81 FR 29570 - Agency Information Collection Activities: Submission for OMB Review; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration Federal Register Volume 81, Issue 92 (May 12, 2016)
Substance Abuse and Mental Health Services Administration
Federal Register Volume 81, Issue 92 (May 12, 2016)
| Page Range | 29570-29571 | |
| FR Document | 2016-11184 |
[Federal Register Volume 81, Number 92 (Thursday, May 12, 2016)] [Notices] [Pages 29570-29571] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-11184] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Agency Information Collection Activities: Submission for OMB Review; Comment Request Periodically, the Substance Abuse and Mental Health Services Administration (SAMHSA) will publish a summary of information collection requests under OMB review, in compliance with the Paperwork Reduction Act (44 U.S.C. Chapter 35). To request a copy of these documents, call the SAMHSA Reports Clearance Officer on (240) 276-1243. 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. [[Page 29571]] 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. ---------------------------------------------------------------------------------------------------------------- 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 survey.. 782 2 \c\ 1,494 0.5 \c\ 747 ---------------------------------------------------------------------------------------------------------------- Phone interviews ---------------------------------------------------------------------------------------------------------------- Grantee director................ 60 1 60 1.0 60 Grantee director--site interview 10 2 20 2.0 40 Grantee mental health providers-- 40 2 80 1.0 80 site interview................. Grantee primary care providers-- 40 2 80 1.5 120 site interview................. Grantee care coordinators--site 20 2 40 1.5 60 interview...................... ---------------------------------------------------------------------------------------------------------------- Focus groups ---------------------------------------------------------------------------------------------------------------- Focus group participants........ 120 2 240 1.0 240 Extraction of grantee registry/ 92 11 1,012 8.0 8,096 EHR data....................... SMI clients--baseline physical 2,500 1 2,500 1.0 2,500 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 ---------------------------------------------------------------------------------------------------------------- \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. Written comments and recommendations concerning the proposed information collection should be sent by June 13, 2016 to the SAMHSA Desk Officer at the Office of Information and Regulatory Affairs, Office of Management and Budget (OMB). To ensure timely receipt of comments, and to avoid potential delays in OMB's receipt and processing of mail sent through the U.S. Postal Service, commenters are encouraged to submit their comments to OMB via email to: [email protected]. Although commenters are encouraged to send their comments via email, commenters may also fax their comments to: 202-395-7285. Commenters may also mail them to: Office of Management and Budget, Office of Information and Regulatory Affairs, New Executive Office Building, Room 10102, Washington, DC 20503. Summer King, Statistician. [FR Doc. 2016-11184 Filed 5-11-16; 8:45 am] BILLING CODE 4162-20-P
![29570 Federal Register / Vol. 81, No. 92 / Thursday, May 12, 2016 / Notices
year national objectives for improving nationally known experts in areas such DEPARTMENT OF HEALTH AND
the health of all Americans. Every 10 as biostatistics, business, epidemiology, HUMAN SERVICES
years, the Department issues a health communications, health
comprehensive set of national public economics, health information Substance Abuse and Mental Health
health objectives. To assist with this technology, health policy, health Services Administration
task for the development of Healthy sciences, health systems, international
People 2020, the Department utilized a Agency Information Collection
health, outcomes research, public health
scientific advisory committee, the Activities: Submission for OMB
law, social determinants of health, Review; Comment Request
Secretary’s Advisory Committee on special populations, and state and local
National Health Promotion and Disease Periodically, the Substance Abuse and
health public health and from a variety
Prevention Objectives for 2020. It was Mental Health Services Administration
of public, private, philanthropic, and
recommended that the same process be (SAMHSA) will publish a summary of
used to assist with development of academic settings.
information collection requests under
Healthy People 2030 because the Members will be appointed to the
OMB review, in compliance with the
Department must create a more focused Committee by the Secretary of HHS or
Paperwork Reduction Act (44 U.S.C.
set of ten-year national disease a designated representative and invited
Chapter 35). To request a copy of these
prevention and health promotion to serve for the duration of the documents, call the SAMHSA Reports
objectives that reflect the Nation’s needs Committee. All appointed members of Clearance Officer on (240) 276–1243.
and carries stakeholder support. The the Committee will be classified as
title for the new committee is the special government employees (SGEs). Project: Primary and Behavioral Health
Secretary’s Advisory Committee on Care Integration Evaluation—NEW
Administrative Management and
National Health Promotion and Disease The Substance Abuse and Mental
Prevention Objectives for 2030 (the Support. The Committee will provide
advice to the Secretary of HHS, through Health Services Administration’s
Committee). (SAMHSA) Center for Behavioral Health
Objectives and Scope of Activities. In the Assistant Secretary for Health
(ASH). The ASH will provide oversight Statistics and Quality (CBHSQ) is
1979, HHS established the Healthy
for the Committee’s function and requesting approval from the Office of
People initiative to develop a framework
activities. Management and support Management and Budget (OMB) for new
for improving the health of all people in
services for the Committee will be data collection activities associated with
the United States. Healthy People
provides evidence-based, ten-year provided by the Office of Disease their Primary and Behavioral Health
national objectives for improving the Care Integration (PBHCI) program.
Prevention and Health Promotion
health of all Americans. Healthy People This information collection is needed
(ODPHP). ODPHP is a program office
offers a strategic agenda to align health to provide SAMHSA with objective
within the Office of the Assistant information to document the reach and
promotion and disease prevention Secretary for Health, which is a staff
activities in communities around the impact of the PBHCI program. The
division in the HHS Office of the information will be used to monitor
country. The Healthy People initiative is Secretary.
grounded in the principle that setting quality assurance and quality
national objective and monitoring To comply with the provisions of performance outcomes for organizations
progress can motivate action. FACA, the charters for the 2018 funded by this grant program. The
The Committee will provide Physical Activity Guidelines Advisory information will also be used to assess
independent advice based on current Committee and the Secretary’s Advisory the impact of services on behavioral
scientific evidence for use by the Committee on National Health health and physical health services for
Secretary of HHS or a designated Promotion and Disease Prevention individuals served by this program. .
representative in the development of Objectives for 2030 will be filed with Collection of the information
Healthy People 2030. The Committee the appropriate Congressional included in this request is authorized by
will advise the Secretary on the committees and the Library of Congress Section 505 of the Public Health Service
Department’s approach for Healthy fifteen calendar days after notice of this Act (42 U.S.C. 290aa–4)—Data
People 2030. Framed around health action being taken has been published Collection.
determinants and risk factors, this SAMHSA launched the PBHCI
in the Federal Register. After the
approach will generate a focused set of program in FY 2009 with the
charters have been filed, copies of these
objective that address high-impact understanding that adults with serious
documents can be obtained from the
public health challenges. mental illness (SMI) experience
ODPHP Web site under the appropriate heightened rates of morbidity and
Description of Duties. The work of the
program headings. Copies of the mortality, in large part due to elevated
Committee is solely advisory in nature.
The Committee will perform the single, charters for the two designated incidence and prevalence of risk factors
time-limited task of providing advice committees also can be obtained by such as obesity, diabetes, hypertension,
regarding creating Healthy People 2030. accessing the FACA database that is and dyslipidemia. These risk factors are
The Committee’s duties include maintained by the Committee influenced by a variety of factors,
providing advice about the Healthy Management Secretariat under the including inadequate physical activity
People 2030 mission statement, vision General Services Administration. The and poor nutrition; smoking; side effects
statement, framework, and Web site address for the FACA database from atypical antipsychotic
asabaliauskas on DSK3SPTVN1PROD with NOTICES
organizational structure. is http://facadatabase.gov/. medications; and lack of access to
Membership and Designation. The Dated: May 3, 2016. health care services. Many of these
Committee will consist of no more than health conditions are preventable
Karen B. DeSalvo,
13 members. One or more members will through routine health promotion
be selected to serve as the Chair, Vice Acting Assistant Secretary for Health. activities, primary care screening,
Chair, and/or Co-Chairs. The Committee [FR Doc. 2016–11235 Filed 5–11–16; 8:45 am] monitoring, treatment and care
membership may include former BILLING CODE 4150–32–P management/coordination strategies
Assistant Secretaries for Health and and/or other outreach programs.
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![Federal Register / Vol. 81, No. 92 / Thursday, May 12, 2016 / Notices 29571
The purpose of the PBHCI grant the characteristics of the treatment instruments and forms related to the
program is to establish projects for the setting and community, and which implementation and impact studies to
provision of coordinated and integrated models have the greatest potential for be conducted as part of the evaluation:
services through the co-location of sustainability and replication. SAMHSA 1. PBHCI grantee director survey
primary and specialty care medical awarded the first cohort of 13 PBHCI 2. PBHCI frontline staff survey
services in community-based behavioral grants in fiscal year (FY) 2009, and 3. Telephone interview protocol
health settings. The program’s goal is to between FY 2009 and FY 2014,
4. On-site staff interview protocol
improve the physical health status of SAMHSA funded a total of seven
adults with serious mental illnesses 5. Client focus group guide
cohorts comprising 127 grants. An
(and those with co-occurring substance eighth cohort, funded in fall 2015, 6. Data extraction tool for grantee
use disorders) who have or are at risk included 60 new grants. registry/electronic health records
for co-occurring primary care conditions The data collection described in this (EHRs)
and chronic diseases. request will build upon the first PBHCI 7. Initial client letter for physical exam
As the largest federal effort to evaluation and provide essential data on and health assessment
implement integrated behavioral and the implementation of integrated 8. Consent form for client physical exam
physical health care in community primary and behavioral health care, and health assessment
behavioral health settings, SAMHSA’s along with rigorous estimates of its 9. Consent form for client focus group
PBHCI program offers an unprecedented effects on health. 10. Client physical exam and health
opportunity to identify which The Center for Behavioral Health assessment questionnaire
approaches to integration improve Statistics and Quality is requesting The table below reflects the
outcomes, how outcomes are shaped by clearance for ten data collection annualized hourly burden.
Responses
Number of Total Hours per Total hour
Respondents/activity per
respondents responses response burden
respondent
Web surveys
Grantee director ................................................................... 78 2 b 149 0.5 b 75
Grantee frontline staff survey .............................................. 782 2 c 1,494 0.5 c 747
Phone interviews
Grantee director ................................................................... 60 1 60 1.0 60
Grantee director—site interview .......................................... 10 2 20 2.0 40
Grantee mental health providers—site interview ................. 40 2 80 1.0 80
Grantee primary care providers—site interview .................. 40 2 80 1.5 120
Grantee care coordinators—site interview .......................... 20 2 40 1.5 60
Focus groups
Focus group participants ..................................................... 120 2 240 1.0 240
Extraction of grantee registry/EHR data .............................. 92 11 1,012 8.0 8,096
SMI clients—baseline physical exam and health assess-
ment .................................................................................. 2,500 1 2,500 1.0 2,500
SMI clients—follow-up physical exam and health assess-
ment .................................................................................. 1,750 1 1,750 1.0 1,750
Comparison group clinic director—coordination d ................ 10 1 10 8.0 80
Total .............................................................................. e 3,752 ........................ 7,435 ........................ 13,848
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 over-
sight of client recruitment.
e Excludes physical exam and health assessment follow-up respondents.
Written comments and their comments to OMB via email to: Affairs, New Executive Office Building,
recommendations concerning the OIRA_Submission@omb.eop.gov. Room 10102, Washington, DC 20503.
proposed information collection should Although commenters are encouraged to
Summer King,
be sent by June 13, 2016 to the send their comments via email,
asabaliauskas on DSK3SPTVN1PROD with NOTICES
SAMHSA Desk Officer at the Office of commenters may also fax their Statistician.
Information and Regulatory Affairs, comments to: 202–395–7285. [FR Doc. 2016–11184 Filed 5–11–16; 8:45 am]
Office of Management and Budget Commenters may also mail them to: BILLING CODE 4162–20–P
(OMB). To ensure timely receipt of Office of Management and Budget,
comments, and to avoid potential delays Office of Information and Regulatory
in OMB’s receipt and processing of mail
sent through the U.S. Postal Service,
commenters are encouraged to submit
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Document Created: 2016-05-12 01:07:51
Document Modified: 2016-05-12 01:07:51
| 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 | |
| FR Citation | 81 FR 29570 |
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