Agency Information Collection Activities: Proposed Collection: Public Comment Request, 43441-43442 [2015-17883]
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Federal Register / Vol. 80, No. 140 / Wednesday, July 22, 2015 / Notices
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[FR Doc. 2015–17985 Filed 7–21–15; 8:45 am]
BILLING CODE 4164–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Agency Information Collection
Activities: Proposed Collection: Public
Comment Request
Health Resources and Services
Administration, Department of Health
and Human Services.
ACTION: Notice.
AGENCY:
In compliance with the
requirement for opportunity for public
comment on proposed data collection
projects (section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995), the
Health Resources and Services
Administration (HRSA) announces
plans to submit an Information
Collection Request (ICR), described
below, to the Office of Management and
Budget (OMB). Prior to submitting the
ICR to OMB, HRSA seeks comments
from the public regarding the burden
estimate, below, or any other aspect of
the ICR.
DATES: Comments on this Information
Collection Request must be received no
later than August 21, 2015.
ADDRESSES: Submit your comments,
including the Information Collection
Request Title, to the desk officer for
HRSA, either by email to OIRA_
submission@omb.eop.gov or by fax to
202–395–5806.
FOR FURTHER INFORMATION CONTACT: To
request a copy of the clearance requests
submitted to OMB for review, email the
HRSA Information Collection Clearance
Officer at paperwork@hrsa.gov or call
(301) 594–4306.
SUPPLEMENTARY INFORMATION: When
submitting comments or requesting
SUMMARY:
PO 00000
Frm 00056
Fmt 4703
Sfmt 4703
43441
information, please include the
information request collection title for
reference.
Information Collection Request Title:
Providing Primary Care and Preventive
Medical Services in Ryan White-funded
Medical Care Settings: OMB No. 0915–
XXXX—New.
Abstract: Since Congress passed the
Ryan White Comprehensive AIDS
Resource Emergency (CARE) Act in
1990, the Ryan White HIV/AIDS
Program (Ryan White Program) has
funded the provision of care eligible to
persons living with HIV (PLWH). Many
Ryan White-funded clinics have long
promoted the medical home model,
which involves the provision of
comprehensive and coordinated care
services, including prevention and other
non-medical care services to promote
access and adherence to HIV/AIDS
treatment. As PLWH live longer and
normal lives with effective antiretroviral
treatment, this model has become more
complex. In recent years, clinics
providing care to PLWH are also seeing
their patients develop other common
chronic diseases such as diabetes, heart
disease, and hypertension associated
with normal and aging populations.
Guidelines 1 on primary care for PLWH
have recently been released to help
providers navigate the integration of
primary and preventative care into HIV
care. With already limited budgets,
staffing and other resources, Ryan
White-funded clinics may struggle to
provide primary and preventative care
services in-house or have insufficient
referral systems. However, under the
Affordable Care Act (ACA), most PLWH
can obtain more affordable health
insurance which can alleviate some
burden on clinics and improve
accessibility to primary and
preventative care services.
This study will examine how Ryan
White-funded clinics are integrating the
provision of primary and preventative
care services to the overall HIV care
model. Specifically, it will look at the
protocols and strategies used by clinics
to manage care for PLWH, specifically
care coordination, referral systems, and
patient-centered strategies to keep
PLWH in care.
1 JA Aberg, JE Gallant, KG Ghanem, P Emmanuel,
BS Zingman and MA Horberg. Primary Care
Guidelines for the Management of Persons Infected
with HIV: 2013 Update by the HIV Medicine
Association of the Infectious Disease Society of
America; CID 201_58 (January 1, 2014).
New York State Department of Health AIDS
Institute, Office of the Medical Director. Primary
Care Approach to the HIV-Infected Patient; https://
www.hivguidelines.org/clinical-guidelines/adults/
primary-care-approach-to-the-hiv-infected-patient/
(Updated November 2014).
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22JYN1
43442
Federal Register / Vol. 80, No. 140 / Wednesday, July 22, 2015 / Notices
Need and Proposed Use of the
Information: The proposed study will
provide HRSA HIV/AIDS Bureau (HAB)
and policymakers with a better
understanding of how the RWHAP
currently provides primary and
preventative care to PLWH. The first
online survey will be targeted to clinic
directors from a sample of about 160
Ryan White-funded clinics and will
collect data on care models used;
primary care services, including
preventive services; and coordination of
care. Data collected from this survey
will provide a general overview of the
various HIV care models used as well as
insight to possible facilitators and
barriers to providing primary and
preventative care services. More indepth data collection will be conducted
with a smaller number of 30 clinics
representing clinic type (publicly
funded community health organization,
other community-based organization,
health department, and hospital or
university-based) and size. There will be
three data collection instruments used:
(1) An online survey completed by three
clinicians at each of the clinics
and changes to the Ryan White Program
in this new era when the well-being of
PLWH demands a more complex and
long-term HIV care model.
Likely Respondents: Clinics funded by
the Ryan White HIV/AIDS Program.
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
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 Information
Collection Request are summarized in
the table below.
Total Estimated Annualized burden
hours:
(clinician survey); (2) a data extraction
of select primary and preventative care
services; and (3) a telephone interview
with the medical director. The clinician
survey will provide a more in-depth
look at the clinic protocols and
strategies and how they are being used
and implemented by the clinicians. The
data extraction will provide quantitative
information on the provision of select
primary and preventative care services
within a certain time period. With these
data, the study team can assess the
accuracy of information provided in the
online surveys on the provision of care
as well as the frequency at which
primary and preventative care
screenings are provided. Lastly, the
interviews with the medical director
will allow the study team to follow-up
on the results of the clinician survey
and data extraction and collect
qualitative data and more in-depth
details on the provision of primary and
preventative care services from a clinic
wide perspective, specifically any
facilitators and barriers.
These data will provide HAB the
background to make informed policies
Number of
respondents
Form name
Number of
responses
Total
responses
Average
burden per
response
Total
burden
hours
Clinic Director .......................................................................
Clinician ................................................................................
Data Extraction ....................................................................
Medical Director ...................................................................
130
30
30
30
1
1
1
1
130
30
30
30
1
1
3
1
130
30
90
30
Total ..............................................................................
220
........................
........................
........................
280
HRSA 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.
Jackie Painter,
Director, Division of the Executive Secretariat.
[FR Doc. 2015–17883 Filed 7–21–15; 8:45 am]
tkelley on DSK3SPTVN1PROD with NOTICES
BILLING CODE 4165–15–P
VerDate Sep<11>2014
19:59 Jul 21, 2015
Jkt 235001
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Statement of Organization, Functions
and Delegations of Authority
This notice amends Part R of the
Statement of Organization, Functions
and Delegations of Authority of the
Department of Health and Human
Services (HHS), Health Resources and
Services Administration (HRSA) (60 FR
56605, as amended November 6, 1995;
as last amended at 80 FR 37639–37640
dated July 1, 2015).
This notice reflects organizational
changes in the Health Resources and
Services Administration (HRSA), HIV/
AIDS Bureau (RV). Specifically, this
notice: (1) Establishes the Office of HIV/
AIDS Training and Capacity
Development (RVT); (2) transfers the
Division of HIV/AIDS Training and
Capacity Development (RV7) function to
the newly established Office of HIV/
PO 00000
Frm 00057
Fmt 4703
Sfmt 4703
AIDS Training and Capacity
Development (RVT); (3) abolishes the
Division of HIV/AIDS Training and
Capacity Development (RV7); (4)
establishes the Division of Domestic
Programs (RVT1), and; (5) establishes
the Division of Global Programs (RVT2).
Chapter RV—HIV/AIDS Bureau
Section RV–10, Organization
Delete the organization for the HIV/
AIDS Bureau (RV) in its entirety and
replace with the following:
The HIVAIDS Bureau (RV) is headed
by the Associate Administrator, who
reports directly to the Administrator,
Health Resources and Services
Administration. The HIV/AIDS Bureau
includes the following components:
(1) Office of the Associate
Administrator (RV);
(2) Office of Operations and
Management (RV2);
(3) Division of Policy and Data (RVA);
(4) Division of Metropolitan HIV/
AIDS Programs (RV5);
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Agencies
[Federal Register Volume 80, Number 140 (Wednesday, July 22, 2015)]
[Notices]
[Pages 43441-43442]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-17883]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Proposed Collection:
Public Comment Request
AGENCY: Health Resources and Services Administration, Department of
Health and Human Services.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: In compliance with the requirement for opportunity for public
comment on proposed data collection projects (section 3506(c)(2)(A) of
the Paperwork Reduction Act of 1995), the Health Resources and Services
Administration (HRSA) announces plans to submit an Information
Collection Request (ICR), described below, to the Office of Management
and Budget (OMB). Prior to submitting the ICR to OMB, HRSA seeks
comments from the public regarding the burden estimate, below, or any
other aspect of the ICR.
DATES: Comments on this Information Collection Request must be received
no later than August 21, 2015.
ADDRESSES: Submit your comments, including the Information Collection
Request Title, to the desk officer for HRSA, either by email to
OIRA_submission@omb.eop.gov or by fax to 202-395-5806.
FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance
requests submitted to OMB for review, email the HRSA Information
Collection Clearance Officer at paperwork@hrsa.gov or call (301) 594-
4306.
SUPPLEMENTARY INFORMATION: When submitting comments or requesting
information, please include the information request collection title
for reference.
Information Collection Request Title: Providing Primary Care and
Preventive Medical Services in Ryan White-funded Medical Care Settings:
OMB No. 0915-XXXX--New.
Abstract: Since Congress passed the Ryan White Comprehensive AIDS
Resource Emergency (CARE) Act in 1990, the Ryan White HIV/AIDS Program
(Ryan White Program) has funded the provision of care eligible to
persons living with HIV (PLWH). Many Ryan White-funded clinics have
long promoted the medical home model, which involves the provision of
comprehensive and coordinated care services, including prevention and
other non-medical care services to promote access and adherence to HIV/
AIDS treatment. As PLWH live longer and normal lives with effective
antiretroviral treatment, this model has become more complex. In recent
years, clinics providing care to PLWH are also seeing their patients
develop other common chronic diseases such as diabetes, heart disease,
and hypertension associated with normal and aging populations.
Guidelines \1\ on primary care for PLWH have recently been released to
help providers navigate the integration of primary and preventative
care into HIV care. With already limited budgets, staffing and other
resources, Ryan White-funded clinics may struggle to provide primary
and preventative care services in-house or have insufficient referral
systems. However, under the Affordable Care Act (ACA), most PLWH can
obtain more affordable health insurance which can alleviate some burden
on clinics and improve accessibility to primary and preventative care
services.
---------------------------------------------------------------------------
\1\ JA Aberg, JE Gallant, KG Ghanem, P Emmanuel, BS Zingman and
MA Horberg. Primary Care Guidelines for the Management of Persons
Infected with HIV: 2013 Update by the HIV Medicine Association of
the Infectious Disease Society of America; CID 201_58 (January 1,
2014).
New York State Department of Health AIDS Institute, Office of
the Medical Director. Primary Care Approach to the HIV-Infected
Patient; https://www.hivguidelines.org/clinical-guidelines/adults/primary-care-approach-to-the-hiv-infected-patient/ (Updated November
2014).
---------------------------------------------------------------------------
This study will examine how Ryan White-funded clinics are
integrating the provision of primary and preventative care services to
the overall HIV care model. Specifically, it will look at the protocols
and strategies used by clinics to manage care for PLWH, specifically
care coordination, referral systems, and patient-centered strategies to
keep PLWH in care.
[[Page 43442]]
Need and Proposed Use of the Information: The proposed study will
provide HRSA HIV/AIDS Bureau (HAB) and policymakers with a better
understanding of how the RWHAP currently provides primary and
preventative care to PLWH. The first online survey will be targeted to
clinic directors from a sample of about 160 Ryan White-funded clinics
and will collect data on care models used; primary care services,
including preventive services; and coordination of care. Data collected
from this survey will provide a general overview of the various HIV
care models used as well as insight to possible facilitators and
barriers to providing primary and preventative care services. More in-
depth data collection will be conducted with a smaller number of 30
clinics representing clinic type (publicly funded community health
organization, other community-based organization, health department,
and hospital or university-based) and size. There will be three data
collection instruments used: (1) An online survey completed by three
clinicians at each of the clinics (clinician survey); (2) a data
extraction of select primary and preventative care services; and (3) a
telephone interview with the medical director. The clinician survey
will provide a more in-depth look at the clinic protocols and
strategies and how they are being used and implemented by the
clinicians. The data extraction will provide quantitative information
on the provision of select primary and preventative care services
within a certain time period. With these data, the study team can
assess the accuracy of information provided in the online surveys on
the provision of care as well as the frequency at which primary and
preventative care screenings are provided. Lastly, the interviews with
the medical director will allow the study team to follow-up on the
results of the clinician survey and data extraction and collect
qualitative data and more in-depth details on the provision of primary
and preventative care services from a clinic wide perspective,
specifically any facilitators and barriers.
These data will provide HAB the background to make informed
policies and changes to the Ryan White Program in this new era when the
well-being of PLWH demands a more complex and long-term HIV care model.
Likely Respondents: Clinics funded by the Ryan White HIV/AIDS
Program.
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 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 Information Collection Request are summarized in the table below.
Total Estimated Annualized burden hours:
----------------------------------------------------------------------------------------------------------------
Average
Form name Number of Number of Total burden per Total burden
respondents responses responses response hours
----------------------------------------------------------------------------------------------------------------
Clinic Director................. 130 1 130 1 130
Clinician....................... 30 1 30 1 30
Data Extraction................. 30 1 30 3 90
Medical Director................ 30 1 30 1 30
-------------------------------------------------------------------------------
Total....................... 220 .............. .............. .............. 280
----------------------------------------------------------------------------------------------------------------
HRSA 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.
Jackie Painter,
Director, Division of the Executive Secretariat.
[FR Doc. 2015-17883 Filed 7-21-15; 8:45 am]
BILLING CODE 4165-15-P