-Site Evaluation—New                                          traveling to selected SBIRT providers                            three frameworks, the survey captures
                                                  SAMHSA is conducting a cross-site                                        and coordinating with state and site                             measures of system availability,
                                                external evaluation of the impact of                                       administrators on a yearly basis, there is                       information availability, organizational
                                                programs of screening, brief                                               an opportunity to complete a near-                               structure and environment, utilization,
                                                intervention (BI), brief treatment (BT),                                   census of all SBIRT-related staff at                             and user satisfaction.

                                                                                                      TOTAL BURDEN HOURS FOR THE PERFORMANCE SITE SURVEY
                                                                                                                                              Number of           Number of                                  Hours per
                                                                                                                                                                                           Total number                              Annual burden
                                                                                   Respondent                                                respondents        responses/re-                                response
                                                                                                                                                                                           of responses                                 hours
                                                                                                                                                 (a)              spondent                                      (b)

                                                Intake/front desk staff ..........................................................                        215                        1              215                   0.22               47.30
                                                Performance site administrators ..........................................                                191                        1              191                   0.22               42.02
                                                Clinical supervisors ..............................................................                       101                        1              101                   0.22               22.22
                                                Medical providers .................................................................                       571                        1              571                   0.22              125.62
                                                Behavioral health providers .................................................                             211                        1              211                   0.22               46.42
                                                Social workers ......................................................................                     118                        1              118                   0.22               25.96
srobinson on DSK5SPTVN1PROD with NOTICES




                                                      Total ..............................................................................           1,407      ........................          1,407   ........................          309.54
                                                   (a) The maximum number of annual respondents has been based on an estimates from cross-site evaluation site visits.
                                                   (b) The average burden per response was estimated based on independent review of the instrument by contractor staff.


                                                  Send comments to Summer King,                                            Room 2–1057, One Choke Cherry Road,                              to summer.king@samhsa.hhs.gov.
                                                SAMHSA Reports Clearance Officer,                                          Rockville, MD 20857 OR email a copy



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                                                69234                       Federal Register / Vol. 80, No. 216 / Monday, November 9, 2015 / Notices

                                                Written comments should be received                     grantees funded by the MAI and                        Outcome Measures (NOMs), and the
                                                by January 8, 2016.                                     included in this clearance request are:               Department of Health and Human
                                                                                                           • Minority Serving Institutions (MSI)              Services Core HIV Indicators.
                                                Summer King,
                                                                                                        in Partnerships with Community-Based                     The primary objectives of this data
                                                Statistician.                                           Organizations (CBO): 84 grantees                      collection effort are to:
                                                [FR Doc. 2015–28415 Filed 11–6–15; 8:45 am]             funded up to three years;                                • Ensure the correct implementation
                                                BILLING CODE 4162–20–P                                     • Capacity Building Initiative (CBI):              of the five steps of the SPF process by
                                                                                                        74 grantees funded up to five years.                  maintaining a continuous feedback loop
                                                                                                           MSI CBO grantees are Historically                  between grantees and their POs;
                                                DEPARTMENT OF HEALTH AND                                Black Colleges/Universities, Hispanic                    • Promptly respond to grantees’
                                                HUMAN SERVICES                                          Serving Institutions, American Pacific                needs for training and technical
                                                                                                        Islander Serving Institutions, or Tribal              assistance;
                                                Substance Abuse and Mental Health                       Colleges/Universities in partnership                     • Assess the fidelity with which the
                                                Services Administration                                 with community based organizations in                 SPF is implemented;
                                                                                                        their surrounding communities. MSI                       • Collect aggregate data on HIV
                                                Agency Information Collection
                                                                                                        CBO grantees are required to provide                  testing to fulfill SAMHSA’s reporting
                                                Activities: Proposed Collection;
                                                                                                        integrated substance abuse (SA),                      and accountability obligations as
                                                Comment Request
                                                                                                        Hepatitis C (HCV), and HIV prevention                 defined by the Government Performance
                                                  In compliance with Section                            services to young adults. The CBI                     and Results Modernization Act (GPRA
                                                3506(c)(2)(A) of the Paperwork                          grantees are community-level domestic,                Modernization Act) and HHS’s HIV Core
                                                Reduction Act of 1995 concerning                        public and private nonprofit entities,                Measures;
                                                opportunity for public comment on                       federally recognized American Indian/                    • Assess the success of the MAI in
                                                proposed collections of information, the                Alaska Native Tribes and tribal                       reducing risk factors and increasing
                                                Substance Abuse and Mental Health                       organizations, and urban Indian                       protective factors associated with the
                                                Services Administration (SAMHSA)                        organizations. CBI grantees will use                  transmission of the Human
                                                will publish periodic summaries of                      grant funds for building a solid                      Immunodeficiency Virus (HIV),
                                                proposed projects. To request more                      infrastructure for integrated SA, HIV,                Hepatitis C Virus (HCV) and other
                                                information on the proposed projects or                 and HCV prevention service provision                  sexually-transmitted diseases (STD);
                                                to obtain a copy of the information                     and implementing evidence-based                          • Measure the effectiveness of
                                                collection plans, call the SAMHSA                       prevention interventions using                        evidence-based programs and
                                                Reports Clearance Officer on (240) 276–                 SAMHSA’s Strategic Prevention                         infrastructure development activities
                                                1243.                                                   Framework (SPF) process. The target                   such as: outreach and training,
                                                  Comments are invited on: (a) Whether                  population for the CBI grantees will be               mobilization of key stakeholders,
                                                the proposed collections of information                 at-risk minority adolescents and young                substance abuse and HIV/AIDS
                                                are necessary for the proper                            adults. All MAI grantees are expected to              counseling and education, testing,
                                                performance of the functions of the                     provide leadership and coordination on                referrals to appropriate medical
                                                agency, including whether the                           the planning and implementation of the                treatment, and other intervention
                                                information shall have practical utility;               SPF and to target minority populations,               strategies (e.g., cultural enrichment
                                                (b) the accuracy of the agency’s estimate               as well as other high risk groups                     activities, educational and vocational
                                                of the burden of the proposed collection                residing in communities of color with                 resources, motivational interviewing &
                                                of information; (c) ways to enhance the                 high prevalence of SA and HIV/AIDS.                   brief interventions, social marketing,
                                                quality, utility, and clarity of the                       The MAI grantees are expected to                   and computer-based curricula);
                                                information to be collected; and (d)                    provide an effective prevention process,                 • Investigate intervention types and
                                                ways to minimize the burden of the                      direction, and a common set of goals,                 features that produce the best outcomes
                                                collection of information on                            expectations, and accountabilities to be              for specific population groups;
                                                respondents, including through the use                  adapted and integrated at the                            • Assess the extent to which access to
                                                of automated collection techniques or                   community level. Grantees have                        health care was enhanced for
                                                other forms of information technology.                  substantial flexibility in choosing their             population groups and individuals
                                                                                                        individual evidence-based programs,                   vulnerable to behavioral health
                                                Proposed Project: Quarterly Progress                    but must base this selection on and                   disparities residing in communities
                                                Reporting and Annual Indirect Services                  build it into the five steps of the SPF.              targeted by funded interventions;
                                                Outcome Data Collection for the                         These SPF steps consist of assessing                     These objectives support the four
                                                Minority Substance Abuse/HIV                            local needs, building service capacity                primary goals of the National HIV/AIDS
                                                Prevention Program (MAI)—NEW                            specific to SA and HIV prevention                     Strategy which are: (1) Reducing new
                                                   The Substance Abuse and Mental                       services, developing a strategic                      HIV infections, (2) increasing access to
                                                Health Services Administration                          prevention plan, implementing                         care and improving health outcomes for
                                                (SAMHSA), Center for Substance Abuse                    evidence-based interventions, and                     people living with HIV/AIDS, (3)
                                                Prevention (CSAP) is requesting                         evaluating their outcomes. Grantees are               reducing HIV-related disparities and
                                                approval from the Office of Management                  also required to provide HIV and HCV                  health inequities, and (4) achieving a
                                                and Budget (OMB) for the collection of                  testing and counseling services and                   coordinated national response to the
                                                quarterly progress information and                      referrals to appropriate treatment                    HIV epidemic.
                                                annual community-level outcome data                     options. Grantees must also conduct                      The Quarterly Progress Reporting
srobinson on DSK5SPTVN1PROD with NOTICES




                                                from CSAP’s Minority AIDS Initiative                    ongoing monitoring and evaluation of                  (QPR) Tool is a modular instrument
                                                (MAI) programs.                                         their projects to assess program                      structured around the SPF. Each section
                                                   This data collection effort supports                 effectiveness including Federal                       or module corresponds to a SPF step
                                                two of SAMHSA’s 6 Strategic Initiatives:                reporting of the Government                           with an additional section dedicated to
                                                Prevention of Substance Abuse and                       Performance and Results Act (GPRA) of                 cultural competence and efforts to
                                                Mental Illness and Health Care and                      1993, The GPRA Modernization Act of                   address behavioral health disparities,
                                                Health Systems Integration. The                         2010, SAMHSA/CSAP National                            which is an overarching principle of the


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Document Created: 2015-12-14 15:05:48
Document Modified: 2015-12-14 15:05:48
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
FR Citation80 FR 69233 

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