Findings of Research Misconduct, 14797-14798 [2013-05301]
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Federal Register / Vol. 78, No. 45 / Thursday, March 7, 2013 / Notices
new financial models. These options are
described below.
• The Medicare Advantage Program
could encourage improved beneficiary
access to their personal health
information by incorporating new
measures in the Consumer Assessment
of Healthcare Providers and Systems
(CAHPS®) survey. The Medicare
CAHPS® surveys are a set of surveys
sponsored by CMS that collect
consumer evaluations of health care
experiences that are not currently
assessed by other means. Questions
could be expanded to include topics
such as the extent to which patients
believe they are able to participate
collaboratively in decisions about their
health, and the extent to which
information technology supports their
ability to share and communicate with
providers and other members of their
health care team, and manage their care
between various providers.
• CMS could promote the use of Blue
Button. The Blue Button provides easy
electronic access to personal health
information for consumers. To
strengthen its success, ONC released
guidelines for data holders and
application developers that support the
growth of an ecosystem of tools to help
consumers manage their health. The
Blue Button Plus guidelines include
specifications for a structured data
format (consistent with Meaningful Use
Stage 2), and enable updates of the
information contained in individual
consumer’s health records to be sent
automatically to the applications of
their choice. Tools built on Blue Button
Plus specifications could be made
available to all CMS beneficiaries, and
widely promoted by healthcare
providers and via avenues such as the
Medicare Handbook, Medicare.gov, and
Medicare Advantage plans.
• As stated previously, under the
Affordable Care Act, CMS has the
authority to test innovative payment
and service delivery models that have
the potential to reduce program
expenditures while maintaining or
improving the quality of care for
beneficiaries. In future and new models,
CMS could encourage applicants to
experiment with providing incentives
for consumers to more actively
participate in their health and health
care—including through shareddecision making—supported by the
collection, use, and sharing of electronic
health information.
• Modifications to Clinical Laboratory
Improvement Amendments of 1988
regulations and the Health Insurance
Portability and Accountability Act of
1996 (HIPAA) Privacy Rule could
enable patients’ direct access to their lab
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results from laboratories. CMS and the
HHS Office for Civil Rights (OCR)
received public comments on this
potential modification through a notice
for proposed rulemaking (76 FR 56712).
III. Questions for Public Comment
CMS and ONC are soliciting public
comments on the following questions:
1. What changes in payment policy
would have the most impact on the
electronic exchange of health
information, particularly among those
organizations that are market
competitors?
2. Which of the following programs
are having the greatest impact on
encouraging electronic health
information exchange: Hospital
readmission payment adjustments,
value-based purchasing, bundled
payments, ACOs, Medicare Advantage,
Medicare and Medicaid EHR Incentive
Programs (Meaningful Use), or medical/
health homes? Are there any aspects of
the design or implementation of these
programs that are limiting their
potential impact on encouraging care
coordination and quality improvement
across settings of care and among
organizations that are market
competitors?
3. To what extent do current CMS
payment policies encourage or impede
electronic information exchange across
health care provider organizations,
particularly those that may be market
competitors? Furthermore, what CMS
and ONC programs and policies would
specifically address the cultural and
economic disincentives for HIE that
result in ‘‘data lock-in’’ or restricting
consumer and provider choice in
services and providers? Are there
specific ways in which providers and
vendors could be encouraged to send,
receive, and integrate health
information from other treating
providers outside of their practice or
system?
4. What CMS and ONC policies and
programs would most impact post acute,
long term care providers (institutional
and HCBS) and behavioral health
providers’ (for example, mental health
and substance use disorders) exchange
of health information, including
electronic HIE, with other treating
providers? How should these programs
and policies be developed and/or
implemented to maximize the impact on
care coordination and quality
improvement?
5. How could CMS and states use
existing authorities to better support
electronic and interoperable HIE among
Medicare and Medicaid providers,
including post acute, long-term care,
and behavioral health providers?
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14797
6. How can CMS leverage regulatory
requirements for acceptable quality in
the operation of health care entities,
such as conditions of participation for
hospitals or requirements for SNFs, NFs,
and home health to support and
accelerate electronic, interoperable
health information exchange? How
could requirements for acceptable
quality that involve health information
exchange be phased in overtime? How
might compliance with any such
regulatory requirements be best assessed
and enforced, especially since
specialized HIT knowledge may be
required to make such assessments?
7. How could the EHR Incentives
Program advance provider directories
that would support exchange of health
information between Eligible
Professionals participating in the
program. For example, could the
attestation process capture provider
identifiers that could be accessed to
enable exchange among participating
EPs?
8. How can the new authorities under
the Affordable Care Act for CMS test,
evaluate, and scale innovative payment
and service delivery models best
accelerate standards- based electronic
HIE across treating providers?
9. What CMS and ONC policies and
programs would most impact patient
access and use of their electronic health
information in the management of their
care and health? How should CMS and
ONC develop, refine and/or implement
policies and program to maximize
beneficiary access to their health
information and engagement in their
care?
What specific HHS policy changes
would significantly increase standards
based electronic exchange of laboratory
results?
Dated: February 22, 2013.
Marilyn Tavenner,
Acting Administrator, Centers for Medicare
& Medicaid Services.
Dated: February 27, 2013.
Farzad Mostashari,
National Coordinator.
[FR Doc. 2013–05266 Filed 3–6–13; 8:45 am]
BILLING CODE 4150–45–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Office of the Secretary
Findings of Research Misconduct
Office of the Secretary, HHS.
Notice.
AGENCY:
ACTION:
SUMMARY: Notice is hereby given that
the Office of Research Integrity (ORI)
E:\FR\FM\07MRN1.SGM
07MRN1
14798
Federal Register / Vol. 78, No. 45 / Thursday, March 7, 2013 / Notices
has taken final action in the following
case:
Adam C. Savine, Washington
University in St. Louis: Based on the
report from Washington University in
St. Louis (WUSTL) and Respondent’s
admission, ORI found that Mr. Adam C.
Savine, former doctoral student,
Department of Psychology, WUSTL,
engaged in research misconduct in
research supported by National Institute
of Mental Health (NIMH), National
Institutes of Health (NIH), grant R56
MH066078, National Institute on Drug
Abuse (NIDA), NIH, grants F31
DA032152 and R21 DA027821, and
National Institute on Aging (NIA), NIH,
grant T32 AG00030.
ORI found that the Respondent
engaged in research misconduct by
falsifying data that were included in the
following three publications and six
conference abstracts:
Publications
1. Savine, A.C., & Braver, T.S. ‘‘Local and
global effects of motivation on cognitive
control.’’ Cogn Affect Behav Neurosci.
12(4):692–718, 2012 Dec. (hereafter referred
to as Cogn Affect Behav Neurosci. 2012).
2. Savine, A.C., McDaniel, M.A., Shelton,
J.T., Scullin, M.K. ‘‘A characterization of
individual differences in prospective
memory monitoring using the Complex
Ongoing Serial Task.’’ J Exp Psychol Gen.
141(2):337–62, 2012 May (hereafter referred
to as J Exp Psychol Gen. 2012).
3. Savine, A.C., & Braver, T.S. ‘‘Motivated
cognitive control: Reward incentives
modulate preparatory neural activity during
task-switching.’’ J Neurosci. 30(31):10294–
305, 2010 Aug 4 (hereafter referred to as J
Neurosci. 2010).
emcdonald on DSK67QTVN1PROD with NOTICES
Conference Abstracts
1. Savine, A.C., & Braver, T.S. (November
2010) ‘‘The contextual and local effects of
motivation on cognitive control.’’
Psychonomics Society, St. Louis, MO.
2. Savine, A.C., & Braver, T.S. (November
2010) ‘‘A model-based characterization of the
individual differences in prospective
memory monitoring.’’ Psychonomics Society,
St. Louis, MO.
3. Savine, A.C., & Braver, T.S. (November
2010) ‘‘Motivated cognitive control: Reward
incentives modulate preparatory neural
activity during task-switching.’’ Society for
Neuroscience, San Diego, CA.
4. Savine, A.C., & Braver, T.S. (June 2010)
‘‘Motivated cognitive control: Reward
incentives modulate preparatory neural
activity during task-switching.’’ Motivation
and Cognitive Control Conference, Oxford,
England.
5. Savine, A.C., & Braver, T.S. (January
2010) ‘‘Neural correlates of the motivation/
cognitive control interaction: Activation
dynamics and Performance prediction during
task-switching.’’ Genetic and Experiential
Influences on Executive Function, Boulder,
CO.
6. Savine, A.C., & Braver, T.S. (June 2009)
‘‘Incentive Induced Changes in Neural
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14:43 Mar 06, 2013
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Patterns During Task-Switching.’’
Organization for Human Brain Mapping, San
Francisco, CA.
As a result of the Respondent’s
admission, the senior authors will
request that the published papers be
retracted or corrected.
ORI finds that Respondent falsified
data and related text in Cogn Affect
Behav Neurosci. 2012, J Exp Psychol
Gen. 2012, J Neurosci. 2010, and in six
(6) meeting abstracts, by altering the
experimental data to improve the
statistical results. Specifically,
Respondent:
1. Falsified data in Cogn Affect Behav
Neurosci. 2012 to show an unambiguous
dissociation between local and global
motivational effects. Specifically,
Respondent exaggerated (1) the effect of
incentive context on response times and
error rates in Table 1 and Figures 1 and
3 for experiment 1 and (2) the effect of
incentive cue timing on response times
and error rates in Table 2 and in Figures
6, 9, and S2 for experiment 2.
2. Falsified data in J Exp Psychol Gen.
2012 to show that prospective memory
is influenced by three dissociable
underlying monitoring patterns
(attentional focus, secondary memory
retrieval, information thresholding),
which are stable within individuals over
time and are influenced by personality
and cognitive differences. Specifically,
Respondent modified the data to
support the three category model and to
show (1) that individuals fitting into
each of the three categories exhibited
differential patterns of prospective
memory performance and ongoing task
performance in Tables 1–3; Figures 5–8,
and (2) that certain cognitive and
personality differences were predictive
of distinct monitoring approaches
within the three categories in Figure 9.
3. Falsified data in J Neurosci. 2010
and mislabeled brain images to show
that motivational incentives enhance
task-switching performance and are
associated with activation of rewardrelated brain regions, behavioral
performance, and trial outcomes.
Specifically, Respondent modified the
data so that he could show a stronger
relationship between brain activity and
behavior in Table 2 and Figure 4 and
used brain images that fit the data rather
than the images that corresponded to
the actual Talairach coordinates in
Figure 3.
Mr. Savine has entered into a
Voluntary Settlement Agreement and
has voluntarily agreed for a period of
three (3) years, beginning on February
22, 2013:
(1) To have his research supervised;
Respondent agreed that prior to the
submission of an application for U.S.
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Fmt 4703
Sfmt 4703
Public Health Service (PHS) support for
a research project on which his
participation is proposed and prior to
his participation in any capacity on
PHS-supported research, Respondent
shall ensure that a plan for supervision
of his duties is submitted to ORI for
approval; the supervision plan must be
designed to ensure the scientific
integrity of his research contribution; he
agreed that he shall not participate in
any PHS-supported research until such
a supervision plan is submitted to and
approved by ORI; Respondent agreed to
maintain responsibility for compliance
with the agreed upon supervision plan;
(2) That any institution employing
him shall submit, in conjunction with
each application for PHS funds, or
report, manuscript, or abstract involving
PHS-supported research in which
Respondent is involved, a certification
to ORI that the data provided by
Respondent are based on actual
experiments or are otherwise
legitimately derived and that the data,
procedures, and methodology are
accurately reported in the application,
report, manuscript, or abstract;
(3) To exclude himself voluntarily
from serving in any advisory capacity to
PHS including, but not limited to,
service on any PHS advisory committee,
board, and/or peer review committee, or
as a consultant; and
(4) That the senior authors will
request that the following papers be
retracted or corrected: Cogn Affect
Behav Neurosci. 2012, J Exp Psychol
Gen. 2012, and J Neurosci. 2010.
FOR FURTHER INFORMATION CONTACT:
Director, Office of Research Integrity,
1101 Wootton Parkway, Suite 750,
Rockville, MD 20852, (240) 453–8200.
David E. Wright,
Director, Office of Research Integrity.
[FR Doc. 2013–05301 Filed 3–6–13; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Meeting of the Advisory Group on
Prevention, Health Promotion, and
Integrative and Public Health
Department of Health and
Human Services, Office of the Secretary,
Office of the Assistant Secretary for
Health, Office of the Surgeon General of
the United States Public Health Service.
ACTION: Notice.
AGENCY:
SUMMARY: In accordance with Section
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a meeting is scheduled to be held for the
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[Federal Register Volume 78, Number 45 (Thursday, March 7, 2013)]
[Notices]
[Pages 14797-14798]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-05301]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Office of the Secretary
Findings of Research Misconduct
AGENCY: Office of the Secretary, HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: Notice is hereby given that the Office of Research Integrity
(ORI)
[[Page 14798]]
has taken final action in the following case:
Adam C. Savine, Washington University in St. Louis: Based on the
report from Washington University in St. Louis (WUSTL) and Respondent's
admission, ORI found that Mr. Adam C. Savine, former doctoral student,
Department of Psychology, WUSTL, engaged in research misconduct in
research supported by National Institute of Mental Health (NIMH),
National Institutes of Health (NIH), grant R56 MH066078, National
Institute on Drug Abuse (NIDA), NIH, grants F31 DA032152 and R21
DA027821, and National Institute on Aging (NIA), NIH, grant T32
AG00030.
ORI found that the Respondent engaged in research misconduct by
falsifying data that were included in the following three publications
and six conference abstracts:
Publications
1. Savine, A.C., & Braver, T.S. ``Local and global effects of
motivation on cognitive control.'' Cogn Affect Behav Neurosci.
12(4):692-718, 2012 Dec. (hereafter referred to as Cogn Affect Behav
Neurosci. 2012).
2. Savine, A.C., McDaniel, M.A., Shelton, J.T., Scullin, M.K.
``A characterization of individual differences in prospective memory
monitoring using the Complex Ongoing Serial Task.'' J Exp Psychol
Gen. 141(2):337-62, 2012 May (hereafter referred to as J Exp Psychol
Gen. 2012).
3. Savine, A.C., & Braver, T.S. ``Motivated cognitive control:
Reward incentives modulate preparatory neural activity during task-
switching.'' J Neurosci. 30(31):10294-305, 2010 Aug 4 (hereafter
referred to as J Neurosci. 2010).
Conference Abstracts
1. Savine, A.C., & Braver, T.S. (November 2010) ``The contextual
and local effects of motivation on cognitive control.'' Psychonomics
Society, St. Louis, MO.
2. Savine, A.C., & Braver, T.S. (November 2010) ``A model-based
characterization of the individual differences in prospective memory
monitoring.'' Psychonomics Society, St. Louis, MO.
3. Savine, A.C., & Braver, T.S. (November 2010) ``Motivated
cognitive control: Reward incentives modulate preparatory neural
activity during task-switching.'' Society for Neuroscience, San
Diego, CA.
4. Savine, A.C., & Braver, T.S. (June 2010) ``Motivated
cognitive control: Reward incentives modulate preparatory neural
activity during task-switching.'' Motivation and Cognitive Control
Conference, Oxford, England.
5. Savine, A.C., & Braver, T.S. (January 2010) ``Neural
correlates of the motivation/cognitive control interaction:
Activation dynamics and Performance prediction during task-
switching.'' Genetic and Experiential Influences on Executive
Function, Boulder, CO.
6. Savine, A.C., & Braver, T.S. (June 2009) ``Incentive Induced
Changes in Neural Patterns During Task-Switching.'' Organization for
Human Brain Mapping, San Francisco, CA.
As a result of the Respondent's admission, the senior authors will
request that the published papers be retracted or corrected.
ORI finds that Respondent falsified data and related text in Cogn
Affect Behav Neurosci. 2012, J Exp Psychol Gen. 2012, J Neurosci. 2010,
and in six (6) meeting abstracts, by altering the experimental data to
improve the statistical results. Specifically, Respondent:
1. Falsified data in Cogn Affect Behav Neurosci. 2012 to show an
unambiguous dissociation between local and global motivational effects.
Specifically, Respondent exaggerated (1) the effect of incentive
context on response times and error rates in Table 1 and Figures 1 and
3 for experiment 1 and (2) the effect of incentive cue timing on
response times and error rates in Table 2 and in Figures 6, 9, and S2
for experiment 2.
2. Falsified data in J Exp Psychol Gen. 2012 to show that
prospective memory is influenced by three dissociable underlying
monitoring patterns (attentional focus, secondary memory retrieval,
information thresholding), which are stable within individuals over
time and are influenced by personality and cognitive differences.
Specifically, Respondent modified the data to support the three
category model and to show (1) that individuals fitting into each of
the three categories exhibited differential patterns of prospective
memory performance and ongoing task performance in Tables 1-3; Figures
5-8, and (2) that certain cognitive and personality differences were
predictive of distinct monitoring approaches within the three
categories in Figure 9.
3. Falsified data in J Neurosci. 2010 and mislabeled brain images
to show that motivational incentives enhance task-switching performance
and are associated with activation of reward-related brain regions,
behavioral performance, and trial outcomes. Specifically, Respondent
modified the data so that he could show a stronger relationship between
brain activity and behavior in Table 2 and Figure 4 and used brain
images that fit the data rather than the images that corresponded to
the actual Talairach coordinates in Figure 3.
Mr. Savine has entered into a Voluntary Settlement Agreement and
has voluntarily agreed for a period of three (3) years, beginning on
February 22, 2013:
(1) To have his research supervised; Respondent agreed that prior
to the submission of an application for U.S. Public Health Service
(PHS) support for a research project on which his participation is
proposed and prior to his participation in any capacity on PHS-
supported research, Respondent shall ensure that a plan for supervision
of his duties is submitted to ORI for approval; the supervision plan
must be designed to ensure the scientific integrity of his research
contribution; he agreed that he shall not participate in any PHS-
supported research until such a supervision plan is submitted to and
approved by ORI; Respondent agreed to maintain responsibility for
compliance with the agreed upon supervision plan;
(2) That any institution employing him shall submit, in conjunction
with each application for PHS funds, or report, manuscript, or abstract
involving PHS-supported research in which Respondent is involved, a
certification to ORI that the data provided by Respondent are based on
actual experiments or are otherwise legitimately derived and that the
data, procedures, and methodology are accurately reported in the
application, report, manuscript, or abstract;
(3) To exclude himself voluntarily from serving in any advisory
capacity to PHS including, but not limited to, service on any PHS
advisory committee, board, and/or peer review committee, or as a
consultant; and
(4) That the senior authors will request that the following papers
be retracted or corrected: Cogn Affect Behav Neurosci. 2012, J Exp
Psychol Gen. 2012, and J Neurosci. 2010.
FOR FURTHER INFORMATION CONTACT: Director, Office of Research
Integrity, 1101 Wootton Parkway, Suite 750, Rockville, MD 20852, (240)
453-8200.
David E. Wright,
Director, Office of Research Integrity.
[FR Doc. 2013-05301 Filed 3-6-13; 8:45 am]
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