Agency Information Collection Activities: Proposed Collection: Public Comment Request; Information Collection Request Title: Healthy Start Evaluation and Quality Improvement, OMB No. 0915-0338-Revision, 753-754 [2019-00393]

Download as PDF Federal Register / Vol. 84, No. 21 / Thursday, January 31, 2019 / Notices Persons attending FDA’s advisory committee meetings are advised that the Agency is not responsible for providing access to electrical outlets. FDA welcomes the attendance of the public at its advisory committee meetings and will make every effort to accommodate persons with disabilities. If you require accommodations due to a disability, please contact AnnMarie Williams at Annmarie.Williams@ fda.hhs.gov or 301–796–5966 at least 7 days in advance of the meeting. FDA is committed to the orderly conduct of its advisory committee meetings. Please visit our website at https://www.fda.gov/ AdvisoryCommittees/ AboutAdvisoryCommittees/ ucm111462.htm for procedures on public conduct during advisory committee meetings. Notice of this meeting is given under the Federal Advisory Committee Act (5 U.S.C. app. 2). Dated: January 16, 2019. Leslie Kux, Associate Commissioner for Policy. [FR Doc. 2019–00483 Filed 1–30–19; 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; Information Collection Request Title: Healthy Start Evaluation and Quality Improvement, OMB No. 0915–0338—Revision Health Resources and Services Administration (HRSA), Department of Health and Human Services. ACTION: Notice. AGENCY: In compliance with the requirement of the Paperwork Reduction Act of 1995 for opportunity for public comment on proposed data collection projects, 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 April 1, 2019. ADDRESSES: Submit your comments to paperwork@hrsa.gov or mail the HRSA Information Collection Clearance amozie on DSK3GDR082PROD with NOTICES1 SUMMARY: VerDate Sep<11>2014 20:21 Jan 30, 2019 Jkt 247001 Officer, Room 14N136B, 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, the HRSA Information Collection Clearance Officer at (301) 443–1984. SUPPLEMENTARY INFORMATION: When submitting comments or requesting information, please include the information request collection title for reference. Information Collection Request Title: Healthy Start Evaluation and Quality Improvement. OMB No. 0915–0338— Revision. Abstract: The National Healthy Start Program, funded through HRSA’s Maternal and Child Health Bureau (MCHB), has the goal of reducing disparities in infant mortality and adverse perinatal outcomes. The program began as a demonstration project with 15 grantees in 1991 and has expanded since then to 100 grantees across 37 states and Washington, DC. Healthy Start grantees operate in communities with rates of infant mortality at least 1.5 times the U.S. national average and high rates for other adverse perinatal outcomes. These communities are often low-income and geographically, racially, ethnically, and linguistically diverse areas. Healthy Start offers services during the perinatal period (before, during, after pregnancy) and the program works with women and infants through the first 18 months after birth. The Healthy Start program pursues four goals: (1) Improve women’s health, (2) improve family health and wellness, (3) promote systems change, and (4) assure impact and effectiveness. Over the past few years, MCHB has sought to implement a uniform set of data elements for monitoring and conducting an evaluation to assess grantees’ progress towards these program goals. Under the current OMB approval, the data collection instruments for this evaluation include the following: The National Healthy Start Program Survey; Community Action Network Survey; Healthy Start Site Visit Protocol; Healthy Start Participant Focus Group Protocol; and six (6) client-level screening tools: (1) Demographic Intake Form, (2) Pregnancy Status/History, (3) Preconception, (4) Prenatal, (5) Postpartum, and (6) Interconception/ Parenting. In this proposed revision, MCHB plans to retain the client-level tools as well as the National Healthy Start PO 00000 Frm 00108 Fmt 4703 Sfmt 4703 753 Program Survey, and eliminate the Community Action Network Survey, Healthy Start Site Visit Protocol and Healthy Start Participant Focus Group Protocol instruments. For the 6 clientlevel tools, MCHB plans to consolidate them into three (3) tools: (1) Background, (2) Prenatal, and (3) Parenting Information. The purpose of these changes is to reduce time burden on grantees, interviewers, and participants by eliminating items that are duplicated across the forms. In addition to consolidating questions across tools, many individual items have been eliminated or reworded in order to focus the evaluation more clearly on program performance measures. This will shorten the revised instruments, focus them more clearly on a single purpose, and increase consideration of participant sensitivities to certain types of questions. The reduced time burden should increase overall completion of the individual client-level forms by participants, and reduce the number of skipped items within each form. Need and Proposed Use of the Information: The purpose of the revised data collection instruments will be to assess grantee and client-level progress towards meeting Healthy Start program performance measures. The data will be used to conduct ongoing performance monitoring of the program, thus meeting program needs for accountability, programmatic decision-making, and ongoing quality assurance. Likely Respondents: For the General Background, Prenatal, and Parenting Information client-level forms, respondents include pregnant women and women of reproductive age who are served by the Healthy Start program. For the National Healthy Start Program Survey, respondents include project directors and staff for each of the grantees. 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 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. E:\FR\FM\31JAN1.SGM 31JAN1 754 Federal Register / Vol. 84, No. 21 / Thursday, January 31, 2019 / Notices TOTAL ESTIMATED ANNUALIZED BURDEN HOURS Number of respondents Form name Number of responses per respondent Total responses Average burden per response (in hours) Total burden hours General Background Form .................................................. Prenatal ................................................................................ Parenting .............................................................................. National Healthy Start Program Web Survey ...................... * 45,000 * 30,000 * 30,000 100 1 1 1 1 45,000 30,000 30,000 100 .30 .10 .25 2.00 13,500 3,000 7,500 200 Total .............................................................................. 105,100 ........................ 105,100 ........................ 24,200 *All participants (45,000) complete the General Background form, and a subset of these same individuals (30,000) also complete the Prenatal or Parenting forms for total of 105,100 responses. 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 and utility 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. Amy P. McNulty, Acting Director, Division of the Executive Secretariat. [FR Doc. 2019–00393 Filed 1–30–19; 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; 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 of 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. 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 March 4, 2019. ADDRESSES: Submit your comments, including the Information Collection amozie on DSK3GDR082PROD with NOTICES1 SUMMARY: VerDate Sep<11>2014 20:21 Jan 30, 2019 Jkt 247001 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 Lisa Wright-Solomon, the HRSA Information Collection Clearance Officer at paperwork@hrsa.gov or call (301) 443– 1984. SUPPLEMENTARY INFORMATION: Information Collection Request Title: Health Resources and Service Administration Uniform Data System, OMB No. 0915–0193—Revision. Abstract: HRSA utilizes the Uniform Data System (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. The UDS data collection will be revised in the following ways. • Quality of Care Measures Alignment with the Centers for Medicare and Medicaid Services (CMS) electronicspecified clinical quality measures (eCQMs): Revise UDS clinical quality PO 00000 Frm 00109 Fmt 4703 Sfmt 4703 measures in accordance with the corresponding CMS eCQMs updates for 2019 calendar year reporting. • Substance Use Disorder and Mental Health Services: Collect information regarding substance use disorder and mental health services by provider specialty to better assess which providers are delivering substance use disorder and behavioral health services; support investments in these priority areas; and better describe comprehensive, integrated models of care. • Health Information Technology (health IT): Streamline and clarify 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: 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 and virtual visits by provider in order to capture the changing healthcare 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 likely include Health Center Program awardees, Health Center Program look-alikes, and NEPQR Program awardees funded under the practice priority areas of section 831(b) of the PHS Act. Burden Statement: Burden in this context means the time expended by persons to generate, maintain, retain, disclose or provide the information E:\FR\FM\31JAN1.SGM 31JAN1

Agencies

[Federal Register Volume 84, Number 21 (Thursday, January 31, 2019)]
[Notices]
[Pages 753-754]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-00393]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Proposed Collection: 
Public Comment Request; Information Collection Request Title: Healthy 
Start Evaluation and Quality Improvement, OMB No. 0915-0338--Revision

AGENCY: Health Resources and Services Administration (HRSA), Department 
of Health and Human Services.

ACTION: Notice.

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

SUMMARY: In compliance with the requirement of the Paperwork Reduction 
Act of 1995 for opportunity for public comment on proposed data 
collection projects, 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 April 1, 2019.

ADDRESSES: Submit your comments to paperwork@hrsa.gov or mail the HRSA 
Information Collection Clearance Officer, Room 14N136B, 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, the HRSA Information Collection Clearance Officer at (301) 
443-1984.

SUPPLEMENTARY INFORMATION: When submitting comments or requesting 
information, please include the information request collection title 
for reference.
    Information Collection Request Title: Healthy Start Evaluation and 
Quality Improvement. OMB No. 0915-0338--Revision.
    Abstract: The National Healthy Start Program, funded through HRSA's 
Maternal and Child Health Bureau (MCHB), has the goal of reducing 
disparities in infant mortality and adverse perinatal outcomes. The 
program began as a demonstration project with 15 grantees in 1991 and 
has expanded since then to 100 grantees across 37 states and 
Washington, DC. Healthy Start grantees operate in communities with 
rates of infant mortality at least 1.5 times the U.S. national average 
and high rates for other adverse perinatal outcomes. These communities 
are often low-income and geographically, racially, ethnically, and 
linguistically diverse areas. Healthy Start offers services during the 
perinatal period (before, during, after pregnancy) and the program 
works with women and infants through the first 18 months after birth. 
The Healthy Start program pursues four goals: (1) Improve women's 
health, (2) improve family health and wellness, (3) promote systems 
change, and (4) assure impact and effectiveness. Over the past few 
years, MCHB has sought to implement a uniform set of data elements for 
monitoring and conducting an evaluation to assess grantees' progress 
towards these program goals. Under the current OMB approval, the data 
collection instruments for this evaluation include the following: The 
National Healthy Start Program Survey; Community Action Network Survey; 
Healthy Start Site Visit Protocol; Healthy Start Participant Focus 
Group Protocol; and six (6) client-level screening tools: (1) 
Demographic Intake Form, (2) Pregnancy Status/History, (3) 
Preconception, (4) Prenatal, (5) Postpartum, and (6) Interconception/
Parenting.
    In this proposed revision, MCHB plans to retain the client-level 
tools as well as the National Healthy Start Program Survey, and 
eliminate the Community Action Network Survey, Healthy Start Site Visit 
Protocol and Healthy Start Participant Focus Group Protocol 
instruments. For the 6 client-level tools, MCHB plans to consolidate 
them into three (3) tools: (1) Background, (2) Prenatal, and (3) 
Parenting Information. The purpose of these changes is to reduce time 
burden on grantees, interviewers, and participants by eliminating items 
that are duplicated across the forms. In addition to consolidating 
questions across tools, many individual items have been eliminated or 
reworded in order to focus the evaluation more clearly on program 
performance measures. This will shorten the revised instruments, focus 
them more clearly on a single purpose, and increase consideration of 
participant sensitivities to certain types of questions. The reduced 
time burden should increase overall completion of the individual 
client-level forms by participants, and reduce the number of skipped 
items within each form.
    Need and Proposed Use of the Information: The purpose of the 
revised data collection instruments will be to assess grantee and 
client-level progress towards meeting Healthy Start program performance 
measures. The data will be used to conduct ongoing performance 
monitoring of the program, thus meeting program needs for 
accountability, programmatic decision-making, and ongoing quality 
assurance.
    Likely Respondents: For the General Background, Prenatal, and 
Parenting Information client-level forms, respondents include pregnant 
women and women of reproductive age who are served by the Healthy Start 
program. For the National Healthy Start Program Survey, respondents 
include project directors and staff for each of the grantees.
    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 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.

[[Page 754]]



                                     Total Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                     Number of                    Average burden
            Form name                Number of     responses per       Total       per response    Total burden
                                    respondents     respondent       responses      (in hours)         hours
----------------------------------------------------------------------------------------------------------------
General Background Form.........        * 45,000               1          45,000             .30          13,500
Prenatal........................        * 30,000               1          30,000             .10           3,000
Parenting.......................        * 30,000               1          30,000             .25           7,500
National Healthy Start Program               100               1             100            2.00             200
 Web Survey.....................
rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr
    Total.......................         105,100  ..............         105,100  ..............          24,200
----------------------------------------------------------------------------------------------------------------
*All participants (45,000) complete the General Background form, and a subset of these same individuals (30,000)
  also complete the Prenatal or Parenting forms for total of 105,100 responses.

    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 and utility 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.

Amy P. McNulty,
Acting Director, Division of the Executive Secretariat.
[FR Doc. 2019-00393 Filed 1-30-19; 8:45 am]
 BILLING CODE 4165-15-P