83 FR 20079 - Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request; Small Health Care Provider Quality Improvement Program, OMB No. 0915-0387-Revision
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration Federal Register Volume 83, Issue 88 (May 7, 2018)
Health Resources and Services Administration
Federal Register Volume 83, Issue 88 (May 7, 2018)
| Page Range | 20079-20080 | |
| FR Document | 2018-09674 |
[Federal Register Volume 83, Number 88 (Monday, May 7, 2018)] [Notices] [Pages 20079-20080] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2018-09674] ----------------------------------------------------------------------- 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 Health Care Provider Quality Improvement Program, OMB No. 0915-0387--Revision AGENCY: Health Resources and Services Administration (HRSA), Department of Health and Human Services. ACTION: Notice. ----------------------------------------------------------------------- SUMMARY: In compliance with of the Paperwork Reduction Act of 1995, HRSA has submitted an Information Collection Request (ICR) to the Office of Management and Budget (OMB) for review and approval. HRSA published the 60-Day notice on January 8, 2018, FR Doc. 2018-00173. 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 June 6, 2018. 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 Lisa Wright-Solomon, the HRSA Information Collection Clearance Officer at [email protected] or call (301) 443-1984. SUPPLEMENTARY INFORMATION: When submitting comments or requesting information, please include the information request collection title for reference, in compliance with Section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995. Information Collection Request Title: Small Health Care Provider Quality Improvement Program, OMB No. 0915-0387--Revision. Abstract: This program is authorized by Title III, Public Health Service Act, Section 330A(g) (42 U.S.C. 254c(g)), as amended. This authority permits the Federal Office of Rural Health Policy (FORHP) to support grants that expand access to, coordinate, contain the cost of, and improve the quality of essential health care services, including preventive and emergency services, through the development of health care networks in rural and frontier areas and regions. The authority also allows HRSA to provide funds to rural and frontier communities to support the direct delivery of health care and related services, expand existing services, or enhance health service delivery through education, promotion, and prevention programs. The purpose of the Small Health Care Provider Quality Improvement Grant (Rural Quality) Program is to provide support to rural primary care providers for implementation of quality improvement activities. The program promotes the development of an evidence-based culture and delivery of coordinated care in the primary care setting. Additional objectives of the program include improved health outcomes for patients, enhanced chronic disease management, and better engagement of patients and their caregivers. Organizations participating in the program are required to use an evidence-based quality improvement model; develop, implement and assess effectiveness of quality improvement initiatives; and use health information technology (HIT) to collect and report data. HIT may include an electronic patient registry or an electronic health record, and is a critical component for improving quality and patient outcomes. With HIT, it is possible to generate timely and meaningful data, which helps providers track and plan care. Need and Proposed Use of the Information: FORHP collects this information to quantify the impact of grant funding on access to health care, quality of services, and improvement of health outcomes. FORHP uses the data for program improvement, and grantees use the data for performance tracking. The measures encompass access to care, population demographics, consortium/network, sustainability, quality improvement implementation strategies, clinical; and optional topic utilization. [[Page 20080]] The proposed Rural Quality draft measures reflect a reduced number of required measures and improvements to the number of optional measures including the following: 24 total measures (previously 43), which includes 16 required measures applicable to all awardees in addition to improved optional measure choices for 8 total optional measures (previously 4). Proposed revisions specifically include the following: (1) Alignment of clinical measures to current National Quality Forum endorsement recommendations and (2) broadened orientation of measures for improved applicability across variety of rural quality improvement project topic areas. With the continuing shift in the healthcare environment towards provision of value-based care and utilization of reimbursement strategies through Centers for Medicare and Medicaid quality reporting programs, the latest competitive cohort also aligns with this shift. An increased number of sophisticated applicants leveraging increasingly intricate reporting methodologies for quality data collection, utilization, and analysis has resulted in an estimate of burden hours more in line with the realities of the health care landscape. Likely Respondents: The respondents would be award recipients of the Small Health Care Provider Quality Improvement Program. 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 ---------------------------------------------------------------------------------------------------------------- Number of Average burden Form name Number of responses per Total per response Total burden respondents respondent responses (in hours) hours ---------------------------------------------------------------------------------------------------------------- Small Health Care Provider 32 1 32 22 704 Quality Improvement Program Performance Improvement Measurement System (PIMS) Measurement.................... 32 .............. 32 .............. 704 ---------------------------------------------------------------------------------------------------------------- Amy P. McNulty, Acting Director, Division of the Executive Secretariat. [FR Doc. 2018-09674 Filed 5-4-18; 8:45 am] BILLING CODE 4165-15-P
![Federal Register / Vol. 83, No. 88 / Monday, May 7, 2018 / Notices 20079
ANNUAL BURDEN ESTIMATES
Number of Average
Number of responses Total burden
Instrument burden hours
respondents per respond- hours
per response
ent
Title IV–E Plan ................................................................................................. 17 1 16 272
Estimated Total Annual Burden DEPARTMENT OF HEALTH AND amended. This authority permits the
Hours: 272. HUMAN SERVICES Federal Office of Rural Health Policy
In compliance with the requirements (FORHP) to support grants that expand
Health Resources and Services access to, coordinate, contain the cost
of the Paperwork Reduction Act of 1995
Administration of, and improve the quality of essential
(Pub. L. 104–13, 44 U.S.C. Chap 35), the
health care services, including
Administration for Children and Agency Information Collection preventive and emergency services,
Families is soliciting public comment Activities: Submission to OMB for through the development of health care
on the specific aspects of the Review and Approval; Public Comment networks in rural and frontier areas and
information collection described above. Request; Small Health Care Provider regions. The authority also allows HRSA
Copies of the proposed collection of Quality Improvement Program, OMB to provide funds to rural and frontier
information can be obtained and No. 0915–0387—Revision communities to support the direct
comments may be forwarded by writing delivery of health care and related
AGENCY: Health Resources and Services
to the Administration for Children and services, expand existing services, or
Administration (HRSA), Department of
Families, Office of Planning, Research enhance health service delivery through
Health and Human Services.
and Evaluation, 330 C Street SW, education, promotion, and prevention
ACTION: Notice.
Washington DC 20201. Attn: ACF programs.
Reports Clearance Officer. Email SUMMARY: In compliance with of the The purpose of the Small Health Care
address: infocollection@acf.hhs.gov. All Paperwork Reduction Act of 1995, Provider Quality Improvement Grant
requests should be identified by the title HRSA has submitted an Information (Rural Quality) Program is to provide
of the information collection. Collection Request (ICR) to the Office of support to rural primary care providers
Management and Budget (OMB) for for implementation of quality
The Department specifically requests
review and approval. HRSA published improvement activities. The program
comments on: (a) whether the proposed promotes the development of an
collection of information is necessary the 60-Day notice on January 8, 2018,
FR Doc. 2018–00173. Comments evidence-based culture and delivery of
for the proper performance of the coordinated care in the primary care
functions of the agency, including submitted during the first public review
of this ICR will be provided to OMB. setting. Additional objectives of the
whether the information shall have program include improved health
OMB will accept further comments from
practical utility; (b) the accuracy of the outcomes for patients, enhanced chronic
the public during the review and
agency’s estimate of the burden of the disease management, and better
approval period.
proposed collection of information; (c) engagement of patients and their
DATES: Comments on this ICR should be
the quality, utility, and clarity of the caregivers. Organizations participating
received no later than June 6, 2018.
information to be collected; and (d) in the program are required to use an
ways to minimize the burden of the ADDRESSES: Submit your comments,
evidence-based quality improvement
collection of information on including the ICR Title, to the desk model; develop, implement and assess
respondents, including through the use officer for HRSA, either by email to effectiveness of quality improvement
OIRA_submission@omb.eop.gov or by initiatives; and use health information
of automated collection techniques or
fax to 202–395–5806. technology (HIT) to collect and report
other forms of information technology.
Consideration will be given to FOR FURTHER INFORMATION CONTACT: To data. HIT may include an electronic
comments and suggestions submitted request a copy of the clearance requests patient registry or an electronic health
within 60 days of this publication. submitted to OMB for review, email Lisa record, and is a critical component for
Wright-Solomon, the HRSA Information improving quality and patient
Robert Sargis, Collection Clearance Officer at outcomes. With HIT, it is possible to
Reports Clearance Officer. paperwork@hrsa.gov or call (301) 443– generate timely and meaningful data,
[FR Doc. 2018–09581 Filed 5–4–18; 8:45 am] 1984. which helps providers track and plan
BILLING CODE 4184–01–P SUPPLEMENTARY INFORMATION: When care.
submitting comments or requesting Need and Proposed Use of the
information, please include the Information: FORHP collects this
information request collection title for information to quantify the impact of
reference, in compliance with Section grant funding on access to health care,
3506(c)(2)(A) of the Paperwork quality of services, and improvement of
Reduction Act of 1995. health outcomes. FORHP uses the data
daltland on DSKBBV9HB2PROD with NOTICES
Information Collection Request Title: for program improvement, and grantees
Small Health Care Provider Quality use the data for performance tracking.
Improvement Program, OMB No. 0915– The measures encompass access to care,
0387—Revision. population demographics, consortium/
Abstract: This program is authorized network, sustainability, quality
by Title III, Public Health Service Act, improvement implementation strategies,
Section 330A(g) (42 U.S.C. 254c(g)), as clinical; and optional topic utilization.
VerDate Sep<11>2014 17:38 May 04, 2018 Jkt 244001 PO 00000 Frm 00048 Fmt 4703 Sfmt 4703 E:\FR\FM\07MYN1.SGM 07MYN1](https://thefederalregister.org/doc/83_FR_20167/page/1.svg)
![20080 Federal Register / Vol. 83, No. 88 / Monday, May 7, 2018 / Notices
The proposed Rural Quality draft provision of value-based care and disclose or provide the information
measures reflect a reduced number of utilization of reimbursement strategies requested. This includes the time
required measures and improvements to through Centers for Medicare and needed to review instructions; to
the number of optional measures Medicaid quality reporting programs, develop, acquire, install and utilize
including the following: 24 total the latest competitive cohort also aligns technology and systems for the purpose
measures (previously 43), which with this shift. An increased number of of collecting, validating and verifying
includes 16 required measures sophisticated applicants leveraging information, processing and
applicable to all awardees in addition to increasingly intricate reporting maintaining information, and disclosing
improved optional measure choices for methodologies for quality data and providing information; to train
8 total optional measures (previously 4). collection, utilization, and analysis has personnel and to be able to respond to
Proposed revisions specifically include resulted in an estimate of burden hours
a collection of information; to search
the following: (1) Alignment of clinical more in line with the realities of the
measures to current National Quality data sources; to complete and review
health care landscape.
Forum endorsement recommendations Likely Respondents: The respondents the collection of information; and to
and (2) broadened orientation of would be award recipients of the Small transmit or otherwise disclose the
measures for improved applicability Health Care Provider Quality information. The total annual burden
across variety of rural quality Improvement Program. hours estimated for this ICR are
improvement project topic areas. Burden Statement: Burden in this summarized in the table below.
With the continuing shift in the context means the time expended by
healthcare environment towards persons to generate, maintain, retain,
TOTAL ESTIMATED ANNUALIZED BURDEN—HOURS
Average
Number of Total
Number of Total burden per
Form name responses per burden
respondents responses response
respondent hours
(in hours)
Small Health Care Provider Quality Improvement Program
Performance Improvement Measurement System
(PIMS) Measurement ....................................................... 32 1 32 22 704
32 ........................ 32 ........................ 704
Amy P. McNulty, public during the review and approval individuals in recovery through the
Acting Director, Division of the Executive period. enhancement of behavioral counselling
Secretariat. DATES: Comments on this ICR should be and peer support activities.
[FR Doc. 2018–09674 Filed 5–4–18; 8:45 am] received no later than June 6, 2018. Need and Proposed Use of the
BILLING CODE 4165–15–P Information: For this program,
ADDRESSES: Submit your comments,
performance measures were drafted to
including the ICR Title, to the desk
provide data to the program and to
officer for HRSA, either by email to
DEPARTMENT OF HEALTH AND enable HRSA to provide aggregate
OIRA_submission@omb.eop.gov or by
HUMAN SERVICES program data required by Congress
fax to (202) 395–5806.
under the Government Performance and
Health Resources and Services FOR FURTHER INFORMATION CONTACT: To Results Act of 1993. These measures
Administration request a copy of the clearance requests cover the principal topic areas of
submitted to OMB for review, email Lisa interest to the Federal Office of Rural
Agency Information Collection Wright-Solomon, the HRSA Information Health Policy (FORHP), including: (a)
Activities: Submission to OMB for Collection Clearance Officer at Target population demographics; (b)
Review and Approval; Public Comment paperwork@hrsa.gov or call (301) 443– referrals to substance abuse treatment;
Request; Rural Health Opioid Program 1984. (c) substance abuse treatment process
Grant Performance Measures, OMB SUPPLEMENTARY INFORMATION: and outcomes; (d) education of health
No. 0906–xxxx—NEW Information Collection Request Title: care providers and community
AGENCY: Health Resources and Services Rural Health Opioid Program Grant members; and (e) rates of fatal and non-
Administration (HRSA), Department of Performance Measures fatal opioid-related overdose. All
Health and Human Services. OMB No. 0906–xxxx—NEW measures will speak to FORHP’s
ACTION: Notice. Abstract: The Rural Health Opioid progress toward meeting the goals set.
Program aims to promote rural health Likely Respondents: The respondents
SUMMARY: In compliance with the care services outreach by expanding the would be recipients of the Rural Health
Paperwork Reduction Act of 1995, delivery of opioid related health care Opioid Program grant funding.
HRSA has submitted an Information services to rural communities. The Burden Statement: Burden in this
Collection Request (ICR) to the Office of program will work to reduce the context means the time expended by
Management and Budget (OMB) for morbidity and mortality related to persons to generate, maintain, retain,
daltland on DSKBBV9HB2PROD with NOTICES
review and approval. HRSA published opioid overdoses in rural communities disclose or provide the information
the 60-day notice on December 15, 2017, through the development of broad requested. This includes the time
FR Doc. 2017–27013. HRSA received community consortiums to prepare needed to review instructions; to
one comment. Comments submitted individuals with opioid-use disorder to develop, acquire, install and utilize
during the first public review of this ICR start treatment, implement care technology and systems for the purpose
will be provided to OMB. OMB will coordination practices to organize of collecting, validating and verifying
accept further comments from the patient care activities, and support information, processing and
VerDate Sep<11>2014 17:38 May 04, 2018 Jkt 244001 PO 00000 Frm 00049 Fmt 4703 Sfmt 4703 E:\FR\FM\07MYN1.SGM 07MYN1](https://thefederalregister.org/doc/83_FR_20167/page/2.svg)
Document Created: 2018-05-05 02:48:19
Document Modified: 2018-05-05 02:48:19
| 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 June 6, 2018. | |
| Contact | To request a copy of the clearance requests submitted to OMB for review, email Lisa Wright-Solomon, the HRSA Information Collection Clearance Officer at [email protected] or call (301) 443-1984. | |
| FR Citation | 83 FR 20079 |
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