Agency Information Collection Activities; Proposed Collection; Public Comment Request, 10174-10175 [2013-03270]
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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:
https://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: https://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:
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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:
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17:21 Feb 12, 2013
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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
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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
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]]>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]
=======================================================================
-----------------------------------------------------------------------
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
