Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request; National Survey of Organ Donation Attitudes and Practices, OMB No. 0915-0290-Reinstatement With Change, 29798-29800 [2018-13590]
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29798
Federal Register / Vol. 83, No. 123 / Tuesday, June 26, 2018 / Notices
standards and measures for future
iterations.
Payment Structure
Summary of Comments
Most commenters agreed with the
tiered payment method but highlighted
the importance of clearly messaging that
funding tiers are not indicative of
different levels of quality or engagement
for the first phase of the CHGME QBS.
One commenter offered, ‘‘the bonus
payments would have a more significant
effect in transforming the quality of
CHGME programs if the payments were
funded at a level larger than $3 million
and were in excess of current program
funding.’’
sradovich on DSK3GMQ082PROD with NOTICES
Response
HRSA will continue to message
clearly that the FY 2019 CHGME QBS
payment tiers are not reflective of the
quality of the initiatives. The payment
tiers were developed taking into account
the size of the training programs and
CHGME payments typically awarded. In
future years, once the data sources were
better developed HRSA would work to
develop a payment structure that takes
into account both the size of the
program and quality. As noted earlier,
the amount of funding available for the
QBS is provided for in statute and the
$3 million funding amount is an
estimation, assuming funding levels and
mechanisms remain constant.
For FY 2019, QBS payments will be
disbursed with the CHGME FY 2019
reconciliation payments. CHGME
hospitals that submit the required
documentation with the FY 2019
reconciliation application will receive a
portion of the available funds for the
CHGME QBS payment. Amounts will be
distributed according to a three-tiered
payment structure detailed in the
Federal Register, 82 FR 48102.
HRSA expects that future quality
measures will likely be a combination of
both quantitative and qualitative
measures, where payment will be
directly linked to the level of
achievement of an individual hospital.
We will continue to seek additional
input from stakeholders and experts on
the appropriate measures and metrics
for future iterations of the CHGME QBS.
Documentation, Reporting
Requirements and Reducing Reporting
Burden
Summary of Comments
Several commenters indicated that
HRSA already collects quite a bit of
information through the annual report
and recommended that HRSA build on
its existing reporting requirements to
VerDate Sep<11>2014
17:24 Jun 25, 2018
Jkt 244001
minimize reporting burden. These
commenters suggested that new
reporting requirements would add an
administrative burden and deter
maximum participation in the QBS. One
commenter questioned whether HRSA
would publicly share the QBS data.
Response
HRSA agrees that participation in the
QBS should not be overly burdensome
and will work to create reasonable
documentation requirements. HRSA
acknowledges that it is already
collecting some quality-related data in
the annual CHGME performance
measures and is developing ways to
improve these fields. In addition, as part
of the further development of the QBS,
HRSA will be reviewing the different
sets of data that children’s hospitals
already report to identify if any of the
measures could be used as part of the
QBS. A long-term goal would be to have
transparency regarding the QBS data
and HRSA will make sure to include
that topic in stakeholder discussions.
Any new data collection form(s) that are
developed will require Office and
Management and Budget (OMB)
approval. Stakeholders will be able to
provide public comments on any new
data collection form(s) developed.
Implementation Timeline for FY 2020
and Beyond
Summary of Comments
Half of commenters recommended a
longer timeline to phase in the full FY
2020 and beyond QBS proposed
framework, in order to ensure a
thorough stakeholder engagement
process in which pediatric experts are
adequately involved in establishing
metrics and measures, identifying
quality outcomes, and evaluating QBS
standards.
Response
HRSA recognizes concerns about the
QBS implementation timeline. We
understand that there are many
important factors that must be taken
into account when implementing the
QBS, and each requires thorough and
well-informed consideration. In
addition, QBS-related data collection
must align with existing reporting and
payment schedules for the CHGME
Payment Program. The first phase of the
CHGME QBS is planned to start in FY
2019, and we have taken into
consideration feedback collected
through this FRN. The data collected
during the FY 2019 QBS will give HRSA
an indication of the current experiences
across our children’s hospitals so that
we can establish reasonable parameters
PO 00000
Frm 00058
Fmt 4703
Sfmt 4703
and measures moving forward. In
addition, HRSA is examining using
existing reporting requirements to
establish components of the QBS for FY
2020 and beyond. HRSA will continue
collaborating with stakeholders and
experts to inform future phases and
measures for the CHGME QBS. As new
QBS measures will affect a fiscal year
payment, any updates or changes will
be included in that year’s NOFO.
Conclusion
HRSA appreciates the comments and
recommendations received and has used
them to guide the development of the
FY 2019 CHGME QBS and inform future
iterations of the CHGME QBS. Final
guidance for the FY 2019 CHGME QBS
will be published in the FY 2019
CHGME NOFO. If you have questions or
concerns about comments that were not
addressed in this notice, please contact
MCrawford@hrsa.gov.
Dated: June 19, 2018.
George Sigounas,
Administrator.
[FR Doc. 2018–13592 Filed 6–25–18; 8:45 am]
BILLING CODE 4165–15–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Agency Information Collection
Activities: Submission to OMB for
Review and Approval; Public Comment
Request; National Survey of Organ
Donation Attitudes and Practices, OMB
No. 0915–0290—Reinstatement With
Change
Health Resources and Services
Administration (HRSA), Department of
Health and Human Services.
ACTION: Notice.
AGENCY:
In compliance with the
Paperwork Reduction Act of 1995,
HRSA has submitted an Information
Collection Request (ICR) to the Office of
Management and Budget (OMB) for
review and approval. The ICR is for
reinstatement with change of a
previously approved information
collection, assigned OMB control
number 0915–0290, which expired on
March 31, 2015. Comments submitted
during the first public review of this ICR
will be provided to OMB. OMB will
accept further comments from the
public during the review and approval
period.
DATES: Comments on this ICR should be
received no later than July 26, 2018.
SUMMARY:
E:\FR\FM\26JNN1.SGM
26JNN1
29799
Federal Register / Vol. 83, No. 123 / Tuesday, June 26, 2018 / Notices
Submit your comments,
including the ICR 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 Lisa
Wright-Solomon, the HRSA Information
Collection Clearance Officer at
paperwork@hrsa.gov or call (301) 443–
1984.
SUPPLEMENTARY INFORMATION:
Information Collection Request Title:
National Survey of Organ Donation
Attitudes and Practices, OMB No. 0915–
0290—Reinstatement with Change.
Abstract: HRSA is requesting
approval from OMB for reinstatement
with change of a previously approved
collection of information (OMB control
number 0915–0290). The National
Survey of Organ Donation Attitudes and
Practices (NSODAP) is conducted
approximately every 6–7 years and
serves a critical role in providing HRSA
and the donation community with data
regarding why Americans choose to
donate organ, current barriers to
donation, and potential new approaches
to increasing donations. Survey data
and derived analytic insights inform
HRSA’s public outreach and
educational initiatives. HRSA is
improving the quality and relevance of
the data collected by making the
following changes:
(1) HRSA is increasing the ability to
produce more precise results by
targeting 10,000 completed surveys
(increased from 3,250 in 2012). This
increase will allow for a more accurate
and robust analysis of the attitudes and
donation practices of important
subgroups such as Americans over the
age of 50 and various minority
populations. Although the precision of
the results from the survey will
increase, the respondent burden will be
reduced, and survey completion costs
will be lower resulting in a cost neutral
change.
(2) HRSA is streamlining the data
collection process to minimize
respondent burden. Of the 10,000
targeted completed surveys, 8,000 will
be completed online by a nationally
representative web panel composed of
ADDRESSES:
Americans over the age of 18 who have
already agreed to participate in a survey.
Web panels target a representative
section of a population used by other
approved surveys. HRSA will complete
the remaining 2,000 surveys by
telephone. In 2012, all 3,250 surveys
were conducted by telephone and
respondents were contacted using
random-digit dialing, a process that
yielded a low response rate. Contacting
respondents by telephone will remain a
part of the survey protocol to compare
current data to the 2012 data. However,
for this survey, identification of a
sample of adults over the age of 18 for
a telephone survey will be from a
national list of home addresses. Before
contact, those selected for the telephone
survey will receive a mailed prenotification letter with information
about the survey. This mailing will
improve survey cooperation and reduce
the number of people contacted for the
survey. Additionally, it is more time
and cost effective to take the survey
online than taking the survey by phone
as the average response will be 0.1 hour
shorter, and the cost of an online survey
can range $3–$4 per survey compared to
$50–$100 for a high-quality phone
survey.
(3) To improve the relevance of the
data collected and in response to the
comments received during the 60-day
public comment period, HRSA revised
the instrument to add, remove, or edit
a few questions. Example changes
include removing certain questions that
were only relevant for a random-digitdialing sample design, editing certain
questions to add clarity, and adding
questions to highlight emerging topics
such as receiving organ donation
information through a hand-held device
or mobile apps.
Need and Proposed Use of the
Information: HRSA is the primary
federal entity responsible for oversight
of organ and blood stem cell transplant
systems and initiatives to increase organ
donor registration and donation in the
United States. This survey is the
primary method by which HRSA can
obtain information from Americans
about organ donation attitudes and
beliefs. OMB previously approved this
survey, and HRSA fielded it during
2005 and 2012. HRSA uses the resulting
information from the survey to inform
practice, policy, and other public
awareness and education activities
related to organ donation and
transplantation. This type of
information is essential for planning,
targeting, and implementing outreach
efforts to increase public donation
commitment as well as for tracking the
results of such efforts over time.
Members of the donation and
transplantation community also make
use of the findings of the survey in their
outreach efforts and research efforts.
Increasing the number of completed
cases via a web panel for online survey
completion and modifying the survey
instrument without increasing the
survey length will dramatically improve
the quality and precision of the results
while minimizing respondent burden as
much as possible. The modified
instrument and survey fielding methods
will allow research on the attitudes and
behaviors of important subgroups of
Americans as well as research on
emerging topics related to organ
donation.
Likely Respondents: A nationally
representative sample of adults over the
age of 18 with a high number of
responses from populations of interest
such as racial-ethnic minorities,
including African American, Asian,
Native American, and Hispanic
respondents, as well as respondents of
all age groups and education levels.
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 ICR are
summarized in the table below.
sradovich on DSK3GMQ082PROD with NOTICES
TOTAL ESTIMATED ANNUALIZED BURDEN—HOURS
Number of
respondents
Form name
National Survey of Organ Donation Attitudes and Practices—Telephone (English and Spanish Versions) ..........
VerDate Sep<11>2014
17:24 Jun 25, 2018
Jkt 244001
PO 00000
Frm 00059
Number of
responses per
respondent
2,000
Fmt 4703
Sfmt 4703
Total
responses
1
E:\FR\FM\26JNN1.SGM
2,000
26JNN1
Average
burden per
response
(in hours)
.37
Total
burden
hours
740
29800
Federal Register / Vol. 83, No. 123 / Tuesday, June 26, 2018 / Notices
TOTAL ESTIMATED ANNUALIZED BURDEN—HOURS—Continued
Number of
respondents
Form name
Number of
responses per
respondent
Total
responses
Average
burden per
response
(in hours)
Total
burden
hours
National Survey of Organ Donation Attitudes and Practices—Web Online Panel (English and Spanish
Versions) ..........................................................................
8,000
1
8,000
.27
2,160
Total ..............................................................................
10,000
........................
10,000
........................
2,900
Amy P. McNulty,
Acting Director, Division of the Executive
Secretariat.
[FR Doc. 2018–13590 Filed 6–25–18; 8:45 am]
BILLING CODE 4165–15–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Agency Information Collection
Activities: Proposed Collection: Public
Comment Request Information
Collection Request Title: Health
Resources and Service Administration
Uniform Data System, OMB No. 0915–
0193—Revision
Health Resources and Services
Administration (HRSA), Department of
Health and Human Services.
ACTION: Notice.
AGENCY:
In compliance with the
requirement for opportunity for public
comment on proposed data collection
projects of the Paperwork Reduction Act
of 1995, 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 ICR must be
received no later than August 27, 2018.
ADDRESSES: Submit your comments to
paperwork@hrsa.gov or mail the HRSA
Information Collection Clearance
Officer, Room 14N39, 5600 Fishers
Lane, Rockville, MD 20857.
FOR FURTHER INFORMATION CONTACT: To
request more information on the
proposed project or to obtain a copy of
the data collection plans and draft
instruments, email paperwork@hrsa.gov
or call Lisa Wright-Solomon, HRSA
Information Collection Clearance Officer
at (301) 443–1984.
SUPPLEMENTARY INFORMATION: When
submitting comments or requesting
information, please include the
sradovich on DSK3GMQ082PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
17:24 Jun 25, 2018
Jkt 244001
information request collection title for
reference.
Information Collection Request Title:
HRSA Uniform Data System (UDS),
OMB No. 0915–0193—Revision.
Abstract: HRSA utilizes the UDS for
annual reporting by certain HRSA
award recipients, including Health
Center Program awardees (those funded
under section 330 of the Public Health
Service (PHS) Act), Health Center
Program look-alikes, and Nurse
Education, Practice, Quality and
Retention (NEPQR) Program awardees
(specifically those funded under the
practice priority areas of section 831(b)
of the PHS Act).
Need and Proposed Use of the
Information: HRSA collects UDS data
annually to ensure compliance with
legislative and regulatory requirements,
improve clinical and operational
performance, and report overall program
accomplishments. These data help to
identify trends over time, enabling
HRSA to establish or expand targeted
programs and to identify effective
services and interventions that will
improve the health of medically
underserved communities. HRSA
compares UDS data with other national
health-related data sets to compare
HRSA award recipient patient
populations and the overall U.S.
population.
HRSA is considering several changes
for 2019 UDS data collection:
• Substance Use Disorder and Mental
Health Services: Collect substance use
disorder and mental health services by
provider specialty to better assess which
providers are delivering behavioral
health services; support investments in
these priority areas; and better describe
comprehensive, integrated models of
care.
• Closing the Referral Loop: Receipt
of Specialist Report (https://
ecqi.healthit.gov/ecqm/measures/
cms050v6t): Add a clinical quality
measure from the Centers for Medicare
and Medicaid Services (CMS)
electronic-specified clinical quality
measures to address care coordination.
• Health Information Technology
(health IT): Streamline and clarify
PO 00000
Frm 00060
Fmt 4703
Sfmt 4703
health IT questions regarding utilization
of health IT to include information
sharing, patient engagement, quality
improvement, and program evaluation
and research.
• Statin Therapy for the Prevention
and Treatment of Cardiovascular
Disease (https://ecqi.healthit.gov/ecqm/
measures/cms347v1): Replace the
current non-specified Coronary Artery
Disease measure with an e-specified
measure that aligns with the Centers for
Disease Control and Prevention and the
CMS Million Hearts® clinical quality
measures relating to statin therapy.
• Telemedicine and Virtual Visits:
Collect information on services
provided via telemedicine or virtual
visits by provider in order to capture the
changing health care delivery
landscape.
• Tenure for Health Center Staff:
Retire Table 5A related to the tenure for
staff.
• Workforce: Collect workforce
related information, including
workforce satisfaction and health
professional training.
Likely Respondents: The respondents
will include Health Center Program
awardees, Health Center Program lookalikes, and NEPQR Program awardees
funded under the practice priority areas
of section 831(b) of the PHS Act.
Burden Statement: Burden includes
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, disclosing
and providing information. It also
accounts for time to train personnel,
respond to a collection of information,
search data sources, complete and
review the collection of information,
and transmit or otherwise disclose the
information. The total annual burden
hours estimated for this ICR are
summarized in the table below.
E:\FR\FM\26JNN1.SGM
26JNN1
]]>Agencies
[Federal Register Volume 83, Number 123 (Tuesday, June 26, 2018)]
[Notices]
[Pages 29798-29800]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-13590]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Submission to OMB for
Review and Approval; Public Comment Request; National Survey of Organ
Donation Attitudes and Practices, OMB No. 0915-0290--Reinstatement With
Change
AGENCY: Health Resources and Services Administration (HRSA), Department
of Health and Human Services.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: In compliance with the Paperwork Reduction Act of 1995, HRSA
has submitted an Information Collection Request (ICR) to the Office of
Management and Budget (OMB) for review and approval. The ICR is for
reinstatement with change of a previously approved information
collection, assigned OMB control number 0915-0290, which expired on
March 31, 2015. Comments submitted during the first public review of
this ICR will be provided to OMB. OMB will accept further comments from
the public during the review and approval period.
DATES: Comments on this ICR should be received no later than July 26,
2018.
[[Page 29799]]
ADDRESSES: Submit your comments, including the ICR Title, to the desk
officer for HRSA, either by email to [email protected] 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 Lisa Wright-Solomon, the
HRSA Information Collection Clearance Officer at [email protected] or
call (301) 443-1984.
SUPPLEMENTARY INFORMATION:
Information Collection Request Title: National Survey of Organ
Donation Attitudes and Practices, OMB No. 0915-0290--Reinstatement with
Change.
Abstract: HRSA is requesting approval from OMB for reinstatement
with change of a previously approved collection of information (OMB
control number 0915-0290). The National Survey of Organ Donation
Attitudes and Practices (NSODAP) is conducted approximately every 6-7
years and serves a critical role in providing HRSA and the donation
community with data regarding why Americans choose to donate organ,
current barriers to donation, and potential new approaches to
increasing donations. Survey data and derived analytic insights inform
HRSA's public outreach and educational initiatives. HRSA is improving
the quality and relevance of the data collected by making the following
changes:
(1) HRSA is increasing the ability to produce more precise results
by targeting 10,000 completed surveys (increased from 3,250 in 2012).
This increase will allow for a more accurate and robust analysis of the
attitudes and donation practices of important subgroups such as
Americans over the age of 50 and various minority populations. Although
the precision of the results from the survey will increase, the
respondent burden will be reduced, and survey completion costs will be
lower resulting in a cost neutral change.
(2) HRSA is streamlining the data collection process to minimize
respondent burden. Of the 10,000 targeted completed surveys, 8,000 will
be completed online by a nationally representative web panel composed
of Americans over the age of 18 who have already agreed to participate
in a survey. Web panels target a representative section of a population
used by other approved surveys. HRSA will complete the remaining 2,000
surveys by telephone. In 2012, all 3,250 surveys were conducted by
telephone and respondents were contacted using random-digit dialing, a
process that yielded a low response rate. Contacting respondents by
telephone will remain a part of the survey protocol to compare current
data to the 2012 data. However, for this survey, identification of a
sample of adults over the age of 18 for a telephone survey will be from
a national list of home addresses. Before contact, those selected for
the telephone survey will receive a mailed pre-notification letter with
information about the survey. This mailing will improve survey
cooperation and reduce the number of people contacted for the survey.
Additionally, it is more time and cost effective to take the survey
online than taking the survey by phone as the average response will be
0.1 hour shorter, and the cost of an online survey can range $3-$4 per
survey compared to $50-$100 for a high-quality phone survey.
(3) To improve the relevance of the data collected and in response
to the comments received during the 60-day public comment period, HRSA
revised the instrument to add, remove, or edit a few questions. Example
changes include removing certain questions that were only relevant for
a random-digit-dialing sample design, editing certain questions to add
clarity, and adding questions to highlight emerging topics such as
receiving organ donation information through a hand-held device or
mobile apps.
Need and Proposed Use of the Information: HRSA is the primary
federal entity responsible for oversight of organ and blood stem cell
transplant systems and initiatives to increase organ donor registration
and donation in the United States. This survey is the primary method by
which HRSA can obtain information from Americans about organ donation
attitudes and beliefs. OMB previously approved this survey, and HRSA
fielded it during 2005 and 2012. HRSA uses the resulting information
from the survey to inform practice, policy, and other public awareness
and education activities related to organ donation and transplantation.
This type of information is essential for planning, targeting, and
implementing outreach efforts to increase public donation commitment as
well as for tracking the results of such efforts over time. Members of
the donation and transplantation community also make use of the
findings of the survey in their outreach efforts and research efforts.
Increasing the number of completed cases via a web panel for online
survey completion and modifying the survey instrument without
increasing the survey length will dramatically improve the quality and
precision of the results while minimizing respondent burden as much as
possible. The modified instrument and survey fielding methods will
allow research on the attitudes and behaviors of important subgroups of
Americans as well as research on emerging topics related to organ
donation.
Likely Respondents: A nationally representative sample of adults
over the age of 18 with a high number of responses from populations of
interest such as racial-ethnic minorities, including African American,
Asian, Native American, and Hispanic respondents, as well as
respondents of all age groups and education levels.
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 ICR are summarized in the table below.
Total Estimated Annualized Burden--Hours
----------------------------------------------------------------------------------------------------------------
Average
Number of Number of Total burden per Total burden
Form name respondents responses per responses response (in hours
respondent hours)
----------------------------------------------------------------------------------------------------------------
National Survey of Organ 2,000 1 2,000 .37 740
Donation Attitudes and
Practices--Telephone (English
and Spanish Versions)..........
[[Page 29800]]
National Survey of Organ 8,000 1 8,000 .27 2,160
Donation Attitudes and
Practices--Web Online Panel
(English and Spanish Versions).
-------------------------------------------------------------------------------
Total....................... 10,000 .............. 10,000 .............. 2,900
----------------------------------------------------------------------------------------------------------------
Amy P. McNulty,
Acting Director, Division of the Executive Secretariat.
[FR Doc. 2018-13590 Filed 6-25-18; 8:45 am]
BILLING CODE 4165-15-P
