Solicitation for Nominations for New Primary and Secondary Health Topics To Be Considered for Review by the United States Preventive Services Task Force, 3849-3850 [06-612]

Download as PDF Federal Register / Vol. 71, No. 15 / Tuesday, January 24, 2006 / Notices these terms, traceable to the different laws and regulations that govern the various programs. Therefore, questions about how a particular program applies Poverty Persons in family unit guideline the poverty guidelines (e.g., Is income before or after taxes? Should a particular 8 ............................................ 38,640 type of income be counted? Should a For family units with more than 8 persons, particular person be counted in the add $3,910 for each additional person. family or household unit?) should be Separate poverty guideline figures for directed to the organization that administers the program. Alaska and Hawaii reflect Office of Economic Opportunity administrative Dated: January 18, 2006. practice beginning in the 1966–1970 Michael O. Leavitt, period. (Note that the Census Bureau Secretary of Health and Human Services. poverty thresholds—the version of the [FR Doc. 06–624 Filed 1–20–06; 8:45 am] poverty measure used for statistical BILLING CODE 4151–05–P purposes—have never had separate figures for Alaska and Hawaii). The poverty guidelines are not defined for DEPARTMENT OF HEALTH AND Puerto Rico or other outlying HUMAN SERVICES jurisdictions. In cases in which a Federal program using the poverty Agency for Healthcare Research and guidelines serves any of those Quality jurisdictions, the Federal office that Solicitation for Nominations for New administers the program is responsible Primary and Secondary Health Topics for deciding whether to use the contiguous-states-and-DC guidelines for To Be Considered for Review by the United States Preventive Services Task those jurisdictions or to follow some Force other procedure. Due to confusing legislative language AGENCY: Agency for Healthcare Research dating back to 1972, the poverty and Quality (AHRQ), DHHS. guidelines have sometimes been ACTION: Solicit for new topic mistakenly referred to as the ‘‘OMB’’ nominations. (Office of Management and Budget) poverty guidelines or poverty line. In SUMMARY: The Agency for Healthcare fact, OMB has never issued the Research and Quality (AHRQ) invites guidelines; the guidelines are issued individuals and organizations to each year by the Department of Health nominate primary and secondary and Human Services. The poverty prevention topics pertaining to clinical guidelines may be formally referenced preventive services that they would like as ‘‘the poverty guidelines updated the United States Preventive Services periodically in the Federal Register by Task Force (USPSTF) to consider for the U.S. Department of Health and review. A list of topics that have been Human Services under the authority of recently reviewed or are currently under 42 U.S.C. 9902(2).’’ review by the USPSTF is listed below in Some programs use a percentage the supplementary information section. multiple of the guidelines (for example, The USPSTF is an independent panel 125 percent or 185 percent of the of experts that makes evidence-based guidelines), as noted in relevant recommendations regarding the authorizing legislation or program provision of clinical preventive services. regulations. Non-Federal organizations Clinical preventive services include that use the poverty guidelines under screening, counseling and preventive their own authority in non-Federallymedications. The USPSTF makes funded activities can choose to use a recommendations about preventive percentage multiple of the guidelines services for asymptomatic people— such as 125 percent or 185 percent. people without recognized signs or The poverty guidelines do not make a symptoms of the specific conditions distinction between farm and non-farm targeted by the preventive service. families or between aged and non-aged Topics can be nominated by units. (Only the Census Bureau poverty individuals, organizations, evidencethresholds have separate figures for aged based practice centers (EPC) and and non-aged one-person and twoUSPSTF members. The USPSTF will person units). consider nominations and prioritize Note that this notice does not provide topics for review based on the following definitions of such terms as ‘‘income’’ or set of criteria: Public health importance ‘‘family.’’ This is because there is (burden of suffering, potential of considerable variation in how different preventive service to reduce the programs that use the guidelines define burden); new evidence that has the rmajette on PROD1PC67 with NOTICES1 2006 POVERTY GUIDELINES FOR HAWAII—Continued VerDate Aug<31>2005 14:44 Jan 23, 2006 Jkt 208001 PO 00000 Frm 00035 Fmt 4703 Sfmt 4703 3849 potential to change prior recommendations including inactive ones; and, potential for greatest Task Force impact (e.g., clinical controversy, practice does not reflect evidence, inappropriate timing in delivery of services). The USPSTF will prioritize topics for which there is a performance gap and the potential to significantly improve clinical practice. Individuals and organizations may nominate new topics or topics previously reviewed by the USPSTF. Basic Topic Nomination Requirements: Nominations must be no more than 500 words in length and must include the following information. Nominations may include an appendix that contains references and supporting documents (not included in word count). 1. Name of topic. 2. Rationale for consideration by the USPSTF, to include: a. Primary or secondary prevention topic (screening, counseling or preventive medication). b. Primary care relevance (aplicable clinical preventive service must be initiated in the primary care setting which can be defined as family practice, internal medicine, pediatrics or obstetrics/gynecology and provided by a primary care provider). c. Description of public health importance (burden of disease/suffering, potential of preventive service to reduce burden, including effective interventions). Citations and supporting documents are recommended. d. Summary of new evidence, if any, that has potential to affect the Task Force’s recommendation on a previously reviewed topic. Please refer to https://preventiveservices.ahrg.gov for USPSTF recommendations. Citations and supporting documents are recommended. e. Description of potential impact of USPSTF’s review of the topic, i.e., change in clinical practice, research focus, etc. DATES: Topic nominations should be submitted by February 23, 2006, in order to be considered for 2006–2008. AHRQ will not reply to submissions in response to the request for nominations, but will consider all topic nominations during the selection process. If a topic is selected for review by the USPSTF, the nominator will be notified by AHRQ. Please submit nominations to: Therese Miller, DrPH, ATTN: USPSTF Topic Nominations, Center for Primary Care, Prevention & Clinical Partnerships, Agency for Healthcare Research and Quality, 540 Gaither Road, ADDRESSES: E:\FR\FM\24JAN1.SGM 24JAN1 3850 Federal Register / Vol. 71, No. 15 / Tuesday, January 24, 2006 / Notices Rockville, MD 20850, Fax: 301.427.1597, E-mail: tmiller@ahrg.gov. FOR FURTHER INFORMATION CONTACT: Therese Miller at tmiller@ahrq.gov or Gloria Washington at gwashing@ahrq.gov. Arrangement For Public Inspection: All nominations will be available for public inspections by appointment at the Center for Primary Care, Prevention & Clinical Partnerships, 301.427.1500, weekdays between 10 a.m. and 5 p.m. (eastern time). SUPPLEMENTARY INFORMATION: Background Under Title IX of the Public Health Service Act, AHRQ is charged with enhancing the quality, appropriateness and effectiveness of health care services and access to such services. AHRQ accomplishes these goals through scientific research and promotion of improvements in clinical practice, including prevention of diseases and other health conditions and improvements in the organization, financing and delivery of health care services (42 U.S.C. 299–299c–7 as amended by Pub. L. 106–129 (1999)). The United States Preventive Services Task Force (USPSTF) is an independent expert panel, first established in 1984 under the auspices of the U.S. Public Health Service. Currently, under AHRQ’s authorizing legislation noted above, the Director of AHRQ is responsible for convening the USPSTF to be composed of individuals with appropriate expertise. The mission of the Task Force is to rigorously evaluate the effectiveness of critical preventive services and to formulate recommendations for primary care clinicians regarding the appropriate provision of preventive services. The USPSTF transitioned to a standing Task Force in 2001. Current Task Force recommendations and associated evidence reviews are available at https://www.preventiveservices.ahrq.gov. rmajette on PROD1PC67 with NOTICES1 Topic Nomination Solicitation The purpose of this solicitation for new topics by AHRQ and the USPSTF is to create a balanced portfolio of relevant topics for the current Task Force library. The library is based on populations, types of services (screening, counseling, preventive medications), and disease types (cancer; heart and vascular disease; injury and violence-related disorders; infectious diseases; mental disorders and substance abuse; metabolic, nutritional and endocrine diseases; musculoskeletal conditions; obstetric and gynecological conditions; pediatric disorders; and, VerDate Aug<31>2005 14:44 Jan 23, 2006 Jkt 208001 vision and hearing disorders). Selection of suggested topics will be made on the basis of qualifications of nominations as outlined above (see basic topic nomination requirements) and the current expertise of the USPSTF. U.S. Preventive Services Task Force Type of preventive service Topics Currently Under Review: Additional Risk Factors for Intermediate CHD Risk. Aspirin Primary Prevention of CHD. Aspirin Prophylaxis in Pregnancy. Aspirin/NSAIDs to prevent Colorectal Cancer. Bacterial Vaginosis in Pregnancy. Breast Cancer ......................... Carotid Artery Stenosis ........... Chlamydial Infection ................ Colorectal Cancer ................... Depression in Adults ............... Drug Misuse ............................ Dyslipidemia in Adults and Children. Gestational Diabetes Mellitus Hearing Impairment in Elderly Hearing Impairment Newborn Hemochromatosis ................... Hip Dysplasia .......................... HIV & Other Sexually Transmitted Diseases. Iron Deficiency Anemia, including iron prophylaxis. Lead Levels in Childhood & Pregnancy. Motor Vehicle Occupant Injuries. Obesity in Adults ..................... Osteoporosis to prevent Fractures. Skin Cancer ............................ Speech & Language Delay ..... Thyroid Cancer ....................... Topics Recently Reviewed: Abdominal Aortic Aneurysm ... Adolescent Idiopathic Scoliosis Alcohol Misuse ........................ Bladder Cancer ....................... BRCA 1 & 2 ............................ Breastfeeding .......................... Cervical Cancer ...................... Coronary Heart Disease screening by EKG, ETT, EBCT. Dementia ................................. Dental Caries in Preschool Children. Diabetes Mellitus Type 2 ........ Family Violence ....................... Genital Herpes Simplex .......... Glaucoma ................................ Gonorrhea ............................... Hepatitis B Virus Infection ...... Hepatitis C Virus Infection in Adults. Healthy Diet ............................ HIV Infection ........................... Hypertension ........................... PO 00000 Frm 00036 Fmt 4703 Sfmt 4703 S PM PM PM S S/PM S S S S S S S S S S S C S S C S/C S S/C S S S S C S S C S S S S S S S S S S S C S S Type of preventive service Low Back Pain ........................ Lung Cancer ........................... Obesity in Children ................. Oral Cancer ............................. Ovarian Cancer ....................... Pancreatic Cancer .................. Peripheral Arterial/Vascular Disease. Physical Activity ...................... Postmenopausal Hormone Prophylaxis (HRT). Prostate Cancer ...................... Rh Incompatibility .................... Suicide Risk ............................ Syphilis .................................... Testicular Cancer .................... Thyroid Disease ...................... Visual Impairment in Children C S S S S S S C PM S S S S S S S Type of Preventive Service: S = Screening; C = Counseling; PM = Preventive Medications. Dated: January 17, 2006. Carolyn M. Clancy, Director. [FR Doc. 06–612 Filed 1–23–06; 8:45 am] BILLING CODE 4160–90–M DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Notice of Meetings In accordance with section 10(d) of the Federal Advisory Committee Act as amended (5 U.S.C., Appendix 2), the Agency for Healthcare Research and Quality (AHRQ) announces meetings of scientific peer review groups. The subcommittees listed below are part of the Agency’s Health Services Research Initial Review Group Committee. The subcommittee meetings will be closed to the public in accordance with the Federal Advisory Committee Act, section 10(d) of 5 U.S.C., Appendix 2 and 5 U.S.C. 552b(c)(6). Grant applications are to be reviewed and discussed at these meetings. These discussions are likely to involve information concerning individuals associated with the applications, including assessments of their personal qualifications to conduct their proposed projects. This information is exempt from mandatory disclosure under the above-cited statutes. 1. Name of Subcommittee: Health Care Technology and Decision Sciences. Date: February 2, 2006 (Open from 8 a.m. to 8:15 a.m. on February 2 and closed for remainder of the meeting). E:\FR\FM\24JAN1.SGM 24JAN1

Agencies

[Federal Register Volume 71, Number 15 (Tuesday, January 24, 2006)]
[Notices]
[Pages 3849-3850]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 06-612]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Agency for Healthcare Research and Quality


Solicitation for Nominations for New Primary and Secondary Health 
Topics To Be Considered for Review by the United States Preventive 
Services Task Force

AGENCY: Agency for Healthcare Research and Quality (AHRQ), DHHS.

ACTION: Solicit for new topic nominations.

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

SUMMARY: The Agency for Healthcare Research and Quality (AHRQ) invites 
individuals and organizations to nominate primary and secondary 
prevention topics pertaining to clinical preventive services that they 
would like the United States Preventive Services Task Force (USPSTF) to 
consider for review. A list of topics that have been recently reviewed 
or are currently under review by the USPSTF is listed below in the 
supplementary information section.
    The USPSTF is an independent panel of experts that makes evidence-
based recommendations regarding the provision of clinical preventive 
services. Clinical preventive services include screening, counseling 
and preventive medications. The USPSTF makes recommendations about 
preventive services for asymptomatic people--people without recognized 
signs or symptoms of the specific conditions targeted by the preventive 
service.
    Topics can be nominated by individuals, organizations, evidence-
based practice centers (EPC) and USPSTF members. The USPSTF will 
consider nominations and prioritize topics for review based on the 
following set of criteria: Public health importance (burden of 
suffering, potential of preventive service to reduce the burden); new 
evidence that has the potential to change prior recommendations 
including inactive ones; and, potential for greatest Task Force impact 
(e.g., clinical controversy, practice does not reflect evidence, 
inappropriate timing in delivery of services). The USPSTF will 
prioritize topics for which there is a performance gap and the 
potential to significantly improve clinical practice. Individuals and 
organizations may nominate new topics or topics previously reviewed by 
the USPSTF.
    Basic Topic Nomination Requirements: Nominations must be no more 
than 500 words in length and must include the following information. 
Nominations may include an appendix that contains references and 
supporting documents (not included in word count).
    1. Name of topic.
    2. Rationale for consideration by the USPSTF, to include:
    a. Primary or secondary prevention topic (screening, counseling or 
preventive medication).
    b. Primary care relevance (aplicable clinical preventive service 
must be initiated in the primary care setting which can be defined as 
family practice, internal medicine, pediatrics or obstetrics/gynecology 
and provided by a primary care provider).
    c. Description of public health importance (burden of disease/
suffering, potential of preventive service to reduce burden, including 
effective interventions). Citations and supporting documents are 
recommended.
    d. Summary of new evidence, if any, that has potential to affect 
the Task Force's recommendation on a previously reviewed topic. Please 
refer to https://preventiveservices.ahrg.gov for USPSTF recommendations. 
Citations and supporting documents are recommended.
    e. Description of potential impact of USPSTF's review of the topic, 
i.e., change in clinical practice, research focus, etc.

DATES: Topic nominations should be submitted by February 23, 2006, in 
order to be considered for 2006-2008. AHRQ will not reply to 
submissions in response to the request for nominations, but will 
consider all topic nominations during the selection process. If a topic 
is selected for review by the USPSTF, the nominator will be notified by 
AHRQ.

ADDRESSES: Please submit nominations to: Therese Miller, DrPH, ATTN: 
USPSTF Topic Nominations, Center for Primary Care, Prevention & 
Clinical Partnerships, Agency for Healthcare Research and Quality, 540 
Gaither Road,

[[Page 3850]]

Rockville, MD 20850, Fax: 301.427.1597, E-mail: tmiller@ahrg.gov.

FOR FURTHER INFORMATION CONTACT: Therese Miller at tmiller@ahrq.gov or 
Gloria Washington at gwashing@ahrq.gov.
    Arrangement For Public Inspection: All nominations will be 
available for public inspections by appointment at the Center for 
Primary Care, Prevention & Clinical Partnerships, 301.427.1500, 
weekdays between 10 a.m. and 5 p.m. (eastern time).

SUPPLEMENTARY INFORMATION:

Background

    Under Title IX of the Public Health Service Act, AHRQ is charged 
with enhancing the quality, appropriateness and effectiveness of health 
care services and access to such services. AHRQ accomplishes these 
goals through scientific research and promotion of improvements in 
clinical practice, including prevention of diseases and other health 
conditions and improvements in the organization, financing and delivery 
of health care services (42 U.S.C. 299-299c-7 as amended by Pub. L. 
106-129 (1999)).
    The United States Preventive Services Task Force (USPSTF) is an 
independent expert panel, first established in 1984 under the auspices 
of the U.S. Public Health Service. Currently, under AHRQ's authorizing 
legislation noted above, the Director of AHRQ is responsible for 
convening the USPSTF to be composed of individuals with appropriate 
expertise. The mission of the Task Force is to rigorously evaluate the 
effectiveness of critical preventive services and to formulate 
recommendations for primary care clinicians regarding the appropriate 
provision of preventive services. The USPSTF transitioned to a standing 
Task Force in 2001. Current Task Force recommendations and associated 
evidence reviews are available at https://
www.preventiveservices.ahrq.gov.

Topic Nomination Solicitation

    The purpose of this solicitation for new topics by AHRQ and the 
USPSTF is to create a balanced portfolio of relevant topics for the 
current Task Force library. The library is based on populations, types 
of services (screening, counseling, preventive medications), and 
disease types (cancer; heart and vascular disease; injury and violence-
related disorders; infectious diseases; mental disorders and substance 
abuse; metabolic, nutritional and endocrine diseases; musculoskeletal 
conditions; obstetric and gynecological conditions; pediatric 
disorders; and, vision and hearing disorders). Selection of suggested 
topics will be made on the basis of qualifications of nominations as 
outlined above (see basic topic nomination requirements) and the 
current expertise of the USPSTF.

U.S. Preventive Services Task Force

------------------------------------------------------------------------
                                             Type of  preventive service
------------------------------------------------------------------------
Topics Currently Under Review:
  Additional Risk Factors for Intermediate   S
   CHD Risk.
  Aspirin Primary Prevention of CHD........  PM
  Aspirin Prophylaxis in Pregnancy.........  PM
  Aspirin/NSAIDs to prevent Colorectal       PM
   Cancer.
  Bacterial Vaginosis in Pregnancy.........  S
  Breast Cancer............................  S/PM
  Carotid Artery Stenosis..................  S
  Chlamydial Infection.....................  S
  Colorectal Cancer........................  S
  Depression in Adults.....................  S
  Drug Misuse..............................  S
  Dyslipidemia in Adults and Children......  S
  Gestational Diabetes Mellitus............  S
  Hearing Impairment in Elderly............  S
  Hearing Impairment Newborn...............  S
  Hemochromatosis..........................  S
  Hip Dysplasia............................  S
  HIV & Other Sexually Transmitted Diseases  C
  Iron Deficiency Anemia, including iron     S
   prophylaxis.
  Lead Levels in Childhood & Pregnancy.....  S
  Motor Vehicle Occupant Injuries..........  C
  Obesity in Adults........................  S/C
  Osteoporosis to prevent Fractures........  S
  Skin Cancer..............................  S/C
  Speech & Language Delay..................  S
  Thyroid Cancer...........................  S
 
Topics Recently Reviewed:
  Abdominal Aortic Aneurysm................  S
  Adolescent Idiopathic Scoliosis..........  S
  Alcohol Misuse...........................  C
  Bladder Cancer...........................  S
  BRCA 1 & 2...............................  S
  Breastfeeding............................  C
  Cervical Cancer..........................  S
  Coronary Heart Disease screening by EKG,   S
   ETT, EBCT.
  Dementia.................................  S
  Dental Caries in Preschool Children......  S
  Diabetes Mellitus Type 2.................  S
  Family Violence..........................  S
  Genital Herpes Simplex...................  S
  Glaucoma.................................  S
  Gonorrhea................................  S
  Hepatitis B Virus Infection..............  S
  Hepatitis C Virus Infection in Adults....  S
  Healthy Diet.............................  C
  HIV Infection............................  S
  Hypertension.............................  S
  Low Back Pain............................  C
  Lung Cancer..............................  S
  Obesity in Children......................  S
  Oral Cancer..............................  S
  Ovarian Cancer...........................  S
  Pancreatic Cancer........................  S
  Peripheral Arterial/Vascular Disease.....  S
  Physical Activity........................  C
  Postmenopausal Hormone Prophylaxis (HRT).  PM
  Prostate Cancer..........................  S
  Rh Incompatibility.......................  S
  Suicide Risk.............................  S
  Syphilis.................................  S
  Testicular Cancer........................  S
  Thyroid Disease..........................  S
  Visual Impairment in Children............  S
------------------------------------------------------------------------
Type of Preventive Service: S = Screening; C = Counseling; PM =
  Preventive Medications.


    Dated: January 17, 2006.
Carolyn M. Clancy,
Director.
[FR Doc. 06-612 Filed 1-23-06; 8:45 am]
BILLING CODE 4160-90-M

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