83 FR 49404 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration

Federal Register Volume 83, Issue 190 (October 1, 2018)

Page Range		49404-49405
FR Document		2018-21252

Federal Register, Volume 83 Issue 190 (Monday, October 1, 2018)

[Federal Register Volume 83, Number 190 (Monday, October 1, 2018)]
[Notices]
[Pages 49404-49405]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-21252]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Substance Abuse and Mental Health Services Administration


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

    Periodically, the Substance Abuse and Mental Health Services 
Administration (SAMHSA) will publish a summary of information 
collection requests under OMB review, in compliance with the Paperwork 
Reduction Act (44 U.S.C. Chapter 35). To request a copy of these 
documents, call the SAMHSA Reports Clearance Officer on (240) 276-1243.

Project: Testing of Electronic Health Records Questions for the 
National Survey of Substance Abuse Treatment Services (N-SSATS) and the 
National Mental Health Services Survey (N-MHSS)--NEW

    The Substance Abuse and Mental Health Services Administration 
(SAMHSA), Center for Behavioral Health Statistics and Quality (CBHSQ), 
is requesting approval for conducting cognitive testing on the use of 
electronic health records (EHRs) by substance abuse and mental health 
treatment facilities in the United States. The final goal of this 
cognitive testing is to incorporate questions on electronic health 
records to SAMHSA's National Survey of Substance Abuse Treatment 
Services (N-SSATS) and the National Mental Health Services Survey (N-
MHSS).
    Currently, there is a lack of national level data that exists on 
behavioral health care providers' progress toward interoperability. The 
National Council

[[Page 49405]]

for Behavioral Health in 2011/2012 conducted a survey to determine 
health information technology (IT) readiness. This data focused only on 
the membership of the National Council for Behavioral Health and does 
not provide national baseline data on the four domains of 
interoperability that are outlined in the Interoperability Roadmap 
(finding, sending, receiving and integrating data into EHRs) for 
behavioral health care providers. Currently, these providers are not 
eligible to participate in interoperability driving efforts such as the 
Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) 
initiative. However, some behavioral health providers may be eligible 
in the future to participate in value-based payment initiatives such as 
the Merit-Based Incentive Payment System (MIPS). Measuring and 
reporting the state of interoperability will help to determine the type 
of support these providers need and their readiness to participate in 
delivery system reform efforts in the future.
    Collaboration between the Office of the National Coordinator for 
Health Information Technology (ONC) and SAMHSA on this data collection 
effort will provide an efficient manner to track trends in health IT 
adoption, use, and interoperability among behavioral health care 
providers. In addition, this collaboration will contribute to the 
development of strategic efforts to leverage health IT in behavioral 
health care settings to provide cost effective, high quality and 
patient-centered care. Results from this testing will allow ONC and 
SAMHSA to work together to quantitatively assess health IT adoption and 
interoperability among behavioral health care providers using SAMHSA's 
current national surveys, the National Survey of Substance Abuse 
Treatment Services (N-SSATS) and the National Mental Health Services 
Survey (N-MHSS).
    The information obtained from these efforts will be used to develop 
a new set of questions on the use and implementation of EHRs in 
behavioral health facilities for the N-SSATS and the N-MHSS surveys. 
Specifically, the information from the testing will be used to reduce 
respondent burden while simultaneously improving the quality of the 
data collected in these surveys.
    Data from this testing will be collected mostly via telephone 
interviews, and few cases conducted with in-person interviews. Results 
of this test will not be disseminated or used to inform policy, 
program, or budget decisions. Findings will be shared between ONC and 
SAMHSA staff to decide how the tested questions will be incorporated in 
the surveys.
    It is estimated that the total burden for this project is 40 hours, 
based on a maximum of 80 interviews with an average of 30 minutes per 
interview.
    The request for OMB seeks approval to conduct this testing of EHR 
questions during the Fall of 2018 for possible implementation starting 
in 2020.
    The total estimated burden for this study is 39.2 hours for the 
period from September through December 2018.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                        Number of      Responses per     Total number      Hours per       Total burden
                               Survey                                  respondents       respondent      of responses       response          hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
Interviews.........................................................              80                1               80              .50               40
--------------------------------------------------------------------------------------------------------------------------------------------------------

    Written comments and recommendations concerning the proposed 
information collection should be sent by October 31, 2018 to the SAMHSA 
Desk Officer at the Office of Information and Regulatory Affairs, 
Office of Management and Budget (OMB). To ensure timely receipt of 
comments, and to avoid potential delays in OMB's receipt and processing 
of mail sent through the U.S. Postal Service, commenters are encouraged 
to submit their comments to OMB via email to: 
[email protected]. Although commenters are encouraged to send 
their comments via email, commenters may also fax their comments to: 
202-395-7285. Commenters may also mail them to: Office of Management 
and Budget, Office of Information and Regulatory Affairs, New Executive 
Office Building, Room 10102, Washington, DC 20503.

Summer King,
Statistician.
[FR Doc. 2018-21252 Filed 9-28-18; 8:45 am]
 BILLING CODE 4162-20-P

49404 Federal Register / Vol. 83, No. 190 / Monday, October 1, 2018 / Notices

Buprenorphine use is authorized of clients on MAT for opioid use by category, by number under age 18,
through a DATA 2000 waivered disorder that receive maintenance and number receiving methadone,
physician, physician assistant, or nurse services, detoxification, and relapse buprenorphine, or naltrexone; type of
practitioner.’’ Finally, for the last prevention; All of Section B (Reporting substance abuse problem, percent of co-
option, the wording was changed to Client Counts) has been deleted which occurring clients; and 12-month
‘‘This facility is a federally-certified includes: How the facility will complete admissions; remove questions about
Opioid Treatment Program (OTP). (Most client counts; number of facilities in how many hospital inpatients,
OTPs administer/dispense methadone; client counts; names and addresses of residential clients, and outpatient
some only use buprenorphine.)’’ additional facilities reported for; clients received Disulfiram, Naltrexone,
number of hospital inpatient client and Acamprosate for alcohol use
Version B (2020)
counts by category, by number under disorder; and add several new electronic
All changes to the 2019 N–SSATS age 18, number receiving methadone, health record questions.
were made for the 2020 N–SSATS buprenorphine, or naltrexone, and
N–SSATS (Between Cycles—BC)
except: Add the question asking if a number of dedicated beds; number of
facility is part of an organization with residential client counts by category, by The same changes to the 2020
multiple facilities or sites, and if number under age 18, and number N–SSATS (Version B) are requested for
applicable, the question asking receiving methadone, buprenorphine, or the N–SSATS BC except the electronic
information about the parent site; naltrexone, and number of dedicated health record questions will not be
remove the question about the percent beds; number of outpatient client counts added.

ESTIMATED ANNUAL BURDEN FOR THE BHSIS ACTIVITIES IS SHOWN BELOW
Responses
Number of Total Hours per Total burden
Type of respondent and activity per
respondents responses response hours
respondent

States:
I–BHS Online 1 .............................................................. 56 75 4,200 0.08 336

State Subtotal ........................................................ 56 ........................ 4,200 ........................ 336
Facilities:
I–BHS application 2 ....................................................... 800 1 800 0.08 64
Augmentation screener ................................................. 1,300 1 1,300 0.08 104
N–SSATS questionnaire ............................................... 17,000 1 17,000 0.66 11,333
N–SSATS BC ............................................................... 1,000 1 1,000 0.58 580

Facility Subtotal ..................................................... 20,100 ........................ 20,100 ........................ 12,081

Total ................................................................ 20,156 ........................ 24,300 ........................ 12,417
1 States use the I–BHS Online system to submit information on newly licensed/approved facilities and on changes in facility name, address,
status, etc.
2 New facilities complete and submit the online I–BHS application form in order to get listed on the Inventory.

Written comments and Affairs, New Executive Office Building, Project: Testing of Electronic Health
recommendations concerning the Room 10102, Washington, DC 20503. Records Questions for the National
proposed information collection should Survey of Substance Abuse Treatment
Summer King,
be sent by October 31, 2018 to the Services (N–SSATS) and the National
Statistician.
SAMHSA Desk Officer at the Office of Mental Health Services Survey (N–
[FR Doc. 2018–21253 Filed 9–28–18; 8:45 am] MHSS)—NEW
Information and Regulatory Affairs,
BILLING CODE 4162–20–P
Office of Management and Budget The Substance Abuse and Mental
(OMB). To ensure timely receipt of Health Services Administration
comments, and to avoid potential delays DEPARTMENT OF HEALTH AND (SAMHSA), Center for Behavioral
in OMB’s receipt and processing of mail HUMAN SERVICES Health Statistics and Quality (CBHSQ),
sent through the U.S. Postal Service, is requesting approval for conducting
commenters are encouraged to submit Substance Abuse and Mental Health cognitive testing on the use of electronic
their comments to OMB via email to: Services Administration health records (EHRs) by substance
OIRA_Submission@omb.eop.gov. abuse and mental health treatment
Although commenters are encouraged to Agency Information Collection facilities in the United States. The final
send their comments via email, Activities: Submission for OMB goal of this cognitive testing is to
commenters may also fax their Review; Comment Request incorporate questions on electronic
comments to: 202–395–7285. Periodically, the Substance Abuse and health records to SAMHSA’s National
Commenters may also mail them to: Mental Health Services Administration Survey of Substance Abuse Treatment
amozie on DSK3GDR082PROD with NOTICES

Office of Management and Budget, (SAMHSA) will publish a summary of Services (N–SSATS) and the National
Office of Information and Regulatory information collection requests under Mental Health Services Survey (N–
OMB review, in compliance with the MHSS).
Paperwork Reduction Act (44 U.S.C. Currently, there is a lack of national
Chapter 35). To request a copy of these level data that exists on behavioral
documents, call the SAMHSA Reports health care providers’ progress toward
Clearance Officer on (240) 276–1243. interoperability. The National Council

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Federal Register / Vol. 83, No. 190 / Monday, October 1, 2018 / Notices 49405

for Behavioral Health in 2011/2012 Collaboration between the Office of health facilities for the N–SSATS and
conducted a survey to determine health the National Coordinator for Health the N–MHSS surveys. Specifically, the
information technology (IT) readiness. Information Technology (ONC) and information from the testing will be
This data focused only on the SAMHSA on this data collection effort used to reduce respondent burden while
membership of the National Council for will provide an efficient manner to track simultaneously improving the quality of
Behavioral Health and does not provide trends in health IT adoption, use, and the data collected in these surveys.
national baseline data on the four interoperability among behavioral Data from this testing will be
domains of interoperability that are health care providers. In addition, this collected mostly via telephone
outlined in the Interoperability collaboration will contribute to the interviews, and few cases conducted
Roadmap (finding, sending, receiving development of strategic efforts to with in-person interviews. Results of
and integrating data into EHRs) for leverage health IT in behavioral health this test will not be disseminated or
behavioral health care providers. care settings to provide cost effective, used to inform policy, program, or
Currently, these providers are not high quality and patient-centered care. budget decisions. Findings will be
eligible to participate in interoperability Results from this testing will allow ONC shared between ONC and SAMHSA staff
driving efforts such as the Medicare and SAMHSA to work together to to decide how the tested questions will
Access and CHIP Reauthorization Act of quantitatively assess health IT adoption be incorporated in the surveys.
2015 (MACRA) initiative. However, and interoperability among behavioral It is estimated that the total burden for
some behavioral health providers may health care providers using SAMHSA’s this project is 40 hours, based on a
be eligible in the future to participate in current national surveys, the National maximum of 80 interviews with an
value-based payment initiatives such as Survey of Substance Abuse Treatment average of 30 minutes per interview.
the Merit-Based Incentive Payment Services (N–SSATS) and the National The request for OMB seeks approval
System (MIPS). Measuring and reporting Mental Health Services Survey (N– to conduct this testing of EHR questions
the state of interoperability will help to MHSS). during the Fall of 2018 for possible
determine the type of support these The information obtained from these implementation starting in 2020.
providers need and their readiness to efforts will be used to develop a new set The total estimated burden for this
participate in delivery system reform of questions on the use and study is 39.2 hours for the period from
efforts in the future. implementation of EHRs in behavioral September through December 2018.

Responses
Number of Total number Hours per Total burden
Survey per
respondents of responses response hours
respondent

Interviews ............................................................................. 80 1 80 .50 40

Written comments and DEPARTMENT OF HOMELAND DATES: Comments must be submitted on
recommendations concerning the SECURITY or before October 31, 2018.
proposed information collection should ADDRESSES: Submit written comments
be sent by October 31, 2018 to the Federal Emergency Management on the proposed information collection
SAMHSA Desk Officer at the Office of Agency to the Office of Information and
Information and Regulatory Affairs, Regulatory Affairs, Office of
Office of Management and Budget [Docket ID: FEMA–2018–0025; OMB No. Management and Budget. Comments
(OMB). To ensure timely receipt of 1660–0040] should be addressed to the Desk Officer
comments, and to avoid potential delays for the Department of Homeland
Agency Information Collection Security, Federal Emergency
in OMB’s receipt and processing of mail
Activities: Submission for OMB Management Agency, and sent via
sent through the U.S. Postal Service, Review; Comment Request; Standard
commenters are encouraged to submit electronic mail to dhsdeskofficer@
Flood Hazard Determination Form omb.eop.gov.
their comments to OMB via email to:
OIRA_Submission@omb.eop.gov. AGENCY: Federal Emergency FOR FURTHER INFORMATION CONTACT:
Although commenters are encouraged to Management Agency, DHS. Requests for additional information or
send their comments via email, ACTION: Notice and request for copies of the information collection
commenters may also fax their comments. should be made to Director, Information
comments to: 202–395–7285. Management Division, 500 C Street SW,
Commenters may also mail them to: SUMMARY: The Federal Emergency Washington, DC 20472, email address
Office of Management and Budget, Management Agency (FEMA) will FEMA-Information-Collections-
Office of Information and Regulatory submit the information collection Management@fema.dhs.gov or Susan
Affairs, New Executive Office Building, abstracted below to the Office of Bernstein, Insurance Specialist, FIMA,
Room 10102, Washington, DC 20503. Management and Budget for review and Marketing and Outreach Branch, (202)
clearance in accordance with the 701–3595.
Summer King, requirements of the Paperwork SUPPLEMENTARY INFORMATION: This
Statistician. Reduction Act of 1995. The submission proposed information collection
amozie on DSK3GDR082PROD with NOTICES

[FR Doc. 2018–21252 Filed 9–28–18; 8:45 am] will describe the nature of the previously published in the Federal
BILLING CODE 4162–20–P information collection, the categories of Register on June 29, 2018 at 83 FR
respondents, the estimated burden (i.e., 30758 with a 60-day public comment
the time, effort and resources used by period. No public comments were
respondents to respond) and cost, and received. The purpose of this notice is
the actual data collection instruments to notify the public that FEMA will
FEMA will use. submit the information collection

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Document Created: 2018-09-29 04:26:21
Document Modified: 2018-09-29 04:26:21

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
FR Citation		83 FR 49404

83 FR 49404 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICESSubstance Abuse and Mental Health Services Administration

Federal Register Volume 83, Issue 190 (October 1, 2018)

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration