Agency Information Collection Activities: Proposed Collection; Comment Request, 7118-7119 [2016-02678]

Download as PDF 7118 Federal Register / Vol. 81, No. 27 / Wednesday, February 10, 2016 / Notices Washington DC: Institute of Medicine. Sharon B. Arnold, Deputy Director. [FR Doc. 2016–02679 Filed 2–9–16; 8:45 am] BILLING CODE 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: ‘‘Making It Easier for Patients to Understand Health Information and Navigate Health Care Systems: Developing Quality Improvement Measures.’’ 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 11, 2016. 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 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: SUMMARY: asabaliauskas on DSK9F6TC42PROD with NOTICES2 Proposed Project Making It Easier for Patients To Understand Health Information and Navigate Health Care Systems: Developing Quality Improvement Measures A goal of Healthy People 2020 is to increase Americans’ health literacy, defined as ‘‘the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.’’ 1 The effects of limited health literacy are numerous and serious, including medication non-adherence resulting from patients’ inability to read and comprehend medication labels; underuse of preventive measures, such as vaccines; poor self-management of conditions such as asthma and diabetes; and higher utilization of inpatient and emergency department care. According to the 2003 National Assessment of Adult Literacy, 88% of U.S. adults have significant difficulties understanding widely used health information. By adopting ‘‘health literacy universal precautions,’’ health care providers and organizations can create an environment in which all patients—regardless of health literacy level—can successfully (1) understand health information, (2) navigate the health care system, (3) engage in medical decision-making, and (4) manage their health. Numerous resources have been developed to support health care organizations in their attempts to address limitations in patient health literacy. However, little work has been done to establish valid quality improvement measures that organizations can use to monitor the impact of initiatives aimed at improving patient understanding, navigation, engagement, and self-management. Absent such measures, organizations may be unable to accurately assess whether their initiatives are effective. This research has the following goals: 1. Identify existing quality improvement measures and gather proposals for additional measures (not generated from patient survey data) that organizations may use to monitor progress related to enhancing patient understanding, navigation, engagement, and self-management; and 2. Identify a set of quality improvement measures that reflect patient priorities, has expert support, and can be recommended for more formal measure development and testing. This project is being conducted by AHRQ through its contractor, Board of Regents of the University of Colorado, pursuant to AHRQ’s statutory authority to conduct and support research on health care and on systems for the delivery of such care, including activities with respect to the quality, effectiveness, efficiency, appropriateness and value of health care services and with respect to quality measurement and improvement. 42 U.S.C. 299a(a)(1) and (2). Method of Collection Environmental Scan Interviews: Representatives from 25 health care organizations engaged in relevant quality improvement efforts will be interviewed to obtain information about the quality improvement measures they use in assessing their work to improve patient understanding, navigation, engagement, and self-care. The planned environmental scan interviews will provide the information needed to: • Identify and document the characteristics of relevant quality improvement measures that are already in use; and • identify additional measures that would be useful to stakeholders in the field. The findings from these interviews will be used, along with the results from other activities (i.e., input from a Technical Expert Panel, literature review, a Request for Information published in the Federal Register, and focus groups with patients), to identify and document a set of quality improvement measures that can be recommended for rigorous testing and validation. Measures that are assessed to be valid and reliable will be eligible to be disseminated by AHRQ to support health care organizations in their efforts to improve patient understanding of health information, navigation of the health care system, engagement in medical decision-making, and management of their health. Estimated Annual Respondent Burden Exhibit 1 shows the estimated annualized burden hours for the respondents’ time to participate in Environmental Scan Interviews. The Environmental Scan Interviews will be completed by 50 respondents (2 representatives from each of the 25 organizations targeted for participation). EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS Number of respondents Form name Environmental Scan Interviews ....................................................................... VerDate Sep<11>2014 17:22 Feb 09, 2016 Jkt 238001 PO 00000 Frm 00055 Fmt 4703 Sfmt 4703 Number of responses per respondent 50 E:\FR\FM\10FEN1.SGM 1 10FEN1 Hours per response Total burden hours 2 100 7119 Federal Register / Vol. 81, No. 27 / Wednesday, February 10, 2016 / Notices EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS—Continued Number of respondents Form name Total .......................................................................................................... Exhibit 2 shows the estimated annual cost burden associated with the Number of responses per respondent 50 respondents’ time to participate in this information collection. The annual cost Hours per response 1 Total burden hours 2 100 burden for the Environmental Scan Interviews is estimated to be $4,984. EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN Number of respondents Form name Total burden hours Average hourly wage rate * Total cost burden Environmental Scan Interviews ....................................................................... 50 100 a $49.84 $4,984 Total .......................................................................................................... 50 100 a 49.84 4,984 * National Compensation Survey: Occupational wages in the United States May 2014, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’ a Based on the mean wages for Medical and Health Services Managers 11–9111. Request for Comments In accordance with the Paperwork Reduction Act, comments on AHRQ’s information collection are requested with regard to any of the following: (a) Whether the proposed collection of information is necessary for the proper performance of AHRQ health care research and health care information dissemination functions, including whether the information will have practical utility; (b) the accuracy of AHRQ’s estimate of burden (including hours and costs) of the proposed collection(s) of information; (c) ways to enhance the quality, utility, and clarity of the information to be collected; and (d) ways to minimize the burden of the collection of information upon the respondents, including the use of automated collection techniques or other forms of information technology. Comments submitted in response to this notice will be summarized and included in the Agency’s subsequent request for OMB approval of the proposed information collection. All comments will become a matter of public record. Sharon B. Arnold, Deputy Director. asabaliauskas on DSK9F6TC42PROD with NOTICES2 [FR Doc. 2016–02678 Filed 2–9–16; 8:45 am] BILLING CODE 4160–90–P VerDate Sep<11>2014 17:22 Feb 09, 2016 Jkt 238001 DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [30Day–16–0234] Agency Forms Undergoing Paperwork Reduction Act Review The Centers for Disease Control and Prevention (CDC) has submitted the following information collection request to the Office of Management and Budget (OMB) for review and approval in accordance with the Paperwork Reduction Act of 1995. The notice for the proposed information collection is published to obtain comments from the public and affected agencies. Written comments and suggestions from the public and affected agencies concerning the proposed collection of information are encouraged. Your comments should address any of the following: (a) Evaluate whether the proposed collection of information is necessary for the proper performance of the functions of the agency, including whether the information will have practical utility; (b) Evaluate the accuracy of the agencies estimate of the burden of the proposed collection of information, including the validity of the methodology and assumptions used; (c) Enhance the quality, utility, and clarity of the information to be collected; (d) Minimize the burden of the collection of information on those who are to respond, including through the use of appropriate automated, electronic, mechanical, or other technological collection techniques or other forms of information technology, e.g., permitting electronic submission of PO 00000 Frm 00056 Fmt 4703 Sfmt 4703 responses; and (e) Assess information collection costs. To request additional information on the proposed project or to obtain a copy of the information collection plan and instruments, call (404) 639–7570 or send an email to omb@cdc.gov. Direct written comments and/or suggestions regarding the items contained in this notice to the Attention: CDC Desk Officer, Office of Management and Budget, Washington, DC 20503 or by fax to (202) 395–5806. Written comments Information Collection Request Procedures Manual 35 should be received within 30 days of this notice. Proposed Project The National Ambulatory Medical Care Survey (NAMCS), (OMB No. 0920– 0234, expires 12/31/2017)—Revision— National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC). Background and Brief Description Section 306 of the Public Health Service (PHS) Act (42 U.S.C. 242k), as amended, authorizes that the Secretary of Health and Human Services, acting through NCHS, shall collect statistics on the utilization of health care provided by non-federal office-based physicians in the United States. On December 19, 2014, the OMB approved data collection for three years from 2015 to 2017. This revision is to request approval to continue NAMCS data collection activities for three years from 2016– 2018 and to add questions to the physician interview that pertain to policies, services, and experiences related to the prevention and treatment of sexually transmitted infections (STIs) and HIV prevention among adolescents E:\FR\FM\10FEN1.SGM 10FEN1

Agencies

[Federal Register Volume 81, Number 27 (Wednesday, February 10, 2016)]
[Notices]
[Pages 7118-7119]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-02678]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

 Agency for Healthcare Research and Quality


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Agency for Healthcare Research and Quality, HHS.

ACTION: Notice.

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

SUMMARY: 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: ``Making It Easier for Patients to Understand Health 
Information and Navigate Health Care Systems: Developing Quality 
Improvement Measures.'' 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 11, 2016.

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 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

Making It Easier for Patients To Understand Health Information and 
Navigate Health Care Systems: Developing Quality Improvement Measures

    A goal of Healthy People 2020 is to increase Americans' health 
literacy, defined as ``the degree to which individuals have the 
capacity to obtain, process, and understand basic health information 
and services needed to make appropriate health decisions.'' \1\ The 
effects of limited health literacy are numerous and serious, including 
medication non-adherence resulting from patients' inability to read and 
comprehend medication labels; underuse of preventive measures, such as 
vaccines; poor self-management of conditions such as asthma and 
diabetes; and higher utilization of inpatient and emergency department 
care. According to the 2003 National Assessment of Adult Literacy, 88% 
of U.S. adults have significant difficulties understanding widely used 
health information. By adopting ``health literacy universal 
precautions,'' health care providers and organizations can create an 
environment in which all patients--regardless of health literacy 
level--can successfully (1) understand health information, (2) navigate 
the health care system, (3) engage in medical decision-making, and (4) 
manage their health.
    Numerous resources have been developed to support health care 
organizations in their attempts to address limitations in patient 
health literacy. However, little work has been done to establish valid 
quality improvement measures that organizations can use to monitor the 
impact of initiatives aimed at improving patient understanding, 
navigation, engagement, and self-management. Absent such measures, 
organizations may be unable to accurately assess whether their 
initiatives are effective.
    This research has the following goals:
    1. Identify existing quality improvement measures and gather 
proposals for additional measures (not generated from patient survey 
data) that organizations may use to monitor progress related to 
enhancing patient understanding, navigation, engagement, and self-
management; and
    2. Identify a set of quality improvement measures that reflect 
patient priorities, has expert support, and can be recommended for more 
formal measure development and testing.
This project is being conducted by AHRQ through its contractor, Board 
of Regents of the University of Colorado, pursuant to AHRQ's statutory 
authority to conduct and support research on health care and on systems 
for the delivery of such care, including activities with respect to the 
quality, effectiveness, efficiency, appropriateness and value of health 
care services and with respect to quality measurement and improvement. 
42 U.S.C. 299a(a)(1) and (2).

Method of Collection

    Environmental Scan Interviews: Representatives from 25 health care 
organizations engaged in relevant quality improvement efforts will be 
interviewed to obtain information about the quality improvement 
measures they use in assessing their work to improve patient 
understanding, navigation, engagement, and self-care.
    The planned environmental scan interviews will provide the 
information needed to:
     Identify and document the characteristics of relevant 
quality improvement measures that are already in use; and
     identify additional measures that would be useful to 
stakeholders in the field.
    The findings from these interviews will be used, along with the 
results from other activities (i.e., input from a Technical Expert 
Panel, literature review, a Request for Information published in the 
Federal Register, and focus groups with patients), to identify and 
document a set of quality improvement measures that can be recommended 
for rigorous testing and validation. Measures that are assessed to be 
valid and reliable will be eligible to be disseminated by AHRQ to 
support health care organizations in their efforts to improve patient 
understanding of health information, navigation of the health care 
system, engagement in medical decision-making, and management of their 
health.

Estimated Annual Respondent Burden

    Exhibit 1 shows the estimated annualized burden hours for the 
respondents' time to participate in Environmental Scan Interviews. The 
Environmental Scan Interviews will be completed by 50 respondents (2 
representatives from each of the 25 organizations targeted for 
participation).

                                  Exhibit 1--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of
                    Form name                        Number of     responses per     Hours per     Total burden
                                                    respondents     respondent       response          hours
----------------------------------------------------------------------------------------------------------------
Environmental Scan Interviews...................              50               1               2             100
                                                 ---------------------------------------------------------------

[[Page 7119]]

 
    Total.......................................              50               1               2             100
----------------------------------------------------------------------------------------------------------------

    Exhibit 2 shows the estimated annual cost burden associated with 
the respondents' time to participate in this information collection. 
The annual cost burden for the Environmental Scan Interviews is 
estimated to be $4,984.

                                   Exhibit 2--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
                                                     Number of     Total burden   Average hourly    Total cost
                    Form name                       respondents        hours        wage rate *       burden
----------------------------------------------------------------------------------------------------------------
Environmental Scan Interviews...................              50             100      \a\ $49.84          $4,984
                                                 ---------------------------------------------------------------
    Total.......................................              50             100       \a\ 49.84           4,984
----------------------------------------------------------------------------------------------------------------
* National Compensation Survey: Occupational wages in the United States May 2014, ``U.S. Department of Labor,
  Bureau of Labor Statistics.''
\a\ Based on the mean wages for Medical and Health Services Managers 11-9111.

Request for Comments

    In accordance with the Paperwork Reduction Act, comments on AHRQ's 
information collection are requested with regard to any of the 
following: (a) Whether the proposed collection of information is 
necessary for the proper performance of AHRQ health care research and 
health care information dissemination functions, including whether the 
information will have practical utility; (b) the accuracy of AHRQ's 
estimate of burden (including hours and costs) of the proposed 
collection(s) of information; (c) ways to enhance the quality, utility, 
and clarity of the information to be collected; and (d) ways to 
minimize the burden of the collection of information upon the 
respondents, including the use of automated collection techniques or 
other forms of information technology.
    Comments submitted in response to this notice will be summarized 
and included in the Agency's subsequent request for OMB approval of the 
proposed information collection. All comments will become a matter of 
public record.

Sharon B. Arnold,
Deputy Director.
[FR Doc. 2016-02678 Filed 2-9-16; 8:45 am]
BILLING CODE 4160-90-P