Agency Information Collection Activities: Proposed Collection; Comment Request, 21351-21353 [E8-8442]
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21351
Federal Register / Vol. 73, No. 77 / Monday, April 21, 2008 / Notices
EXHIBIT 2.—ESTIMATED ANNUALIZED COST BURDEN
Number of
respondents
Form
Total burden
hours
Average
hourly wage
rate
Total cost
burden
Patient Safety Organization Certification Form ...............................................
Recertification Form .........................................................................................
Disclosure Form ...............................................................................................
Two-Contract Requirement Form ....................................................................
Information Form .............................................................................................
Patient Safety Confidentiality Complaint Form ................................................
100/3
50/3
50/3
100/3
100/3
150/3
17
8
8
8
17
17
$29.82
29.82
29.82
29.82
29.82
29.82
$506.94
238.56
238.56
506.94
506.94
506.94
Total ..........................................................................................................
500/3
67
29.82
2,504.88
Estimated Annual Costs to the Federal
Government
Description
a. AHRQ
By statute, AHRQ must collect and
review certifications from an entity that
seeks listing or continued listing as a
PSO under the Patient Safety Act.
Additional information collection is
also required for entities to remain
listed as a PSO (i.e., submissions
regarding compliance with the twocontract requirement and reports of
certain relationships between a PSO and
each of its contracting providers). The
cost to AHRQ of processing the
information collected with the abovedescribed forms is minimal; an
estimated equivalent of only
approximately 0.05 FTE or $7,500 per
year for each agency and virtually no
new overhead costs.
Description
Amount
Personnel & Support Staff ............
Consultant (sub-contractor) services ............................................
Equipment .....................................
Supplies ........................................
All other expenses ........................
Average Annual Cost ...................
$7,500
0
0
0
0
7,500
rwilkins on PROD1PC63 with NOTICES
b. OCR
OCR cannot conduct its work without
collecting information through its
proposed complaint forms. Even if OCR
did not use complaint forms and only
took information orally, it would still
have to capture the same information in
order to begin processing a complaint.
Therefore, the incremental cost to OCR
of processing the information collected
from the complaint form is minimal and
is equivalent to only approximately 0.05
FTE or $7,500 per year with, with
virtually no new overhead costs.
Description
16:59 Apr 18, 2008
All other expenses ........................
Average Annual Cost ...................
In accordance with the above-cited
Paperwork Reduction Act legislation,
comments on the above-described
AHRQ and OCR information collection
to implement the Patient Safety Act 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, quality
improvement and 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: April 14, 2008.
Carolyn M. Clancy,
Director, AHRQ.
[FR Doc. E8–8440 Filed 4–18–08; 8:45 am]
BILLING CODE 4160–90–M
$7,500
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0
7,500
Request for Comments
Amount
Personnel & Support Staff ............
Consultant (sub-contractor) services ............................................
Equipment .....................................
Supplies ........................................
VerDate Aug<31>2005
Amount
0
0
0
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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.
AGENCY:
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.
This proposed information collection
was previously published in the Federal
Register on February 20th, 2008 and
allowed 60 days for public comment. No
comments were received. The purpose
of this notice is to allow an additional
30 days for public comment.
Comments on this notice must be
received by May 21, 2008.
ADDRESSES: Written comments should
be submitted to: AHRQ’s OMB Desk
Officer by fax at (202) 395–6974
(attention: AHRQ’s desk officer) or by email at OIRA_submission@omb.eop.gov
(attention: AHRQ’s desk officer).
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.letkowitz@ahrg.hhs.gov.
SUPPLEMENTARY INFORMATION:
DATES:
E:\FR\FM\21APN1.SGM
21APN1
21352
Federal Register / Vol. 73, No. 77 / Monday, April 21, 2008 / Notices
Proposed Project
Technical Assistance for Health IT and
Health Information Exchange in
Medicaid and SCHIP
AHRQ proposes 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, Himmeistein 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
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. On average, 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 per
response
hours
Total burden
hours
Needs Assessment ..........................................................................................
Workshop evaluations .....................................................................................
Web-based seminar evaluations .....................................................................
30
5
25
1
7
10
410/60
50/60
25/60
125
30
105
Total ..........................................................................................................
60
na
na
260
EXHIBIT 2.—ESTIMATED ANNUALIZED BURDEN
Number of
respondents
(agencies)
rwilkins on PROD1PC63 with NOTICES
Form name cost
Needs Assessment ..........................................................................................
Workshop evaluations .....................................................................................
Web-based seminar evaluations .....................................................................
VerDate Aug<31>2005
16:59 Apr 18, 2008
Jkt 214001
PO 00000
Frm 00050
Fmt 4703
Sfmt 4703
Total burden
hours
30
5
25
E:\FR\FM\21APN1.SGM
125
30
105
21APN1
Hourly wage
rate
40.41
40.41
40.41
Total burden
$5,051
1,212
4,243
Federal Register / Vol. 73, No. 77 / Monday, April 21, 2008 / Notices
21353
EXHIBIT 2.—ESTIMATED ANNUALIZED BURDEN—Continued
Number of
respondents
(agencies)
Form name cost
Total ..........................................................................................................
Total burden
hours
60
260
Hourly wage
rate
........................
Total burden
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
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
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
the 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.
Agency for Healthcare Research and
Quality
Request for Comments
rwilkins on PROD1PC63 with NOTICES
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 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: April 14, 2008.
Carolyn M. Clancy,
Director.
[FR Doc. E8–8442 Filed 4–18–08; 8:45 am]
BILLING CODE 4160–90–M
VerDate Aug<31>2005
16:59 Apr 18, 2008
Jkt 214001
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Agency for Healthcare Research
and Quality, HHS.
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) approve the proposed
information collection project:
‘‘Improving Quality through Health IT:
Testing the Feasibility and Assessing
the Impact of Using Existing Health IT
Infrastructure for Better Care Delivery.’’
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.
This proposed information collection
was previously published in the Federal
Register on February 15th, 2008 and
allowed 60 days for public comment. No
comments were received. The purpose
of this notice is to allow an additional
30 days for public comment.
DATES: Comments on this notice must be
received by May 21, 2008.
ADDRESSES: Written comments should
be submitted to: AHRQs OMB Desk
Officer by fax at (202) 395–6974
(attention: AHRQ’s desk officer) or by email at OIRA_submission@omb.eop.gov
(attention: AHRQ’s desk officer).
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
‘‘Improving Quality through Health
IT: Testing the Feasibility and Assessing
PO 00000
Frm 00051
Fmt 4703
Sfmt 4703
the Impact of Using Existing Health IT
Infrastructure for Better Care Delivery.’’
AHRQ proposes to assess how the use
of health information technology (IT)
can improve care delivery and outcomes
in community health centers. AHRQ is
specifically interested in improving the
quality of care provided in a community
clinic setting through better
management of laboratory information.
The study will measure the impact of
health IT tools on two problems:
duplicate laboratory tests and the failure
to follow up on laboratory test results of
HIV patients and women screened for
cervical cancer. In addition, AHRQ will
measure the impact of health IT on
compliance with evidence-based
guidelines for laboratory tests. The
study will also investigate whether
disparities between vulnerable
populations and the general population
exist in both laboratory screening rates
and rates of abnormal laboratory test
results without follow up. To assess the
extent of these problems and the impact
of health IT, AHRQ will evaluate both
quantitative and qualitative
components. The qualitative component
will use interviews with key informants
in two community health centers to
gather data on laboratory information
processes, laboratory information
communication problems and use of
health IT tools.
Method of Collection
Quantitative data will be collected
directly from the clinical data
warehouse used by the participating
community health centers to routinely
collect laboratory data. The collection
will be accomplished using database
reports. Qualitative data will be
collected through key informant
interviews conducted in each of the two
participating community health centers.
Key informants will include physicians,
nurses, medical assistants, IT personnel,
and administrators. The total number of
interviews to be conducted at both sites
is forty-one.
Estimated Annual Respondent Burden
Exhibit 1 shows the estimated
annualized burden hours. A total of
forty-one in-person interviews will be
conducted with administrative and
E:\FR\FM\21APN1.SGM
21APN1
Agencies
[Federal Register Volume 73, Number 77 (Monday, April 21, 2008)]
[Notices]
[Pages 21351-21353]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E8-8442]
-----------------------------------------------------------------------
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.
This proposed information collection was previously published in
the Federal Register on February 20th, 2008 and allowed 60 days for
public comment. No comments were received. The purpose of this notice
is to allow an additional 30 days for public comment.
DATES: Comments on this notice must be received by May 21, 2008.
ADDRESSES: Written comments should be submitted to: AHRQ's OMB Desk
Officer by fax at (202) 395-6974 (attention: AHRQ's desk officer) or by
e-mail at OIRA_submission@omb.eop.gov (attention: AHRQ's desk
officer).
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.letkowitz@ahrg.hhs.gov.
SUPPLEMENTARY INFORMATION:
[[Page 21352]]
Proposed Project
Technical Assistance for Health IT and Health Information Exchange in
Medicaid and SCHIP
AHRQ proposes 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, Himmeistein 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
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. On
average, 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
Data collection respondents responses per burden per Total burden
(agencies) respondent response hours 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 Burden
----------------------------------------------------------------------------------------------------------------
Number of
Form name cost respondents Total burden Hourly wage Total burden
(agencies) hours rate
----------------------------------------------------------------------------------------------------------------
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
---------------------------------------------------------------
[[Page 21353]]
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 the 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 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: April 14, 2008.
Carolyn M. Clancy,
Director.
[FR Doc. E8-8442 Filed 4-18-08; 8:45 am]
BILLING CODE 4160-90-M