Agency Information Collection Activities: Proposed Collection; Comment Request, 69567-69568 [06-9485]

Download as PDF 69567 Federal Register / Vol. 71, No. 231 / Friday, December 1, 2006 / Notices 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, Department of Health and Human Services. ACTION: Notice. AGENCY: 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) allow the proposed information collection project: ‘‘Evaluation of a Medication Therapy Management Program to Improve Patient Safety in Medicare Beneficiaries.’’ In accordance with the Paperwork Reduction Act of 1995, Public Law 104–13 (44 U.S.C. 3506(c)(2)(A)), AHRQ invites the public to comment on this proposed information collection. DATES: Comments on this notice must be received by January 30, 2007. ADDRESSES: Written comments should be submitted to: Doris Lefkowitz, Reports Clearance Officer, AHRQ, 540 Gaither Road, Room #5036, Rockville, MD 20850. Copies of the proposed collection plans, data collection instruments, and specific details on the estimated burden can be obtained from AHRQ’s Reports Clearance Officer. FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ, Reports Clearance Officer, (301) 427–1477. SUPPLEMENTARY INFORMATION: Proposed Project ‘‘Evaluation of a Medication Therapy Management Program (MTMP) To Improve Patient Safety in Medicare Beneficiaries’’ The Medicare Modernization Act of 2003 (MMA) requires Medicare prescription drug plans to have a MTMP that is developed in cooperation with licensed and practicing pharmacists and physicians for targeted beneficiaries. MTMP is defined in the MMA as a program of drug therapy management that is designed to assure, with respect to targeted beneficiaries, that covered part D drugs are appropriately used to optimize therapeutic outcomes through improved medication use, and to reduce the risk of adverse events, including adverse drug interactions. The proposed MTMP research project will prospectively evaluate the effects of a specific drug therapy management program on health outcomes and patient safety in a group of research subjects aged 65 or older, living with multiple chronic health conditions and taking multiple part D medications. The evaluation will be designed as a randomized, controlled study with subjects recruited from multiple ambulatory care or family practice medical clinics in the States of Illinois, North Carolina, and Texas. The study will be coordinated by clinical scientists, physicians, and pharmacists affiliated with AHRQ, Baylor Health Care System, Duke University, RTI International, and the University of Illinois at Chicago. The study protocol and data collection procedures for the MTMP research evaluation will be reviewed by the official Institutional Review Boards at each participating study site. The study will be conducted in accordance with the rules and regulations of the Health Insurance Protection and Portability Act and with the ‘‘Guidelines for the Conduct of Research Involving Human Subjects.’’ An informed consent will be obtained (see Table below) prior to subject enrollment in the study. For individuals who consent to participate, confidential identifiable information will be collected as described in the informed consent document. Subjects will be asked to provide information about medication use, adherence to prescription instructions, health rmajette on PROD1PC67 with NOTICES1 Study Participants/Informed Consent ............................................... Study Participants/Patient Survey .................................................... Study Investigators and Personnel/Informed Consent ..................... Study Investigators and Personnel/Patient Survey .......................... Study Investigators and Personnel/Medical Chart Review and Abstraction. Study Investigators and Personnel/Preparing Electronic Pharmacy Records. Total ........................................................................................... VerDate Aug<31>2005 13:50 Nov 30, 2006 Jkt 211001 PO 00000 Frm 00039 400 400 400 400 400 .................. .................. .................. .................. .................. ......................... Sfmt 4703 The data will be collected using several methods at study entry and at the end of the study. Questionnaire data will be obtained via direct patient interview by clinical investigators who will record the information on a paper form. In addition, a self-administered paper patient survey will be collected during scheduled patient study visits in both the intervention and control arms to assess the effects of participation in the medication therapy management program. All survey forms will be entered and maintained in a secure, password-protected database. Patient health, medication history, and hospitalization information will be obtained through a review of the subjects’ electronic or paper medical records. Information on prescriptions filled (e.g., number of tablets, directions, date filled) and refill frequency will be obtained through electronic pharmacy records, when these records are available and when access is authorized by the subject. Estimated Annual Respondent Burden The Table below indicates the total time burden required to obtain all of the data required to meet the study’s objectives. The Table does not include time required to analyze the data and prepare it for statistical reporting, analysis and publication. Average burden per response (hours) 1 2 1 2 2 0.25 0.75 0.25 0.75 1 2 4 (from 4 different sites). Fmt 4703 Methods of Collection Number of responses per respondent Number of respondents Respondents and response type services use, health status, adverse drug events, satisfaction with the MTMP, and demographics. Study pharmacists will assess subjects’ medication use, the appropriateness of each prescribed medication using a validated scale, and will provide information about their own satisfaction with the MTMP. All study information will be entered and maintained in a secure, passwordprotected database and will be protected in accordance with AHRQ’s confidentiality statute, Section 934(c) of the Public Health Service Act (42 U.S.C. 299c–3(c)). 4 ............................ E:\FR\FM\01DEN1.SGM .............................. 01DEN1 Total burden (hours) 100 600 100 600 800 32 2232 69568 Federal Register / Vol. 71, No. 231 / Friday, December 1, 2006 / Notices Estimated Costs to the Federal Government The cost estimate to the federal government is $1,400,000. Request for Comments In accordance with the above-cited legislation, 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 health care research and information dissemination functions of AHRQ, 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 request for OMB approval of the proposed information collection. All comments will become a matter of public record. Dated: November 20, 2006. Carolyn M. Clancy, Director. [FR Doc. 06–9485 Filed 11–30–06; 8:45 am] BILLING CODE 4160–90–M DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Notice of Meeting In accordance with section 10(d) of the Federal Advisory Committee Act (5 U.S.C., Appendix 2), announcement is made of a Health Care Policy and Research Special Emphasis Panel (SEP) meeting. A Special Emphasis Panel is a group of experts in fields related to health care research who are invited by the Agency for Healthcare Research and Quality (AHRQ), and agree to be available, to conduct on an as needed basis, scientific reviews of applications for AHRQ support. Individual members of the Panel do not attend regularly scheduled meetings and do not serve for fixed terms or a long period of time. Rather, they are asked to participate in particular review meetings which require their type of expertise. Substantial segments of the upcoming SEP meeting listed below 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 for the Announcement of Availability of Funds for Grants regarding Adolescent Family Life (AFL) Research are to be reviewed and discussed at this meeting. This program is sponsored by the Office of Population Affairs. These discussions are likely to reveal personal information concerning individuals associated with the applications. This information is exempt from mandatory disclosure under the above-cited statutes. SEP Meeting on: Announcement of Availability of Funds for Grants regarding Adolescent Family Life (AFL) Research. Date: December 11, 2006 (Open on December 11 from 8:30 a.m. to 8:45 a.m. and closed for the remainder of the meeting). Place: John M. Eisenberg Building, AHRQ Conference Center, 540 Gaither Road, Rockville, Maryland 20850. Contact Person: Anyone wishing to obtain a roster of members, agenda or minutes of the non-confidential portions of this meeting should contact Mrs. Bonnie Campbell, Committee Management Officer, Office of Extramural Research, Education and Priority Populations, AHRQ, 540 Gaither Road, Room 2038, Rockville, Maryland 20850, Telephone (301) 427– 1554. Agenda items for this meeting are subject to change as priorities dictate. Dated: November 20, 2006. Carolyn M. Clancy, Director. [FR Doc. 06–9486 Filed 11–30–06; 8:45 am] BILLING CODE 4160–90–M DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Proposed Information Collection Activity; Comment Request Proposed Projects Title: Itemized Undistributed Collections (Schedule UDC). OMB No.: 0970–0268. Description: State agencies administering the Child Support Enforcement Program under Title IV–D of the Social Security Act are required to provide information each fiscal quarter to the Office of Child Support Enforcement (OCSE) concerning administrative expenditures and the receipt and disposition of child support payments from non-custodial parents (Forms OCSE–396A and OCSE–34A— OMB NO. 0970–0181). Together with a third quarterly report, ‘‘Itemized Undistributed Collections,’’ these forms provide information from each State that is used to compute the quarterly grant awards, the annual incentive payments and provide valuable information on program finances. This information is also included in a published annual statistical and financial report, available to the general public. Public Law 109–171, the Deficit Reduction Act of 2005, contains a number of provisions that will impact the States’ completion and submission of these quarterly financial reports. These changes become effective in fiscal years 2006, 2007 and 2008. These changes require revisions to some of the data entry lines and reporting instructions currently contained on these forms. In addition, a periodic review of the data currently requested on these forms will assure that OCSE collects the information needed in the most efficient format feasible. Respondents: State agencies administering the Child Support Enforcement Program. ANNUAL BURDEN ESTIMATES rmajette on PROD1PC67 with NOTICES1 Instrument Number of respondents Number of responses per respondent Average burden hours per response Total burden hours Schedule UDC ................................................................................................. 54 4 4 864 VerDate Aug<31>2005 13:50 Nov 30, 2006 Jkt 211001 PO 00000 Frm 00040 Fmt 4703 Sfmt 4703 E:\FR\FM\01DEN1.SGM 01DEN1

Agencies

[Federal Register Volume 71, Number 231 (Friday, December 1, 2006)]
[Notices]
[Pages 69567-69568]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 06-9485]



[[Page 69567]]

=======================================================================
-----------------------------------------------------------------------

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, Department of 
Health and Human Services.

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) allow the proposed information collection 
project: ``Evaluation of a Medication Therapy Management Program to 
Improve Patient Safety in Medicare Beneficiaries.'' In accordance with 
the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 
3506(c)(2)(A)), AHRQ invites the public to comment on this proposed 
information collection.

DATES: Comments on this notice must be received by January 30, 2007.

ADDRESSES: Written comments should be submitted to: Doris Lefkowitz, 
Reports Clearance Officer, AHRQ, 540 Gaither Road, Room 5036, 
Rockville, MD 20850.
    Copies of the proposed collection plans, data collection 
instruments, and specific details on the estimated burden can be 
obtained from AHRQ's Reports Clearance Officer.

FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ, Reports 
Clearance Officer, (301) 427-1477.

SUPPLEMENTARY INFORMATION: 

Proposed Project

``Evaluation of a Medication Therapy Management Program (MTMP) To 
Improve Patient Safety in Medicare Beneficiaries''

    The Medicare Modernization Act of 2003 (MMA) requires Medicare 
prescription drug plans to have a MTMP that is developed in cooperation 
with licensed and practicing pharmacists and physicians for targeted 
beneficiaries. MTMP is defined in the MMA as a program of drug therapy 
management that is designed to assure, with respect to targeted 
beneficiaries, that covered part D drugs are appropriately used to 
optimize therapeutic outcomes through improved medication use, and to 
reduce the risk of adverse events, including adverse drug interactions.
    The proposed MTMP research project will prospectively evaluate the 
effects of a specific drug therapy management program on health 
outcomes and patient safety in a group of research subjects aged 65 or 
older, living with multiple chronic health conditions and taking 
multiple part D medications. The evaluation will be designed as a 
randomized, controlled study with subjects recruited from multiple 
ambulatory care or family practice medical clinics in the States of 
Illinois, North Carolina, and Texas. The study will be coordinated by 
clinical scientists, physicians, and pharmacists affiliated with AHRQ, 
Baylor Health Care System, Duke University, RTI International, and the 
University of Illinois at Chicago.
    The study protocol and data collection procedures for the MTMP 
research evaluation will be reviewed by the official Institutional 
Review Boards at each participating study site. The study will be 
conducted in accordance with the rules and regulations of the Health 
Insurance Protection and Portability Act and with the ``Guidelines for 
the Conduct of Research Involving Human Subjects.'' An informed consent 
will be obtained (see Table below) prior to subject enrollment in the 
study. For individuals who consent to participate, confidential 
identifiable information will be collected as described in the informed 
consent document. Subjects will be asked to provide information about 
medication use, adherence to prescription instructions, health services 
use, health status, adverse drug events, satisfaction with the MTMP, 
and demographics. Study pharmacists will assess subjects' medication 
use, the appropriateness of each prescribed medication using a 
validated scale, and will provide information about their own 
satisfaction with the MTMP. All study information will be entered and 
maintained in a secure, password-protected database and will be 
protected in accordance with AHRQ's confidentiality statute, Section 
934(c) of the Public Health Service Act (42 U.S.C. 299c-3(c)).

Methods of Collection

    The data will be collected using several methods at study entry and 
at the end of the study. Questionnaire data will be obtained via direct 
patient interview by clinical investigators who will record the 
information on a paper form. In addition, a self-administered paper 
patient survey will be collected during scheduled patient study visits 
in both the intervention and control arms to assess the effects of 
participation in the medication therapy management program. All survey 
forms will be entered and maintained in a secure, password-protected 
database. Patient health, medication history, and hospitalization 
information will be obtained through a review of the subjects' 
electronic or paper medical records. Information on prescriptions 
filled (e.g., number of tablets, directions, date filled) and refill 
frequency will be obtained through electronic pharmacy records, when 
these records are available and when access is authorized by the 
subject.

Estimated Annual Respondent Burden

    The Table below indicates the total time burden required to obtain 
all of the data required to meet the study's objectives. The Table does 
not include time required to analyze the data and prepare it for 
statistical reporting, analysis and publication.

----------------------------------------------------------------------------------------------------------------
                                                               Number of       Average burden
  Respondents and response type    Number of  respondents    responses per      per response      Total burden
                                                              respondent          (hours)            (hours)
----------------------------------------------------------------------------------------------------------------
Study Participants/Informed        400...................                 1               0.25               100
 Consent.
Study Participants/Patient Survey  400...................                 2               0.75               600
Study Investigators and Personnel/ 400...................                 1               0.25               100
 Informed Consent.
Study Investigators and Personnel/ 400...................                 2               0.75               600
 Patient Survey.
Study Investigators and Personnel/ 400...................                 2               1                  800
 Medical Chart Review and
 Abstraction.
Study Investigators and Personnel/ 4 (from 4 different                    2               4                   32
 Preparing Electronic Pharmacy      sites).
 Records.
����������������������������������
    Total........................  ......................  ................  .................              2232
----------------------------------------------------------------------------------------------------------------


[[Page 69568]]

Estimated Costs to the Federal Government

    The cost estimate to the federal government is $1,400,000.

Request for Comments

    In accordance with the above-cited legislation, 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 health care research and 
information dissemination functions of AHRQ, 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 request for OMB approval of the proposed 
information collection. All comments will become a matter of public 
record.

    Dated: November 20, 2006.
Carolyn M. Clancy,
Director.
[FR Doc. 06-9485 Filed 11-30-06; 8:45 am]
BILLING CODE 4160-90-M
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.