81 FR 12917 - Agency Information Collection Activities: Proposed Collection; Comment Request

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

Federal Register Volume 81, Issue 48 (March 11, 2016)

[Federal Register Volume 81, Number 48 (Friday, March 11, 2016)]
[Notices]
[Pages 12917-12918]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-05474]


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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 on (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.

Proposed Project: Primary and Behavioral Health Care Integration 
Evaluation--NEW

    The Substance Abuse and Mental Health Services Administration's 
(SAMHSA) Center for Behavioral Health Statistics and Quality (CBHSQ) is 
requesting approval from the Office of Management and Budget (OMB) for 
new data collection activities associated with their Primary and 
Behavioral Health Care Integration (PBHCI) program.
    This information collection is needed to provide SAMHSA with 
objective information to document the reach and impact of the PBHCI 
program. The information will be used to monitor quality assurance and 
quality performance outcomes for organizations funded by this grant 
program. The information will also be used to assess the impact of 
services on behavioral health and physical health services for 
individuals served by this program.
    Collection of the information included in this request is 
authorized by Section 505 of the Public Health Service Act (42 U.S.C. 
290aa-4)--Data Collection.
    SAMHSA launched the PBHCI program in FY 2009 with the understanding 
that adults with serious mental illness (SMI) experience heightened 
rates of morbidity and mortality, in large part due to elevated 
incidence and prevalence of risk factors such as obesity, diabetes, 
hypertension, and dyslipidemia. These risk factors are influenced by a 
variety of factors, including inadequate physical activity and poor 
nutrition; smoking; side effects from atypical antipsychotic 
medications; and lack of access to health care services. Many of these 
health conditions are preventable through routine health promotion 
activities, primary care screening, monitoring, treatment and care 
management/coordination strategies and/or other outreach programs.
    The purpose of the PBHCI grant program is to establish projects for 
the provision of coordinated and integrated services through the co-
location of primary and specialty care medical services in community-
based behavioral health settings. The program's goal is to improve the 
physical health status of adults with serious mental illnesses (and 
those with co-occurring substance use disorders) who have or are at 
risk for co-occurring primary care conditions and chronic diseases.
    As the largest federal effort to implement integrated behavioral 
and physical health care in community behavioral health settings, 
SAMHSA's PBHCI program offers an unprecedented opportunity to identify 
which approaches to integration improve outcomes, how outcomes are 
shaped by the characteristics of the treatment setting and community, 
and which models have the greatest potential for sustainability and 
replication. SAMHSA awarded the first cohort of 13 PBHCI grants in 
fiscal year (FY) 2009, and between FY 2009 and FY 2014, SAMHSA funded a 
total of seven cohorts comprising 127 grants. An eighth cohort, funded 
in fall 2015, included 60 new grants.
    The data collection described in this request will build upon the 
first PBHCI evaluation and provide essential data on the implementation 
of integrated primary and behavioral health care, along with rigorous 
estimates of its effects on health.
    The Center for Behavioral Health Statistics and Quality is 
requesting clearance for ten data collection instruments and forms 
related to the implementation and impact studies to be conducted as 
part of the evaluation:

1. PBHCI grantee director survey
2. PBHCI frontline staff survey
3. Telephone interview protocol
4. On-site staff interview protocol
5. Client focus group guide
6. Data extraction tool for grantee registry/electronic health records 
(EHRs)
7. Initial client letter for physical exam and health assessment
8. Consent form for client physical exam and health assessment
9. Consent form for client focus group
10. Client physical exam and health assessment questionnaire

    The table below reflects the annualized hourly burden.

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                                    Number of     Responses per        Total         Hours per      Total hour
      Respondents/activity         respondents      respondent       responses       response         burden
----------------------------------------------------------------------------------------------------------------
Web surveys:
    Grantee director...........              78                2         \b\ 149             0.5          \b\ 75
    Grantee frontline staff                 782                2       \c\ 1,494             0.5         \c\ 747
     survey....................
Phone interviews:
    Grantee director...........              60                1              60             1.0              60
    Grantee director--site                   10                2              20             2.0              40
     interview.................
    Grantee mental health                    40                2              80             1.0              80
     providers--site interview.
    Grantee primary care                     40                2              80             1.5             120
     providers--site interview.
    Grantee care coordinators--              20                2              40             1.5              60
     site interview............

[[Page 12918]]

 
Focus groups:
    Focus group participants...             120                2             240             1.0             240
    Extraction of grantee                    92               11           1,012             8.0           8,096
     registry/EHR data.........
    SMI clients--baseline                 2,500                1           2,500             1.0           2,500
     physical exam and health
     assessment................
SMI clients--follow-up physical           1,750                1           1,750             1.0           1,750
 exam and health assessment....
    Comparison group clinic                  10                1              10             8.0              80
     director--coordination \d\
                                --------------------------------------------------------------------------------
        Total..................       \e\ 3,752  ...............           7,435  ..............          13,848
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\a\ Hourly wage estimates are based on salary information provided in 10 PBHCI grant proposals representing
  mostly urban locations across the country and represent an average across responders of each type.
\b\ Cohort VI funding ends before the administration of the second survey. Total number of responses excludes
  the Cohort VI directors, who will not receive the second survey.
\c\ Cohort VI funding ends before the administration of the second survey. Total number of responses excludes
  the Cohort VI frontline staff, who will not receive the second survey.
\d\ Includes logistical coordination between the evaluation and site staff to conduct the physical exam and
  health assessment as well as oversight of client recruitment.
\e\ Excludes physical exam and health assessment follow-up respondents.

    Send comments to Summer King, SAMHSA Reports Clearance Officer, 
5600 Fishers Lane, Room 15E57-B, Rockville, Maryland, 20857. OR email 
her a copy at [email protected]. Written comments should be 
received by May 10, 2016.

Summer King,
Statistician.
[FR Doc. 2016-05474 Filed 3-10-16; 8:45 am]
 BILLING CODE 4162-20-P