81 FR 52864 - Agency Information Collection Activities: Proposed Collection; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Agency for Healthcare Research and Quality Federal Register Volume 81, Issue 154 (August 10, 2016)
Agency for Healthcare Research and Quality
Federal Register Volume 81, Issue 154 (August 10, 2016)
| Page Range | 52864-52867 | |
| FR Document | 2016-18995 |
[Federal Register Volume 81, Number 154 (Wednesday, August 10, 2016)] [Notices] [Pages 52864-52867] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-18995] ======================================================================= ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Agency Information Collection Activities: Proposed Collection; Comment Request AGENCY: Agency for Healthcare Research and Quality, HHS. ACTION: Notice. ----------------------------------------------------------------------- SUMMARY: This notice announces the intention of the Agency for Healthcare Research and Quality (AHRQ) to request that the Office of Management and Budget (OMB) approve the proposed information collection project: ``Agency for Healthcare Research and Quality's (AHRQ) Guide To Improving Patient Safety in Primary Care Settings by Engaging Patients and Families--Evaluation.'' In accordance with the Paperwork Reduction Act, 44 U.S.C. 3501-3521, AHRQ invites the public to comment on this proposed information collection. DATES: Comments on this notice must be received by October 11, 2016. ADDRESSES: Written comments should be submitted to: Doris Lefkowitz, Reports Clearance Officer, AHRQ, by email at [email protected]. Copies of the proposed collection plans, data collection instruments, and specific details on the estimated burden can be obtained from the AHRQ Reports Clearance Officer. FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ Reports Clearance Officer, (301) 427-1477, or by email at [email protected]. SUPPLEMENTARY INFORMATION: Proposed Project Agency for Healthcare Research and Quality's (AHRQ) Guide To Improving Patient Safety in Primary Care Settings by Engaging Patients and Families--Evaluation There is a substantial evidence base showing that engaging patients and families in their care can lead to improvements in patient safety. Since the 1999 release of To Err is Human, there has been an undeniable focus on improving patient safety and eliminating patient harm within acute care. What is not as well documented is how to achieve these improvements in primary care settings. Patient and Family Engagement (PFE) strategies for acute care settings include, among others: Patient and family advisory committees; membership on patient safety oversight bodies at both operations and governance levels; consultation in the development of patient information material; engaging patients in process improvement or redesign projects; rounding with patients and families; patient and family participation in clinical education programs, and welcoming patients and families to work alongside providers and health systems employees on transparency, culture change and high reliability organization initiatives. Although the field of PFE in patient safety for hospitals and health systems is maturing, leveraging PFE to improve patient safety in non-acute settings is in its infancy. Building sustainable processes and practice-based infrastructure are crucial to improving patient safety through patient and family engagement in primary care. In response to the limited guidance available for primary care practices to improve safety through patient and family engagement, the AHRQ has funded the development of a Guide To Improving Patient Safety in Primary Care Settings by Engaging Patients and Families (hereafter referred to as the Guide). This comprehensive Guide will provide primary care practices with interventions that they can use to engage patients and families in ways that lead to improved patient safety. It will include explicit instructions to help primary care practices, providers, and patients and families adopt new behaviors. The Guide and its development are prefaced on several key insights relevant to primary care including: [ssquf] Active engagement requires organizational commitment to hearing the patient and family voice and action by leadership to include them as central members of the health care team. [ssquf] Patients and families expect and increasingly demand meaningful engagement in harm prevention efforts. [ssquf] Institutional courage is required to openly share patient safety vulnerabilities and proactively engage patients in developing solutions that prevent harm. [ssquf] Supportive infrastructure is needed to hardwire PFE into all facets of care delivery across the care continuum. [ssquf] When done well, patient engagement yields important and measurable results. When not done well, PFE activities may disenfranchise patients, contribute to misunderstanding about risk, create fissures among members of the clinical care team, and result in lack of trust between patients and providers. With these insights as a basis, three precepts undergird our approach to development for the Guide. The Guide interventions must yield: [ssquf] Meaningful relationship-based engagement for patients and families and primary care providers. [ssquf] Innovation and enabling technologies to support engagement, shared decision making and patient safety. [ssquf] Workable processes yielding sustainable engagement opportunities for patients, families, providers, and practice staff. The Guide will be principally (but not exclusively) meeting the needs of practices that have not already implemented effective PFE structures or processes. An environmental scan revealed several promising interventions for consideration for inclusion in the Guide. The four interventions selected as part of the Guide include: [ssquf] Teach-back. [ssquf] Be Prepared to Be Engaged. [ssquf] Medication Management. [ssquf] Warm Handoff. The interventions will be compiled into the Guide for adoption by primary care practices. The environmental scan also yielded several important implications for Guide development including: [ssquf] Engagement efforts in primary care to date have focused on the patient as the agent of change with limited guidance to providers on how to support patients in these efforts. [ssquf] Many interventions are focused heavily on educational efforts alone, either for the patient, the provider, or the practice. [ssquf] Few of the tools and interventions identified are immediately usable without the need for additional development or enabling materials to support sustainable adoption. [ssquf] Health equity and literacy considerations are limited. Tools for patients are often at a relatively high level of literacy, and/or health literacy is required for use. [ssquf] Current interventions, tools, and toolkits have a high level of complexity that may impede adoption. Existing evidence-based interventions are being refined to reduce complexity and enhance the opportunity for implementation. Implementation development activities are currently underway. Field testing of the Guide will evaluate the implementation challenges faced by primary care [[Page 52865]] practices whereby offering an opportunity to revise the Guide materials for optimal implementation success prior to widespread dissemination. The Guide will be made publicly accessible through the AHRQ Web site for easy referral, access, and use by other health care professionals and primary care practices. AHRQ recognizes the importance of ensuring that the Guide will be useful and feasible to implement and ultimately able to improve patient safety by engaging patients and families. Thus, the purpose of the Field Testing evaluation is to gain insight on the implementation challenges identified by the twelve primary care practices field testing the Guide. The Guide materials will be revised in an effort to overcome these implementation challenges prior to broad dissemination. The specific goals of the proposed Guide field testing evaluation are to examine the following: [ssquf] The feasibility of implementing a minimum of two of the four Guide interventions within 12 medium or large primary care practices. [ssquf] The challenges to implementing the interventions at the patient, clinician, practice staff, and practice level. [ssquf] The uptake and confidence among primary care practices to improve patient safety through patient and family engagement. [ssquf] How the implementation of two of the four Guide interventions changes the perception of patient safety among patients, clinicians, and practice staff. [ssquf] How the implementation of two of the four Guide interventions changes the perception of patient and family engagement among patients, clinicians, and practice staff. [ssquf] Whether primary care practices will continue to use the Guide (or its interventions) beyond the period of field testing and evaluation (i.e. examine sustainability). [ssquf] What changes patients, clinicians, and practice staff would recommend to the interventions and the Guide to enhance sustainability. This study is being conducted by AHRQ through its contractor, MedStar, pursuant to AHRQ's statutory authority to conduct and support research on health care and on systems for the delivery of such care, including activities with respect to the quality, effectiveness, efficiency, appropriateness and value of health care services and with respect to quality measurement and improvement. 42 U.S.C. 299a(a)(1) and (2). Method of Collection To achieve the goals of the project, the following data collections will be implemented during the Field Testing evaluation: 1. Baseline Practice Assessment of Primary Care Practices. This pen and paper survey will be administered to the 12 primary care practice champions immediately following the recruitment as part of the Guide Field Test and prior to commencing implementation of the Guide. Information collected includes: (i) Practice name and location (e.g., city and State); (ii) non-identifying demographic information about the practice (e.g., number of clinicians by type, number of patients served by the practice, payer mix of patients served by practice, race and ethnicity of patients served by practice); (iii) general descriptive information on the practice's experience with patient safety and quality improvement activities (e.g., current experience with Guide interventions, patient safety culture routinely measured); (iv) information related to the practice's affiliation with larger health system; and (v) information related to any competing priorities or practice improvement initiatives (e.g., patient centered medical home designation, etc.). 2. Post-Implementation Focus Groups for Patients and Families. Information from patients on their experiences with the Guide and its interventions will be solicited twice during the Field test--once at 3- months and again at 6-months post-implementation of the Guide. Each patient and family focus group will aim to recruit between six to eight participants and solicit feedback from patients and family members on their experiences with the Guide materials. Information collected will include: (i) Perceptions of patient safety in primary care practices; (ii) perceptions of patient and family engagement in primary care practices; (iii) feedback from the patient perspective on the Guide materials and their general use; (iv) feasibility of adopting the patient and family focused intervention materials in practice; (v) feedback on the patient and family experiences of the Guide and its relation to patient safety. 3. Baseline Practice Readiness Assessment. Information from primary care practices about their readiness to adopt patient and family engagement strategies will be solicited through telephone interviews with practice staff champions. Information collected will include: (i) Descriptive information on the person completing the interview (e.g., position in the practice, length of employment, experience in implementing patient safety improvements); (ii) description of the patient safety culture of the primary care practice (e.g., teamwork, communication, patient safety culture, etc.,); (iii) perceptions of patient and family engagement within the practice; (iv) perceptions of change management strategies, challenges, and barriers (e.g., leadership support, competing initiatives, other production pressures); (v) capacity for ongoing internal measurement and assessment of the intervention. This process will also solicit general information the interviewee would like to share about the practice's readiness to implement the Guide strategies. 4. Post-Implementation Interviews of Primary Care Clinicians. Information from primary care clinicians (e.g., physicians, nurses, nurse practitioners, social workers, etc.) on their experiences with the Guide and its interventions will be solicited twice during the Field test--once at 3-months and again at 6-months post-implementation of the Guide. Interviews with two or three primary care clinicians per practice will be conducted during Field Testing to solicit feedback on their experiences with the Guide materials. Information collected will include: (i) Perceptions on patient safety in primary care practices; (ii) perceptions of patient and family engagement in primary care practices; (iii) feedback from the clinician perspective on the Guide materials and their general use; (iv) feasibility of adopting the intervention materials in practice; (v) feedback on the clinicians' experiences of the Guide and its relation to patient safety. 5. Post-Implementation Focus Groups for Practice Staff Members. Information from practice staff members (e.g., practice administrators, medical assistants, schedulers, practice facilitators, other non- clinical staff, etc.) on their experiences with the Guide and its interventions will be solicited twice during the Field test--once at 3- months and again at 6-months post-implementation of the Guide. Focus groups with between six to eight primary care practice staff will be conducted in each practice during Field Testing to solicit feedback on their experiences with the Guide materials. Information collected will include: (i) Perceptions on patient safety in primary care practices; (ii) perceptions of patient and family engagement in primary care practices; (iii) feedback from the practice staff perspective on the Guide materials and their general use; (iv) feasibility of adopting the intervention materials in practice; (v) feedback on the [[Page 52866]] practice staff's experiences of the Guide and its relation to patient safety. 6. Monthly Telephone Interviews with Practice Champions. This survey will be completed over the phone on a monthly basis with the practice champions from the twelve primary care practices engaged in the Field Testing of the Guide. Information collected will include: (i) Current progress towards implementation of the intervention(s); (ii) movement towards target goals set in the prior meeting; (iii) barriers to implementation; (iv) facilitators of implementation; (v) perceived impact on patient safety; (vi) perceived impact on patient and family engagement; (vii) plans for the coming weeks/months. The Guide will be tested to evaluate the feasibility of adopting it in primary care practices. A mixed-methods approach will be used to identify barriers and facilitators to uptake and sustainability, and to answer the question ``How and in what contexts do the chosen interventions work or can they be amended to work'', rather than ``Do they work?'' Testing will occur at up to 12 primary care sites and feasibility will be assessed at the patient, provider, and practice levels. The Guide will be revised based on these findings. Estimated Annual Respondent Burden Exhibit 1 shows the estimated annualized burden hours for the respondents' time to participate in this evaluation of the Guide during field testing. Two formative evaluations will be conducted during field testing in twelve primary care practices in at least two geographic regions of the United States. Evaluation efforts will include collection of baseline practice level data prior to Guide implementation and two separate rounds of focus groups and interviews conducted 3 months and 6 months after Guide implementation. Baseline assessments will be conducted on paper via phone consultation between the Contractor and the local practice champion and will take between 30 to 60 minutes. Patient focus groups will be conducted at the 3- and 6- month evaluation periods; each lasting between 60 to 90 minutes. Practice staff focus groups will be conducted during each of the site visits, conducted outside regular practice hours, and last between 60- 90 minutes. Primary care clinician interviews will last approximately 45 minutes. We estimate that approximately 12 individuals will participate in the monthly telephone interviews over the 9-month implementation and evaluation period. Exhibit 1--Estimated Annualized Burden Hours ---------------------------------------------------------------------------------------------------------------- Number of Form name Number of responses per Hours per Total burden respondents respondent response hours ---------------------------------------------------------------------------------------------------------------- Baseline Practice Assessment.................... 12 1 1 12 Post-Implementation Focus Group for Patients and 72 2 1.5 216 Family Members................................. Interview Guide--Baseline Practice Readiness.... 12 1 .75 9 Post-Implementation Interview Protocol-- 24 2 .75 36 Providers...................................... Post-Implementation Focus Group Protocol-- 72 2 1.5 216 Practice Staff................................. Topic guide for Telephone Protocol--Guide 12 6 .5 36 Practice Champions............................. rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr Total....................................... 204 NA NA 525 ---------------------------------------------------------------------------------------------------------------- Exhibit 2 shows the estimated annualized cost burden based on the respondents' time to participate in this project. The total cost burden is estimated to be $18,629.16. Exhibit 2--Estimated Annualized Cost Burden ---------------------------------------------------------------------------------------------------------------- Average Form name Number of Total burden hourly wage Total cost respondents hours rate * burden ---------------------------------------------------------------------------------------------------------------- Baseline Practice Assessment.................... 12 12 \a\ 37.40 448.80 Post-Implementation Focus Group for Patients and 72 216 \c\ 23.23 5,017.68 Family Members................................. Interview Guide--Baseline Practice Readiness.... 12 9 \a\ 37.40 336.60 Post-Implementation Interview Protocol-- 24 36 \b\ 94.48 3,401.28 Providers...................................... Post-Implementation Focus Group Protocol-- 72 216 \a\ 37.40 8,078.40 Practice Staff................................. Topic guide for Telephone Protocol--Guide 12 36 \a\ 37.40 1,346.40 Practice Champions............................. rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr Total....................................... 204 525 .............. 18,629.16 ---------------------------------------------------------------------------------------------------------------- * National Compensation Survey: Occupational wages in the United States May 2015, ``U.S. Department of Labor, Bureau of Labor Statistics.'' http://www.bls.gov/oes/current/oes_nat.htm. \a\ Based on the mean wages for Miscellaneous Health care Worker (Code 29-9090). \b\ Based on the mean wages for Internists, General (Code 29-1063). \c\ Based on the mean wages for All Occupations (Code 00-0000). Request for Comments In accordance with the Paperwork Reduction Act, comments on AHRQ's information collection are requested with regard to any of the following: (a) Whether the proposed collection of information is necessary for the proper performance of AHRQ health care research and health care information dissemination functions, including whether the information will have practical utility; (b) the accuracy of AHRQ's estimate of burden (including hours and costs) of the proposed collection(s) 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 upon the respondents, including the use of [[Page 52867]] automated collection techniques or other forms of information technology. Comments submitted in response to this notice will be summarized and included in the Agency's subsequent request for OMB approval of the proposed information collection. All comments will become a matter of public record. Sharon B. Arnold, Deputy Director. [FR Doc. 2016-18995 Filed 8-9-16; 8:45 am] BILLING CODE 4160-90-P
![52864 Federal Register / Vol. 81, No. 154 / Wednesday, August 10, 2016 / Notices
By direction of the Commission. how to achieve these improvements in misunderstanding about risk, create
Donald S. Clark, primary care settings. fissures among members of the clinical
Secretary. Patient and Family Engagement (PFE) care team, and result in lack of trust
[FR Doc. 2016–18915 Filed 8–9–16; 8:45 am] strategies for acute care settings include, between patients and providers.
BILLING CODE 6750–01–P
among others: Patient and family With these insights as a basis, three
advisory committees; membership on precepts undergird our approach to
patient safety oversight bodies at both development for the Guide. The Guide
operations and governance levels; interventions must yield:
DEPARTMENT OF HEALTH AND
consultation in the development of D Meaningful relationship-based
HUMAN SERVICES patient information material; engaging engagement for patients and families
Agency for Healthcare Research and patients in process improvement or and primary care providers.
Quality redesign projects; rounding with D Innovation and enabling
patients and families; patient and family technologies to support engagement,
Agency Information Collection participation in clinical education shared decision making and patient
Activities: Proposed Collection; programs, and welcoming patients and safety.
Comment Request families to work alongside providers D Workable processes yielding
and health systems employees on sustainable engagement opportunities
AGENCY: Agency for Healthcare Research transparency, culture change and high for patients, families, providers, and
and Quality, HHS. reliability organization initiatives. practice staff.
ACTION: Notice. Although the field of PFE in patient The Guide will be principally (but not
safety for hospitals and health systems exclusively) meeting the needs of
SUMMARY: This notice announces the is maturing, leveraging PFE to improve practices that have not already
intention of the Agency for Healthcare patient safety in non-acute settings is in implemented effective PFE structures or
Research and Quality (AHRQ) to request its infancy. Building sustainable processes. An environmental scan
that the Office of Management and processes and practice-based revealed several promising
Budget (OMB) approve the proposed infrastructure are crucial to improving interventions for consideration for
information collection project: ‘‘Agency patient safety through patient and inclusion in the Guide. The four
for Healthcare Research and Quality’s family engagement in primary care. interventions selected as part of the
(AHRQ) Guide To Improving Patient In response to the limited guidance Guide include:
Safety in Primary Care Settings by available for primary care practices to D Teach-back.
Engaging Patients and Families— improve safety through patient and D Be Prepared to Be Engaged.
Evaluation.’’ In accordance with the family engagement, the AHRQ has D Medication Management.
Paperwork Reduction Act, 44 U.S.C. funded the development of a Guide To D Warm Handoff.
3501–3521, AHRQ invites the public to Improving Patient Safety in Primary The interventions will be compiled
comment on this proposed information Care Settings by Engaging Patients and into the Guide for adoption by primary
collection. Families (hereafter referred to as the care practices. The environmental scan
DATES: Comments on this notice must be Guide). This comprehensive Guide will also yielded several important
received by October 11, 2016. provide primary care practices with implications for Guide development
ADDRESSES: Written comments should interventions that they can use to including:
be submitted to: Doris Lefkowitz, engage patients and families in ways D Engagement efforts in primary care
Reports Clearance Officer, AHRQ, by that lead to improved patient safety. It to date have focused on the patient as
email at doris.lefkowitz@AHRQ.hhs.gov. will include explicit instructions to help the agent of change with limited
Copies of the proposed collection primary care practices, providers, and guidance to providers on how to
plans, data collection instruments, and patients and families adopt new support patients in these efforts.
specific details on the estimated burden behaviors. The Guide and its D Many interventions are focused
can be obtained from the AHRQ Reports development are prefaced on several heavily on educational efforts alone,
Clearance Officer. key insights relevant to primary care either for the patient, the provider, or
FOR FURTHER INFORMATION CONTACT: including: the practice.
Doris Lefkowitz, AHRQ Reports D Active engagement requires D Few of the tools and interventions
Clearance Officer, (301) 427–1477, or by organizational commitment to hearing identified are immediately usable
email at doris.lefkowitz@AHRQ.hhs.gov. the patient and family voice and action without the need for additional
by leadership to include them as central development or enabling materials to
SUPPLEMENTARY INFORMATION:
members of the health care team. support sustainable adoption.
Proposed Project D Patients and families expect and D Health equity and literacy
increasingly demand meaningful considerations are limited. Tools for
Agency for Healthcare Research and patients are often at a relatively high
Quality’s (AHRQ) Guide To Improving engagement in harm prevention efforts.
D Institutional courage is required to level of literacy, and/or health literacy
Patient Safety in Primary Care Settings is required for use.
openly share patient safety
by Engaging Patients and Families— D Current interventions, tools, and
vulnerabilities and proactively engage
Evaluation toolkits have a high level of complexity
patients in developing solutions that
There is a substantial evidence base prevent harm. that may impede adoption.
showing that engaging patients and D Supportive infrastructure is needed Existing evidence-based interventions
mstockstill on DSK3G9T082PROD with NOTICES
families in their care can lead to to hardwire PFE into all facets of care are being refined to reduce complexity
improvements in patient safety. Since delivery across the care continuum. and enhance the opportunity for
the 1999 release of To Err is Human, D When done well, patient implementation. Implementation
there has been an undeniable focus on engagement yields important and development activities are currently
improving patient safety and measurable results. When not done underway. Field testing of the Guide
eliminating patient harm within acute well, PFE activities may disenfranchise will evaluate the implementation
care. What is not as well documented is patients, contribute to challenges faced by primary care
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![Federal Register / Vol. 81, No. 154 / Wednesday, August 10, 2016 / Notices 52867
automated collection techniques or Disease Control and Prevention, 1600 generate, maintain, retain, disclose or
other forms of information technology. Clifton Road NE., MS–D74, Atlanta, provide information to or for a Federal
Comments submitted in response to Georgia 30329. agency. This includes the time needed
this notice will be summarized and Instructions: All submissions received to review instructions; to develop,
included in the Agency’s subsequent must include the agency name and acquire, install and utilize technology
request for OMB approval of the Docket Number. All relevant comments and systems for the purpose of
proposed information collection. All received will be posted without change collecting, validating and verifying
comments will become a matter of to Regulations.gov, including any information, processing and
public record. personal information provided. For maintaining information, and disclosing
access to the docket to read background and providing information; to train
Sharon B. Arnold,
documents or comments received, go to personnel and to be able to respond to
Deputy Director. Regulations.gov. a collection of information, to search
[FR Doc. 2016–18995 Filed 8–9–16; 8:45 am] Please note: All public comment data sources, to complete and review
BILLING CODE 4160–90–P should be submitted through the the collection of information; and to
Federal eRulemaking portal transmit or otherwise disclose the
(Regulations.gov) or by U.S. mail to the information.
DEPARTMENT OF HEALTH AND address listed above.
HUMAN SERVICES Proposed Project
FOR FURTHER INFORMATION CONTACT: To
Centers for Disease Control and request more information on the Women’s Preventive Health Services
Prevention proposed project or to obtain a copy of Study—New—National Center for
the information collection plan and Chronic Disease Prevention and Health
[60Day–16–16AWP; Docket No. CDC–2016– instruments, contact the Information Promotion (NCCDPHP), Centers for
0075] Collection Review Office, Centers for Disease Control and Prevention (CDC).
Disease Control and Prevention, 1600
Proposed Data Collection Submitted Background and Brief Description
Clifton Road NE., MS–D74, Atlanta,
for Public Comment and
Georgia 30329; phone: 404–639–7570; The National Breast and Cervical
Recommendations
Email: omb@cdc.gov. Cancer Early Detection Program
AGENCY: Centers for Disease Control and SUPPLEMENTARY INFORMATION: Under the (NBCCEDP) provides free or low-cost
Prevention (CDC), Department of Health Paperwork Reduction Act of 1995 (PRA) breast and cervical cancer screening and
and Human Services (HHS). (44 U.S.C. 3501–3520), Federal agencies diagnostic services to low-income,
ACTION: Notice with comment period. must obtain approval from the Office of uninsured, and underserved women.
Management and Budget (OMB) for each The NBCCEDP is an organized screening
SUMMARY: The Centers for Disease collection of information they conduct program with a full complement of
Control and Prevention (CDC), as part of or sponsor. In addition, the PRA also services including outreach and patient
its continuing efforts to reduce public requires Federal agencies to provide a education, patient navigation, case
burden and maximize the utility of 60-day notice in the Federal Register management, professional development,
government information, invites the concerning each proposed collection of and tracking and follow-up that
general public and other Federal information, including each new contribute to the program’s success.
agencies to take this opportunity to proposed collection, each proposed Compared to when the NBCCEDP was
comment on proposed and/or extension of existing collection of established, more women are eligible for
continuing information collections, as information, and each reinstatement of insurance coverage but there are still
required by the Paperwork Reduction previously approved information many women who are not insured and
Act of 1995. This notice invites collection before submitting the many insured women not obtaining
comment on a proposed study to collection to OMB for approval. To preventive services that they are eligible
examine the facilitators and barriers to comply with this requirement, we are to receive. Currently, the NBCCEDP not
receiving clinical preventive services publishing this notice of a proposed only provides screening services to
among newly insured medically data collection as described below. uninsured and underinsured, but has
underserved women who had Comments are invited on: (a) Whether expanded its services to include
previously been served by the National the proposed collection of information population-based activities that prevent
Breast and Cervical Cancer Early is necessary for the proper performance missed opportunities and ensure that all
Detection Program (NBCCEDP). The of the functions of the agency, including women receive appropriate breast and
purpose of this survey is to assess if whether the information shall have cervical cancer screening.
newly insured women receive practical utility; (b) the accuracy of the Previous research suggests that access
appropriate clinical preventive health agency’s estimate of the burden of the to health care through insurance alone
services, what barriers and facilitators proposed collection of information; (c) does not ensure adherence to cancer
these women experience, and if they are ways to enhance the quality, utility, and screening, as many individual, cultural,
able to maintain consistent health clarity of the information to be and community factors serve as barriers
insurance coverage. collected; (d) ways to minimize the to preventive service use. With recent
DATES: Written comments must be burden of the collection of information increases in the numbers of women who
received on or before October 11, 2016. on respondents, including through the are insured, there is a need to
ADDRESSES: You may submit comments, use of automated collection techniques understand the experiences of women
mstockstill on DSK3G9T082PROD with NOTICES
identified by Docket No. CDC–2016– or other forms of information who had been served by the NBCCEDP
0075 by any of the following methods: technology; and (e) estimates of capital and become newly insured. This project
• Federal eRulemaking Portal: or start-up costs and costs of operation, will inform the development of future
Regulations.gov. Follow the instructions maintenance, and purchase of services activities of the NBCCEDP so that all
for submitting comments. to provide information. Burden means women receive the information and
• Mail: Jeffrey M. Zirger, Information the total time, effort, or financial support services needed for obtaining
Collection Review Office, Centers for resources expended by persons to clinical preventive services.
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Document Created: 2016-08-10 01:59:54
Document Modified: 2016-08-10 01:59:54
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice. | |
| Dates | Comments on this notice must be received by October 11, 2016. | |
| Contact | Doris Lefkowitz, AHRQ Reports Clearance Officer, (301) 427-1477, or by email at [email protected] | |
| FR Citation | 81 FR 52864 |
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