Agency Information Collection Activities; Proposed Collection; Public Comment Request, 10174-10175 [2013-03270]

Download as PDF 10174 Federal Register / Vol. 78, No. 30 / Wednesday, February 13, 2013 / Notices Interested persons may express their views in writing to the Reserve Bank indicated for that notice or to the offices of the Board of Governors. Comments must be received not later than February 28, 2013. A. Federal Reserve Bank of Kansas City (Dennis Denney, Assistant Vice President) 1 Memorial Drive, Kansas City, Missouri 64198–0001: 1. Darryn W. Biggerstaff, Canon City, Colorado; to retain voting shares of Canon Bank Corporation, and thereby indirectly retain voting shares of Canon National Bank, both in Canon City, Colorado. Board of Governors of the Federal Reserve System, February 8, 2013. Margaret McCloskey Shanks, Deputy Secretary of the Board. issued on December 19, 2011 by the Office of Management and Budget’s Office of Federal Procurement Policy (OFPP). OFPP’s guidance is available at: http://www.whitehouse.gov/sites/ default/files/omb/procurement/memo/ service-contract-inventory-guidance. The GSA has posted its inventory and a summary of the inventory on the GSA.Gov homepage at the following link: http://www.gsa.gov/gsasci. Dated: February 7, 2013. Laura G. Auletta, Acting Senior Procurement Executive & Deputy Chief Acquisition Officer, Office of Acquisition Policy, General Services Administration. [FR Doc. 2013–03279 Filed 2–12–13; 8:45 am] BILLING CODE 6820–61–P [FR Doc. 2013–03284 Filed 2–12–13; 8:45 am] DEPARTMENT OF HEALTH AND HUMAN SERVICES BILLING CODE 6210–01–P Office of the Secretary GENERAL SERVICES ADMINISTRATION [Document Identifier: HHS–OS–18774–60D] [Notice-MV–2013–02; Docket No. 2013– 0002; Sequence 3] Public Availability of General Services Administration FY 2012 Service Contract Inventory General Services Administration (GSA). ACTION: Notice of Public Availability of FY 2012 Service Contract Inventories. AGENCY: In accordance with Section 743 of Division C of Fiscal Year (FY) 2010 Consolidated Appropriations Act Public Law 111–117, GSA is publishing this notice to advise the public of the availability of the FY 2012 Service Contract Inventories. DATES: February 13, 2013. FOR FURTHER INFORMATION CONTACT: Questions regarding the service contract inventory should be directed to Mr. Paul F. Boyle in the Office of Acquisition Policy at 202–501–0324 or Paul.Boyle@gsa.gov. SUMMARY: In accordance with Section 743 of Division C of Fiscal Year (FY) 2010 Consolidated Appropriations Act Public Law 111– 117, GSA is publishing this notice to advise the public of the availability of the FY 2012 Service Contract Inventories. These inventories provide information on service contract actions over $25,000 that were made in FY 2012. The information is organized by function to show how contracted resources are distributed throughout the agency. The inventory has been developed in accordance with guidance mstockstill on DSK4VPTVN1PROD with NOTICES SUPPLEMENTARY INFORMATION: VerDate Mar<15>2010 17:21 Feb 12, 2013 Jkt 229001 Agency Information Collection Activities; Proposed Collection; Public Comment Request Office of the Secretary, HHS. Notice. AGENCY: ACTION: In compliance with section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995, the Office of the Secretary (OS), Department of Health and Human Services, announces plans to submit a new Information Collection Request (ICR), described below, to the Office of Management and Budget (OMB). Prior to submitting that ICR to OMB, OS seeks comments from the public regarding the burden estimate, below, or any other aspect of the ICR. DATES: Comments on the ICR must be received on or before April 15, 2013. ADDRESSES: Submit your comments to Information.CollectionClearance @hhs.gov or by calling (202) 690–6162. FOR FURTHER INFORMATION CONTACT: Information Collection Clearance staff, Information.CollectionClearance @hhs.gov or (202) 690–6162. SUPPLEMENTARY INFORMATION: When submitting comments or requesting information, please include the document identifier HHS–OS–18774– 60D for reference. Information Collection Request Title: Survey of Physician Time Use Patterns under the Medicare Fee Schedule. Abstract: This information collection is a survey of physician providers in five specialties (internal medicine, radiology, cardiology, ophthalmology, and orthopedics) to gather information SUMMARY: PO 00000 Frm 00048 Fmt 4703 Sfmt 4703 on the clinical time spent in providing selected services as well as related information on the physician’s practice. Need and Proposed Use of the Information: The Office of the Assistant Secretary for Planning and Evaluation is currently conducting a number of studies aimed at producing evidence that will help to improve the accuracy of the Medicare Physician Fee Schedule. Under the Medicare Physician Fee Schedule, payments are based in part on the relative amount of physician work associated with each service. For a number of reasons, payment differentials for Evaluation and Management services relative to procedures, rather than narrowing, have continued to widen over time. While the fee schedule’s relative values are updated to reflect changes in medical practice, technology and physician productivity, some have questioned whether the current process adequately reflects these changes. The intended data collection effort would be used to gather information on the time data that is used as an input in the fee schedule. Analyses show that even though work is defined as both time and intensity, final work values are highly correlated with the time measure, with time explaining between 80 and 90 percent of the interservice variance in work. However, several studies suggest potential flaws in estimates of time associated with pre, post- and intra-service work, demonstrating that the time estimates used for many services exceed actual times when objectively measured through, for example, operating room logs. The survey data will be used to inform several gaps in knowledge critical to improving the accuracy of the fee schedule, including (i) the strength of the correlation between physicianreported clinical time and fee-schedule time values for surveyed services; (ii) how consistent the relationships are across services and across specialties; (iii) whether the relationships vary across physicians in different types of practice settings, and (iv) whether this approach to gathering time data is feasible and could be scaled up for a larger effort. Likely Respondents: Practicing physicians in 5 specialties. Burden Statement: Burden in this context means the time expended by persons to generate, maintain, retain, disclose or provide the information requested. This includes the time needed to review instructions, to develop, acquire, install and utilize technology and systems for the purpose of collecting, validating and verifying information, processing and maintaining information, and disclosing and providing information, to train E:\FR\FM\13FEN1.SGM 13FEN1 10175 Federal Register / Vol. 78, No. 30 / Wednesday, February 13, 2013 / Notices personnel and to be able to respond to a collection of information, to search data sources, to complete and review the collection of information, and to transmit or otherwise disclose the information. The total annual burden hours estimated for this ICR are summarized in the table below. TOTAL ESTIMATED ANNUALIZED BURDEN—HOURS Number of respondents Number of responses per respondent Average burden per response (in hours) Total burden hours Ineligible ........................................................................................................... Eligible ............................................................................................................. 45 600 1 1 .05 .25 2.25 150 Total .......................................................................................................... 645 1 .24 152.25 OS specifically requests comments on (1) the necessity and utility of the proposed information collection for the proper performance of the agency’s functions, (2) the accuracy of the estimated burden, (3) ways to enhance the quality, utility, and clarity of the information to be collected, and (4) the use of automated collection techniques or other forms of information technology to minimize the information collection burden. Darius Taylor, Deputy, Information Collection Clearance Officer. [FR Doc. 2013–03270 Filed 2–12–13; 8:45 am] BILLING CODE 4150–45–P 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. ACTION: Notice. AGENCY: 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: ‘‘PatientReported Health Information Technology and Workflow.’’ In accordance with the Paperwork Reduction Act, 44 U.S.C. 3501–3521, AHRQ invites the public to comment on this proposed information collection. DATES: Comments on this notice must be received by April 15, 2013. ADDRESSES: Written comments should be submitted to: Doris Lefkowitz, Reports Clearance Officer, AHRQ, by email at doris.lefkowitz@AHRQ.hhs.gov. Copies of the proposed collection plans, data collection instruments, and mstockstill on DSK4VPTVN1PROD with NOTICES SUMMARY: VerDate Mar<15>2010 17:21 Feb 12, 2013 Jkt 229001 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 email at doris.lefkowitz@AHRQ.hhs.gov. SUPPLEMENTARY INFORMATION: Proposed Project Patient-Reported Health Information Technology and Workflow Health IT can improve quality of care by arraying relevant information, displaying clinical guidelines, highlighting test values of concern, calculating medication doses, and supporting clinical decisionmaking in many ways (Chaudhry et al., 2006). Successful health IT implementation requires careful attention to the workflow of clinicians and others involved in care delivery. However, few studies have examined how health IT can change workflow in ambulatory physician practices. Further, in most studies that address health IT in ambulatory settings, workflow is not the main focus of the research (Unertl, Weinger, Johnson et al., 2009, Carayon, Karsh, Cartmill et al., 2010a). The health IT literature has not focused on sociotechnical factors, such as patient or provider characteristics, physical environment and layout; technical training and support; functionality and usability of health IT; worker roles, staff workload, stress, and job satisfaction; and communication flows. Important work that does address such factors comes mainly from inpatient settings, or from other countries where the health care system is quite different than in the U.S. (Tjora and Scambler, 2009; Ammenwerth, Iller, and Mahler, 2006; Niazkhani, Pirnejad, de Bont et al., 2008; Niazkhani, Pirnejad, Berg et al., 2009). Although many of these studies have concluded that changes in workflow occur when implementing different health IT applications, few PO 00000 Frm 00049 Fmt 4703 Sfmt 4703 studies have actually examined how workflow changes. In recent years there has been an increase in the use of health IT to capture patient reporting of medical histories, symptoms, results of selftesting (e.g., blood glucose levels, blood pressure), weight questions and concerns, over-the-counter medication use, and other information that patients need to share with their care providers. Health IT can elicit such information from patients, and help incorporate it into the flow of information within a physician’s practice so that the information is detailed, actionable, timely, and can be used to meet patients’ treatment goals. Gathering and integrating information from patients using health IT can include patient surveys and other pre-formatted information collection mechanisms (eforms), secure messaging (email) between patients and their providers (Byrne, Elliott, and Firek, 2009; Bergmo, Kummervold, Gammon et al., 2005); and patient portals (sometimes referred to as [electronic] personal health records or PHRs, patient portals allow patients to view portions of their medical records [e.g., view laboratory test results] and support other health-related tasks such as making appointments or requesting medication refills). The use of patientreported information is not yet widely integrated into health IT. This project will fill the gaps in the current literature by exploring the influence of sociotechnical factors—for clinicians and their office staff, and for patients—in capturing and using patient-reported information in ambulatory health IT systems and associated workflows. The goal of the project is to answer the following research questions: • How does the use of health IT to capture and use patient-reported information support or hinder the workflow from the viewpoints of clinicians, office staff, and patients? • How does the sociotechnical context influence workflow related to E:\FR\FM\13FEN1.SGM 13FEN1

Agencies

[Federal Register Volume 78, Number 30 (Wednesday, February 13, 2013)]
[Notices]
[Pages 10174-10175]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-03270]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary

[Document Identifier: HHS-OS-18774-60D]


Agency Information Collection Activities; Proposed Collection; 
Public Comment Request

AGENCY: Office of the Secretary, HHS.

ACTION: Notice.

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

SUMMARY: In compliance with section 3506(c)(2)(A) of the Paperwork 
Reduction Act of 1995, the Office of the Secretary (OS), Department of 
Health and Human Services, announces plans to submit a new Information 
Collection Request (ICR), described below, to the Office of Management 
and Budget (OMB). Prior to submitting that ICR to OMB, OS seeks 
comments from the public regarding the burden estimate, below, or any 
other aspect of the ICR.

DATES: Comments on the ICR must be received on or before April 15, 
2013.

ADDRESSES: Submit your comments to 
Information.CollectionClearance@hhs.gov or by calling (202) 690-6162.

FOR FURTHER INFORMATION CONTACT: Information Collection Clearance 
staff, Information.CollectionClearance@hhs.gov or (202) 690-6162.

SUPPLEMENTARY INFORMATION: When submitting comments or requesting 
information, please include the document identifier HHS-OS-18774-60D 
for reference. Information Collection Request Title: Survey of 
Physician Time Use Patterns under the Medicare Fee Schedule.
    Abstract: This information collection is a survey of physician 
providers in five specialties (internal medicine, radiology, 
cardiology, ophthalmology, and orthopedics) to gather information on 
the clinical time spent in providing selected services as well as 
related information on the physician's practice.
    Need and Proposed Use of the Information: The Office of the 
Assistant Secretary for Planning and Evaluation is currently conducting 
a number of studies aimed at producing evidence that will help to 
improve the accuracy of the Medicare Physician Fee Schedule. Under the 
Medicare Physician Fee Schedule, payments are based in part on the 
relative amount of physician work associated with each service. For a 
number of reasons, payment differentials for Evaluation and Management 
services relative to procedures, rather than narrowing, have continued 
to widen over time. While the fee schedule's relative values are 
updated to reflect changes in medical practice, technology and 
physician productivity, some have questioned whether the current 
process adequately reflects these changes. The intended data collection 
effort would be used to gather information on the time data that is 
used as an input in the fee schedule. Analyses show that even though 
work is defined as both time and intensity, final work values are 
highly correlated with the time measure, with time explaining between 
80 and 90 percent of the inter-service variance in work. However, 
several studies suggest potential flaws in estimates of time associated 
with pre-, post- and intra-service work, demonstrating that the time 
estimates used for many services exceed actual times when objectively 
measured through, for example, operating room logs. The survey data 
will be used to inform several gaps in knowledge critical to improving 
the accuracy of the fee schedule, including (i) the strength of the 
correlation between physician-reported clinical time and fee-schedule 
time values for surveyed services; (ii) how consistent the 
relationships are across services and across specialties; (iii) whether 
the relationships vary across physicians in different types of practice 
settings, and (iv) whether this approach to gathering time data is 
feasible and could be scaled up for a larger effort. Likely 
Respondents: Practicing physicians in 5 specialties.
    Burden Statement: Burden in this context means the time expended by 
persons to generate, maintain, retain, disclose or provide the 
information requested. This includes the time needed to review 
instructions, to develop, acquire, install and utilize technology and 
systems for the purpose of collecting, validating and verifying 
information, processing and maintaining information, and disclosing and 
providing information, to train

[[Page 10175]]

personnel and to be able to respond to a collection of information, to 
search data sources, to complete and review the collection of 
information, and to transmit or otherwise disclose the information. The 
total annual burden hours estimated for this ICR are summarized in the 
table below.

                                    Total Estimated Annualized Burden--Hours
----------------------------------------------------------------------------------------------------------------
                                                                                       Average
                                                      Number of       Number of      burden per     Total burden
                                                     respondents    responses per   response  (in      hours
                                                                     respondent        hours)
----------------------------------------------------------------------------------------------------------------
Ineligible.......................................              45               1             .05           2.25
Eligible.........................................             600               1             .25         150
                                                  --------------------------------------------------------------
    Total........................................             645               1             .24         152.25
----------------------------------------------------------------------------------------------------------------

    OS specifically requests comments on (1) the necessity and utility 
of the proposed information collection for the proper performance of 
the agency's functions, (2) the accuracy of the estimated burden, (3) 
ways to enhance the quality, utility, and clarity of the information to 
be collected, and (4) the use of automated collection techniques or 
other forms of information technology to minimize the information 
collection burden.

Darius Taylor,
Deputy, Information Collection Clearance Officer.
[FR Doc. 2013-03270 Filed 2-12-13; 8:45 am]
BILLING CODE 4150-45-P