81 FR 62512 - Health Resources and Services Administration
DEPARTMENT OF HEALTH AND HUMAN SERVICES Federal Register Volume 81, Issue 175 (September 9, 2016)
Federal Register Volume 81, Issue 175 (September 9, 2016)
| Page Range | 62512-62513 | |
| FR Document | 2016-21733 |
[Federal Register Volume 81, Number 175 (Friday, September 9, 2016)] [Notices] [Pages 62512-62513] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-21733] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request; Small Rural Hospital Transitions Project AGENCY: Health Resources and Services Administration (HRSA), Department of Health and Human Services ACTION: Notice. ----------------------------------------------------------------------- SUMMARY: In compliance with Section 3507(a)(1)(D) of the Paperwork Reduction Act of 1995, HRSA submitted an Information Collection Request (ICR) to the Office of Management and Budget (OMB) for review and approval. Comments submitted during the first public review of this ICR will be provided to OMB. OMB will accept further comments from the public during the review and approval period. DATES: Comments on this ICR should be received no later than October 11, 2016. ADDRESSES: Submit your comments, including the ICR Title, to the desk officer for HRSA, either by email to [email protected] or by fax to 202-395-5806. FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance requests submitted to OMB for review, email the HRSA Information Collection Clearance [[Page 62513]] Officer at [email protected] or call (301) 443-1984. SUPPLEMENTARY INFORMATION: Information Collection Request Title: Small Rural Hospital Transitions Project OMB No. 0906-xxxx--NEW Abstract: Under Section 330A of the Public Health Service Act (42 U.S.C. 254c(e)), the Federal Office of Rural Health Policy (FORHP) funds grant programs supporting expanding access to, and improving the quality of essential health care services in rural and frontier communities. Small rural hospitals are facing many challenges in the new health care environment, including the concurrent need to better measure and account for quality of care in all settings; improving transitions of care as patients move from one care setting to another; adopting new payment approaches such as value-based purchasing; and tailoring operations to the new approaches to care delivery, such as accountable care organizations (ACO) and patient-centered medical homes. Success in this new environment will require bridging the gaps between the current system and the newly emerging system of healthcare delivery and payment. Because little is known about how these new models might impact rural communities, there is a need to help hospitals understand and consider those factors that would make them logical participants in health care systems that focus on value. The Small Rural Hospital Transitions (SRHT) Project will assist small rural hospitals in making the transition. The purpose of the project is to provide on-site technical assistance to nine small rural hospitals located in persistent poverty counties. Technical assistance will be provided in the areas of: (1) Financial assessments, (2) creating a quality-focused environment, (3) aligning services to community need, and, (4) to the extent that financial and quality core areas have been stabilized, assistance to help the hospitals consider factors that would make them logical participants in health care systems that focus on value (for example ACOs, shared savings programs, primary care medical homes). Need and Proposed Use of the Information: The information will be solicited in the form of the SRHT Project Technical Assistance Online Application form and the supporting hospital assessment, Performance Excellence for Rural Hospitals. All small rural hospitals desiring to apply for onsite technical assistance through SRHT will be required to complete the application and the survey. The applicant's information will be scored and ranked to aid in the selection of nine small rural hospitals to receive on-site technical assistance. Both the application form and the hospital assessment are designed to ensure the selection of hospital applicants consistent with established eligibility criteria and hospitals readiness or ability to implement consultant's recommendations. A 60-day Federal Register Notice was published in the Federal Register on June 24, 2016 (81 FR 41315). There were no public comments. Likely Respondents: Small rural hospitals located in a rural community, as defined by FORHP, persistent poverty county, or a rural census tract of a metro persistent poverty county; have 49 staffed beds or less as reported on the hospital's most recently filed Medicare Cost Report. Hospitals; and for-profit or not-for-profit. Burden Statement: Burden in this context means the time expended by persons to generate, maintain, retain, disclose or provide the information requested. This includes the time needed to review instructions; to develop, acquire, install and utilize technology and systems for the purpose of collecting, validating and verifying information, processing and maintaining information, and disclosing and providing information; to train personnel and to be able to respond to a collection of information; to search data sources; to complete and review the collection of information; and to transmit or otherwise disclose the information. The total annual burden hours estimated for this ICR are summarized in the table below. Total Estimated Annualized Burden--Hours ---------------------------------------------------------------------------------------------------------------- Average Number of Number of Total burden per Total burden Form name respondents responses per responses response (in hours respondent hours) ---------------------------------------------------------------------------------------------------------------- SRHT Project Technical 30 38 1140 .50 570 Assistance Online Application.. Assessment: Performance 30 29 870 .25 217.5 Excellence for Rural Hospitals. ------------------------------------------------------------------------------- Total....................... * 30 .............. 2010 .............. 787.5 ---------------------------------------------------------------------------------------------------------------- * The same individuals complete the SRHT Online Application and the Assessment for a total of 30 respondents. Jason E. Bennett, Director, Division of the Executive Secretariat. [FR Doc. 2016-21733 Filed 9-8-16; 8:45 am] BILLING CODE 4165-15-P
![62512 Federal Register / Vol. 81, No. 175 / Friday, September 9, 2016 / Notices
the public during the review and specific needs of their communities. commenter expressed an interest in
approval period. Funding recipients may subaward grant using the tool to analyze the cost-benefit
DATES: Comments on this ICR should be funds to organizations, otherwise and overall value of home visiting
received no later than October 11, 2016. known as Local Implementing Agencies programs. While the cost reporting tool
ADDRESSES: Submit your comments, (LIAs), in order to provide services to may be useful in collecting information
including the ICR Title, to the desk eligible families in at-risk communities. that will lead to additional cost-benefit
officer for HRSA, either by email to Need and Proposed Use of the analyses, those analyses are outside the
OIRA_submission@omb.eop.gov or by Information: This information collection scope of the current project. A full
fax to 202–395–5806. is requested to conduct a pilot study to response to the comments can be
FOR FURTHER INFORMATION CONTACT: To test the reliability of a standardized cost accessed in Part A of the Supporting
request a copy of the clearance requests reporting tool for the provision of Statement.
submitted to OMB for review, email the evidence-based home visiting services. Likely Respondents: Organizations,
HRSA Information Collection Clearance The information collected will be used including LIAs providing evidence-
Officer at paperwork@hrsa.gov or call to: Test the reliability and feasibility of based home visiting services through
(301) 443–1984. implementing a proposed set of the Federal Home Visiting Program.
SUPPLEMENTARY INFORMATION: standardized cost metrics and Burden Statement: Burden in this
Information Collection Request Title: organizational characteristics across context means the time expended by
Maternal, Infant, and Early Childhood various contexts; estimate preliminary persons to generate, maintain, retain,
Home Visiting Program Cost Reporting total costs for implementing evidence- disclose or provide the information
Pilot Study based home visiting services, including requested. This includes the time
OMB No. 0906–xxxx—NEW ranges, and; further refine cost metrics needed to review instructions; to
Abstract: The Maternal, Infant, and and the cost reporting tool based on develop, acquire, install and utilize
Early Childhood Home Visiting Program feedback received through the pilot technology and systems for the purpose
(Federal Home Visiting Program), study. Proposed standard cost metrics of collecting, validating and verifying
administered by HRSA in partnership have been developed based on a review information, processing and
with the Administration for Children of the existing literature for measures of maintaining information, and disclosing
and Families, supports voluntary, home visiting costs, as well as from and providing information; to train
evidence-based home visiting services ongoing discussions with developers of personnel and to be able to respond to
during pregnancy and to parents with evidence-based home visiting models. a collection of information; to search
young children up to kindergarten HRSA received comments from one data sources; to complete and review
entry. States, Tribal entities, and certain respondent during the public comment the collection of information; and to
nonprofit organizations are eligible to period which estimated the hourly transmit or otherwise disclose the
receive funding from the Federal Home burden per response to be 16 hours. The information. The total annual burden
Visiting Program and have the flexibility estimated burden has been revised to hours estimated for this ICR are
to tailor the program to serve the reflect this feedback. Further, the summarized in the table below.
TOTAL ESTIMATED ANNUALIZED BURDEN—HOURS
Number of Average
Number of responses Total burden per Total burden
Form name respondents per responses response hours
respondent (in hours)
Cost Elements Table ........................................................... 90 1 90 15.5 1,395
Organizational Characteristics Table ................................... 90 1 90 0.5 45
Total .............................................................................. 1 90 ........................ 90 ........................ 1,440
1 The same 90 individuals complete the Cost Elements Table and the Organizational Characteristics Table.
Jason E. Bennett, DEPARTMENT OF HEALTH AND an Information Collection Request (ICR)
Director, Division of the Executive Secretariat. HUMAN SERVICES to the Office of Management and Budget
[FR Doc. 2016–21734 Filed 9–8–16; 8:45 am] (OMB) for review and approval.
Health Resources and Services Comments submitted during the first
BILLING CODE 4165–15–P
Administration public review of this ICR will be
provided to OMB. OMB will accept
Agency Information Collection further comments from the public
Activities: Submission to OMB for during the review and approval period.
Review and Approval; Public Comment DATES: Comments on this ICR should be
Request; Small Rural Hospital received no later than October 11, 2016.
Transitions Project ADDRESSES: Submit your comments,
asabaliauskas on DSK3SPTVN1PROD with NOTICES
AGENCY: Health Resources and Services including the ICR Title, to the desk
Administration (HRSA), Department of officer for HRSA, either by email to
Health and Human Services OIRA_submission@omb.eop.gov or by
ACTION: Notice.
fax to 202–395–5806.
FOR FURTHER INFORMATION CONTACT: To
SUMMARY: In compliance with Section request a copy of the clearance requests
3507(a)(1)(D) of the Paperwork submitted to OMB for review, email the
Reduction Act of 1995, HRSA submitted HRSA Information Collection Clearance
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![Federal Register / Vol. 81, No. 175 / Friday, September 9, 2016 / Notices 62513
Officer at paperwork@hrsa.gov or call focus on value. The Small Rural consistent with established eligibility
(301) 443–1984. Hospital Transitions (SRHT) Project will criteria and hospitals readiness or
SUPPLEMENTARY INFORMATION: assist small rural hospitals in making ability to implement consultant’s
Information Collection Request Title: the transition. The purpose of the recommendations.
Small Rural Hospital Transitions Project project is to provide on-site technical A 60-day Federal Register Notice was
OMB No. 0906–xxxx—NEW assistance to nine small rural hospitals published in the Federal Register on
Abstract: Under Section 330A of the located in persistent poverty counties. June 24, 2016 (81 FR 41315). There were
Public Health Service Act (42 U.S.C. Technical assistance will be provided in no public comments.
254c(e)), the Federal Office of Rural the areas of: (1) Financial assessments, Likely Respondents: Small rural
Health Policy (FORHP) funds grant (2) creating a quality-focused hospitals located in a rural community,
programs supporting expanding access environment, (3) aligning services to as defined by FORHP, persistent poverty
to, and improving the quality of community need, and, (4) to the extent county, or a rural census tract of a metro
essential health care services in rural that financial and quality core areas persistent poverty county; have 49
and frontier communities. Small rural have been stabilized, assistance to help staffed beds or less as reported on the
hospitals are facing many challenges in the hospitals consider factors that hospital’s most recently filed Medicare
the new health care environment, would make them logical participants in Cost Report. Hospitals; and for-profit or
including the concurrent need to better health care systems that focus on value not-for-profit.
measure and account for quality of care (for example ACOs, shared savings Burden Statement: Burden in this
in all settings; improving transitions of programs, primary care medical homes). context means the time expended by
care as patients move from one care Need and Proposed Use of the persons to generate, maintain, retain,
setting to another; adopting new Information: The information will be disclose or provide the information
payment approaches such as value- solicited in the form of the SRHT Project requested. This includes the time
based purchasing; and tailoring Technical Assistance Online needed to review instructions; to
operations to the new approaches to Application form and the supporting develop, acquire, install and utilize
care delivery, such as accountable care hospital assessment, Performance technology and systems for the purpose
organizations (ACO) and patient- Excellence for Rural Hospitals. All small of collecting, validating and verifying
centered medical homes. Success in this rural hospitals desiring to apply for information, processing and
new environment will require bridging onsite technical assistance through maintaining information, and disclosing
the gaps between the current system and SRHT will be required to complete the and providing information; to train
the newly emerging system of application and the survey. The personnel and to be able to respond to
healthcare delivery and payment. applicant’s information will be scored a collection of information; to search
Because little is known about how these and ranked to aid in the selection of data sources; to complete and review
new models might impact rural nine small rural hospitals to receive on- the collection of information; and to
communities, there is a need to help site technical assistance. Both the transmit or otherwise disclose the
hospitals understand and consider those application form and the hospital information. The total annual burden
factors that would make them logical assessment are designed to ensure the hours estimated for this ICR are
participants in health care systems that selection of hospital applicants summarized in the table below.
TOTAL ESTIMATED ANNUALIZED BURDEN—HOURS
Number of Average
Number of responses Total burden per Total burden
Form name respondents per responses response hours
respondent (in hours)
SRHT Project Technical Assistance Online Application ..... 30 38 1140 .50 570
Assessment: Performance Excellence for Rural Hospitals 30 29 870 .25 217.5
Total .............................................................................. * 30 ........................ 2010 ........................ 787.5
* The same individuals complete the SRHT Online Application and the Assessment for a total of 30 respondents.
Jason E. Bennett, DEPARTMENT OF HEALTH AND evaluation of non-cancer health
Director, Division of the Executive Secretariat. HUMAN SERVICES outcomes by the Office of Health
[FR Doc. 2016–21733 Filed 9–8–16; 8:45 am] Assessment and Translation (OHAT).
National Institutes of Health DATES: Receipt of information: Deadline
BILLING CODE 4165–15–P
is October 11, 2016.
Nominations to the National
ADDRESSES: Information on substances
Toxicology Program for the Report on
Carcinogens and Office of Health for possible review should be submitted
Assessment and Translation; Request electronically at http://
ntp.niehs.nih.gov/go/778417.
asabaliauskas on DSK3SPTVN1PROD with NOTICES
for Information
FOR FURTHER INFORMATION CONTACT:
SUMMARY: The National Toxicology RoC Nominations: Dr. Ruth Lunn,
Program (NTP) requests information on Director, Office of RoC; telephone (919)
four nominations. Four substances are 316–4637; lunn@niehs.nih.gov. OHAT
being considered for possible review for Nominations: Dr. Windy Boyd, OHAT,
future editions of the Report on telephone (919) 541–9810; boydw@
Carcinogens (RoC). Three of these four niehs.nih.gov. Address for Dr. Lunn and
substances are also being considered for Dr. Boyd: Division of NTP, National
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Document Created: 2018-02-09 13:14:54
Document Modified: 2018-02-09 13:14:54
| 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 ICR should be received no later than October 11, 2016. | |
| Contact | To request a copy of the clearance requests submitted to OMB for review, email the HRSA Information Collection Clearance Officer at [email protected] or call (301) 443-1984. | |
| FR Citation | 81 FR 62512 |
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