Statement of Organization, Functions, and Delegations of Authority, 49302-49304 [2019-20218]

Download as PDF 49302 Federal Register / Vol. 84, No. 182 / Thursday, September 19, 2019 / Notices SUMMARY OF ANNUAL BURDEN—Continued Type of burden Obligation to respond Estimated number of respondents Estimated number of responses Estimated time per response (hours) Frequency of response ............................. ............................. .................... .................... .................... .............................. Information collection (IC) description Total Estimated Annual Burden Hours .. General Description of Collection: The Interagency Guidance on Leveraged Lending (Guidance) outlines for agencysupervised institutions high level principles related to safe-and sound leveraged lending activities, including underwriting considerations, assessing and documenting enterprise value, risk management expectations for credits awaiting distribution, stress testing expectations, pipeline portfolio management, and risk management expectations for exposures held by the institution. This Guidance provides information to all financial institutions supervised by the Office of the Comptroller of the Currency, the Board of Governors of the Federal Reserve System and the FDIC (the Agencies) that engage in leveraged lending activities. The number of community banks with substantial involvement in leveraged lending is small; therefore, the Agencies generally expect community banks to be largely unaffected by this information collection. There is no change in the method or substance of the collection. The overall reduction in burden hours is the result of economic fluctuation. In particular, the number of respondents has decreased while the hours per response and frequency of responses have remained the same. jbell on DSK3GLQ082PROD with NOTICES Request for Comment Comments are invited on: (a) Whether the collection of information is necessary for the proper performance of the FDIC’s functions, including whether the information has practical utility; (b) the accuracy of the estimates of the burden of the information collection, including the validity of the methodology and assumptions used; (c) ways to enhance the quality, utility, and clarity of the information to be collected; and (d) ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques or other forms of information technology. All comments will become a matter of public record. Dated at Washington, DC, on September 12, 2019. Valerie Best, Assistant Executive Secretary. [FR Doc. 2019–20216 Filed 9–18–19; 8:45 am] 17:30 Sep 18, 2019 Jkt 247001 FEDERAL MARITIME COMMISSION Notice of Agreements Filed The Commission hereby gives notice of the filing of the following agreement under the Shipping Act of 1984. Interested parties may submit comments on the agreement to the Secretary by email at Secretary@fmc.gov, or by mail, Federal Maritime Commission, Washington, DC 20573, within twelve days of the date this notice appears in the Federal Register. Copies of agreements are available through the Commission’s website (www.fmc.gov) or by contacting the Office of Agreements at (202) 523–5793 or tradeanalysis@ fmc.gov. Agreement No.: 201320. Agreement Name: CNCO/Matson Slot Charter Agreement. Parties: The China Navigation Co. Pte. Ltd. and Matson Navigation Company, Inc. Filing Party: Conte Cicala; Clyde & Co US LLP. Synopsis: The Agreement authorizes China Navigation Company to charter space to Matson in the trade between the U.S. Pacific Coast, Samoa, American Samoa, and Tahiti. Proposed Effective Date: 9/10/2019. Location: https://www2.fmc.gov/ FMC.Agreements.Web/Public/ AgreementHistory/23436. Dated: September 13, 2019. Rachel E. Dickon, Secretary. [FR Doc. 2019–20211 Filed 9–18–19; 8:45 am] BILLING CODE 6731–AA–P PO 00000 Frm 00058 Fmt 4703 4,152 DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Statement of Organization, Functions, and Delegations of Authority BILLING CODE 6714–01–P Federal Deposit Insurance Corporation. VerDate Sep<11>2014 Total estimated annual burden (hours) Sfmt 4703 Part E, Chapter E (Agency for Healthcare Research and Quality), of the Statement of Organization, Functions, and Delegations of Authority for the Department of Health and Human Services (61 FR 15955–58, April 10, 1996, most recently amended at 81 FR 22271, on April 15, 2016) is amended to reflect recent organizational changes. The specific amendments are as follows: I. Under Section E–10, Organization, delete all components and replace with the following: A. Office of the Director. B. Center for Evidence and Practice Improvement. C. Center for Quality Improvement and Patient Safety. D. Center for Financing, Access, and Cost Trends. E. Office of Communications. F. Office of Extramural Research, Education, and Priority Populations. G. Office of Management Services. II. Under Section E–20, Functions, delete Center for Evidence and Practice Improvement, Center for Quality Improvement and Patient Safety, Center for Delivery, Organization, and Markets, and Center for Financing Access and Cost Trends in its entirety and replace with the following: Center for Evidence and Practice Improvement. Conducts and supports research on health care delivery and practice improvement across the continuum of care from prevention to chronic care management to end of life care. Specifically: (1) Synthesizes evidence and translates science for multiple stakeholders; (2) advances decision and communication sciences to facilitate informed treatment and health care decision making by patients and their health care providers; (3) explores how health information technology can improve clinical decision making and health care quality; (4) catalyzes and promotes sustainability of improvements in clinical practice across health care settings through research, E:\FR\FM\19SEN1.SGM 19SEN1 jbell on DSK3GLQ082PROD with NOTICES Federal Register / Vol. 84, No. 182 / Thursday, September 19, 2019 / Notices demonstration projects, and partnership development; (5) studies the roles that health professionals, health systems, and organizations play in the provision of health care services; (6) examines the role of health systems in improving quality and efficiency of health care services; and (7) operates the National Center for Excellence in Primary Care Research. Shall be organized into the following five divisions: Division of Evidence-Based Practice Centers: Produces evidence syntheses by conducting systematic evidence reviews using robust and rigorous methodologies and advances the methods of evidence synthesis to ensure scientific rigor and unbiased reviews. Division of U.S. Preventive Services Task Force: Provides scientific, administrative, and dissemination support for the independent U.S. Preventive Services Task Force, enabling the Task Force to make evidence-based recommendations on clinical preventive services. Division of Digital Healthcare Research: Via advanced analytics to enhance health care decision making, the division focuses on conducting research to determine how the parts of the ever evolving digital health care ecosystem can best come together to affect transformational value for patients and their families in the safe delivery of care. Division of Practice Improvement: Advances the science of clinical practice improvement including shared decision making; evaluates and supports innovative models of practice transformation in diverse settings; facilitates communities of learning to promote the implementation of evidence for practice improvement; and serves as a trusted source of evidence and tools for methods, measures, and evaluation of practice improvement. Division of Healthcare Delivery and Systems Research: Develops new evidence, tools and measures to understand how health care is delivered in the U.S., emphasizing the roles that physicians, physician practices, hospitals, health systems, other medical professionals, and organizations play in the provision of health care services. Center for Quality Improvement and Patient Safety. Measures performance of the U.S. health care system; identifies, promotes, and supports evidence-based research; and provides information that is used to improve the safety and quality of health care. Collaborates with stakeholders across the health care system to: Implement evidence-based practices, accelerate and amplify VerDate Sep<11>2014 17:30 Sep 18, 2019 Jkt 247001 improvements in quality and patient safety. Shall be organized into the following four divisions: Division of General Patient Safety: Leads intramural and extramural research that focuses on the risks and harms inherent in the delivery of health care for a variety of conditions in all health care settings, including the hospital, ambulatory and long-term care facilities, and the home. Develops, tests, and facilitates understanding and use of evidence-based tools and information to improve the quality and safety of health care and reduce the risk of patient harm. Major topics of research and tool development include health care leadership and teamwork, safe medication use, health care simulation, diagnostic performance, care coordination, measurement, patient safety reporting and surveillance, detection and analysis, patient and family engagement, and health care facility design. Division of Patient Safety Organizations: Administers the Patient Safety Organization (PSO) Program in accordance with the Patient Safety and Quality Improvement Act of 2005. Approves and oversees PSOs that apply for official federal ‘‘listing.’’ Publishes Common Formats for measuring adverse events in hospitals. Division of Healthcare-Associated Infections (HAI): Leads AHRQ’s robust program of research studies and implementation projects that has two closely related purposes: To prevent, reduce, and ultimately eliminate HAIs; and to combat antibiotic resistance. Fosters the creation of new knowledge and the generation of evidence to develop improved methods for preventing health care associated infections and improving antibiotic use in multiple health care settings, including hospital acute care, long-term care, and ambulatory care, and promotes the wide-scale implementation of effective interventions for preventing healthcare-associated infections and promoting antibiotic stewardship in all these care settings. Division of Quality Measurement and Improvement: Conducts quality measurement and evaluates improvement activities in order to improve healthcare delivered in the United States. Seeks opportunities to integrate various measurement efforts in order to provide a more complete picture of quality and safety. Promotes enhanced collaboration and coordination of measurement efforts, including integration where possible, in order to serve the needs of multiple stakeholders who use measurement, PO 00000 Frm 00059 Fmt 4703 Sfmt 4703 49303 such as front-line clinicians, patients, safety and quality experts, administrators, researchers, payers, policymakers, and others. Conducts focused measurement programs including the National Healthcare Quality and Disparities Report, the Consumer Assessment of Healthcare Providers and Systems, Surveys on Patient Safety Culture programs, and the AHRQ Quality Indicators. Center for Financing, Access, and Cost Trends. Conducts and supports studies of the use of and expenditures for health care services, of the sources of payment for that care, of the availability and cost of health insurance, and of access to health care. Administers surveys and develops large data sets to support health care policy and behavioral research and analysis. The mission includes the production of the Medical Expenditure Panel Survey (MEPS) and the Healthcare Cost and Utilization Project (HCUP). Shall be organized into the following four divisions: Division of Statistical Research and Methods (DSRM): Responsible for a wide range of statistical activities (e.g., determining sample size and allocation, data imputation and weighting strategies) for the design and implementation of the three components (household, provider, and insurance/employer) of MEPS and for planning and conducting research to help guide and improve these activities. Division of Research and Modeling (DRM): Conducts studies of the access to and costs and financing of health care and is responsible for the conduct of research and the development of models and databases in support of the overall mission of AHRQ and CFACT. Provides ongoing analytic support to MEPS and HCUP design and implementation. Develops and maintains various simulation models, components, databases, tools, and research products that enhance the value of the AHRQ data. Utilizes these models and databases to conduct microsimulation analyses of the effects, on households and individuals, of health policies embodied in current law, and the potential effects of health care policies embodied in generic versions of proposed health care reforms. Division of Healthcare Data and Analytics (DHDA): Leads the development, production, and improvement of health care delivery data and tools for use in research and policy analysis with a focus on HCUP and the supply side of the medical care market. Directs, conducts, and supports research on health care delivery and utilization to examine issues related to E:\FR\FM\19SEN1.SGM 19SEN1 49304 Federal Register / Vol. 84, No. 182 / Thursday, September 19, 2019 / Notices access, utilization, cost, safety, and quality of hospital, physician, and other services. Disseminates data, tools, and statistics to facilitate and inform public and private health policy analysis, clinical studies, and socioeconomic research to inform public and private healthcare policy. Division of Survey Operations (DSO): Responsible for the MEPS data collection, processing and distribution activities. These responsibilities include directing data collection for the three major MEPS surveys, preparing data files for public use, conducting workshops on the appropriate use of MEPS data and the development of a website for disseminating MEPS products. Publishes statistical briefs, research findings and a series of methodological reports. Administers a data center at which researchers can, with approved projects and under specific technical controls and privacy protocols, access data that cannot be released to the public for use in specific research activities. Maintains liaisons with individuals and organizations engaged in health services research both within and outside the federal government. All delegations and redelegations of authority to officers and employees of the Agency for Healthcare Research and Quality that were in effect immediately prior to the effective date of this reorganization shall continue in effect pending further redelegation provided they are consistent with this reorganization. These changes are effective upon date of signature. Dated: September 18, 2019. Gopal Khanna, Director. [FR Doc. 2019–20218 Filed 9–18–19; 8:45 am] BILLING CODE 4160–90–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Supplemental Evidence and Data Request on Therapies for Clinically Localized Prostate Cancer Agency for Healthcare Research and Quality (AHRQ), HHS. ACTION: Request for supplemental evidence and data submissions. jbell on DSK3GLQ082PROD with NOTICES AGENCY: The Agency for Healthcare Research and Quality (AHRQ) is seeking scientific information submissions from the public. Scientific information is being solicited to inform our review on SUMMARY: VerDate Sep<11>2014 17:30 Sep 18, 2019 Jkt 247001 Therapies for Clinically Localized Prostate Cancer, which is currently being conducted by the AHRQ’s Evidence-based Practice Centers (EPC) Program. Access to published and unpublished pertinent scientific information will improve the quality of this review. DATES: Submission Deadline: Comments must be received on or before 30 days after date of publication of this notice. ADDRESSES: Email submissions: epc@ ahrq.hhs.gov. Print submissions: Mailing Address: Center for Evidence and Practice Improvement, Agency for Healthcare Research and Quality, ATTN: EPC SEADs Coordinator, 5600 Fishers Lane, Mail Stop 06E53A, Rockville, MD 20857. Shipping Address (FedEx, UPS, etc.): Center for Evidence and Practice Improvement, Agency for Healthcare Research and Quality, ATTN: EPC SEADs Coordinator, 5600 Fishers Lane, Mail Stop 06E77D, Rockville, MD 20857. FOR FURTHER INFORMATION CONTACT: Jenae Benns, Telephone: 301–427–1496 or Email: epc@ahrq.hhs.gov. SUPPLEMENTARY INFORMATION: The Agency for Healthcare Research and Quality has commissioned the Evidence-based Practice Centers (EPC) Program to complete a review of the evidence for Therapies for Clinically Localized Prostate Cancer. AHRQ is conducting this systematic review pursuant to Section 902(a) of the Public Health Service Act, 42 U.S.C. 299a(a). The EPC Program is dedicated to identifying as many studies as possible that are relevant to the questions for each of its reviews. In order to do so, we are supplementing the usual manual and electronic database searches of the literature by requesting information from the public (e.g., details of studies conducted). We are looking for studies that report on Therapies for Clinically Localized Prostate Cancer, including those that describe adverse events. The entire research protocol is available online at: https:// effectivehealthcare.ahrq.gov/products/ prostate-cancer-therapies/protocol. This is to notify the public that the EPC Program would find the following information on Therapies for Clinically Localized Prostate Cancer helpful: D A list of completed studies that your organization has sponsored for this indication. In the list, please indicate whether results are available on ClinicalTrials.gov along with the ClinicalTrials.gov trial number. PO 00000 Frm 00060 Fmt 4703 Sfmt 4703 D For completed studies that do not have results on ClinicalTrials.gov, a summary, including the following elements: Study number, study period, design, methodology, indication and diagnosis, proper use instructions, inclusion and exclusion criteria, primary and secondary outcomes, baseline characteristics, number of patients screened/eligible/enrolled/lost to follow-up/withdrawn/analyzed, effectiveness/efficacy, and safety results. D A list of ongoing studies that your organization has sponsored for this indication. In the list, please provide the ClinicalTrials.gov trial number or, if the trial is not registered, the protocol for the study including a study number, the study period, design, methodology, indication and diagnosis, proper use instructions, inclusion and exclusion criteria, and primary and secondary outcomes. D Description of whether the above studies constitute ALL Phase II and above clinical trials sponsored by your organization for this indication and an index outlining the relevant information in each submitted file. Your contribution is very beneficial to the Program. Materials submitted must be publicly available or able to be made public. Materials that are considered confidential; marketing materials; study types not included in the review; or information on indications not included in the review cannot be used by the EPC Program. This is a voluntary request for information, and all costs for complying with this request must be borne by the submitter. The draft of this review will be posted on AHRQ’s EPC Program website and available for public comment for a period of 4 weeks. If you would like to be notified when the draft is posted, please sign up for the email list at: https:// www.effectivehealthcare.ahrq.gov/ email-updates. The systematic review will answer the following questions. This information is provided as background. AHRQ is not requesting that the public provide answers to these questions. Key Questions KQ 1: What are the comparative effectiveness and harms of CLPC therapies? (1) Watchful waiting (2) Active surveillance (3) Androgen deprivation therapy (ADT) (4) Focal therapies (a) Brachytherapy (b) Cryotherapy (c) High-intensity focused ultrasound (HIFU) (d) Laser ablation E:\FR\FM\19SEN1.SGM 19SEN1

Agencies

[Federal Register Volume 84, Number 182 (Thursday, September 19, 2019)]
[Notices]
[Pages 49302-49304]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-20218]


=======================================================================
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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Agency for Healthcare Research and Quality


Statement of Organization, Functions, and Delegations of 
Authority

    Part E, Chapter E (Agency for Healthcare Research and Quality), of 
the Statement of Organization, Functions, and Delegations of Authority 
for the Department of Health and Human Services (61 FR 15955-58, April 
10, 1996, most recently amended at 81 FR 22271, on April 15, 2016) is 
amended to reflect recent organizational changes. The specific 
amendments are as follows:
    I. Under Section E-10, Organization, delete all components and 
replace with the following:
    A. Office of the Director.
    B. Center for Evidence and Practice Improvement.
    C. Center for Quality Improvement and Patient Safety.
    D. Center for Financing, Access, and Cost Trends.
    E. Office of Communications.
    F. Office of Extramural Research, Education, and Priority 
Populations.
    G. Office of Management Services.
    II. Under Section E-20, Functions, delete Center for Evidence and 
Practice Improvement, Center for Quality Improvement and Patient 
Safety, Center for Delivery, Organization, and Markets, and Center for 
Financing Access and Cost Trends in its entirety and replace with the 
following:
    Center for Evidence and Practice Improvement. Conducts and supports 
research on health care delivery and practice improvement across the 
continuum of care from prevention to chronic care management to end of 
life care. Specifically: (1) Synthesizes evidence and translates 
science for multiple stakeholders; (2) advances decision and 
communication sciences to facilitate informed treatment and health care 
decision making by patients and their health care providers; (3) 
explores how health information technology can improve clinical 
decision making and health care quality; (4) catalyzes and promotes 
sustainability of improvements in clinical practice across health care 
settings through research,

[[Page 49303]]

demonstration projects, and partnership development; (5) studies the 
roles that health professionals, health systems, and organizations play 
in the provision of health care services; (6) examines the role of 
health systems in improving quality and efficiency of health care 
services; and (7) operates the National Center for Excellence in 
Primary Care Research.
    Shall be organized into the following five divisions:
    Division of Evidence-Based Practice Centers: Produces evidence 
syntheses by conducting systematic evidence reviews using robust and 
rigorous methodologies and advances the methods of evidence synthesis 
to ensure scientific rigor and unbiased reviews.
    Division of U.S. Preventive Services Task Force: Provides 
scientific, administrative, and dissemination support for the 
independent U.S. Preventive Services Task Force, enabling the Task 
Force to make evidence-based recommendations on clinical preventive 
services.
    Division of Digital Healthcare Research: Via advanced analytics to 
enhance health care decision making, the division focuses on conducting 
research to determine how the parts of the ever evolving digital health 
care ecosystem can best come together to affect transformational value 
for patients and their families in the safe delivery of care.
    Division of Practice Improvement: Advances the science of clinical 
practice improvement including shared decision making; evaluates and 
supports innovative models of practice transformation in diverse 
settings; facilitates communities of learning to promote the 
implementation of evidence for practice improvement; and serves as a 
trusted source of evidence and tools for methods, measures, and 
evaluation of practice improvement.
    Division of Healthcare Delivery and Systems Research: Develops new 
evidence, tools and measures to understand how health care is delivered 
in the U.S., emphasizing the roles that physicians, physician 
practices, hospitals, health systems, other medical professionals, and 
organizations play in the provision of health care services.
    Center for Quality Improvement and Patient Safety. Measures 
performance of the U.S. health care system; identifies, promotes, and 
supports evidence-based research; and provides information that is used 
to improve the safety and quality of health care. Collaborates with 
stakeholders across the health care system to: Implement evidence-based 
practices, accelerate and amplify improvements in quality and patient 
safety.
    Shall be organized into the following four divisions:
    Division of General Patient Safety: Leads intramural and extramural 
research that focuses on the risks and harms inherent in the delivery 
of health care for a variety of conditions in all health care settings, 
including the hospital, ambulatory and long-term care facilities, and 
the home. Develops, tests, and facilitates understanding and use of 
evidence-based tools and information to improve the quality and safety 
of health care and reduce the risk of patient harm. Major topics of 
research and tool development include health care leadership and 
teamwork, safe medication use, health care simulation, diagnostic 
performance, care coordination, measurement, patient safety reporting 
and surveillance, detection and analysis, patient and family 
engagement, and health care facility design.
    Division of Patient Safety Organizations: Administers the Patient 
Safety Organization (PSO) Program in accordance with the Patient Safety 
and Quality Improvement Act of 2005. Approves and oversees PSOs that 
apply for official federal ``listing.'' Publishes Common Formats for 
measuring adverse events in hospitals.
    Division of Healthcare-Associated Infections (HAI): Leads AHRQ's 
robust program of research studies and implementation projects that has 
two closely related purposes: To prevent, reduce, and ultimately 
eliminate HAIs; and to combat antibiotic resistance. Fosters the 
creation of new knowledge and the generation of evidence to develop 
improved methods for preventing health care associated infections and 
improving antibiotic use in multiple health care settings, including 
hospital acute care, long-term care, and ambulatory care, and promotes 
the wide-scale implementation of effective interventions for preventing 
healthcare-associated infections and promoting antibiotic stewardship 
in all these care settings.
    Division of Quality Measurement and Improvement: Conducts quality 
measurement and evaluates improvement activities in order to improve 
healthcare delivered in the United States. Seeks opportunities to 
integrate various measurement efforts in order to provide a more 
complete picture of quality and safety. Promotes enhanced collaboration 
and coordination of measurement efforts, including integration where 
possible, in order to serve the needs of multiple stakeholders who use 
measurement, such as front-line clinicians, patients, safety and 
quality experts, administrators, researchers, payers, policymakers, and 
others. Conducts focused measurement programs including the National 
Healthcare Quality and Disparities Report, the Consumer Assessment of 
Healthcare Providers and Systems, Surveys on Patient Safety Culture 
programs, and the AHRQ Quality Indicators.
    Center for Financing, Access, and Cost Trends. Conducts and 
supports studies of the use of and expenditures for health care 
services, of the sources of payment for that care, of the availability 
and cost of health insurance, and of access to health care. Administers 
surveys and develops large data sets to support health care policy and 
behavioral research and analysis. The mission includes the production 
of the Medical Expenditure Panel Survey (MEPS) and the Healthcare Cost 
and Utilization Project (HCUP).
    Shall be organized into the following four divisions:
    Division of Statistical Research and Methods (DSRM): Responsible 
for a wide range of statistical activities (e.g., determining sample 
size and allocation, data imputation and weighting strategies) for the 
design and implementation of the three components (household, provider, 
and insurance/employer) of MEPS and for planning and conducting 
research to help guide and improve these activities.
    Division of Research and Modeling (DRM): Conducts studies of the 
access to and costs and financing of health care and is responsible for 
the conduct of research and the development of models and databases in 
support of the overall mission of AHRQ and CFACT. Provides ongoing 
analytic support to MEPS and HCUP design and implementation. Develops 
and maintains various simulation models, components, databases, tools, 
and research products that enhance the value of the AHRQ data. Utilizes 
these models and databases to conduct microsimulation analyses of the 
effects, on households and individuals, of health policies embodied in 
current law, and the potential effects of health care policies embodied 
in generic versions of proposed health care reforms.
    Division of Healthcare Data and Analytics (DHDA): Leads the 
development, production, and improvement of health care delivery data 
and tools for use in research and policy analysis with a focus on HCUP 
and the supply side of the medical care market. Directs, conducts, and 
supports research on health care delivery and utilization to examine 
issues related to

[[Page 49304]]

access, utilization, cost, safety, and quality of hospital, physician, 
and other services. Disseminates data, tools, and statistics to 
facilitate and inform public and private health policy analysis, 
clinical studies, and socioeconomic research to inform public and 
private healthcare policy.
    Division of Survey Operations (DSO): Responsible for the MEPS data 
collection, processing and distribution activities. These 
responsibilities include directing data collection for the three major 
MEPS surveys, preparing data files for public use, conducting workshops 
on the appropriate use of MEPS data and the development of a website 
for disseminating MEPS products. Publishes statistical briefs, research 
findings and a series of methodological reports. Administers a data 
center at which researchers can, with approved projects and under 
specific technical controls and privacy protocols, access data that 
cannot be released to the public for use in specific research 
activities. Maintains liaisons with individuals and organizations 
engaged in health services research both within and outside the federal 
government.
    All delegations and redelegations of authority to officers and 
employees of the Agency for Healthcare Research and Quality that were 
in effect immediately prior to the effective date of this 
reorganization shall continue in effect pending further redelegation 
provided they are consistent with this reorganization.
    These changes are effective upon date of signature.

    Dated: September 18, 2019.
Gopal Khanna,
Director.
[FR Doc. 2019-20218 Filed 9-18-19; 8:45 am]
 BILLING CODE 4160-90-P