Agency for Healthcare Research and Quality, 3796-3797 [2017-00548]
Download as PDF
<![CDATA[
3796
Federal Register / Vol. 82, No. 8 / Thursday, January 12, 2017 / Notices
1800 F Street NW., Washington, DC
20405, telephone 202–501–4755.
Please cite OMB Control No. 3090–
00XX, Alliant2 Greenhouse Gas
Disclosure, in all correspondence.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Dated: January 4, 2017.
David A. Shive,
Chief Information Officer.
Request for Information—Learning
Healthcare Systems
AGENCY: Agency for Healthcare Research
and Quality (AHRQ), HHS.
ACTION: Request for Information.
Agency for Healthcare Research and
Quality
[FR Doc. 2017–00483 Filed 1–11–17; 8:45 am]
BILLING CODE 6820–34–P
The Agency for Healthcare
Research and Quality (AHRQ) is seeking
information from healthcare delivery
organizations about current challenges
they are facing and solutions they are
implementing as they seek to become
learning healthcare systems. AHRQ is
also seeking to identify opportunities
such organizations see for the Agency to
assist them in this work—for example
by summarizing best practices, creating
training materials, developing
standardized metrics, and/or convening
learning networks.
DATES: Submission deadline on or
before February 28, 2017.
ADDRESSES:
Email submissions:
LearningHealthSystem@AHRQ.hhs.gov.
Mailing Address: Learning Healthcare
Systems, Office of the Director, Agency
for Healthcare Research and Quality,
5600 Fishers Lane, Rockville, MD
20857.
SUMMARY:
GOVERNMENT ACCOUNTABILITY
OFFICE
Request for Medicaid and CHIP
Payment and Access Commission
Nominations
U.S. Government
Accountability Office (GAO).
AGENCY:
Request for letters of
nomination and resumes.
ACTION:
The Children’s Health
Insurance Program Reauthorization Act
of 2009 (CHIPRA) established the
Medicaid and CHIP Payment and
Access Commission (MACPAC) to
review Medicaid and CHIP access and
payment policies and to advise Congress
on issues affecting Medicaid and CHIP.
CHIPRA gave the Comptroller General
of the United States responsibility for
appointing MACPAC’s members. GAO
is now accepting nominations to
MACPAC that will be effective May 1,
2017. Letters of nomination and
resumes should be submitted no later
than February 24, 2017 to ensure
adequate opportunity for review and
consideration of nominees prior to
appointment of new members.
Nominations should be sent to the email
or mailing address listed below.
Acknowledgement of submissions will
be provided within a week of
submission. Please contact Will Black at
(202) 512–6482 if you do not receive an
acknowledgement.
SUMMARY:
ADDRESSES:
Email: MACPACappointments@
gao.gov.
Mail: U.S. GAO, Attn: MACPAC
Appointments, 441 G Street NW.,
Washington, DC 20548.
mstockstill on DSK3G9T082PROD with NOTICES
FOR FURTHER INFORMATION CONTACT:
GAO: Office of Public Affairs, (202)
512–4800. Public Law 111–3, Section
506; 42 U.S.C. 1396.
Gene L. Dodaro,
Comptroller General of the United States.
[FR Doc. 2017–00044 Filed 1–11–17; 8:45 am]
BILLING CODE 1610–02–M
VerDate Sep<11>2014
18:28 Jan 11, 2017
Jkt 241001
FOR FURTHER INFORMATION CONTACT:
Brigid Russell, Office of the Director,
LearningHealthSystem@AHRQ.hhs.gov,
301–427–1886.
SUPPLEMENTARY INFORMATION: The
mission of the Agency for Healthcare
Research and Quality (AHRQ) is to
produce evidence to make health care
safer, higher quality, more accessible,
equitable, and affordable, and to work
within the U.S. Department of Health
and Human Services and with other
public and private partners to make sure
that the evidence is understood and
used. The Agency strives to meet this
mission by investing in research and
generating needed evidence that
supports disseminating tested practices,
creating materials to teach and train
health care systems and professionals to
catalyze improvements in care, and
developing measures and data used to
track and improve performance. To
learn more about the Agency, visit
AHRQ.gov.
The National Academy of Medicine
(formerly the Institute of Medicine or
IOM) has described a learning
healthcare system as an organization
that ‘‘is designed to generate and apply
the best evidence for the collaborative
healthcare choices of each patient and
PO 00000
Frm 00081
Fmt 4703
Sfmt 4703
provider; to drive the process of
discovery as a natural outgrowth of
patient care; and to ensure innovation,
quality, safety, and value in health
care.’’ 1
Several trends within healthcare
delivery are increasing the potential for
the development of learning healthcare
systems including the consolidation of
ambulatory, in-patient, and post-acute
care settings of care into integrated
delivery systems, the evolution of health
information systems, and increased
attention to population health
management. AHRQ is interested in
understanding how healthcare
professionals and organizations in the
United States are currently working to
become learning healthcare systems and
in identifying high-leverage
opportunities for the Agency to support
this transformation.
Healthcare delivery organizations,
both small and large, can function as
learning healthcare systems,
systematically gathering and creating
evidence and applying the most
promising evidence-based practices to
improve their care delivery. AHRQ
wants to better understand the process
by which organizations and
professionals select evidence to
implement and the strategies used to
move evidence into everyday practice.
AHRQ is interested in hearing from the
full range of healthcare delivery
organizations including individual
ambulatory practices, community health
center networks, hospitals, individual
components (such as departments)
within larger organizations, networks of
practices, accountable care
organizations, and integrated delivery
systems.
Specific questions of interest to the
Agency include, but are not limited to:
• How are learning healthcare
systems utilizing their own data to
inform clinical and organizational
improvements in healthcare delivery,
design, and efficiency?
• Are learning healthcare systems
using their own data to inform strategies
to address population health and
healthcare disparities?
• What methodological and/or data
quality issues have been encountered by
the health care delivery organizations in
generating evidence utilizing their own
data?
• How do learning healthcare systems
ensure that evidence either generated
from their own data and/or adopted
from external research is applied in a
1 Institute of Medicine/National Academy of
Medicine. The Learning Healthcare System:
Workshop Summary. Olsen L, Aisner D, McGinnis
JM, eds. Washington, DC: National Academies
Press; 2007.
E:\FR\FM\12JAN1.SGM
12JAN1
mstockstill on DSK3G9T082PROD with NOTICES
Federal Register / Vol. 82, No. 8 / Thursday, January 12, 2017 / Notices
consistent manner throughout the
organization, including across different
specialties, levels of care, and clinical
sites?
• What metrics are learning
healthcare systems utilizing to:
• Understand the degree to which
they are functioning as a system?
• Monitor progress on their rate of
moving clinical evidence into practice?
• Evaluate the consistency of
application of evidence across the
organization?
• How do these metrics relate to
health care delivery organization goal
setting, individual employee
performance review and internal
compensation linked to performance?
• How are learning healthcare
systems involving patients and families
in their efforts?
• What evidence, tools, training,
methods, data, or measures could AHRQ
develop or provide that would have a
significant impact on the ability of
health care delivery organizations to
utilize their own data, use externally
produced data and evidence, and meet
their own quality and safety goals?
AHRQ will use the information it
receives to assist in developing future
initiatives. These initiatives may
include but are not limited to
developing research grant opportunities
to advance this field, investing in the
creation of tools and training materials
for health professionals and healthcare
delivery organizations, the development
of quality improvement measures, and/
or convening learning collaboratives
focused on accelerating the
development of learning healthcare
system capabilities within healthcare
delivery organizations.
Healthcare professionals and
organizations are encouraged to
respond to this RFI by submitting
materials to the email address listed
above by February 28, 2017. While
AHRQ is interested in all of the specific
questions listed above, respondents are
welcome to include answers to as many
or few as they choose as well as
addressing additional areas of interest
not listed. AHRQ encourages
respondents to include a description of
their healthcare delivery organization at
the beginning of their response to
provide context for the information they
provide. Respondents are also
encouraged to share supporting
materials, such as charters for quality
and safety improvement committees,
data use agreements for learning
collaboratives, population health
VerDate Sep<11>2014
19:46 Jan 11, 2017
Jkt 241001
metrics and reports, or guidelines for
the use of evidence-based practices, that
they believe will help the Agency better
understand how they are working to
become learning healthcare systems.
This RFI is for planning purposes
only and should not be construed as a
policy, solicitation for applications, or
as an obligation on the part of the
Government to provide support for any
ideas identified in response to it. AHRQ
will use the information submitted in
response to this RFI at its discretion and
will not provide comments to any
responder’s submission. However,
responses to the RFI may be reflected in
future solicitation(s). The information
provided will be analyzed and may
appear in reports. Respondents will not
be identified in any published reports.
Respondents are advised that the
Government is under no obligation to
acknowledge receipt of the information
received or provide feedback to
respondents with respect to any
information submitted. No proprietary,
classified, confidential, or sensitive
information should be included in your
response. The Government reserves the
right to use any non-proprietary
technical information in any resultant
solicitation(s).
Andrew B. Bindman,
Director.
[FR Doc. 2017–00548 Filed 1–11–17; 8:45 am]
BILLING CODE P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Proposed Information Collection
Activity; Comment Request
Title: Health Profession Opportunity
Grant (HPOG) program: Third FollowUp Data Collection.
OMB No.: 0970–0394.
Description: The Administration for
Children and Families (ACF), U.S.
Department of Health and Human
Services (HHS) is proposing data
collection activities as part of the Health
Profession Opportunity Grant (HPOG)
program. The proposed data collection
activities are for the Impact Study of the
first round of HPOG grants (HPOGImpact). The goal of HPOG-Impact is to
evaluate the effectiveness of approaches
used by 20 of the 27 non-tribal HPOG
grantees to provide TANF recipients
and other low-income individuals with
PO 00000
Frm 00082
Fmt 4703
Sfmt 4703
3797
opportunities for education, training,
and advancement within the healthcare
field. It is also intended to evaluate
variation in participant impact that may
be attributable to different HPOG
program components and models.
HPOG-Impact is one project within
the broader portfolio of research that the
ACF Office of Planning, Research, and
Evaluation (OPRE) is utilizing to assess
the success of career pathways programs
and models. This strategy includes a
multi-pronged research and evaluation
approach for the HPOG program to
better understand and assess the
activities and their results as well as the
Pathways for Advancing Careers and
Education (PACE) project. In order to
maximize learning across the portfolio,
survey development for the HPOG and
PACE baseline and follow-up surveys
has been coordinated, and the majority
of the data elements collected in these
surveys are similar. (See OMB Control
#0970–0397 for PACE data collection.)
Four data collection efforts have been
approved for HPOG research: One for
approval of a Performance Reporting
System (PRS) (approved September
2011); a second for collection of
baseline data (approved October 2012);
a third for a follow-up survey of
participants administered
approximately 15 months after random
assignment and for implementation
study data collection (approved August
2013); and a fourth for a second followup survey of participants administered
36 months after random assignment
(approved December 2014).
This Federal Register Notice provides
the opportunity to comment on a
proposed new information collection
activity for HPOG-Impact—a third
follow-up survey for HPOG-Impact
participants approximately 72 months
after program enrollment. The purpose
of the survey is to follow-up with study
participants to document their
education and training experiences;
employment experiences including their
advancement in their career; economic
well-being; student debt and repayment
status; and parenting practices and child
outcomes for participants with children.
Previously approved collection
activities under 0970–0394 will
continue under this new request,
specifically the 36-Month Follow-Up
Survey and the Follow-Up Survey
Contact Information Update Letters.
Respondents: Random sample of
individuals enrolled in the HPOGImpact Study.
E:\FR\FM\12JAN1.SGM
12JAN1
]]>Agencies
[Federal Register Volume 82, Number 8 (Thursday, January 12, 2017)]
[Notices]
[Pages 3796-3797]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-00548]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Agency for Healthcare Research and Quality
Request for Information--Learning Healthcare Systems
AGENCY: Agency for Healthcare Research and Quality (AHRQ), HHS.
ACTION: Request for Information.
-----------------------------------------------------------------------
SUMMARY: The Agency for Healthcare Research and Quality (AHRQ) is
seeking information from healthcare delivery organizations about
current challenges they are facing and solutions they are implementing
as they seek to become learning healthcare systems. AHRQ is also
seeking to identify opportunities such organizations see for the Agency
to assist them in this work--for example by summarizing best practices,
creating training materials, developing standardized metrics, and/or
convening learning networks.
DATES: Submission deadline on or before February 28, 2017.
ADDRESSES:
Email submissions: LearningHealthSystem@AHRQ.hhs.gov.
Mailing Address: Learning Healthcare Systems, Office of the
Director, Agency for Healthcare Research and Quality, 5600 Fishers
Lane, Rockville, MD 20857.
FOR FURTHER INFORMATION CONTACT: Brigid Russell, Office of the
Director, LearningHealthSystem@AHRQ.hhs.gov, 301-427-1886.
SUPPLEMENTARY INFORMATION: The mission of the Agency for Healthcare
Research and Quality (AHRQ) is to produce evidence to make health care
safer, higher quality, more accessible, equitable, and affordable, and
to work within the U.S. Department of Health and Human Services and
with other public and private partners to make sure that the evidence
is understood and used. The Agency strives to meet this mission by
investing in research and generating needed evidence that supports
disseminating tested practices, creating materials to teach and train
health care systems and professionals to catalyze improvements in care,
and developing measures and data used to track and improve performance.
To learn more about the Agency, visit AHRQ.gov.
The National Academy of Medicine (formerly the Institute of
Medicine or IOM) has described a learning healthcare system as an
organization that ``is designed to generate and apply the best evidence
for the collaborative healthcare choices of each patient and provider;
to drive the process of discovery as a natural outgrowth of patient
care; and to ensure innovation, quality, safety, and value in health
care.'' \1\
---------------------------------------------------------------------------
\1\ Institute of Medicine/National Academy of Medicine. The
Learning Healthcare System: Workshop Summary. Olsen L, Aisner D,
McGinnis JM, eds. Washington, DC: National Academies Press; 2007.
---------------------------------------------------------------------------
Several trends within healthcare delivery are increasing the
potential for the development of learning healthcare systems including
the consolidation of ambulatory, in-patient, and post-acute care
settings of care into integrated delivery systems, the evolution of
health information systems, and increased attention to population
health management. AHRQ is interested in understanding how healthcare
professionals and organizations in the United States are currently
working to become learning healthcare systems and in identifying high-
leverage opportunities for the Agency to support this transformation.
Healthcare delivery organizations, both small and large, can
function as learning healthcare systems, systematically gathering and
creating evidence and applying the most promising evidence-based
practices to improve their care delivery. AHRQ wants to better
understand the process by which organizations and professionals select
evidence to implement and the strategies used to move evidence into
everyday practice. AHRQ is interested in hearing from the full range of
healthcare delivery organizations including individual ambulatory
practices, community health center networks, hospitals, individual
components (such as departments) within larger organizations, networks
of practices, accountable care organizations, and integrated delivery
systems.
Specific questions of interest to the Agency include, but are not
limited to:
How are learning healthcare systems utilizing their own
data to inform clinical and organizational improvements in healthcare
delivery, design, and efficiency?
Are learning healthcare systems using their own data to
inform strategies to address population health and healthcare
disparities?
What methodological and/or data quality issues have been
encountered by the health care delivery organizations in generating
evidence utilizing their own data?
How do learning healthcare systems ensure that evidence
either generated from their own data and/or adopted from external
research is applied in a
[[Page 3797]]
consistent manner throughout the organization, including across
different specialties, levels of care, and clinical sites?
What metrics are learning healthcare systems utilizing to:
Understand the degree to which they are functioning as a
system?
Monitor progress on their rate of moving clinical evidence
into practice?
Evaluate the consistency of application of evidence across
the organization?
How do these metrics relate to health care delivery
organization goal setting, individual employee performance review and
internal compensation linked to performance?
How are learning healthcare systems involving patients and
families in their efforts?
What evidence, tools, training, methods, data, or measures
could AHRQ develop or provide that would have a significant impact on
the ability of health care delivery organizations to utilize their own
data, use externally produced data and evidence, and meet their own
quality and safety goals?
AHRQ will use the information it receives to assist in developing
future initiatives. These initiatives may include but are not limited
to developing research grant opportunities to advance this field,
investing in the creation of tools and training materials for health
professionals and healthcare delivery organizations, the development of
quality improvement measures, and/or convening learning collaboratives
focused on accelerating the development of learning healthcare system
capabilities within healthcare delivery organizations.
Healthcare professionals and organizations are encouraged to
respond to this RFI by submitting materials to the email address listed
above by February 28, 2017. While AHRQ is interested in all of the
specific questions listed above, respondents are welcome to include
answers to as many or few as they choose as well as addressing
additional areas of interest not listed. AHRQ encourages respondents to
include a description of their healthcare delivery organization at the
beginning of their response to provide context for the information they
provide. Respondents are also encouraged to share supporting materials,
such as charters for quality and safety improvement committees, data
use agreements for learning collaboratives, population health metrics
and reports, or guidelines for the use of evidence-based practices,
that they believe will help the Agency better understand how they are
working to become learning healthcare systems.
This RFI is for planning purposes only and should not be construed
as a policy, solicitation for applications, or as an obligation on the
part of the Government to provide support for any ideas identified in
response to it. AHRQ will use the information submitted in response to
this RFI at its discretion and will not provide comments to any
responder's submission. However, responses to the RFI may be reflected
in future solicitation(s). The information provided will be analyzed
and may appear in reports. Respondents will not be identified in any
published reports. Respondents are advised that the Government is under
no obligation to acknowledge receipt of the information received or
provide feedback to respondents with respect to any information
submitted. No proprietary, classified, confidential, or sensitive
information should be included in your response. The Government
reserves the right to use any non-proprietary technical information in
any resultant solicitation(s).
Andrew B. Bindman,
Director.
[FR Doc. 2017-00548 Filed 1-11-17; 8:45 am]
BILLING CODE P
