81 FR 7118 - 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 27 (February 10, 2016)
Agency for Healthcare Research and Quality
Federal Register Volume 81, Issue 27 (February 10, 2016)
| Page Range | 7118-7119 | |
| FR Document | 2016-02678 |
[Federal Register Volume 81, Number 27 (Wednesday, February 10, 2016)] [Notices] [Pages 7118-7119] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-02678] ----------------------------------------------------------------------- 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: ``Making It Easier for Patients to Understand Health Information and Navigate Health Care Systems: Developing Quality Improvement Measures.'' 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 April 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 Making It Easier for Patients To Understand Health Information and Navigate Health Care Systems: Developing Quality Improvement Measures A goal of Healthy People 2020 is to increase Americans' health literacy, defined as ``the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.'' \1\ The effects of limited health literacy are numerous and serious, including medication non-adherence resulting from patients' inability to read and comprehend medication labels; underuse of preventive measures, such as vaccines; poor self-management of conditions such as asthma and diabetes; and higher utilization of inpatient and emergency department care. According to the 2003 National Assessment of Adult Literacy, 88% of U.S. adults have significant difficulties understanding widely used health information. By adopting ``health literacy universal precautions,'' health care providers and organizations can create an environment in which all patients--regardless of health literacy level--can successfully (1) understand health information, (2) navigate the health care system, (3) engage in medical decision-making, and (4) manage their health. Numerous resources have been developed to support health care organizations in their attempts to address limitations in patient health literacy. However, little work has been done to establish valid quality improvement measures that organizations can use to monitor the impact of initiatives aimed at improving patient understanding, navigation, engagement, and self-management. Absent such measures, organizations may be unable to accurately assess whether their initiatives are effective. This research has the following goals: 1. Identify existing quality improvement measures and gather proposals for additional measures (not generated from patient survey data) that organizations may use to monitor progress related to enhancing patient understanding, navigation, engagement, and self- management; and 2. Identify a set of quality improvement measures that reflect patient priorities, has expert support, and can be recommended for more formal measure development and testing. This project is being conducted by AHRQ through its contractor, Board of Regents of the University of Colorado, 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 Environmental Scan Interviews: Representatives from 25 health care organizations engaged in relevant quality improvement efforts will be interviewed to obtain information about the quality improvement measures they use in assessing their work to improve patient understanding, navigation, engagement, and self-care. The planned environmental scan interviews will provide the information needed to:Identify and document the characteristics of relevant quality improvement measures that are already in use; and identify additional measures that would be useful to stakeholders in the field. The findings from these interviews will be used, along with the results from other activities (i.e., input from a Technical Expert Panel, literature review, a Request for Information published in the Federal Register, and focus groups with patients), to identify and document a set of quality improvement measures that can be recommended for rigorous testing and validation. Measures that are assessed to be valid and reliable will be eligible to be disseminated by AHRQ to support health care organizations in their efforts to improve patient understanding of health information, navigation of the health care system, engagement in medical decision-making, and management of their health. Estimated Annual Respondent Burden Exhibit 1 shows the estimated annualized burden hours for the respondents' time to participate in Environmental Scan Interviews. The Environmental Scan Interviews will be completed by 50 respondents (2 representatives from each of the 25 organizations targeted for participation). Exhibit 1--Estimated Annualized Burden Hours ---------------------------------------------------------------------------------------------------------------- Number of Form name Number of responses per Hours per Total burden respondents respondent response hours ---------------------------------------------------------------------------------------------------------------- Environmental Scan Interviews................... 50 1 2 100 --------------------------------------------------------------- [[Page 7119]] Total....................................... 50 1 2 100 ---------------------------------------------------------------------------------------------------------------- Exhibit 2 shows the estimated annual cost burden associated with the respondents' time to participate in this information collection. The annual cost burden for the Environmental Scan Interviews is estimated to be $4,984. Exhibit 2--Estimated Annualized Cost Burden ---------------------------------------------------------------------------------------------------------------- Number of Total burden Average hourly Total cost Form name respondents hours wage rate * burden ---------------------------------------------------------------------------------------------------------------- Environmental Scan Interviews................... 50 100 \a\ $49.84 $4,984 --------------------------------------------------------------- Total....................................... 50 100 \a\ 49.84 4,984 ---------------------------------------------------------------------------------------------------------------- * National Compensation Survey: Occupational wages in the United States May 2014, ``U.S. Department of Labor, Bureau of Labor Statistics.'' \a\ Based on the mean wages for Medical and Health Services Managers 11-9111. 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 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. 2016-02678 Filed 2-9-16; 8:45 am] BILLING CODE 4160-90-P
![7118 Federal Register / Vol. 81, No. 27 / Wednesday, February 10, 2016 / Notices
Washington DC: Institute of Medicine. defined as ‘‘the degree to which to conduct and support research on
Sharon B. Arnold,
individuals have the capacity to obtain, health care and on systems for the
process, and understand basic health delivery of such care, including
Deputy Director.
information and services needed to activities with respect to the quality,
[FR Doc. 2016–02679 Filed 2–9–16; 8:45 am]
make appropriate health decisions.’’ 1 effectiveness, efficiency,
BILLING CODE P The effects of limited health literacy are appropriateness and value of health care
numerous and serious, including services and with respect to quality
medication non-adherence resulting measurement and improvement. 42
DEPARTMENT OF HEALTH AND from patients’ inability to read and U.S.C. 299a(a)(1) and (2).
HUMAN SERVICES comprehend medication labels;
underuse of preventive measures, such Method of Collection
Agency for Healthcare Research and
Quality as vaccines; poor self-management of Environmental Scan Interviews:
conditions such as asthma and diabetes; Representatives from 25 health care
Agency Information Collection and higher utilization of inpatient and organizations engaged in relevant
Activities: Proposed Collection; emergency department care. According quality improvement efforts will be
Comment Request to the 2003 National Assessment of interviewed to obtain information about
Adult Literacy, 88% of U.S. adults have the quality improvement measures they
AGENCY: Agency for Healthcare Research significant difficulties understanding use in assessing their work to improve
and Quality, HHS. widely used health information. By patient understanding, navigation,
ACTION: Notice. adopting ‘‘health literacy universal engagement, and self-care.
precautions,’’ health care providers and
SUMMARY: This notice announces the organizations can create an environment The planned environmental scan
intention of the Agency for Healthcare in which all patients—regardless of interviews will provide the information
Research and Quality (AHRQ) to request health literacy level—can successfully needed to:
that the Office of Management and (1) understand health information, (2) • Identify and document the
Budget (OMB) approve the proposed navigate the health care system, (3) characteristics of relevant quality
information collection project: ‘‘Making engage in medical decision-making, and improvement measures that are already
It Easier for Patients to Understand (4) manage their health. in use; and
Health Information and Navigate Health Numerous resources have been • identify additional measures that
Care Systems: Developing Quality developed to support health care would be useful to stakeholders in the
Improvement Measures.’’ In accordance organizations in their attempts to field.
with the Paperwork Reduction Act, 44 address limitations in patient health
U.S.C. 3501–3521, AHRQ invites the The findings from these interviews
literacy. However, little work has been
public to comment on this proposed will be used, along with the results from
done to establish valid quality
information collection. other activities (i.e., input from a
improvement measures that
Technical Expert Panel, literature
DATES: Comments on this notice must be organizations can use to monitor the
review, a Request for Information
received by April 11, 2016. impact of initiatives aimed at improving
published in the Federal Register, and
ADDRESSES: Written comments should patient understanding, navigation,
focus groups with patients), to identify
be submitted to: Doris Lefkowitz, engagement, and self-management.
and document a set of quality
Reports Clearance Officer, AHRQ, by Absent such measures, organizations
improvement measures that can be
email at doris.lefkowitz@AHRQ.hhs.gov. may be unable to accurately assess
recommended for rigorous testing and
Copies of the proposed collection whether their initiatives are effective.
This research has the following goals: validation. Measures that are assessed to
plans, data collection instruments, and
1. Identify existing quality be valid and reliable will be eligible to
specific details on the estimated burden
improvement measures and gather be disseminated by AHRQ to support
can be obtained from the AHRQ Reports
proposals for additional measures (not health care organizations in their efforts
Clearance Officer.
generated from patient survey data) that to improve patient understanding of
FOR FURTHER INFORMATION CONTACT: health information, navigation of the
Doris Lefkowitz, AHRQ Reports organizations may use to monitor
progress related to enhancing patient health care system, engagement in
Clearance Officer, (301) 427–1477, or by medical decision-making, and
email at doris.lefkowitz@AHRQ.hhs.gov. understanding, navigation, engagement,
and self-management; and management of their health.
SUPPLEMENTARY INFORMATION:
2. Identify a set of quality Estimated Annual Respondent Burden
Proposed Project improvement measures that reflect
patient priorities, has expert support, Exhibit 1 shows the estimated
Making It Easier for Patients To and can be recommended for more annualized burden hours for the
Understand Health Information and formal measure development and respondents’ time to participate in
Navigate Health Care Systems: testing. Environmental Scan Interviews. The
Developing Quality Improvement This project is being conducted by Environmental Scan Interviews will be
Measures AHRQ through its contractor, Board of completed by 50 respondents (2
A goal of Healthy People 2020 is to Regents of the University of Colorado, representatives from each of the 25
asabaliauskas on DSK9F6TC42PROD with NOTICES2
increase Americans’ health literacy, pursuant to AHRQ’s statutory authority organizations targeted for participation).
EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS
Number of
Number of Hours per Total burden
Form name responses per
respondents response hours
respondent
Environmental Scan Interviews ....................................................................... 50 1 2 100
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![Federal Register / Vol. 81, No. 27 / Wednesday, February 10, 2016 / Notices 7119
EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS—Continued
Number of
Number of Hours per Total burden
Form name responses per
respondents response hours
respondent
Total .......................................................................................................... 50 1 2 100
Exhibit 2 shows the estimated annual respondents’ time to participate in this burden for the Environmental Scan
cost burden associated with the information collection. The annual cost Interviews is estimated to be $4,984.
EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
Average
Number of Total burden Total cost
Form name hourly wage
respondents hours burden
rate *
Environmental Scan Interviews ....................................................................... 50 100 a $49.84 $4,984
Total .......................................................................................................... 50 100 a 49.84 4,984
* National Compensation Survey: Occupational wages in the United States May 2014, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’
a Based on the mean wages for Medical and Health Services Managers 11–9111.
Request for Comments DEPARTMENT OF HEALTH AND responses; and (e) Assess information
HUMAN SERVICES collection costs.
In accordance with the Paperwork To request additional information on
Reduction Act, comments on AHRQ’s Centers for Disease Control and the proposed project or to obtain a copy
information collection are requested Prevention of the information collection plan and
with regard to any of the following: (a) instruments, call (404) 639–7570 or
[30Day–16–0234]
Whether the proposed collection of send an email to omb@cdc.gov. Direct
information is necessary for the proper Agency Forms Undergoing Paperwork written comments and/or suggestions
performance of AHRQ health care Reduction Act Review regarding the items contained in this
research and health care information notice to the Attention: CDC Desk
dissemination functions, including The Centers for Disease Control and Officer, Office of Management and
whether the information will have Prevention (CDC) has submitted the Budget, Washington, DC 20503 or by fax
practical utility; (b) the accuracy of following information collection request to (202) 395–5806. Written comments
AHRQ’s estimate of burden (including to the Office of Management and Budget Information Collection Request
hours and costs) of the proposed (OMB) for review and approval in Procedures Manual 35 should be
collection(s) of information; (c) ways to accordance with the Paperwork received within 30 days of this notice.
Reduction Act of 1995. The notice for
enhance the quality, utility, and clarity Proposed Project
the proposed information collection is
of the information to be collected; and
published to obtain comments from the The National Ambulatory Medical
(d) ways to minimize the burden of the public and affected agencies. Care Survey (NAMCS), (OMB No. 0920–
collection of information upon the Written comments and suggestions 0234, expires 12/31/2017)—Revision—
respondents, including the use of from the public and affected agencies National Center for Health Statistics
automated collection techniques or concerning the proposed collection of (NCHS), Centers for Disease Control and
other forms of information technology. information are encouraged. Your Prevention (CDC).
Comments submitted in response to comments should address any of the
following: (a) Evaluate whether the Background and Brief Description
this notice will be summarized and
included in the Agency’s subsequent proposed collection of information is Section 306 of the Public Health
request for OMB approval of the necessary for the proper performance of Service (PHS) Act (42 U.S.C. 242k), as
proposed information collection. All the functions of the agency, including amended, authorizes that the Secretary
comments will become a matter of whether the information will have of Health and Human Services, acting
public record. practical utility; (b) Evaluate the through NCHS, shall collect statistics on
accuracy of the agencies estimate of the the utilization of health care provided
Sharon B. Arnold, burden of the proposed collection of by non-federal office-based physicians
Deputy Director. information, including the validity of in the United States. On December 19,
[FR Doc. 2016–02678 Filed 2–9–16; 8:45 am] the methodology and assumptions used; 2014, the OMB approved data collection
BILLING CODE 4160–90–P
(c) Enhance the quality, utility, and for three years from 2015 to 2017. This
asabaliauskas on DSK9F6TC42PROD with NOTICES2
clarity of the information to be revision is to request approval to
collected; (d) Minimize the burden of continue NAMCS data collection
the collection of information on those activities for three years from 2016–
who are to respond, including through 2018 and to add questions to the
the use of appropriate automated, physician interview that pertain to
electronic, mechanical, or other policies, services, and experiences
technological collection techniques or related to the prevention and treatment
other forms of information technology, of sexually transmitted infections (STIs)
e.g., permitting electronic submission of and HIV prevention among adolescents
VerDate Sep<11>2014 17:22 Feb 09, 2016 Jkt 238001 PO 00000 Frm 00056 Fmt 4703 Sfmt 4703 E:\FR\FM\10FEN1.SGM 10FEN1](https://thefederalregister.org/doc/81_FR_7145/page/2.svg)
Document Created: 2016-02-10 00:19:21
Document Modified: 2016-02-10 00:19:21
| 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 April 11, 2016. | |
| Contact | Doris Lefkowitz, AHRQ Reports Clearance Officer, (301) 427-1477, or by email at [email protected] | |
| FR Citation | 81 FR 7118 |
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