Agency Information Collection Activities: Proposed Collection; Comment Request, 53765-53766 [2013-21258]
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53765
Federal Register / Vol. 78, No. 169 / Friday, August 30, 2013 / Notices
fields for ICD–9–CM, E and V-codes),
procedural codes (all available fields for
ICD–9 CM, CPT–4) From the abstracted
medical chart data contained in the TBI
Data Abstraction Tool, a frequency of all
observed ICD–9 CM codes will be
created. Calculations of frequencies and
code sensitivity of the ICD–9 CM codes
will be calculated to develop
recommendations for specific ICD–9 CM
in the CDC IDC–9 Code definition.
The TBI Data Abstraction tool will be
used to create the final analytic dataset
for the ‘Examining Traumatic Brain
Injury in Youth’ project. Data will be
abstracted into the dataset in two
separate phases during the study.
During the first phase, a trained
Research Assistant (RA) will review
each sampled medical chart to
determine whether the patient
experienced a TBI during the specified
visit according to the CDC TBI
definition. The RA will first review the
selection criteria to confirm eligibility
into the study. Approximately, 150
medical records from Emergency
Department Patients, obtained from
emergency medical records (EMR) will
be abstracted to determine if they fit the
TBI case definition: (1) Any period of
observed or self-reported confusion,
memory dysfunction, or loss of
consciousness, (2) observed signs of
neurological/neuropsychological
dysfunction or (3) an injury to the head
that resulted in amnesia, skull fracture,
or intracranial lesion. It is estimated that
this data abstraction will take 105
minutes per record, totaling 263 annual
burden hours. Also, 50 Concussion
Service Patient records will be obtained
from a hospital concussion clinic. These
records will be abstracted to determine
if they fit the TBI case definition as
well. It is estimated that this abstraction
will take 105 minutes per record,
totaling 88 annual burden hours. The
total annualized burden hours per year
are 351. The RA will be blinded to all
ICD–9 CM codes while reviewing
medical charts and entering data into
the TBI Data extraction tool.
There are no costs to respondents
other than their time.
ESTIMATED ANNUALIZED BURDEN HOURS
Type of respondents
Form name
Number of
respondents
Number of
responses per
respondent
Avg.
burden per
response
(in hrs.)
Emergency Department Patient ..
150 ...................
1
105/60 ..............
263
Concussion Services Patient .......
Allscripts ED electronic medical
record (EMR) system.
Microsoft Access Patient List .....
50 .....................
1
105/60 ..............
88
Total ......................................
....................................................
..........................
............................
..........................
351
Kimberly S. Lane,
Deputy Director, Office of Scientific Integrity,
Office of the Associate Director for Science,
Office of the Director, Centers for Disease
Control and Prevention.
[FR Doc. 2013–21190 Filed 8–29–13; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier CMS–10497]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services.
ACTION: Notice.
The Centers for Medicare &
Medicaid Services (CMS) is announcing
an opportunity for the public to
comment on CMS’ intention to collect
information from the public. Under the
Paperwork Reduction Act of 1995 (the
PRA), federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information (including each proposed
extension or reinstatement of an existing
collection of information) and to allow
60 days for public comment on the
tkelley on DSK3SPTVN1PROD with NOTICES
VerDate Mar<15>2010
18:00 Aug 29, 2013
Jkt 229001
Comments must be received by
October 29, 2013.
ADDRESSES: When commenting, please
reference the document identifier or
OMB control number (OCN). To be
assured consideration, comments and
recommendations must be submitted in
any one of the following ways:
1. Electronically. You may send your
comments electronically to https://
www.regulations.gov. Follow the
instructions for ‘‘Comment or
Submission’’ or ‘‘More Search Options’’
to find the information collection
document(s) that are accepting
comments.
2. By Regular Mail. You may mail
written comments to the following
address: CMS, Office of Strategic
DATES:
AGENCY:
SUMMARY:
proposed action. Interested persons are
invited to send comments regarding our
burden estimates or any other aspect of
this collection of information, including
any of the following subjects: (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.
PO 00000
Frm 00040
Fmt 4703
Sfmt 4703
Total
burden
(in hrs.)
Operations and Regulatory Affairs,
Division of Regulations Development,
Attention: Document Identifier/OMB
Control Number llllll, Room
C4–26–05, 7500 Security Boulevard,
Baltimore, Maryland 21244–1850.
To obtain copies of a supporting
statement and any related forms for the
proposed collection(s) summarized in
this notice, you may make your request
using one of following:
1. Access CMS’ Web site address at
https://www.cms.hhs.gov/
PaperworkReductionActof1995.
2. Email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at
(410) 786–1326.
FOR FURTHER INFORMATION CONTACT:
Reports Clearance Office at (410) 786–
1326.
SUPPLEMENTARY INFORMATION:
Contents
This notice sets out a summary of the
use and burden associated with the
following information collections. More
detailed information can be found in
each collection’s supporting statement
and associated materials (see
ADDRESSES).
E:\FR\FM\30AUN1.SGM
30AUN1
53766
Federal Register / Vol. 78, No. 169 / Friday, August 30, 2013 / Notices
CMS–10497 Evaluation of the Medicare
Health Care Quality (MHCQ)
Demonstration Evaluation: Focus
Group and Interview Protocols
Under the PRA (44 U.S.C. 3501–
3520), federal agencies must obtain
approval from the Office of Management
and Budget (OMB) for each collection of
information they conduct or sponsor.
The term ‘‘collection of information’’ is
defined in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes agency requests
or requirements that members of the
public submit reports, keep records, or
provide information to a third party.
Section 3506(c)(2)(A) of the PRA
requires federal agencies to publish a
60-day notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension or reinstatement of an existing
collection of information, before
submitting the collection to OMB for
approval. To comply with this
requirement, CMS is publishing this
notice.
tkelley on DSK3SPTVN1PROD with NOTICES
Information Collections
1. Type of Information Collection
Request: New collection (Request for a
new OMB control number); Title of
Information Collection: Evaluation of
the Medicare Health Care Quality
(MHCQ) Demonstration Evaluation:
Focus Group and Interview Protocols;
Use: The Medicare Health Care Quality
(MHCQ) Demonstration was developed
to address concerns about the U.S.
health care system, which typically
fragments care while also encouraging
both omissions in and duplication of
care. To rectify this situation, Congress
has directed the Centers for Medicare &
Medicaid Services (CMS) to test major
changes to the delivery and payment
systems to improve the quality of care
while also increasing efficiency across
the health care system. This would be
achieved through several types of
interventions: adoption and use of
information technology and decision
support tools by physicians and their
patients, such as evidence-based
medicine guidelines, best practice
guidelines, and shared decision-making
programs; reform of payment
methodologies; improved coordination
of care among payers and providers
serving defined communities;
measurement of outcomes; and
enhanced cultural competence in the
delivery of care.
Section 1866C of the Social Security
Act, as amended by Section 646 of the
Medicare Prescription Drug,
Improvement, and Modernization Act of
2003 (Pub. L. 108–173), section
1866C(b)), requires the Secretary of the
VerDate Mar<15>2010
18:00 Aug 29, 2013
Jkt 229001
Department of Health and Human
Services to establish a 5-year
demonstration program under which the
Secretary may approve demonstration
projects that examine health delivery
factors that encourage improved quality
in patient care. This section also
authorizes the Secretary to waive
compliance with such requirements of
Titles XI and XVIII of the Social
Security Act (42 U.S.C. 1395 et seq.) as
may be necessary for the purposes of
carrying out the demonstration project.
The MHCQ Demonstration programs
are designed to examine the extent to
which major, multifaceted changes to
traditional Medicare’s health delivery
and financing systems lead to
improvements in the quality of care
provided to Medicare beneficiaries
without increasing total program
expenditures. Each demonstration site
uses a different approach for changing
health delivery and financing systems,
but all share the goal of improving the
quality and efficiency of medical care
provided to Medicare beneficiaries.
Focus groups and individual interviews
will be conducted at 2 demonstration
sites that are active in the
demonstration: Gundersen Health
System (GHS) and Meridian Health
System (MHS).
This MHCQ Demonstration evaluation
will include analysis of both
quantitative and qualitative sources of
information. This multifaceted approach
will enable this evaluation to consider
a broad variety of evidence for
evaluating the nature and impact of
each site’s interventions. Form Number:
CMS–10497 (OCN: 0938–NEW);
Frequency: Occasionally; Affected
Public: Individuals or households and
Private sector (Not-for-profit
organizations); Number of Respondents:
36; Total Annual Responses: 36; Total
Annual Hours: 108. (For policy
questions regarding this collection
contact Normandy Brangan at 410–786–
6640.).
Dated: August 27, 2013.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2013–21258 Filed 8–29–13; 8:45 am]
BILLING CODE 4120–01–P
PO 00000
Frm 00041
Fmt 4703
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–4040, CMS–
10174, CMS–R–285, CMS–10166, CMS–
10184, CMS–1572, CMS–10175, CMS–379
and CMS–10336)]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
ACTION:
Notice.
The Centers for Medicare &
Medicaid Services (CMS) is announcing
an opportunity for the public to
comment on CMS’ intention to collect
information from the public. Under the
Paperwork Reduction Act of 1995
(PRA), federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension or reinstatement of an existing
collection of information, and to allow
a second opportunity for public
comment on the notice. Interested
persons are invited to send comments
regarding the burden estimate or any
other aspect of this collection of
information, including any of the
following subjects: (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.
DATES: Comments on the collection(s) of
information must be received by the
OMB desk officer by September 30,
2013.
ADDRESSES: When commenting on the
proposed information collections,
please reference the document identifier
or OMB control number. To be assured
consideration, comments and
recommendations must be received by
the OMB desk officer via one of the
following transmissions: OMB, Office of
Information and Regulatory Affairs,
Attention: CMS Desk Officer, Fax
Number: (202) 395–6974 OR Email:
OIRA_submission@omb.eop.gov.
To obtain copies of a supporting
statement and any related forms for the
proposed collection(s) summarized in
this notice, you may make your request
using one of following:
1. Access CMS’ Web site address at
https://www.cms.hhs.gov/
PaperworkReductionActof1995.
SUMMARY:
E:\FR\FM\30AUN1.SGM
30AUN1
Agencies
[Federal Register Volume 78, Number 169 (Friday, August 30, 2013)]
[Notices]
[Pages 53765-53766]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-21258]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier CMS-10497]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is
announcing an opportunity for the public to comment on CMS' intention
to collect information from the public. Under the Paperwork Reduction
Act of 1995 (the PRA), federal agencies are required to publish notice
in the Federal Register concerning each proposed collection of
information (including each proposed extension or reinstatement of an
existing collection of information) and to allow 60 days for public
comment on the proposed action. Interested persons are invited to send
comments regarding our burden estimates or any other aspect of this
collection of information, including any of the following subjects: (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.
DATES: Comments must be received by October 29, 2013.
ADDRESSES: When commenting, please reference the document identifier or
OMB control number (OCN). To be assured consideration, comments and
recommendations must be submitted in any one of the following ways:
1. Electronically. You may send your comments electronically to
https://www.regulations.gov. Follow the instructions for ``Comment or
Submission'' or ``More Search Options'' to find the information
collection document(s) that are accepting comments.
2. By Regular Mail. You may mail written comments to the following
address: CMS, Office of Strategic Operations and Regulatory Affairs,
Division of Regulations Development, Attention: Document Identifier/OMB
Control Number ------------, Room C4-26-05, 7500 Security Boulevard,
Baltimore, Maryland 21244-1850.
To obtain copies of a supporting statement and any related forms
for the proposed collection(s) summarized in this notice, you may make
your request using one of following:
1. Access CMS' Web site address at https://www.cms.hhs.gov/PaperworkReductionActof1995.
2. Email your request, including your address, phone number, OMB
number, and CMS document identifier, to Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at (410) 786-1326.
FOR FURTHER INFORMATION CONTACT: Reports Clearance Office at (410) 786-
1326.
SUPPLEMENTARY INFORMATION:
Contents
This notice sets out a summary of the use and burden associated
with the following information collections. More detailed information
can be found in each collection's supporting statement and associated
materials (see ADDRESSES).
[[Page 53766]]
CMS-10497 Evaluation of the Medicare Health Care Quality (MHCQ)
Demonstration Evaluation: Focus Group and Interview Protocols
Under the PRA (44 U.S.C. 3501-3520), federal agencies must obtain
approval from the Office of Management and Budget (OMB) for each
collection of information they conduct or sponsor. The term
``collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes agency requests or requirements that members of
the public submit reports, keep records, or provide information to a
third party. Section 3506(c)(2)(A) of the PRA requires federal agencies
to publish a 60-day notice in the Federal Register concerning each
proposed collection of information, including each proposed extension
or reinstatement of an existing collection of information, before
submitting the collection to OMB for approval. To comply with this
requirement, CMS is publishing this notice.
Information Collections
1. Type of Information Collection Request: New collection (Request
for a new OMB control number); Title of Information Collection:
Evaluation of the Medicare Health Care Quality (MHCQ) Demonstration
Evaluation: Focus Group and Interview Protocols; Use: The Medicare
Health Care Quality (MHCQ) Demonstration was developed to address
concerns about the U.S. health care system, which typically fragments
care while also encouraging both omissions in and duplication of care.
To rectify this situation, Congress has directed the Centers for
Medicare & Medicaid Services (CMS) to test major changes to the
delivery and payment systems to improve the quality of care while also
increasing efficiency across the health care system. This would be
achieved through several types of interventions: adoption and use of
information technology and decision support tools by physicians and
their patients, such as evidence-based medicine guidelines, best
practice guidelines, and shared decision-making programs; reform of
payment methodologies; improved coordination of care among payers and
providers serving defined communities; measurement of outcomes; and
enhanced cultural competence in the delivery of care.
Section 1866C of the Social Security Act, as amended by Section 646
of the Medicare Prescription Drug, Improvement, and Modernization Act
of 2003 (Pub. L. 108-173), section 1866C(b)), requires the Secretary of
the Department of Health and Human Services to establish a 5-year
demonstration program under which the Secretary may approve
demonstration projects that examine health delivery factors that
encourage improved quality in patient care. This section also
authorizes the Secretary to waive compliance with such requirements of
Titles XI and XVIII of the Social Security Act (42 U.S.C. 1395 et seq.)
as may be necessary for the purposes of carrying out the demonstration
project.
The MHCQ Demonstration programs are designed to examine the extent
to which major, multifaceted changes to traditional Medicare's health
delivery and financing systems lead to improvements in the quality of
care provided to Medicare beneficiaries without increasing total
program expenditures. Each demonstration site uses a different approach
for changing health delivery and financing systems, but all share the
goal of improving the quality and efficiency of medical care provided
to Medicare beneficiaries. Focus groups and individual interviews will
be conducted at 2 demonstration sites that are active in the
demonstration: Gundersen Health System (GHS) and Meridian Health System
(MHS).
This MHCQ Demonstration evaluation will include analysis of both
quantitative and qualitative sources of information. This multifaceted
approach will enable this evaluation to consider a broad variety of
evidence for evaluating the nature and impact of each site's
interventions. Form Number: CMS-10497 (OCN: 0938-NEW); Frequency:
Occasionally; Affected Public: Individuals or households and Private
sector (Not-for-profit organizations); Number of Respondents: 36; Total
Annual Responses: 36; Total Annual Hours: 108. (For policy questions
regarding this collection contact Normandy Brangan at 410-786-6640.).
Dated: August 27, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2013-21258 Filed 8-29-13; 8:45 am]
BILLING CODE 4120-01-P