Agency Information Collection Activities: Proposed Collection; Comment Request, 21351-21353 [E8-8442]

Download as PDF 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 Jkt 214001 0 7,500 Request for Comments Amount Personnel & Support Staff ............ Consultant (sub-contractor) services ............................................ Equipment ..................................... Supplies ........................................ VerDate Aug<31>2005 Amount 0 0 0 PO 00000 Frm 00049 Fmt 4703 Sfmt 4703 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