Agency Information Collection Activities: Proposed Collection; Comment Request, 9334-9335 [08-737]

Download as PDF 9334 Federal Register / Vol. 73, No. 34 / Wednesday, February 20, 2008 / Notices respondents will have the option to complete the survey as a web-based electronic survey. Healthy People 2010 (HP2010) is an important Federal initiative that establishes national health promotion and disease prevention goals. HP2010 represents the third of a series of publications by HHS that specifies ten-year health objectives for the nation. Its overarching goals are to increase the quality and years of healthy life and eliminate health disparities. HP2010 consists of 28 primary focus areas and 467 measurable health objectives designed to identify the most significant preventable threats to health and to establish public health priorities. The central theme of HP2010 focuses on the role of communities and community partnerships in promoting healthy living in the U.S. HP2010 is a powerful force in the effort to promote health and prevent disease in the U.S. The agenda reflects extensive consultation with over 350 national organizations, 250 state agencies, health experts, and the public. HHS is eager to document the utilization of HP2010, and to seek input from key users on how the next iteration of the initiative, Healthy People 2020, could be improved to encourage greater involvement. This study will identify examples of effective strategies and approaches to using HP2010, and, where possible, the short-term results of those efforts. ESTIMATED ANNUALIZED BURDEN TABLE Number of respondents Type of respondent Number of responses per respondent Average burden per response (in hrs) Total burden hours State Healthy People Coordinators (Frame A) ................................................ State Chronic Disease Program Directors (Frame A) ..................................... Local Health Organizations (Frame B) ............................................................ Tribal Health Organizations (Frame C) ........................................................... 51 51 300 100 1 1 1 1 15/60 15/60 15/60 15/60 13 13 75 25 Total .......................................................................................................... 502 ........................ ........................ 126 Dated: February 6, 2008. Terry Nicolosi, Office of the Secretary, Paperwork Reduction Act Reports Clearance Officer. [FR Doc. E8–3102 Filed 2–19–08; 8:45 am] BILLING CODE 4150–32–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Proposed Project ‘‘Technical Assistance for Health IT and Health Information Exchange in Medicaid and SCHIP’’ Agency Information Collection Activities: Proposed Collection; Comment Request Agency for Healthcare Research and Quality, HHS. ACTION: Notice. rwilkins on PROD1PC63 with NOTICES 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) approve the proposed information collection project: Technical Assistance for Health IT and Health Information Exchange in Medicaid and SCHIP. In accordance with the Paperwork Reduction Act of 1995, 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 April 21, 2008. ADDRESSES: Written comments should be submitted to: Doris Lefkowitz, Reports Clearance Officer, AHRQ, by email at doris.lefkowitz@ahrq.hhs.gov. VerDate Aug<31>2005 16:47 Feb 19, 2008 Jkt 214001 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 e-mail at doris.lefkowitz@ahrq.hhs.gov SUPPLEMENTARY INFORMATION: AHRQ proposed a three year project to (1) assess the challenges facing Medicaid and State Children’s Health Insurance Programs (SCHIP) agencies nationwide as they plan and implement health information technology (health IT) and health information exchange (HIE) programs and (2) provide the agencies with technical assistance to help them overcome these challenges. Health IT refers to the set of electronic tools and methods used for managing information about the health and health care of individuals, groups of individuals, and communities. HIE refers to organized efforts at the local, state, or regional levels to establish the necessary policy, business, operating, and technical mechanisms and structures that allow, support, and promote the exchange of health care information electronically across organizations. Health IT and HIE hold great promise for improving the quality and efficiency of health care in the PO 00000 Frm 00062 Fmt 4703 Sfmt 4703 United States. Medicaid and SCHIP agencies, which receive federal and state funding, serve the most medically and financially vulnerable populations. More than sixty percent of Medicaid beneficiaries have one or more chronic or disabling diseases. In addition, Medicaid and SCHIP beneficiaries frequently experience gaps in eligibility for benefits that cause beneficiaries to seek care from multiple settings, which compromises the accuracy and completeness of their health care records. These populations have much to gain from the coordination of care that can be realized from the adoption of health IT and HIE. Furthermore, as the largest health care purchaser in the United States, Medicaid can influence the adoption of health IT and HIE by providers of care. However, Medicaid and SCHIP agencies face considerable challenges in the implementation of health IT and HIE (Alfreds ST, Tutty M, Savageau JA, Young S. Himmelstein J (2006–2007). ‘‘Clinical Health Information Technologies and the Role of Medicaid.’’ Health Care Financing Review Vol. 28, No. 2, pp. 11–20.). A needs assessment of the Medicaid and SCHIP agencies in all fifty six states and territories, including the District of Columbia, will be conducted to gauge the need for technical assistance. The needs assessment will be updated in the second year of the project to assure that the program of technical assistance that is developed will be of maximum utility to the Medicaid and SCHIP agencies. AHRQ will develop and provide a wide range of technical assistance E:\FR\FM\20FEN1.SGM 20FEN1 9335 Federal Register / Vol. 73, No. 34 / Wednesday, February 20, 2008 / Notices through workshops and web-based seminars to assist Medicaid and SCHIP agencies to adopt, implement and evaluate health IT and HIE to improve the quality of care for Medicaid and SCHIP beneficiaries. Based on the results of the needs assessment, workshops and web-based seminars, AHRQ will develop additional tools and resources, such as printed technical materials, to further facilitate the adoption of health IT and HIE among Medicaid and SCHIP agencies. systems and planned or current health IT or HIE programs. The content of the needs assessment will be the same whether it is conducted by telephone or in person, and will be pre-populated to the extent possible with information gathered from other sources to reduce the burden on respondents, who can then simply verify that the information is correct. Workshop and seminar participants will be asked to complete a short evaluation of the material presented. Method of Collection The needs assessments will be conducted by telephone or in-person interviews with the directors of each Medicaid and SCHIP agency or with the persons designated by the director as most knowledgeable about their IT Estimated Annual Respondent Burden Exhibit 1 shows the estimated annualized burden for this three-year project. The needs assessment will be conducted with an average of thirty agencies per year and will require approximately four hours and ten minutes per agency. Approximately seven workshops will be conducted each year with five agencies participating in each. The workshop evaluations will take approximately fifty minutes to complete. An average of ten web-based seminars will be conducted each year with twenty-five agencies participating in each. The seminar evaluations will take approximately twenty-five minutes to complete. The total annual burden for the respondents to provide the requested information is 260 hours. Exhibit 2 shows the estimated annualized cost burden to the respondents for their time to provide the requested information. The total annualized cost burden is estimated to be $10,506. EXHIBIT 1.—ESTIMATED ANNUALIZED BURDEN Number of respondents (agencies) Data collection Number of responses per respondent Average burden hours per response Total burden hours Needs Assessment .......................................................................................... Workshop evaluations ..................................................................................... . Web-based seminar evaluations ..................................................................... 30 5 1 7 410/60 50/60 125 30 25 10 25/60 105 Total .......................................................................................................... 60 na na 260 EXHIBIT 2.—ESTIMATED ANNUALIZED COST BURDEN Number of respondents (agencies) Form name Total burden hours Hourly wage rate Total cost burden Needs Assessment .......................................................................................... Workshop evaluations ..................................................................................... Web-based seminar evaluations ..................................................................... 30 5 25 125 30 105 40.41 40.41 40.41 $5,051 1,212 4,243 Total .......................................................................................................... 60 260 ........................ 10,506 * Based upon the mean hourly wage estimate for NAICS 999000—Federal, State, and Local Government (OES designation) occupation 11– 1021 General and Operations Managers, Department of Labor, Bureau of Labor Statistics. rwilkins on PROD1PC63 with NOTICES Estimated Annual Costs to the Federal Government The projected total cost to the Federal Government for this project is $2,990,592 over a three-year period. The projected annual average cost is $996,864. The projected annual cost to design and implement the needs assessment is $180,799. The projected annual cost to develop and implement with workshops is $271,254. The projected annual cost to develop and implement the seminars is $98,187. The projected annual cost to analyze the data and report findings is $132,005. The projected annual administrative cost is $41,973, and the projected annual cost for other technical assistance support is $272,645. VerDate Aug<31>2005 16:47 Feb 19, 2008 Jkt 214001 Request for Comments In accordance with the above-cited Paperwork Reduction Act 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 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 PO 00000 Frm 00063 Fmt 4703 Sfmt 4703 collection of information to be collected; and (d) ways to minimize the burden of the collection of information on he 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: February 8, 2008. Carolyn M. Clancy, MD Director [FR Doc. 08–737 Filed 2–19–08; 8:45 am] BILLING CODE 4160–90–M E:\FR\FM\20FEN1.SGM 20FEN1

Agencies

[Federal Register Volume 73, Number 34 (Wednesday, February 20, 2008)]
[Notices]
[Pages 9334-9335]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 08-737]


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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: 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: Technical Assistance for Health IT and Health Information 
Exchange in Medicaid and SCHIP. In accordance with the Paperwork 
Reduction Act of 1995, 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 April 21, 2008.

ADDRESSES: Written comments should be submitted to: Doris Lefkowitz, 
Reports Clearance Officer, AHRQ, by e-mail 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 e-mail at 
doris.lefkowitz@ahrq.hhs.gov

SUPPLEMENTARY INFORMATION: 

Proposed Project

``Technical Assistance for Health IT and Health Information Exchange in 
Medicaid and SCHIP''

    AHRQ proposed a three year project to (1) assess the challenges 
facing Medicaid and State Children's Health Insurance Programs (SCHIP) 
agencies nationwide as they plan and implement health information 
technology (health IT) and health information exchange (HIE) programs 
and (2) provide the agencies with technical assistance to help them 
overcome these challenges. Health IT refers to the set of electronic 
tools and methods used for managing information about the health and 
health care of individuals, groups of individuals, and communities. HIE 
refers to organized efforts at the local, state, or regional levels to 
establish the necessary policy, business, operating, and technical 
mechanisms and structures that allow, support, and promote the exchange 
of health care information electronically across organizations. Health 
IT and HIE hold great promise for improving the quality and efficiency 
of health care in the United States. Medicaid and SCHIP agencies, which 
receive federal and state funding, serve the most medically and 
financially vulnerable populations. More than sixty percent of Medicaid 
beneficiaries have one or more chronic or disabling diseases. In 
addition, Medicaid and SCHIP beneficiaries frequently experience gaps 
in eligibility for benefits that cause beneficiaries to seek care from 
multiple settings, which compromises the accuracy and completeness of 
their health care records. These populations have much to gain from the 
coordination of care that can be realized from the adoption of health 
IT and HIE. Furthermore, as the largest health care purchaser in the 
United States, Medicaid can influence the adoption of health IT and HIE 
by providers of care. However, Medicaid and SCHIP agencies face 
considerable challenges in the implementation of health IT and HIE 
(Alfreds ST, Tutty M, Savageau JA, Young S. Himmelstein J (2006-2007). 
``Clinical Health Information Technologies and the Role of Medicaid.'' 
Health Care Financing Review Vol. 28, No. 2, pp. 11-20.).
    A needs assessment of the Medicaid and SCHIP agencies in all fifty 
six states and territories, including the District of Columbia, will be 
conducted to gauge the need for technical assistance. The needs 
assessment will be updated in the second year of the project to assure 
that the program of technical assistance that is developed will be of 
maximum utility to the Medicaid and SCHIP agencies.
    AHRQ will develop and provide a wide range of technical assistance

[[Page 9335]]

through workshops and web-based seminars to assist Medicaid and SCHIP 
agencies to adopt, implement and evaluate health IT and HIE to improve 
the quality of care for Medicaid and SCHIP beneficiaries. Based on the 
results of the needs assessment, workshops and web-based seminars, AHRQ 
will develop additional tools and resources, such as printed technical 
materials, to further facilitate the adoption of health IT and HIE 
among Medicaid and SCHIP agencies.

Method of Collection

    The needs assessments will be conducted by telephone or in-person 
interviews with the directors of each Medicaid and SCHIP agency or with 
the persons designated by the director as most knowledgeable about 
their IT systems and planned or current health IT or HIE programs. The 
content of the needs assessment will be the same whether it is 
conducted by telephone or in person, and will be pre-populated to the 
extent possible with information gathered from other sources to reduce 
the burden on respondents, who can then simply verify that the 
information is correct. Workshop and seminar participants will be asked 
to complete a short evaluation of the material presented.

Estimated Annual Respondent Burden

    Exhibit 1 shows the estimated annualized burden for this three-year 
project. The needs assessment will be conducted with an average of 
thirty agencies per year and will require approximately four hours and 
ten minutes per agency. Approximately seven workshops will be conducted 
each year with five agencies participating in each. The workshop 
evaluations will take approximately fifty minutes to complete. An 
average of ten web-based seminars will be conducted each year with 
twenty-five agencies participating in each. The seminar evaluations 
will take approximately twenty-five minutes to complete. The total 
annual burden for the respondents to provide the requested information 
is 260 hours.
    Exhibit 2 shows the estimated annualized cost burden to the 
respondents for their time to provide the requested information. The 
total annualized cost burden is estimated to be $10,506.

                                     Exhibit 1.--Estimated Annualized Burden
----------------------------------------------------------------------------------------------------------------
                                                     Number of       Number of    Average burden
                 Data collection                    respondents    responses per     hours per     Total burden
                                                    (agencies)      respondent       response          hours
----------------------------------------------------------------------------------------------------------------
Needs Assessment................................              30               1          410/60             125
Workshop evaluations............................               5               7           50/60              30
 
Web-based seminar evaluations...................              25              10           25/60             105
                                                 ---------------------------------------------------------------
    Total.......................................              60              na              na             260
----------------------------------------------------------------------------------------------------------------


                                  Exhibit 2.--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
                                                     Number of
                    Form name                       respondents    Total burden     Hourly wage     Total cost
                                                    (agencies)         hours           rate           burden
----------------------------------------------------------------------------------------------------------------
Needs Assessment................................              30             125           40.41          $5,051
Workshop evaluations............................               5              30           40.41           1,212
Web-based seminar evaluations...................              25             105           40.41           4,243
                                                 ---------------------------------------------------------------
    Total.......................................              60             260  ..............          10,506
----------------------------------------------------------------------------------------------------------------
* Based upon the mean hourly wage estimate for NAICS 999000--Federal, State, and Local Government (OES
  designation) occupation 11-1021 General and Operations Managers, Department of Labor, Bureau of Labor
  Statistics.

Estimated Annual Costs to the Federal Government

    The projected total cost to the Federal Government for this project 
is $2,990,592 over a three-year period. The projected annual average 
cost is $996,864. The projected annual cost to design and implement the 
needs assessment is $180,799. The projected annual cost to develop and 
implement with workshops is $271,254. The projected annual cost to 
develop and implement the seminars is $98,187. The projected annual 
cost to analyze the data and report findings is $132,005. The projected 
annual administrative cost is $41,973, and the projected annual cost 
for other technical assistance support is $272,645.

Request for Comments

    In accordance with the above-cited Paperwork Reduction Act 
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 
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 to be collected; and (d) ways to minimize the burden of the 
collection of information on he 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: February 8, 2008.
Carolyn M. Clancy, MD
Director
[FR Doc. 08-737 Filed 2-19-08; 8:45 am]
BILLING CODE 4160-90-M