81_FR_94181 81 FR 93935 - Agency Information Collection Activities: Proposed Collection; Comment Request

81 FR 93935 - 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 246 (December 22, 2016)

Page Range93935-93936
FR Document2016-30773

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: ``Consumer Assessment of Healthcare Providers and Systems (CAHPS) Health Plan Survey Comparative Database.''

Federal Register, Volume 81 Issue 246 (Thursday, December 22, 2016)
[Federal Register Volume 81, Number 246 (Thursday, December 22, 2016)]
[Notices]
[Pages 93935-93936]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-30773]



[[Page 93935]]

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 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: ``Consumer Assessment of Healthcare Providers and Systems 
(CAHPS) Health Plan Survey Comparative Database.''

DATES: Comments on this notice must be received by February 21, 2017.

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: In accordance with the Paperwork Reduction 
Act, 44 U.S.C. 3501-3521, AHRQ invites the public to comment on this 
proposed information collection.

Proposed Project

Consumer Assessment of Healthcare Providers and Systems (CAHPS) Health 
Plan Survey Comparative Database

    The Agency for Healthcare Research and Quality (AHRQ) requests that 
the Office of Management and Budget (OMB) reapprove, under the 
Paperwork Reduction Act of 1995, AHRQ's collection of information for 
the AHRQ Consumer Assessment of Healthcare Providers and Systems 
(CAHPS) Database for Health Plans: OMB Control number 0935-0165, 
expiration May 31, 2017. The CAHPS Health Plan Database consists of 
data from the AHRQ CAHPS Health Plan Survey. Health plans in the U.S. 
are asked to voluntarily submit data from the survey to AHRQ, through 
its contractor, Westat. The CAHPS Database was developed by AHRQ in 
1998 in response to requests from health plans, purchasers, the Centers 
for Medicare and Medicaid Services (CMS) to provide comparative data to 
support public reporting of health plan ratings, health plan 
accreditation and quality improvement.
    This research has the following goals:
    (1) To maintain the CAHPS Health Plan database using data from 
AHRQ's standardized CAHPS Health Plan survey to provide comparative 
results to health care purchasers, consumers, regulators and policy 
makers across the country.
    (2) To offer several products and services, including comparative 
benchmark results presented through an Online Reporting System, summary 
chartbooks, custom analyses, and data for research purposes.
    (3) To provide data for AHRQ's annual National Healthcare Quality 
and Disparities Report.
    This study is being conducted by AHRQ through its contractor, 
Westat, 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; quality 
measurement and development, and database development. 42 U.S.C. 
299a(a)(1), (2) and 8.

Method of Collection

    To achieve the goals of this project the following data collections 
will be implemented:
    (1) Health Plan Registration Form--The point of contact (POC), 
often the sponsor from Medicaid agencies and health plans, completes a 
number of data submission steps and forms, beginning with the 
completion of the online registration form. The purpose of this form is 
to collect basic contact information about the organization and 
initiate the registration process.
    (2) Data Use Agreement (DUA)--The purpose of the data use 
agreement, completed by the participating sponsor organization, is to 
state how data submitted by health plans will be used and provides 
confidentiality assurances.
    (3) Health Plan Information Form--The purpose of this form, 
completed by the participating organization, is to collect background 
characteristics of the health plan.
    (4) Data Files Submission--POCs upload their data file using the 
Health Plan data file specifications, which are designed to ensure that 
users submit standardized and consistent data in the way variables are 
named, coded, and formatted.
    Survey data from the CAHPS Health Plan Database is used to produce 
four types of products: (1) an annual chartbook available to the public 
on the CAHPS Database Web site (https://www.cahpsdatabase.ahrq.gov/CAHPSIDB/Public/Chartbook.aspx); (2) individual participant comparative 
reports that are confidential and customized for each participating 
organization (e.g., health plan, Medicaid agency) that submits their 
data; (3) a research database available to researchers wanting to 
conduct additional analyses; and (4) data tables provided to AHRQ for 
inclusion in the National Healthcare Quality and Disparities Report.

Estimated Annual Respondent Burden

    Exhibit 1 shows the estimated burden hours for the respondent to 
participate in the database. The burden hours pertain only to the 
collection of Medicaid data from State Medicaid agencies and individual 
Medicaid health plans because those are the only entities that submit 
data through the data submission process (other data are obtained from 
CMS). The 85 POCs in Exhibit 1 are a combination of an estimated 75 
State Medicaid agencies and individual health plans, and 10 vendor 
organizations.
    Each State Medicaid agency, health plan or vendor will register 
online for submission. The online Registration form will require about 
5 minutes to complete. Each submitter will also complete a Health Plan 
information form of information about each Health Plan such as the name 
of the plan, the product type (e.g., HMO, PPO), the population surveyed 
(e.g., adult Medicaid or child Medicaid). Each year, the prior year's 
plan data are preloaded in the plan table to lessen burden on the 
Sponsor. The Sponsor is responsible for updating the plan table to 
reflect the current year's plan information. The online Health Plan 
Information form takes on average 30 minutes to complete per health 
plan with each POC completing the form for 4 plans on average.
    The data use agreement will be completed by the 75 participating 
State Medicaid agencies or individual health plans. Vendors do not sign 
or submit DUAs. The DUA requires about 3 minutes to sign and return by 
fax or mail. Submitters will provide a copy of their questionnaires and 
the survey data file in the required file format. Survey data files 
must conform to the data file layout specifications provide by the 
CAHPS Database.
    Since the unit of analysis is at the health plan level, submitters 
will upload one data file per health plan. Once a data file is uploaded 
the file will be automatically checked to ensure it

[[Page 93936]]

conforms to the specifications and a data file status report will be 
produced and made available to the submitter. Submitters will review 
each report and will be expected to fix any errors in their data file 
and resubmit if necessary. It will take about one hour to submit the 
data for each plan, and each POC will submit data for 4 plans on 
average. The total burden is estimated to be 501 hours annually.

                                  Exhibit 1--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                     Number of       Number of
                    Form name                      respondents/    responses per     Hours per     Total burden
                                                       POCs             POC          response          hours
----------------------------------------------------------------------------------------------------------------
Registration Form...............................              85               1            5/60               7
Health Plan Information Form....................              75               4           30/60             150
Data Use Agreement..............................              75               1            3/60               4
Data Files Submission...........................              85               4               1             340
                                                 ---------------------------------------------------------------
    Total.......................................             320              NA              NA             501
----------------------------------------------------------------------------------------------------------------

    Exhibit 2 shows the estimated annualized cost burden based on the 
respondents' time to complete one submission process. The cost burden 
is estimated to be $22,153 annually.

                                   Exhibit 2--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
                                                     Number of     Total burden   Average hourly    Total cost
                    Form name                       respondents        hours        wage rate *       burden
----------------------------------------------------------------------------------------------------------------
Registration Form...............................              85               7       \a\ 50.99            $357
Health Plan Information Form....................              75             150       \a\ 50.99           7,649
Data Use Agreement..............................              75               4       \b\ 89.35             357
Data Files Submission...........................              85             340       \c\ 40.56          13,790
                                                 ---------------------------------------------------------------
    Total.......................................             320             501              NA          22,153
----------------------------------------------------------------------------------------------------------------
* National Compensation Survey: Occupational wages in the United States May 2015, ``U.S. Department of Labor,
  Bureau of Labor Statistics.''
a) Based on the mean hourly wage for Medical and Health Services Managers (11-9111).
b) Based on the mean hourly wage for Chief Executives (11-1011).
c) Based on the mean hourly wages for Computer Programmer (15-1131).

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. 2016-30773 Filed 12-21-16; 8:45 am]
 BILLING CODE 4160-90-P



                                                                          Federal Register / Vol. 81, No. 246 / Thursday, December 22, 2016 / Notices                                           93935

                                                DEPARTMENT OF HEALTH AND                                to provide comparative data to support                chartbook available to the public on the
                                                HUMAN SERVICES                                          public reporting of health plan ratings,              CAHPS Database Web site (https://
                                                                                                        health plan accreditation and quality                 www.cahpsdatabase.ahrq.gov/
                                                Agency for Healthcare Research and                      improvement.                                          CAHPSIDB/Public/Chartbook.aspx); (2)
                                                Quality                                                    This research has the following goals:             individual participant comparative
                                                                                                           (1) To maintain the CAHPS Health                   reports that are confidential and
                                                Agency Information Collection                           Plan database using data from AHRQ’s                  customized for each participating
                                                Activities: Proposed Collection;                        standardized CAHPS Health Plan survey                 organization (e.g., health plan, Medicaid
                                                Comment Request                                         to provide comparative results to health              agency) that submits their data; (3) a
                                                AGENCY: Agency for Healthcare Research                  care purchasers, consumers, regulators                research database available to
                                                and Quality, HHS.                                       and policy makers across the country.                 researchers wanting to conduct
                                                                                                           (2) To offer several products and                  additional analyses; and (4) data tables
                                                ACTION: Notice.                                         services, including comparative                       provided to AHRQ for inclusion in the
                                                SUMMARY:   This notice announces the                    benchmark results presented through an                National Healthcare Quality and
                                                intention of the Agency for Healthcare                  Online Reporting System, summary                      Disparities Report.
                                                Research and Quality (AHRQ) to request                  chartbooks, custom analyses, and data
                                                                                                                                                              Estimated Annual Respondent Burden
                                                that the Office of Management and                       for research purposes.
                                                                                                           (3) To provide data for AHRQ’s                        Exhibit 1 shows the estimated burden
                                                Budget (OMB) approve the proposed
                                                                                                        annual National Healthcare Quality and                hours for the respondent to participate
                                                information collection project:
                                                                                                        Disparities Report.                                   in the database. The burden hours
                                                ‘‘Consumer Assessment of Healthcare
                                                                                                           This study is being conducted by                   pertain only to the collection of
                                                Providers and Systems (CAHPS) Health
                                                                                                        AHRQ through its contractor, Westat,                  Medicaid data from State Medicaid
                                                Plan Survey Comparative Database.’’
                                                                                                        pursuant to AHRQ’s statutory authority                agencies and individual Medicaid
                                                DATES: Comments on this notice must be                  to conduct and support research on                    health plans because those are the only
                                                received by February 21, 2017.                          health care and on systems for the                    entities that submit data through the
                                                ADDRESSES: Written comments should                      delivery of such care, including                      data submission process (other data are
                                                be submitted to: Doris Lefkowitz,                       activities with respect to the quality,               obtained from CMS). The 85 POCs in
                                                Reports Clearance Officer, AHRQ, by                     effectiveness, efficiency,                            Exhibit 1 are a combination of an
                                                email at doris.lefkowitz@AHRQ.hhs.gov.                  appropriateness and value of health care              estimated 75 State Medicaid agencies
                                                   Copies of the proposed collection                    services; quality measurement and                     and individual health plans, and 10
                                                plans, data collection instruments, and                 development, and database                             vendor organizations.
                                                specific details on the estimated burden                development. 42 U.S.C. 299a(a)(1), (2)                   Each State Medicaid agency, health
                                                can be obtained from the AHRQ Reports                   and 8.                                                plan or vendor will register online for
                                                Clearance Officer.                                                                                            submission. The online Registration
                                                                                                        Method of Collection                                  form will require about 5 minutes to
                                                FOR FURTHER INFORMATION CONTACT:
                                                Doris Lefkowitz, AHRQ Reports                             To achieve the goals of this project the            complete. Each submitter will also
                                                Clearance Officer, (301) 427–1477, or by                following data collections will be                    complete a Health Plan information
                                                email at doris.lefkowitz@AHRQ.hhs.gov.                  implemented:                                          form of information about each Health
                                                                                                          (1) Health Plan Registration Form—                  Plan such as the name of the plan, the
                                                SUPPLEMENTARY INFORMATION: In
                                                                                                        The point of contact (POC), often the                 product type (e.g., HMO, PPO), the
                                                accordance with the Paperwork
                                                                                                        sponsor from Medicaid agencies and                    population surveyed (e.g., adult
                                                Reduction Act, 44 U.S.C. 3501–3521,
                                                                                                        health plans, completes a number of                   Medicaid or child Medicaid). Each year,
                                                AHRQ invites the public to comment on
                                                                                                        data submission steps and forms,                      the prior year’s plan data are preloaded
                                                this proposed information collection.
                                                                                                        beginning with the completion of the                  in the plan table to lessen burden on the
                                                Proposed Project                                        online registration form. The purpose of              Sponsor. The Sponsor is responsible for
                                                                                                        this form is to collect basic contact                 updating the plan table to reflect the
                                                Consumer Assessment of Healthcare
                                                                                                        information about the organization and                current year’s plan information. The
                                                Providers and Systems (CAHPS) Health
                                                                                                        initiate the registration process.                    online Health Plan Information form
                                                Plan Survey Comparative Database
                                                                                                          (2) Data Use Agreement (DUA)—The                    takes on average 30 minutes to complete
                                                   The Agency for Healthcare Research                   purpose of the data use agreement,                    per health plan with each POC
                                                and Quality (AHRQ) requests that the                    completed by the participating sponsor                completing the form for 4 plans on
                                                Office of Management and Budget                         organization, is to state how data                    average.
                                                (OMB) reapprove, under the Paperwork                    submitted by health plans will be used                   The data use agreement will be
                                                Reduction Act of 1995, AHRQ’s                           and provides confidentiality assurances.              completed by the 75 participating State
                                                collection of information for the AHRQ                    (3) Health Plan Information Form—                   Medicaid agencies or individual health
                                                Consumer Assessment of Healthcare                       The purpose of this form, completed by                plans. Vendors do not sign or submit
                                                Providers and Systems (CAHPS)                           the participating organization, is to                 DUAs. The DUA requires about 3
                                                Database for Health Plans: OMB Control                  collect background characteristics of the             minutes to sign and return by fax or
                                                number 0935–0165, expiration May 31,                    health plan.                                          mail. Submitters will provide a copy of
                                                2017. The CAHPS Health Plan Database                      (4) Data Files Submission—POCs                      their questionnaires and the survey data
                                                consists of data from the AHRQ CAHPS                    upload their data file using the Health               file in the required file format. Survey
                                                Health Plan Survey. Health plans in the
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                                                                                                        Plan data file specifications, which are              data files must conform to the data file
                                                U.S. are asked to voluntarily submit                    designed to ensure that users submit                  layout specifications provide by the
                                                data from the survey to AHRQ, through                   standardized and consistent data in the               CAHPS Database.
                                                its contractor, Westat. The CAHPS                       way variables are named, coded, and                      Since the unit of analysis is at the
                                                Database was developed by AHRQ in                       formatted.                                            health plan level, submitters will
                                                1998 in response to requests from health                  Survey data from the CAHPS Health                   upload one data file per health plan.
                                                plans, purchasers, the Centers for                      Plan Database is used to produce four                 Once a data file is uploaded the file will
                                                Medicare and Medicaid Services (CMS)                    types of products: (1) an annual                      be automatically checked to ensure it


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                                                93936                               Federal Register / Vol. 81, No. 246 / Thursday, December 22, 2016 / Notices

                                                conforms to the specifications and a                                        will be expected to fix any errors in                           submit data for 4 plans on average. The
                                                data file status report will be produced                                    their data file and resubmit if necessary.                      total burden is estimated to be 501
                                                and made available to the submitter.                                        It will take about one hour to submit the                       hours annually.
                                                Submitters will review each report and                                      data for each plan, and each POC will

                                                                                                               EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS
                                                                                                                                                                          Number of        Number of            Hours per      Total burden
                                                                                                 Form name                                                               respondents/      responses            response          hours
                                                                                                                                                                            POCs            per POC

                                                Registration Form ............................................................................................                       85                1               5/60               7
                                                Health Plan Information Form .........................................................................                               75                4              30/60             150
                                                Data Use Agreement .......................................................................................                           75                1               3/60               4
                                                Data Files Submission .....................................................................................                          85                4                  1             340

                                                      Total ..........................................................................................................             320                NA                 NA             501



                                                  Exhibit 2 shows the estimated                                             submission process. The cost burden is
                                                annualized cost burden based on the                                         estimated to be $22,153 annually.
                                                respondents’ time to complete one

                                                                                                                EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
                                                                                                                                                                          Number of       Total burden        Average hour-     Total cost
                                                                                                 Form name                                                               respondents         hours            ly wage rate *     burden

                                                Registration Form ............................................................................................                       85                7             a 50.99          $357
                                                Health Plan Information Form .........................................................................                               75              150             a 50.99          7,649
                                                Data Use Agreement .......................................................................................                           75                4             b 89.35            357
                                                Data Files Submission .....................................................................................                          85              340             c 40.56         13,790

                                                      Total ..........................................................................................................             320               501                 NA          22,153
                                                   * National Compensation Survey: Occupational wages in the United States May 2015, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’
                                                   a) Based on the mean hourly wage for Medical and Health Services Managers (11–9111).
                                                   b) Based on the mean hourly wage for Chief Executives (11–1011).
                                                   c) Based on the mean hourly wages for Computer Programmer (15–1131).


                                                Request for Comments                                                        comments will become a matter of                                information are encouraged. Your
                                                                                                                            public record.                                                  comments should address any of the
                                                  In accordance with the Paperwork                                                                                                          following: (a) Evaluate whether the
                                                Reduction Act, comments on AHRQ’s                                           Sharon B. Arnold,
                                                                                                                                                                                            proposed collection of information is
                                                information collection are requested                                        Deputy Director.                                                necessary for the proper performance of
                                                with regard to any of the following: (a)                                    [FR Doc. 2016–30773 Filed 12–21–16; 8:45 am]                    the functions of the agency, including
                                                whether the proposed collection of                                          BILLING CODE 4160–90–P                                          whether the information will have
                                                information is necessary for the proper                                                                                                     practical utility; (b) Evaluate the
                                                performance of AHRQ health care                                                                                                             accuracy of the agencies estimate of the
                                                research and health care information                                        DEPARTMENT OF HEALTH AND                                        burden of the proposed collection of
                                                dissemination functions, including                                          HUMAN SERVICES                                                  information, including the validity of
                                                whether the information will have                                           Centers for Disease Control and                                 the methodology and assumptions used;
                                                practical utility; (b) the accuracy of                                      Prevention                                                      (c) Enhance the quality, utility, and
                                                AHRQ’s estimate of burden (including                                                                                                        clarity of the information to be
                                                hours and costs) of the proposed                                            [30Day–17–16AXB]                                                collected; (d) Minimize the burden of
                                                collection(s) of information; (c) ways to                                                                                                   the collection of information on those
                                                                                                                            Agency Forms Undergoing Paperwork                               who are to respond, including through
                                                enhance the quality, utility, and clarity                                   Reduction Act Review
                                                of the information to be collected; and                                                                                                     the use of appropriate automated,
                                                (d) ways to minimize the burden of the                                         The Centers for Disease Control and                          electronic, mechanical, or other
                                                collection of information upon the                                          Prevention (CDC) has submitted the                              technological collection techniques or
                                                respondents, including the use of                                           following information collection request                        other forms of information technology,
                                                                                                                            to the Office of Management and Budget                          e.g., permitting electronic submission of
                                                automated collection techniques or
                                                                                                                            (OMB) for review and approval in                                responses; and (e) Assess information
                                                other forms of information technology.
                                                                                                                                                                                            collection costs.
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                                                                                                                            accordance with the Paperwork
                                                  Comments submitted in response to                                         Reduction Act of 1995. The notice for                              To request additional information on
                                                this notice will be summarized and                                          the proposed information collection is                          the proposed project or to obtain a copy
                                                included in the Agency’s subsequent                                         published to obtain comments from the                           of the information collection plan and
                                                request for OMB approval of the                                             public and affected agencies.                                   instruments, call (404) 639–7570 or
                                                proposed information collection. All                                           Written comments and suggestions                             send an email to omb@cdc.gov. Written
                                                                                                                            from the public and affected agencies                           comments and/or suggestions regarding
                                                                                                                            concerning the proposed collection of                           the items contained in this notice


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Document Created: 2016-12-21 23:52:29
Document Modified: 2016-12-21 23:52:29
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesComments on this notice must be received by February 21, 2017.
ContactDoris Lefkowitz, AHRQ Reports Clearance Officer, (301) 427-1477, or by email at [email protected]
FR Citation81 FR 93935 

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