Agency Information Collection Activities: Proposed Collection; Comment Request, 44172-44174 [2014-17936]
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Federal Register / Vol. 79, No. 146 / Wednesday, July 30, 2014 / Notices
three (3) years, beginning on July 9,
2014:
(1) That the administrative actions
delineated in (2)–(4) below will be
required for three (3) years after the
effective date of the Agreement,
beginning on the date of Respondent’s
employment in a research position in
which he receives or applies for U.S.
Public Health Service (PHS) support;
however, if within three (3) years of the
effective date of the Agreement,
Respondent has not obtained
employment in a research position in
which he receives or applies for PHS
support, the administrative actions in
(2)–(4) will no longer apply;
(2) to have any PHS-supported
research supervised; Respondent agrees
that prior to the submission of an
application for PHS support for a
research project on which the
Respondent’s participation is proposed
and prior to Respondent’s participation
in any capacity on PHS-supported
research, Respondent shall ensure that a
plan for supervision of Respondent’s
duties is submitted to ORI for approval;
the supervision plan must be designed
to ensure the scientific integrity of
Respondent’s research; Respondent
agrees that he shall not participate in
any PHS-supported research until such
a supervision plan is submitted to and
approved by ORI; Respondent agrees to
maintain responsibility for compliance
with the agreed upon supervision plan;
(3) that any institution employing him
shall submit, in conjunction with each
application for PHS funds, or report,
manuscript, or abstract involving PHSsupported research in which
Respondent is involved, a certification
to ORI that the data provided by
Respondent are based on actual
experiments or are otherwise
legitimately derived and that the data,
procedures, and methodology are
accurately reported in the application,
report, manuscript, or abstract; and
(4) to exclude himself voluntarily
from serving in any advisory capacity to
PHS including, but not limited to,
service on any PHS advisory committee,
board, and/or peer review committee, or
as a consultant.
mstockstill on DSK4VPTVN1PROD with NOTICES
FOR FURTHER INFORMATION CONTACT:
Acting Director, Office of Research
Integrity, 1101 Wootton Parkway, Suite
750, Rockville, MD 20852, (240) 453–
8800.
Donald Wright,
Acting Director, Office of Research Integrity.
[FR Doc. 2014–17889 Filed 7–29–14; 8:45 am]
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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 for Healthcare Research
and Quality, HHS.
ACTION: Notice.
AGENCY:
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: ‘‘Care
Coordination Quality Measure for
Patients in the Primary Care Setting.’’ 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 September 29, 2014.
ADDRESSES: Written comments should
be submitted to: Doris Lefkowitz,
Reports Clearance Officer, AHRQ, by
email at doris.lefkowitz@AHRQ.hhs.gov.
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 doris.lefkowitz@AHRQ.hhs.gov.
SUPPLEMENTARY INFORMATION:
SUMMARY:
Proposed Project
Care Coordination Quality Measure for
Patients in the Primary Care Setting
Proposed Project
‘‘Care Coordination Measure
Development—Phase III’’
This project is Task Order #11 under
the Agency for Healthcare Research and
Quality (AHRQ) Prevention and Care
Management Technical Assistance
Center Indefinite Delivery Indefinite
Quantity contract. The project, entitled
‘‘Care Coordination Measure
Development—Phase III’’, will develop
a patient survey of the quality of care
coordination for adults in primary care
settings, i.e., the Care Coordination
Quality Measure for Primary Care
(CCQM–PC). The project will update the
Care Coordination Measures Atlas
(https://www.ahrq.gov/professionals/
systems/long-termcare/resources/
coordination/atlas/). In
combination with primary research, the
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project will use the Atlas and prior work
that identified gaps in the measurement
of care coordination to develop and
pilot test a rigorous and
psychometrically sound patient
assessment (from the perspective of
patient and family) of the quality of care
coordination for adults within primary
care settings—the CCQM–PC. The
survey will address key care
coordination domains; be appropriate
for research; will set the stage for the
future development of measures for
quality reporting, accountability, and
payment purposes; and be consistent
with Consumer Assessment of
Healthcare Providers and Systems
(CAHPS®) principles. The instrument is
to be developed, cognitively tested,
revised and pilot tested. A stakeholder
panel will provide input throughout the
phases of the project.
There are four explicit objectives for
our analysis of the pilot-test data:
• Evaluate the quality of the
responses to the CCQM–PC survey
(through item functioning analysis).
• Determine how the items that ask
for reports of patient experiences could
be summarized into a smaller set of
composite measures (through factor
analysis).
• Evaluate the measurement
properties of the composite scales
(assessment of reliability, validity, and
variability of the measure).
• Identify information (i.e., case mix
adjusters) that should be used to adjust
scores to ensure valid comparisons
among primary care practices (PCPs).
• Determine how CCQM–PC scores
vary among practices that self-report
processes of care that are more or less
aligned with a medical home model.
This study is being conducted by
AHRQ through its contractor, American
Institutes for Research (AIR), pursuant
to AHRQ’s statutory authority to
conduct and support research on
healthcare and on systems for the
delivery of such care, including
activities with respect to quality
measurement and improvement. 42
U.S.C. 299a(a)(1) and (2).
Method of Collection
Thirty primary care practices of
different types and ownership
configurations will be recruited to
provide a patient sample to AHRQ’s
contractor, AIR for the purpose of
establishing the psychometrics of the
CCQM–PC and understanding the
relation of its domains to a practicelevel measure of processes of care, the
Medical Home Index (Long Version,
MHI–LV). The CCQM–PC will be
conducted by mail with phone followup for nonrespondents. Survey
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mstockstill on DSK4VPTVN1PROD with NOTICES
Federal Register / Vol. 79, No. 146 / Wednesday, July 30, 2014 / Notices
operations for the CCQM–PC will follow
standard CAHPS practice:
• Mail the questionnaire package,
including a personalized letter
introducing the study and explaining
the respondent’s rights as a research
participant. Include a postage-paid
envelope to encourage participation.
• Send a postcard reminder to
nonrespondents 10 days after sending
the questionnaire.
• Send a second questionnaire with a
reminder letter to those still not
responding thirty days after the first
mailing.
• Begin follow-up by telephone with
nonrespondents three weeks after
sending the second questionnaire.
Interviewers will attempt to locate
respondents who have not responded to
the mailed survey.
• Verify telephone numbers for
sample respondents prior to calling.
• Make a maximum of 9 attempts by
phone.
• Include a toll-free number in the
cards and letters for respondents to call
if they have questions about the survey.
The firm responsible for fielding the
survey will establish a helpdesk that
will start operating at the first mailing
and that will remain open until close of
fieldwork.
• Answer incoming calls live during
business hours and a recording machine
will capture after hours calls. The afterhours calls will be returned next
business day.
• Ask two clinicians from each
participating practice complete the
MHI–LV by paper-and-pencil jointly
and return the form to the AHRQ
contractor.
The information collected in the pilot
survey will be used to test and improve
the draft survey. The pilot design will
support the standard suite of
psychometric analyses conducted to
identify and develop composite scoring
algorithms as well as to provide
evidence of the reliability and construct
validity of the composite scores and any
scores based on individual items.
Additionally, the variations in
composite scores and total CCQM–PC
scores will be examined for any
differences that may be correlated with
variations in the practice’s selfassessment of its engagement in
processes of care that are consistent
with the medical home model. The
analyses will include the following
components:
• Item functioning analysis
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• Confirmatory Factor Analysis
• Exploratory Factor Analysis
• Evaluation of the reliability, validity,
and variability of composite and
single-item scores
• Case mix adjustment (if the data
indicate this is needed).
Because the survey items are being
developed to measure specific aspects of
care coordination in accordance with
the domain framework developed
through previous phases of AHRQ’s
Care Coordination Measure
Development portfolio, the factor
structure of the survey items will be
evaluated through multilevel
confirmatory factor analysis. On the
basis of the data analyses, items or
factors may be dropped. Exploratory
factor analysis is also planned.
Data from the pilot survey will be
used to make final adjustments to the
CCQM–PC. The final survey instrument
will be made publicly available, at no
charge, to prospective users, for use in
research projects that aim to assess care
coordination as it relates to quality care
and healthcare outcomes, thereby
helping to expand the evidence base for
the care coordination construct and its
associated processes. There is value,
given where the field is now, in
developing a survey of reasonable
length that can be used for research
purposes, but also can serve as the
‘‘parent’’ survey from which a smaller
subset of items appropriate for quality
improvement could be drawn.
A well-developed, psychometricallysound, practical survey of adult
patients’ experiences of care
coordination in primary care settings,
that covers key conceptual domains
articulated through AHRQ’s past work
in this area, will help generate evidence
that is needed to understand the
relationship between care coordination
processes and health outcomes, in
addition to offering a way to explore
other critical questions regarding care
coordination.
The development of this researchfocused survey is a critical step in
moving toward the future development
of measures of care coordination in
primary care settings that can be used
for accountability purposes, including
those submitted for consideration of
endorsement by the National Quality
Forum. This will ensure that the
measures or measure set is useful from
a public reporting perspective to a
variety of potential stakeholders,
including patients seeking providers
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44173
that engage in care coordination
practices supported by the evidence
base. The key target audiences for the
use of the survey are researchers and,
ultimately, payers (including health
insurance plans, employers, and entities
such as the Centers for Medicare &
Medicaid Services), although use by
health systems and individual primary
care practices is also envisioned.
Estimated Annual Respondent Burden
Exhibit 1 shows the total estimated
annualized burden hours for the
CCQM–PC pilot survey (2,022 hours),
including burden for survey
respondents (1,890 hours) and practice
staff (132 hours). With respect to the
burden on CCQM–PC survey
respondents, thirty practices will be
sampled, with the survey sent to 375
prospective respondents per sample. A
40% response rate (in keeping with
response rates on other CAHPS® and
CAHPS®-like surveys of similar length
and mode) will yield 150 respondents
per practice. Total respondents were
calculated by multiplying the number of
practices by the respondents per
practice, for a total of 4,500 (i.e., 150 ×
30 = 4,500). The survey has 102 items
(79 assessment items, 4 items about
healthcare services sought in the past 12
months, and 19 items that assess
participant characteristics such as
demographics), with an estimated
completion time of 25 minutes (.42
hours) per survey response. This
estimate is based on the length of
previous CAHPS® surveys of
comparable length that have been
administered to similar populations.
Burden hours for participating
practices are calculated based on the
total burden to one physician/
administrator and one other clinician to
complete the MHI–LV. The measure
author recommends that both physician
and non-physician viewpoints are
considered in the PCP’s response, thus
the estimate is based on an assumption
that two clinicians per practice will
complete the MHI–LV process of care
items together, with only one of the
clinicians (i.e., the physician/
administrator) completing the items on
practice characteristics. Contract staff
from AIR will ensure that practices
realize there is no burden to them on the
MHI–LV other than the time required to
fill out the MHI–LV tool (i.e., they can
ignore the measure author’s reference in
the instructions to a companion patient
tool associated with the MHI–LV).
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Federal Register / Vol. 79, No. 146 / Wednesday, July 30, 2014 / Notices
EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS FOR CCQM–PC SURVEY PILOT TEST BY ENTITY
CCQM–PC survey ...........................................................................................
MHI–LV: 1 Physician/administrator ...................................................................
MHI–LV: Non-physician clinician .....................................................................
4,500
30
30
1
1
1
0.42
2.33
2.08
1,890
70
62
Total ..........................................................................................................
........................
........................
........................
2,022
1 The
instructions for completing the MHI–LV recommend that a physician/administrator and a non-physician clinician each fill out the index
separately. So, even though it is one form as reproduced in Appendix B, we have two rows in the table to describe the burden of the two individuals. There are a series of questions on the first two pages of the index which simply require administrative information and would only need to
be completed once. We assume that the administrator would complete these and so the time required for the administrator to complete the MHI–
LV is longer than that required for the clinician.
Exhibit 2 shows the estimated
annualized cost burden associated with
the pilot survey administration. The
total cost burden is estimated to be
$51,228 for the one-time survey pilot.
EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN FOR CCQM–PC SURVEY PILOT TEST BY ENTITY
Survey Respondents ...................................................................................................................
Physician/Administrator ...............................................................................................................
Non-physician Clinician ...............................................................................................................
1,890
70
62
1 $22.33
3 45.71
$42,204
6,190
2,834
Total Overall .........................................................................................................................
2,022
n/a
51,228
1 Average
2 Average
3 Average
wage for civilian workers, https://www.bls.gov/news.release/ocwage.htm.
wage for family and general practitioners, https://www.bls.gov/news.release/ocwage.htm.
wage for nurse practitioners, https://www.bls.gov/news.release/ocwage.htm.
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.
mstockstill on DSK4VPTVN1PROD with NOTICES
2 88.43
Dated: July 24, 2014.
Richard Kronick,
AHRQ Director.
[FR Doc. 2014–17936 Filed 7–29–14; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–14–0963]
Proposed Data Collections Submitted
for Public Comment and
Recommendations
The Centers for Disease Control and
Prevention (CDC), as part of its
continuing effort to reduce public
burden, invites the general public and
other Federal agencies to take this
opportunity to comment on proposed
and/or continuing information
collections, as required by the
Paperwork Reduction Act of 1995. To
request more information on the below
proposed project or to obtain a copy of
the information collection plan and
instruments, call 404–639–7570 or send
comments to Leroy Richardson, 1600
Clifton Road, MS–D74, Atlanta, GA
30333 or send an email to omb@cdc.gov.
Comments submitted in response to
this notice will be summarized and/or
included in the request for Office of
Management and Budget (OMB)
approval. Comments are invited on: (a)
Whether the proposed collection of
information is necessary for the proper
performance of the functions of the
agency, including whether the
information shall have practical utility;
(b) the accuracy of the agency’s estimate
of the burden of the proposed collection
of information; (c) ways to enhance the
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quality, utility, and clarity of the
information to be collected; (d) ways to
minimize the burden of the collection of
information on respondents, including
through the use of automated collection
techniques or other forms of information
technology; and (e) estimates of capital
or start-up costs and costs of operation,
maintenance, and purchase of services
to provide information. Burden means
the total time, effort, or financial
resources expended by persons to
generate, maintain, retain, disclose or
provide information to or for a Federal
agency. 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. Written comments should
be received within 60 days of this
notice.
Proposed Project
Colorectal Cancer Control Program
Indirect/Non-Medical Cost Study (OMB
No. 0920–0963, exp. 4/30/2014)—
Reinstatement with Change—National
Center for Chronic Disease Prevention
and Health Promotion (NCCDPHP),
Centers for Disease Control and
Prevention (CDC).
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]]>Agencies
[Federal Register Volume 79, Number 146 (Wednesday, July 30, 2014)]
[Notices]
[Pages 44172-44174]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-17936]
-----------------------------------------------------------------------
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: ``Care Coordination Quality Measure for Patients in the
Primary Care Setting.'' 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 September 29, 2014.
ADDRESSES: Written comments should be submitted to: Doris Lefkowitz,
Reports Clearance Officer, AHRQ, by email at
doris.lefkowitz@AHRQ.hhs.gov.
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
doris.lefkowitz@AHRQ.hhs.gov.
SUPPLEMENTARY INFORMATION:
Proposed Project
Care Coordination Quality Measure for Patients in the Primary Care
Setting
Proposed Project
``Care Coordination Measure Development--Phase III''
This project is Task Order 11 under the Agency for
Healthcare Research and Quality (AHRQ) Prevention and Care Management
Technical Assistance Center Indefinite Delivery Indefinite Quantity
contract. The project, entitled ``Care Coordination Measure
Development--Phase III'', will develop a patient survey of the quality
of care coordination for adults in primary care settings, i.e., the
Care Coordination Quality Measure for Primary Care (CCQM-PC). The
project will update the Care Coordination Measures Atlas (https://www.ahrq.gov/professionals/systems/long-termcare/resources/
coordination/atlas/). In combination with primary research,
the project will use the Atlas and prior work that identified gaps in
the measurement of care coordination to develop and pilot test a
rigorous and psychometrically sound patient assessment (from the
perspective of patient and family) of the quality of care coordination
for adults within primary care settings--the CCQM-PC. The survey will
address key care coordination domains; be appropriate for research;
will set the stage for the future development of measures for quality
reporting, accountability, and payment purposes; and be consistent with
Consumer Assessment of Healthcare Providers and Systems (CAHPS[supreg])
principles. The instrument is to be developed, cognitively tested,
revised and pilot tested. A stakeholder panel will provide input
throughout the phases of the project.
There are four explicit objectives for our analysis of the pilot-
test data:
Evaluate the quality of the responses to the CCQM-PC
survey (through item functioning analysis).
Determine how the items that ask for reports of patient
experiences could be summarized into a smaller set of composite
measures (through factor analysis).
Evaluate the measurement properties of the composite
scales (assessment of reliability, validity, and variability of the
measure).
Identify information (i.e., case mix adjusters) that
should be used to adjust scores to ensure valid comparisons among
primary care practices (PCPs).
Determine how CCQM-PC scores vary among practices that
self-report processes of care that are more or less aligned with a
medical home model.
This study is being conducted by AHRQ through its contractor,
American Institutes for Research (AIR), pursuant to AHRQ's statutory
authority to conduct and support research on healthcare and on systems
for the delivery of such care, including activities with respect to
quality measurement and improvement. 42 U.S.C. 299a(a)(1) and (2).
Method of Collection
Thirty primary care practices of different types and ownership
configurations will be recruited to provide a patient sample to AHRQ's
contractor, AIR for the purpose of establishing the psychometrics of
the CCQM-PC and understanding the relation of its domains to a
practice-level measure of processes of care, the Medical Home Index
(Long Version, MHI-LV). The CCQM-PC will be conducted by mail with
phone follow-up for nonrespondents. Survey
[[Page 44173]]
operations for the CCQM-PC will follow standard CAHPS practice:
Mail the questionnaire package, including a personalized
letter introducing the study and explaining the respondent's rights as
a research participant. Include a postage-paid envelope to encourage
participation.
Send a postcard reminder to nonrespondents 10 days after
sending the questionnaire.
Send a second questionnaire with a reminder letter to
those still not responding thirty days after the first mailing.
Begin follow-up by telephone with nonrespondents three
weeks after sending the second questionnaire. Interviewers will attempt
to locate respondents who have not responded to the mailed survey.
Verify telephone numbers for sample respondents prior to
calling.
Make a maximum of 9 attempts by phone.
Include a toll-free number in the cards and letters for
respondents to call if they have questions about the survey. The firm
responsible for fielding the survey will establish a helpdesk that will
start operating at the first mailing and that will remain open until
close of fieldwork.
Answer incoming calls live during business hours and a
recording machine will capture after hours calls. The after-hours calls
will be returned next business day.
Ask two clinicians from each participating practice
complete the MHI-LV by paper-and-pencil jointly and return the form to
the AHRQ contractor.
The information collected in the pilot survey will be used to test
and improve the draft survey. The pilot design will support the
standard suite of psychometric analyses conducted to identify and
develop composite scoring algorithms as well as to provide evidence of
the reliability and construct validity of the composite scores and any
scores based on individual items. Additionally, the variations in
composite scores and total CCQM-PC scores will be examined for any
differences that may be correlated with variations in the practice's
self-assessment of its engagement in processes of care that are
consistent with the medical home model. The analyses will include the
following components:
Item functioning analysis
Confirmatory Factor Analysis
Exploratory Factor Analysis
Evaluation of the reliability, validity, and variability of
composite and single-item scores
Case mix adjustment (if the data indicate this is needed).
Because the survey items are being developed to measure specific
aspects of care coordination in accordance with the domain framework
developed through previous phases of AHRQ's Care Coordination Measure
Development portfolio, the factor structure of the survey items will be
evaluated through multilevel confirmatory factor analysis. On the basis
of the data analyses, items or factors may be dropped. Exploratory
factor analysis is also planned.
Data from the pilot survey will be used to make final adjustments
to the CCQM-PC. The final survey instrument will be made publicly
available, at no charge, to prospective users, for use in research
projects that aim to assess care coordination as it relates to quality
care and healthcare outcomes, thereby helping to expand the evidence
base for the care coordination construct and its associated processes.
There is value, given where the field is now, in developing a survey of
reasonable length that can be used for research purposes, but also can
serve as the ``parent'' survey from which a smaller subset of items
appropriate for quality improvement could be drawn.
A well-developed, psychometrically-sound, practical survey of adult
patients' experiences of care coordination in primary care settings,
that covers key conceptual domains articulated through AHRQ's past work
in this area, will help generate evidence that is needed to understand
the relationship between care coordination processes and health
outcomes, in addition to offering a way to explore other critical
questions regarding care coordination.
The development of this research-focused survey is a critical step
in moving toward the future development of measures of care
coordination in primary care settings that can be used for
accountability purposes, including those submitted for consideration of
endorsement by the National Quality Forum. This will ensure that the
measures or measure set is useful from a public reporting perspective
to a variety of potential stakeholders, including patients seeking
providers that engage in care coordination practices supported by the
evidence base. The key target audiences for the use of the survey are
researchers and, ultimately, payers (including health insurance plans,
employers, and entities such as the Centers for Medicare & Medicaid
Services), although use by health systems and individual primary care
practices is also envisioned.
Estimated Annual Respondent Burden
Exhibit 1 shows the total estimated annualized burden hours for the
CCQM-PC pilot survey (2,022 hours), including burden for survey
respondents (1,890 hours) and practice staff (132 hours). With respect
to the burden on CCQM-PC survey respondents, thirty practices will be
sampled, with the survey sent to 375 prospective respondents per
sample. A 40% response rate (in keeping with response rates on other
CAHPS[supreg] and CAHPS[supreg]-like surveys of similar length and
mode) will yield 150 respondents per practice. Total respondents were
calculated by multiplying the number of practices by the respondents
per practice, for a total of 4,500 (i.e., 150 x 30 = 4,500). The survey
has 102 items (79 assessment items, 4 items about healthcare services
sought in the past 12 months, and 19 items that assess participant
characteristics such as demographics), with an estimated completion
time of 25 minutes (.42 hours) per survey response. This estimate is
based on the length of previous CAHPS[supreg] surveys of comparable
length that have been administered to similar populations.
Burden hours for participating practices are calculated based on
the total burden to one physician/administrator and one other clinician
to complete the MHI-LV. The measure author recommends that both
physician and non-physician viewpoints are considered in the PCP's
response, thus the estimate is based on an assumption that two
clinicians per practice will complete the MHI-LV process of care items
together, with only one of the clinicians (i.e., the physician/
administrator) completing the items on practice characteristics.
Contract staff from AIR will ensure that practices realize there is no
burden to them on the MHI-LV other than the time required to fill out
the MHI-LV tool (i.e., they can ignore the measure author's reference
in the instructions to a companion patient tool associated with the
MHI-LV).
[[Page 44174]]
Exhibit 1--Estimated Annualized Burden Hours for CCQM-PC Survey Pilot Test by Entity
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
CCQM-PC survey.................................. 4,500 1 0.42 1,890
MHI-LV: \1\ Physician/administrator............. 30 1 2.33 70
MHI-LV: Non-physician clinician................. 30 1 2.08 62
---------------------------------------------------------------
Total....................................... .............. .............. .............. 2,022
----------------------------------------------------------------------------------------------------------------
\1\ The instructions for completing the MHI-LV recommend that a physician/administrator and a non-physician
clinician each fill out the index separately. So, even though it is one form as reproduced in Appendix B, we
have two rows in the table to describe the burden of the two individuals. There are a series of questions on
the first two pages of the index which simply require administrative information and would only need to be
completed once. We assume that the administrator would complete these and so the time required for the
administrator to complete the MHI-LV is longer than that required for the clinician.
Exhibit 2 shows the estimated annualized cost burden associated
with the pilot survey administration. The total cost burden is
estimated to be $51,228 for the one-time survey pilot.
Exhibit 2--Estimated Annualized Cost Burden for CCQM-PC Survey Pilot Test by Entity
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
Survey Respondents.............................................. 1,890 \1\ $22.33 $42,204
Physician/Administrator......................................... 70 \2\ 88.43 6,190
Non-physician Clinician......................................... 62 \3\ 45.71 2,834
-----------------------------------------------
Total Overall............................................... 2,022 n/a 51,228
----------------------------------------------------------------------------------------------------------------
\1\ Average wage for civilian workers, https://www.bls.gov/news.release/ocwage.htm.
\2\ Average wage for family and general practitioners, https://www.bls.gov/news.release/ocwage.htm.
\3\ Average wage for nurse practitioners, https://www.bls.gov/news.release/ocwage.htm.
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.
Dated: July 24, 2014.
Richard Kronick,
AHRQ Director.
[FR Doc. 2014-17936 Filed 7-29-14; 8:45 am]
BILLING CODE 4160-90-P
