Publication of Wait-Times for the Department for the Veterans Choice Program, 65771-65773 [2014-26274]

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Decided: October 31, 2014. By the Board, Rachel D. Campbell, Director, Office of Proceedings. Jeffrey Herzig, Clearance Clerk. [FR Doc. 2014–26287 Filed 11–4–14; 8:45 am] BILLING CODE 4915–01–P VerDate Sep<11>2014 17:42 Nov 04, 2014 Jkt 235001 DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 3491 Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. AGENCY: The Department of the Treasury, as part of its continuing effort to reduce paperwork and respondent burden, invites the general public and other Federal agencies to take this opportunity to comment on proposed and/or continuing information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104–13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 3491, Consumer Cooperative Exemption Application. DATES: Written comments should be received on or before January 5, 2015 to be assured of consideration. 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Estimated Number of Respondents: 200. Estimated Time per Respondent: 44 minutes. Estimated Total Annual Burden Hours: 148. The following paragraph applies to all of the collections of information covered by this notice: SUMMARY: PO 00000 Frm 00157 Fmt 4703 Sfmt 4703 65771 An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the collection of information displays a valid OMB control number. Books or records relating to a collection of information must be retained as long as their contents may become material in the administration of any internal revenue law. Generally, tax returns and tax return information are confidential, as required by 26 U.S.C. 6103. Request for Comments: Comments submitted in response to this notice will be summarized and/or included in the request for OMB approval. All comments will become a matter of public record. Comments are invited on: (a) Whether the collection of information is necessary for the proper performance of the functions of the agency, including whether the information shall have practical utility; (b) the accuracy of the agency’s estimate of the burden of the collection of information; (c) ways to enhance the quality, utility, and clarity of the information to be collected; (d) ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques or other forms of information technology; and (e) estimates of capital or start-up costs and costs of operation, maintenance, and purchase of services to provide information. Approved: October 8, 2014. Christie Preston, IRS Reports Clearance Officer. [FR Doc. 2014–26218 Filed 11–4–14; 8:45 am] BILLING CODE 4830–01–P DEPARTMENT OF VETERANS AFFAIRS Publication of Wait-Times for the Department for the Veterans Choice Program Department of Veterans Affairs. Notice. AGENCY: ACTION: The Veterans Access, Choice, and Accountability Act of 2014 directs the Department of Veterans Affairs (VA) to publish wait times for the scheduling of appointments in each VA facility for primary care, specialty care, and hospital care and medical services. This Federal Register Notice announces VA’s publication of the wait times. ADDRESSES: The wait-time data for all Veterans Health Administration (VHA) medical centers and clinics is available on the following Web site: http:// www.va.gov/health/access-audit.asp. SUMMARY: E:\FR\FM\05NON1.SGM 05NON1 65772 Federal Register / Vol. 79, No. 214 / Wednesday, November 5, 2014 / Notices Ms. Kristin J. Cunningham, Director, Business Policy (10NB6), Chief Business Office, Veterans Health Administration, 810 Vermont Avenue NW., Washington, DC 20420, Telephone: (202) 382–2508. (This is not a toll-free number.) FOR FURTHER INFORMATION CONTACT: Section 206 of the Veterans Access, Choice, and Accountability Act of 2014 (Pub. L. 113–146, ‘‘the Act’’) directs the Department of Veterans Affairs (VA), not later than 90 days after the date of the enactment of the Act, to publish in the Federal Register, and on a publiclyaccessible Internet Web site of each VA Medical Center, the wait-times for the scheduling of an appointment in each VA facility by a veteran for the receipt of primary care, specialty care, and hospital care and medical services based on the general severity of the condition of the veteran. Whenever the wait-times for the scheduling of such an appointment change, the Secretary is also required to publish the revised wait times on a publicly-accessible Internet Web site of each VA Medical Center not later than 30 days after such change, SUPPLEMENTARY INFORMATION: and in the Federal Register not later than 90 days after such change. This Federal Register Notice announces the publication of the waittimes of the Veterans Health Administration (VHA) for primary care, specialty care, and mental health care as required by section 206 of the Act. VA is working to develop an accurate method for tracking and reporting wait times for hospital care and medical services and will begin reporting that data as soon as it is available. This data release contains a new method of reporting. The previous method calculated wait time based on the create date (the date an appointment is made) and based on the desired date for scheduling an appointment. The previous method also reported data separately for new and established patients. The current method uses the date that an appointment is deemed clinically appropriate by a VA health care provider, or if no such clinical determination has been made, the date a veteran prefers to be seen, to calculate wait times and reports the wait times for all patients combined. This is consistent with the wait-time goals of VHA published in the Federal Register on October 17, 2014. 79 FR 62519. As required by section 206, the new data is also reported for each VHA facility, down to the level of Community-Based Outpatient Clinics. For this release, VA is publishing two reports, one that provides wait times data as of October 1 based on the previous reporting method, and one that reports the wait-times data for the same time period based on current reporting method. VA will continue to report average wait times using both methods for a period of time sufficient for veterans to become accustomed to the new reporting method. The following is a summary of the wait times data, based on preferred appointment date, that is published at http://www.va.gov/health/accessaudit.asp. This data can also be accessed from the Web sites of each VA Medical Center following the release of each update. The average wait times for primary care, specialty care, and mental health care by Veterans Integrated Service Network (VISN) are provided in the following tables: SAMPLE TABLE WAIT TIMES BY VISN: CURRENT METHOD Primary care average wait time VISN VISN VISN VISN VISN VISN VISN VISN VISN VISN VISN VISN VISN VISN VISN VISN VISN VISN VISN VISN VISN VISN 1 ......................................................................................................................................... 2 ......................................................................................................................................... 3 ......................................................................................................................................... 4 ......................................................................................................................................... 5 ......................................................................................................................................... 6 ......................................................................................................................................... 7 ......................................................................................................................................... 8 ......................................................................................................................................... 9 ......................................................................................................................................... 10 ....................................................................................................................................... 11 ....................................................................................................................................... 12 ....................................................................................................................................... 15 ....................................................................................................................................... 16 ....................................................................................................................................... 17 ....................................................................................................................................... 18 ....................................................................................................................................... 19 ....................................................................................................................................... 20 ....................................................................................................................................... 21 ....................................................................................................................................... 22 ....................................................................................................................................... 23 ....................................................................................................................................... Specialty care average wait time Mental health average wait time 5.50 7.54 4.66 8.13 6.69 8.12 7.93 7.90 4.61 6.94 4.71 7.73 5.95 7.12 5.95 10.59 8.50 7.75 9.77 9.05 5.00 4.30 3.82 1.94 2.67 4.14 6.83 4.89 2.53 4.12 2.77 1.99 3.67 2.51 4.37 7.16 7.50 8.33 1.91 2.78 4.78 2.35 4.60 3.24 2.39 4.24 7.83 13.49 11.29 3.75 8.04 4.60 3.67 5.32 2.59 7.52 9.72 10.98 10.28 6.18 6.71 6.66 3.94 Note: Wait Time is calculated from the veteran’s preferred date or clinically appropriate date. Average wait time represents the average number of days patients are waiting for an appointment as of 10/1/2014. Primary Care is composed of three DSS Stop Codes, Specialty Care is composed of 41 DSS Stop Codes, and Mental Health is composed of 7 DSS Stop codes. mstockstill on DSK4VPTVN1PROD with NOTICES SAMPLE TABLE WAIT TIMES BY VISN: PREVIOUS REPORTING METHOD New primary care average wait time VISN VISN 1 ...................................................... VISN 2 ...................................................... VISN 3 ...................................................... VerDate Sep<11>2014 17:42 Nov 04, 2014 Jkt 235001 New specialty care average wait time New mental health average wait time Established patient primary care average wait time Established patient specialty care average wait time Established patient mental health average wait time 39.24 48.57 32.37 26.55 28.69 26.56 4.51 3.14 2.35 5.15 6.63 4.15 4.23 3.72 1.86 36.99 36.77 23.58 PO 00000 Frm 00158 Fmt 4703 Sfmt 4703 E:\FR\FM\05NON1.SGM 05NON1 65773 Federal Register / Vol. 79, No. 214 / Wednesday, November 5, 2014 / Notices SAMPLE TABLE WAIT TIMES BY VISN: PREVIOUS REPORTING METHOD—Continued New primary care average wait time VISN VISN VISN VISN VISN VISN VISN VISN VISN VISN VISN VISN VISN VISN VISN VISN VISN VISN VISN 4 ...................................................... 5 ...................................................... 6 ...................................................... 7 ...................................................... 8 ...................................................... 9 ...................................................... 10 .................................................... 11 .................................................... 12 .................................................... 15 .................................................... 16 .................................................... 17 .................................................... 18 .................................................... 19 .................................................... 20 .................................................... 21 .................................................... 22 .................................................... 23 .................................................... New specialty care average wait time New mental health average wait time Established patient primary care average wait time Established patient specialty care average wait time Established patient mental health average wait time 41.36 39.27 43.68 48.28 46.52 47.08 37.47 39.91 36.77 43.30 43.85 36.06 42.97 43.73 49.88 41.10 43.73 43.12 30.92 64.56 37.63 34.14 33.17 34.62 34.05 25.51 29.14 31.82 35.98 29.92 41.71 33.91 39.77 28.44 39.56 33.76 4.14 7.29 12.50 10.27 3.66 7.66 4.39 3.50 5.23 2.45 7.23 9.27 10.61 8.56 5.98 6.69 6.35 3.89 7.74 6.36 7.58 6.89 7.09 4.18 6.37 4.28 7.35 5.27 6.69 5.64 9.59 7.34 6.05 9.16 8.21 4.33 2.57 4.08 6.52 4.62 2.44 4.02 2.68 1.82 3.64 2.47 4.17 6.97 7.36 8.13 1.81 2.64 4.44 2.25 35.73 52.26 55.99 50.37 44.26 54.96 32.09 30.22 27.10 35.79 37.73 47.43 38.86 49.40 37.48 33.24 34.35 29.89 Note: Wait Time is calculated from appointment create date for new patient appointments and from appointment desired date for established patient appointments. Average wait time represents the average number of days patients are waiting for an appointment as of 10/1/2014. Primary Care is composed of three DSS Stop Codes, Specialty Care is composed of 41 DSS Stop Codes, and Mental Health is composed of 7 DSS Stop codes. Signing Authority The Secretary of Veterans Affairs, or designee, approved this document and authorized the undersigned to sign and submit the document to the Office of the Federal Register for publication electronically as an official document of the Department of Veterans Affairs. Jose D. Riojas, Chief of Staff, approved this document on October 30, 2014, for publication. Dated: October 31, 2014. William F. Russo, Acting Director, Office of Regulation Policy & Management, Office of the General Counsel, Department of Veterans Affairs. [FR Doc. 2014–26274 Filed 11–4–14; 8:45 am] mstockstill on DSK4VPTVN1PROD with NOTICES BILLING CODE 8320–01–P VerDate Sep<11>2014 17:42 Nov 04, 2014 Jkt 235001 PO 00000 Frm 00159 Fmt 4703 Sfmt 9990 E:\FR\FM\05NON1.SGM 05NON1

Agencies

[Federal Register Volume 79, Number 214 (Wednesday, November 5, 2014)]
[Notices]
[Pages 65771-65773]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-26274]


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DEPARTMENT OF VETERANS AFFAIRS


Publication of Wait-Times for the Department for the Veterans 
Choice Program

AGENCY: Department of Veterans Affairs.

ACTION: Notice.

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

SUMMARY: The Veterans Access, Choice, and Accountability Act of 2014 
directs the Department of Veterans Affairs (VA) to publish wait times 
for the scheduling of appointments in each VA facility for primary 
care, specialty care, and hospital care and medical services. This 
Federal Register Notice announces VA's publication of the wait times.

ADDRESSES: The wait-time data for all Veterans Health Administration 
(VHA) medical centers and clinics is available on the following Web 
site: http://www.va.gov/health/access-audit.asp.

[[Page 65772]]


FOR FURTHER INFORMATION CONTACT: Ms. Kristin J. Cunningham, Director, 
Business Policy (10NB6), Chief Business Office, Veterans Health 
Administration, 810 Vermont Avenue NW., Washington, DC 20420, 
Telephone: (202) 382-2508. (This is not a toll-free number.)

SUPPLEMENTARY INFORMATION: Section 206 of the Veterans Access, Choice, 
and Accountability Act of 2014 (Pub. L. 113-146, ``the Act'') directs 
the Department of Veterans Affairs (VA), not later than 90 days after 
the date of the enactment of the Act, to publish in the Federal 
Register, and on a publicly-accessible Internet Web site of each VA 
Medical Center, the wait-times for the scheduling of an appointment in 
each VA facility by a veteran for the receipt of primary care, 
specialty care, and hospital care and medical services based on the 
general severity of the condition of the veteran. Whenever the wait-
times for the scheduling of such an appointment change, the Secretary 
is also required to publish the revised wait times on a publicly-
accessible Internet Web site of each VA Medical Center not later than 
30 days after such change, and in the Federal Register not later than 
90 days after such change.
    This Federal Register Notice announces the publication of the wait-
times of the Veterans Health Administration (VHA) for primary care, 
specialty care, and mental health care as required by section 206 of 
the Act. VA is working to develop an accurate method for tracking and 
reporting wait times for hospital care and medical services and will 
begin reporting that data as soon as it is available.
    This data release contains a new method of reporting. The previous 
method calculated wait time based on the create date (the date an 
appointment is made) and based on the desired date for scheduling an 
appointment. The previous method also reported data separately for new 
and established patients. The current method uses the date that an 
appointment is deemed clinically appropriate by a VA health care 
provider, or if no such clinical determination has been made, the date 
a veteran prefers to be seen, to calculate wait times and reports the 
wait times for all patients combined. This is consistent with the wait-
time goals of VHA published in the Federal Register on October 17, 
2014. 79 FR 62519. As required by section 206, the new data is also 
reported for each VHA facility, down to the level of Community-Based 
Outpatient Clinics.
    For this release, VA is publishing two reports, one that provides 
wait times data as of October 1 based on the previous reporting method, 
and one that reports the wait-times data for the same time period based 
on current reporting method. VA will continue to report average wait 
times using both methods for a period of time sufficient for veterans 
to become accustomed to the new reporting method.
    The following is a summary of the wait times data, based on 
preferred appointment date, that is published at http://www.va.gov/health/access-audit.asp. This data can also be accessed from the Web 
sites of each VA Medical Center following the release of each update. 
The average wait times for primary care, specialty care, and mental 
health care by Veterans Integrated Service Network (VISN) are provided 
in the following tables:

                                 Sample Table Wait Times by VISN: Current Method
----------------------------------------------------------------------------------------------------------------
                                                                   Primary care   Specialty care   Mental health
                              VISN                                 average wait    average wait    average wait
                                                                       time            time            time
----------------------------------------------------------------------------------------------------------------
VISN 1..........................................................            4.60            5.50            4.30
VISN 2..........................................................            3.24            7.54            3.82
VISN 3..........................................................            2.39            4.66            1.94
VISN 4..........................................................            4.24            8.13            2.67
VISN 5..........................................................            7.83            6.69            4.14
VISN 6..........................................................           13.49            8.12            6.83
VISN 7..........................................................           11.29            7.93            4.89
VISN 8..........................................................            3.75            7.90            2.53
VISN 9..........................................................            8.04            4.61            4.12
VISN 10.........................................................            4.60            6.94            2.77
VISN 11.........................................................            3.67            4.71            1.99
VISN 12.........................................................            5.32            7.73            3.67
VISN 15.........................................................            2.59            5.95            2.51
VISN 16.........................................................            7.52            7.12            4.37
VISN 17.........................................................            9.72            5.95            7.16
VISN 18.........................................................           10.98           10.59            7.50
VISN 19.........................................................           10.28            8.50            8.33
VISN 20.........................................................            6.18            7.75            1.91
VISN 21.........................................................            6.71            9.77            2.78
VISN 22.........................................................            6.66            9.05            4.78
VISN 23.........................................................            3.94            5.00            2.35
----------------------------------------------------------------------------------------------------------------
Note: Wait Time is calculated from the veteran's preferred date or clinically appropriate date. Average wait
  time represents the average number of days patients are waiting for an appointment as of 10/1/2014. Primary
  Care is composed of three DSS Stop Codes, Specialty Care is composed of 41 DSS Stop Codes, and Mental Health
  is composed of 7 DSS Stop codes.


                                               Sample Table Wait Times by VISN: Previous Reporting Method
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                            Established     Established
                                                            New primary    New specialty    New mental        patient         patient       Established
                          VISN                             care average    care average   health average   primary care   specialty care  patient mental
                                                             wait time       wait time       wait time     average wait     average wait  health average
                                                                                                               time            time          wait time
--------------------------------------------------------------------------------------------------------------------------------------------------------
VISN 1..................................................           36.99           39.24           26.55            4.51            5.15            4.23
VISN 2..................................................           36.77           48.57           28.69            3.14            6.63            3.72
VISN 3..................................................           23.58           32.37           26.56            2.35            4.15            1.86

[[Page 65773]]

 
VISN 4..................................................           35.73           41.36           30.92            4.14            7.74            2.57
VISN 5..................................................           52.26           39.27           64.56            7.29            6.36            4.08
VISN 6..................................................           55.99           43.68           37.63           12.50            7.58            6.52
VISN 7..................................................           50.37           48.28           34.14           10.27            6.89            4.62
VISN 8..................................................           44.26           46.52           33.17            3.66            7.09            2.44
VISN 9..................................................           54.96           47.08           34.62            7.66            4.18            4.02
VISN 10.................................................           32.09           37.47           34.05            4.39            6.37            2.68
VISN 11.................................................           30.22           39.91           25.51            3.50            4.28            1.82
VISN 12.................................................           27.10           36.77           29.14            5.23            7.35            3.64
VISN 15.................................................           35.79           43.30           31.82            2.45            5.27            2.47
VISN 16.................................................           37.73           43.85           35.98            7.23            6.69            4.17
VISN 17.................................................           47.43           36.06           29.92            9.27            5.64            6.97
VISN 18.................................................           38.86           42.97           41.71           10.61            9.59            7.36
VISN 19.................................................           49.40           43.73           33.91            8.56            7.34            8.13
VISN 20.................................................           37.48           49.88           39.77            5.98            6.05            1.81
VISN 21.................................................           33.24           41.10           28.44            6.69            9.16            2.64
VISN 22.................................................           34.35           43.73           39.56            6.35            8.21            4.44
VISN 23.................................................           29.89           43.12           33.76            3.89            4.33            2.25
--------------------------------------------------------------------------------------------------------------------------------------------------------
Note: Wait Time is calculated from appointment create date for new patient appointments and from appointment desired date for established patient
  appointments. Average wait time represents the average number of days patients are waiting for an appointment as of 10/1/2014. Primary Care is
  composed of three DSS Stop Codes, Specialty Care is composed of 41 DSS Stop Codes, and Mental Health is composed of 7 DSS Stop codes.

Signing Authority

    The Secretary of Veterans Affairs, or designee, approved this 
document and authorized the undersigned to sign and submit the document 
to the Office of the Federal Register for publication electronically as 
an official document of the Department of Veterans Affairs. Jose D. 
Riojas, Chief of Staff, approved this document on October 30, 2014, for 
publication.

    Dated: October 31, 2014.
William F. Russo,
Acting Director, Office of Regulation Policy & Management, Office of 
the General Counsel, Department of Veterans Affairs.
[FR Doc. 2014-26274 Filed 11-4-14; 8:45 am]
BILLING CODE 8320-01-P