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, 36108-36110 [2019-15902]
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36108
Federal Register / Vol. 84, No. 144 / Friday, July 26, 2019 / Notices
TOTAL ESTIMATED ANNUALIZED BURDEN—HOURS
Number of
respondents
Form name
Total
responses
Average
burden
per response
(in hours)
Total burden
hours
Rural Communities Opioid Response Program Performance Measures .................................................................
243
2
486
5.66
2,750
Total ..............................................................................
243
........................
486
........................
2,750
Maria G. Button,
Director, Division of the Executive Secretariat.
[FR Doc. 2019–15883 Filed 7–25–19; 8:45 am]
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
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
National Advisory Council on Nurse
Education and Practice; Meeting
Cancellation
Health Resources and Services
Administration; Department of Health
and Human Services.
Notice of meeting cancellation.
SUMMARY: This is to notify the public
that the previously scheduled
September 24, 2019, meeting of the
National Advisory Council on Nurse
Education and Practice (NACNEP) is
cancelled. This meeting was announced
in the Federal Register, Vol. 84, No. 45
on Thursday, March 7, 2019 (FR Doc.
2019–04074 Filed 3–6–19). Future
meetings will occur in calendar year
2020 and be announced through the
Federal Register at a later date.
FOR FURTHER INFORMATION CONTACT:
Tracy L. Gray, MBA, MS, RN, Chief,
Advanced Nursing Education Branch,
Designated Federal Officer, NACNEP,
5600 Fishers Lane, Rockville, Maryland
20857, telephone: (301) 945–3113 or
email: BHWNACNEP@hrsa.gov.
Maria G. Button,
Director, Division of the Executive Secretariat.
[FR Doc. 2019–15894 Filed 7–25–19; 8:45 am]
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Health Resources and Services
Administration (HRSA), Department of
Health and Human Services (HHS).
ACTION: Notice.
AGENCY:
AGENCY:
ACTION:
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
BILLING CODE 4165–15–P
jbell on DSK3GLQ082PROD with NOTICES
Number of
responses per
respondent
(annually)
SUMMARY: 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 September 24,
2019.
ADDRESSES: Submit your comments to
paperwork@hrsa.gov or mail the HRSA
Information Collection Clearance
Officer, Room 14N136B, 5600 Fishers
Lane, Rockville, Maryland 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 ICR title
for reference.
Information Collection Request Title:
Health Resources and Services
Administration Uniform Data System,
OMB No. 0915–0193—Revision.
Abstract: The Health Center Program,
administered by HRSA, is authorized
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under section 330 of the Public Health
Service (PHS) Act, most recently
amended by section 50901(b) of the
Bipartisan Budget Act of 2018, Public
Law 115–123. Health centers are
community-based and patient-directed
organizations that deliver affordable,
accessible, quality, and cost-effective
primary health care services to patients
regardless of their ability to pay. Nearly
1,400 health centers operate
approximately 12,000 service delivery
sites that provide primary health care to
more than 27 million people in every
U.S. state, the District of Columbia,
Puerto Rico, the U.S. Virgin Islands, and
the Pacific Basin. HRSA uses 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 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
analyzes UDS data with other national
health-related data sets to compare the
Health Center Program patient
populations and the overall U.S.
population.
HRSA plans to continue aligning
several clinical measures reported in the
UDS with the Centers for Medicare &
Medicaid Services’ (CMS) electronic
specified clinical quality measures
(eCQM) and is considering the following
changes for 2020 UDS data collection:
• Retiring CMS126 Use of
Appropriate Medications for Asthma:
The CMS eCQM is no longer being
E:\FR\FM\26JYN1.SGM
26JYN1
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Federal Register / Vol. 84, No. 144 / Friday, July 26, 2019 / Notices
36109
updated when new asthma medications
are approved for use. This measure was
also retired from the Healthcare
Effectiveness Data and Information Set,
is no longer endorsed by the National
Quality Forum, and there is currently no
comparable eCQM for asthma. Thus, no
replacement measure is planned at this
time.
• Replacing Dental Sealants for
Children Between 6–9 years with
CMS74v9 Primary Caries Prevention
Intervention as Offered by Primary Care
Providers, Including Dentists: The
replacement measure, which is the
percentage of children age 0–20 years
who received a fluoride varnish
application, is applicable to a broader
patient population than the use of
dental sealants, more applicable to
primary care settings by measuring oral
health activities that health centers
without dentists can employ, and is part
of the CMS Merit-based Incentive
Payment System quality payment
program measure set.
• Adding CMS159v8 Depression
Remission at 12 Months: The addition of
the CMS depression remission measure
at 12 months provides complementary
mental health outcome data on how
well health centers help patients reach
remission. Improvement in the
symptoms of depression and an ongoing
assessment of the current treatment plan
is crucial to the reduction of symptoms
and psychosocial well-being of patients.
The addition of CMS159v8 further
supports HRSA’s commitment to HHS
strategic objective to ‘‘Reduce the
impact of mental and substance use
disorders through prevention, early
intervention, treatment, and recovery
support.’’
• Revising the HIV linkage to care
measure: The HIV linkage to care
measure captures the percentage of
patients whose first HIV diagnosis was
made by health center staff between
October 1 of the prior year and
September 30 of the measurement year
and who were seen for follow-up
treatment within 90 days of that first
diagnosis. This measure will be
modified to change the follow-up
treatment from 90 days to 30 days.
• Adding CMS349v2 HIV Screening:
The addition of the CMS HIV screening
measure will contribute to concerted
efforts to better identify priority
geographies, assist high risk groups
among health center patients, and more
effectively deploy interventions and
resources in support of the ‘‘Ending the
HIV Epidemic’’ Initiative.
• Adding Prescription for PreExposure Prophylaxis (PrEP)
International Classification of Diseases
(ICD) 10 Codes and Current Procedural
Terminology (CPT) codes: The addition
of the PrEP ICD–10 and CPT codes will
allow for the collection of this HIV
prescription prevention data in health
centers and further supports the
‘‘Ending the HIV Epidemic’’ Initiative.
• Adding Diabetes Measures:
CMS131v8 Diabetes Eye Exam;
CMS123v7 Diabetes Foot Exam; and
CMS134v8 Diabetes Medical Attention
to Nephropathy: Improving the
treatment and management of patients
with diabetes is a HRSA priority.
Addition of these CMS eCQMs informs
HRSA of the breadth of preventive care
that patients with diabetes may receive
in the health center setting that have
profound impact on diabetes-related
outcomes and quality of life.
• Adding CMS125v8 Breast Cancer
Screening: There is substantial
geographic and demographic variation
in breast cancer death rates, suggesting
that there are social and non-economic
obstacles that affect breast cancer
screening. i Preventive screening
through timely access to mammograms
can lead to early detection, better
treatment prognosis, and has the
potential to reduce health disparities. ii
• Adding a Prescription Drug
Monitoring Programs (PDMPs) Question
to Appendix D: Health Center Health
Information Technology (HIT)
Capabilities: PDMPs are effective tools
for reducing prescription drug abuse
and diversion. Improving provider
utilization and access to real-time data
has demonstrated meaningful results in
reducing over-prescribing of
medication. iii
• Revising the Social Determinants of
Health Question in Appendix E: Other
Data Elements: There is strong evidence
that social and economic factors
influence an individual’s
health. ivSeveral health care systems are
exploring how to collect information on
the social determinants of health. The
inclusion of these questions into
Appendix E allows HRSA to see how
health centers are approaching this
challenge and how many of their
vulnerable patients are experiencing
social and economic risks associated
with poor health.
• Adding ICD–10 Codes to Capture
Human Trafficking and Intimate Partner
Violence: HRSA is aware that human
trafficking v and intimate partner
violence vi are part of the social
determinants of health (SDOH) that can
affect a wide range of health and quality
of life outcomes. Addressing SDOH is a
HRSA objective to improve the health
and well-being of health center patients
and the broader community in which
they reside.
• Uniform Data System Test
Cooperative (UTC): As part of HRSA’s
efforts to modernize the UDS we are
creating the UTC as an enduring testing
and piloting capability. The UTC
consists of three main components: A
steering committee, a coordinator, and
health center test participants. Through
this cooperative, HRSA will be able to
pilot test innovative information
technology and software, streamlining
of clinical quality measures, and
alternative data collection
methodologies to reduce reporting
burden and improve data quality and
integrity.
Likely Respondents: Likely
respondents will include Health Center
Program award recipients, 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 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 use 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. It
will also include testing information
necessary to support the UTC. No more
than three tests would be conducted
each calendar year and no more than
100 health centers would participate in
1 test. Participation is voluntary and
will not affect their funding status. This
sample size is sufficient to conduct a
pilot test and determine if the
i https://www.ncbi.nlm.nih.gov/pmc/articles/
PMC4540479/.
ii https://www.thecommunityguide.org/findings/
cancer-screening-reducing-structural-barriersclients-breast-cancer.
iii https://www.pdmpassist.org/content/
prescription-drug-monitoring-frequently-askedquestions-faq.
iv https://www.countyhealthrankings.org/explorehealth-rankings/measures-data-sources/county-
health-rankings-model/health-factors/social-andeconomic-factors.
v https://www.acf.hhs.gov/otip/about/what-ishuman-trafficking.
vi https://www.hrsa.gov/sites/default/files/hrsa/
HRSA-strategy-intimate-partner-violence.pdf.
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36110
Federal Register / Vol. 84, No. 144 / Friday, July 26, 2019 / Notices
innovation should be scaled across the
Health Center Program. The total annual
burden hours estimated for this ICR are
summarized in the table below.
TOTAL ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
Form name
Total
responses
Average
burden per
response
(in hours)
Total burden
hours
Universal Report ..................................................................
Grant Report ........................................................................
UTC Tests ............................................................................
1,471
504
100
1
1
3
1,471
504
300
223
30
80
328,033
15,120
24,000
Total ..............................................................................
2,075
........................
2,275
........................
367,153
HRSA specifically requests comments
on: (1) The necessity and feasibility of
the proposed information collection for
the proper performance of the agency’s
functions; (2) the accuracy of the
estimated burden; (3) ways to enhance
the quality, utility, and clarity of the
information to be collected; and (4) the
use of automated collection techniques
or other forms of information
technology to minimize the information
collection burden.
Maria G. Button,
Director, Division of the Executive Secretariat.
[FR Doc. 2019–15902 Filed 7–25–19; 8:45 a.m.]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
National Vaccine Injury Compensation
Program; List of Petitions Received
Health Resources and Services
Administration (HRSA), Department of
Health and Human Services (HHS).
ACTION: Notice.
AGENCY:
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Number of
responses per
respondent
SUMMARY: HRSA is publishing this
notice of petitions received under the
National Vaccine Injury Compensation
Program (the Program), as required by
the Public Health Service (PHS) Act, as
amended. While the Secretary of HHS is
named as the respondent in all
proceedings brought by the filing of
petitions for compensation under the
Program, the United States Court of
Federal Claims (the Court) is charged by
statute with responsibility for
considering and acting upon the
petitions.
FOR FURTHER INFORMATION CONTACT: For
information about requirements for
filing petitions, and the Program in
general, contact Lisa L. Reyes, Clerk of
Court, United States Court of Federal
Claims, 717 Madison Place NW,
Washington, DC 20005, (202) 357–6400.
VerDate Sep<11>2014
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For information on HRSA’s role in the
Program, contact the Director, National
Vaccine Injury Compensation Program,
5600 Fishers Lane, Room 08N146B,
Rockville, Maryland 20857; (301) 443–
6593, or visit our website at: https://
www.hrsa.gov/vaccinecompensation/
index.html.
The
Program provides a system of no-fault
compensation for certain individuals
who have been injured by specified
childhood vaccines. Subtitle 2 of Title
XXI of the PHS Act, 42 U.S.C. 300aa–
10 et seq., provides that those seeking
compensation are to file a petition with
the Court and to serve a copy of the
petition to the Secretary of HHS, who is
named as the respondent in each
proceeding. The Secretary has delegated
this responsibility under the Program to
HRSA. The Court is directed by statute
to appoint special masters who take
evidence, conduct hearings as
appropriate, and make initial decisions
as to eligibility for, and amount of,
compensation.
A petition may be filed with respect
to injuries, disabilities, illnesses,
conditions, and deaths resulting from
vaccines described in the Vaccine Injury
Table (the Table) set forth at 42 CFR
100.3. This Table lists for each covered
childhood vaccine the conditions that
may lead to compensation and, for each
condition, the time period for
occurrence of the first symptom or
manifestation of onset or of significant
aggravation after vaccine
administration. Compensation may also
be awarded for conditions not listed in
the Table and for conditions that are
manifested outside the time periods
specified in the Table, but only if the
petitioner shows that the condition was
caused by one of the listed vaccines.
Section 2112(b)(2) of the PHS Act, 42
U.S.C. 300aa–12(b)(2), requires that
‘‘[w]ithin 30 days after the Secretary
receives service of any petition filed
under section 2111 the Secretary shall
publish notice of such petition in the
SUPPLEMENTARY INFORMATION:
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Federal Register.’’ Set forth below is a
list of petitions received by HRSA on
June 1, 2019, through June 30, 2019.
This list provides the name of
petitioner, city and state of vaccination
(if unknown then city and state of
person or attorney filing claim), and
case number. In cases where the Court
has redacted the name of a petitioner
and/or the case number, the list reflects
such redaction.
Section 2112(b)(2) also provides that
the special master ‘‘shall afford all
interested persons an opportunity to
submit relevant, written information’’
relating to the following:
1. The existence of evidence ‘‘that
there is not a preponderance of the
evidence that the illness, disability,
injury, condition, or death described in
the petition is due to factors unrelated
to the administration of the vaccine
described in the petition,’’ and
2. Any allegation in a petition that the
petitioner either:
a. ‘‘[S]ustained, or had significantly
aggravated, any illness, disability,
injury, or condition not set forth in the
Vaccine Injury Table but which was
caused by’’ one of the vaccines referred
to in the Table, or
b. ‘‘[S]ustained, or had significantly
aggravated, any illness, disability,
injury, or condition set forth in the
Vaccine Injury Table the first symptom
or manifestation of the onset or
significant aggravation of which did not
occur within the time period set forth in
the Table but which was caused by a
vaccine’’ referred to in the Table.
In accordance with Section
2112(b)(2), all interested persons may
submit written information relevant to
the issues described above in the case of
the petitions listed below. Any person
choosing to do so should file an original
and three (3) copies of the information
with the Clerk of the United States
Court of Federal Claims at the address
listed above (under the heading FOR
FURTHER INFORMATION CONTACT), with a
copy to HRSA addressed to Director,
Division of Injury Compensation
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]]>Agencies
[Federal Register Volume 84, Number 144 (Friday, July 26, 2019)]
[Notices]
[Pages 36108-36110]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-15902]
-----------------------------------------------------------------------
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
AGENCY: Health Resources and Services Administration (HRSA), Department
of Health and Human Services (HHS).
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: 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 September
24, 2019.
ADDRESSES: Submit your comments to [email protected] or mail the HRSA
Information Collection Clearance Officer, Room 14N136B, 5600 Fishers
Lane, Rockville, Maryland 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 [email protected] 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 ICR title for reference.
Information Collection Request Title: Health Resources and Services
Administration Uniform Data System, OMB No. 0915-0193--Revision.
Abstract: The Health Center Program, administered by HRSA, is
authorized under section 330 of the Public Health Service (PHS) Act,
most recently amended by section 50901(b) of the Bipartisan Budget Act
of 2018, Public Law 115-123. Health centers are community-based and
patient-directed organizations that deliver affordable, accessible,
quality, and cost-effective primary health care services to patients
regardless of their ability to pay. Nearly 1,400 health centers operate
approximately 12,000 service delivery sites that provide primary health
care to more than 27 million people in every U.S. state, the District
of Columbia, Puerto Rico, the U.S. Virgin Islands, and the Pacific
Basin. HRSA uses 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 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 analyzes UDS data
with other national health-related data sets to compare the Health
Center Program patient populations and the overall U.S. population.
HRSA plans to continue aligning several clinical measures reported
in the UDS with the Centers for Medicare & Medicaid Services' (CMS)
electronic specified clinical quality measures (eCQM) and is
considering the following changes for 2020 UDS data collection:
Retiring CMS126 Use of Appropriate Medications for Asthma:
The CMS eCQM is no longer being
[[Page 36109]]
updated when new asthma medications are approved for use. This measure
was also retired from the Healthcare Effectiveness Data and Information
Set, is no longer endorsed by the National Quality Forum, and there is
currently no comparable eCQM for asthma. Thus, no replacement measure
is planned at this time.
Replacing Dental Sealants for Children Between 6-9 years
with CMS74v9 Primary Caries Prevention Intervention as Offered by
Primary Care Providers, Including Dentists: The replacement measure,
which is the percentage of children age 0-20 years who received a
fluoride varnish application, is applicable to a broader patient
population than the use of dental sealants, more applicable to primary
care settings by measuring oral health activities that health centers
without dentists can employ, and is part of the CMS Merit-based
Incentive Payment System quality payment program measure set.
Adding CMS159v8 Depression Remission at 12 Months: The
addition of the CMS depression remission measure at 12 months provides
complementary mental health outcome data on how well health centers
help patients reach remission. Improvement in the symptoms of
depression and an ongoing assessment of the current treatment plan is
crucial to the reduction of symptoms and psychosocial well-being of
patients. The addition of CMS159v8 further supports HRSA's commitment
to HHS strategic objective to ``Reduce the impact of mental and
substance use disorders through prevention, early intervention,
treatment, and recovery support.''
Revising the HIV linkage to care measure: The HIV linkage
to care measure captures the percentage of patients whose first HIV
diagnosis was made by health center staff between October 1 of the
prior year and September 30 of the measurement year and who were seen
for follow-up treatment within 90 days of that first diagnosis. This
measure will be modified to change the follow-up treatment from 90 days
to 30 days.
Adding CMS349v2 HIV Screening: The addition of the CMS HIV
screening measure will contribute to concerted efforts to better
identify priority geographies, assist high risk groups among health
center patients, and more effectively deploy interventions and
resources in support of the ``Ending the HIV Epidemic'' Initiative.
Adding Prescription for Pre-Exposure Prophylaxis (PrEP)
International Classification of Diseases (ICD) 10 Codes and Current
Procedural Terminology (CPT) codes: The addition of the PrEP ICD-10 and
CPT codes will allow for the collection of this HIV prescription
prevention data in health centers and further supports the ``Ending the
HIV Epidemic'' Initiative.
Adding Diabetes Measures: CMS131v8 Diabetes Eye Exam;
CMS123v7 Diabetes Foot Exam; and CMS134v8 Diabetes Medical Attention to
Nephropathy: Improving the treatment and management of patients with
diabetes is a HRSA priority. Addition of these CMS eCQMs informs HRSA
of the breadth of preventive care that patients with diabetes may
receive in the health center setting that have profound impact on
diabetes-related outcomes and quality of life.
Adding CMS125v8 Breast Cancer Screening: There is
substantial geographic and demographic variation in breast cancer death
rates, suggesting that there are social and non-economic obstacles that
affect breast cancer screening. \i\ Preventive screening through timely
access to mammograms can lead to early detection, better treatment
prognosis, and has the potential to reduce health disparities. \ii\
---------------------------------------------------------------------------
\i\ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4540479/.
\ii\ https://www.thecommunityguide.org/findings/cancer-screening-reducing-structural-barriers-clients-breast-cancer.
---------------------------------------------------------------------------
Adding a Prescription Drug Monitoring Programs (PDMPs)
Question to Appendix D: Health Center Health Information Technology
(HIT) Capabilities: PDMPs are effective tools for reducing prescription
drug abuse and diversion. Improving provider utilization and access to
real-time data has demonstrated meaningful results in reducing over-
prescribing of medication. \iii\
---------------------------------------------------------------------------
\iii\ https://www.pdmpassist.org/content/prescription-drug-monitoring-frequently-asked-questions-faq.
---------------------------------------------------------------------------
Revising the Social Determinants of Health Question in
Appendix E: Other Data Elements: There is strong evidence that social
and economic factors influence an individual's health. \iv\Several
health care systems are exploring how to collect information on the
social determinants of health. The inclusion of these questions into
Appendix E allows HRSA to see how health centers are approaching this
challenge and how many of their vulnerable patients are experiencing
social and economic risks associated with poor health.
---------------------------------------------------------------------------
\iv\ https://www.countyhealthrankings.org/explore-health-rankings/measures-data-sources/county-health-rankings-model/health-factors/social-and-economic-factors.
---------------------------------------------------------------------------
Adding ICD-10 Codes to Capture Human Trafficking and
Intimate Partner Violence: HRSA is aware that human trafficking \v\ and
intimate partner violence \vi\ are part of the social determinants of
health (SDOH) that can affect a wide range of health and quality of
life outcomes. Addressing SDOH is a HRSA objective to improve the
health and well-being of health center patients and the broader
community in which they reside.
---------------------------------------------------------------------------
\v\ https://www.acf.hhs.gov/otip/about/what-is-human-trafficking.
\vi\ https://www.hrsa.gov/sites/default/files/hrsa/HRSA-strategy-intimate-partner-violence.pdf.
---------------------------------------------------------------------------
Uniform Data System Test Cooperative (UTC): As part of
HRSA's efforts to modernize the UDS we are creating the UTC as an
enduring testing and piloting capability. The UTC consists of three
main components: A steering committee, a coordinator, and health center
test participants. Through this cooperative, HRSA will be able to pilot
test innovative information technology and software, streamlining of
clinical quality measures, and alternative data collection
methodologies to reduce reporting burden and improve data quality and
integrity.
Likely Respondents: Likely respondents will include Health Center
Program award recipients, 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 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 use 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. It will also include testing information necessary to
support the UTC. No more than three tests would be conducted each
calendar year and no more than 100 health centers would participate in
1 test. Participation is voluntary and will not affect their funding
status. This sample size is sufficient to conduct a pilot test and
determine if the
[[Page 36110]]
innovation should be scaled across the Health Center Program. 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)
----------------------------------------------------------------------------------------------------------------
Universal Report................ 1,471 1 1,471 223 328,033
Grant Report.................... 504 1 504 30 15,120
UTC Tests....................... 100 3 300 80 24,000
-------------------------------------------------------------------------------
Total....................... 2,075 .............. 2,275 .............. 367,153
----------------------------------------------------------------------------------------------------------------
HRSA specifically requests comments on: (1) The necessity and
feasibility of the proposed information collection for the proper
performance of the agency's functions; (2) the accuracy of the
estimated burden; (3) ways to enhance the quality, utility, and clarity
of the information to be collected; and (4) the use of automated
collection techniques or other forms of information technology to
minimize the information collection burden.
Maria G. Button,
Director, Division of the Executive Secretariat.
[FR Doc. 2019-15902 Filed 7-25-19; 8:45 a.m.]
BILLING CODE 4165-15-P
