Notice of Purchased/Referred Care Delivery Area Redesignation for the Pokagon Band of Potawatomi Indians of Michigan and Indiana, 92694-92695 [2024-27457]
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Federal Register / Vol. 89, No. 226 / Friday, November 22, 2024 / Notices
UDS+ Test Submissions for Health
Centers
• Beginning with the 2024 UDS,
health centers will be able to submit deidentified, patient-level data in
fulfillment of data elements on Tables:
Æ Table PBZC (Patients by ZIP Code)
Æ Table 3A (Patients by Age and Sex
Assigned at Birth)
Æ Table 3B (Demographic
Characteristics)
Æ Table 4 (Selected Characteristics)
Æ Table 6A (Selected Diagnoses and
Services Rendered)
Æ Table 6B (Quality of Care Measures)
Æ Table 7 (Health Outcomes and
Disparities
UDS+ Patient-Level Reporting
leverages a shift in processes by which
health centers will submit their annual
UDS reports while maintaining historic
UDS measures. Health Centers are
encouraged to submit data through
UDS+.
UDS+ is currently in the testing phase
and data submission supports system
capacity building and progress towards
full implementation. The technical test
will inform next steps for scaling this
innovation. High-quality accessible data
are critical to strategically meeting the
unique needs of health center patients
and identifying training and technical
assistance opportunities for clinical
process improvement. The growth in
health information technology coupled
with the near universal adoption of
electronic health records across health
centers has transformed patient care
delivery and underscored the need for
secure and rapid exchange of health
data between disparate systems. Fast
Healthcare Interoperability Resources®
is a Health Level Seven International®
standard for exchanging health care
information electronically.3 The health
care community is adopting this next
generation exchange framework to
advance interoperability.4 Leveraging
Fast Healthcare Interoperability
Resources® to collect patient-level data
through the UDS+ system will support
improved data granularity, allowing for
the development of robust HRSAsupported patient care programs and
improved equitable access to HRSAsupported high-quality, cost-effective
primary care services. This electronic
reporting mechanism will reduce
reliance on manual data entry to
populate the annual UDS report, in turn
yielding a reduction in reporting effort
burden, and will greatly increase the
analytical value of UDS data for
Estimated
number of
respondents
Form name
informing policy and program decisionmaking.
Likely Respondents: Respondents will
include Health Center Program award
recipients and Health Center Program
look-alikes carrying out programs under
section 330 of the PHS Act and NEPQR
and ANE award recipients funded under
the practice priority areas of section
831(b) and 811 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
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:
Estimated
number of
responses per
respondent
Average
burden per
response
(in hours)
Estimated total
burden hours
Universal Report ..............................................................................................
Grant Report ....................................................................................................
UDS+ Test Submissions ..................................................................................
* 1,538
** 420
1,507
1.00
1.22
1.25
238
22
10
366,044
11,273
18,838
Total ..........................................................................................................
3,465
........................
270
396,155
* Consists of 1,363 health center program awardees, 133 Health Center Look-alikes, and 42 NEPQR and ANE respondents.
** Health Centers submitted one or more grant reports in 2023: 339 (1 report), 70 (2 reports), 11 (3 reports).
ddrumheller on DSK120RN23PROD with NOTICES1
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, 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, Executive Secretariat.
BILLING CODE 4165–15–P
3 https://ecqi.healthit.gov/fhir.
19:28 Nov 21, 2024
Indian Health Service
Notice of Purchased/Referred Care
Delivery Area Redesignation for the
Pokagon Band of Potawatomi Indians
of Michigan and Indiana
Indian Health Service,
Department of Health and Human
Services.
ACTION: Notice.
AGENCY:
Notice is hereby given that
the Indian Health Service (IHS) has
decided to expand the geographic
boundaries of the Purchased/Referred
Care Delivery Area (PRCDA) for the
Pokagon Band of Potawatomi Indians of
SUMMARY:
[FR Doc. 2024–27394 Filed 11–21–24; 8:45 am]
VerDate Sep<11>2014
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Michigan and Indiana (‘‘Pokagon
Band’’) to include the counties of
Kalamazoo, Kent, and Ottawa in the
State of Michigan. The final PRCDA for
the Pokagon Band now includes the
Michigan counties of Allegan, Berrien,
Cass, Kalamazoo, Kent, Ottawa, and Van
Buren, and the Indiana counties of
Elkhart, Kosciusko, La Porte, Marshall,
St. Joseph, and Starke. The sole purpose
of this expansion is to authorize
additional Pokagon Band members and
beneficiaries to receive Purchased/
Referred Care (PRC) services.
DATES: This expansion is effective as of
the date of publication of this notice.
ADDRESSES: This notice can be found at
https://www.federalregister.gov. Written
requests for information should be
delivered to: CAPT John Rael, Director,
4 https://ecqi.healthit.gov/fhir.
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ddrumheller on DSK120RN23PROD with NOTICES1
Federal Register / Vol. 89, No. 226 / Friday, November 22, 2024 / Notices
Office of Resource Access and
Partnerships, Indian Health Service,
5600 Fishers Lane, Mail Stop 10E85C,
Rockville, MD 20857.
FOR FURTHER INFORMATION CONTACT:
CAPT John Rael, Director, Office of
Resource Access and Partnerships by
email at John.Rael@ihs.gov, or by phone
at (301) 443–0969 (this is not a toll-free
number).
SUPPLEMENTARY INFORMATION: The IHS
provides services under regulations in
effect as of September 15, 1987, and
republished at 42 CFR part 136,
subparts A–C. Subpart C defines a
Contract Health Service Delivery Area
(CHSDA), now referred to as a PRCDA,
as the geographic area within which
PRC will be made available by the IHS
to members of an identified Indian
community who reside in the PRCDA.
Residence within a PRCDA by a person
who is within the scope of the Indian
health program, as set forth in 42 CFR
136.12, creates no legal entitlement to
PRC but only potential eligibility for
services. Services needed, but not
available at an IHS/Tribal facility, are
provided under the PRC program
depending on the availability of funds,
the relative medical priority of the
services to be provided, and the actual
availability and accessibility of alternate
resources in accordance with the
regulations.
The regulations at 42 CFR part 136,
subpart C provide that, unless otherwise
designated, a PRCDA shall consist of a
county which includes all or part of a
reservation and any county or counties
which have a common boundary with
the reservation. 42 CFR 136.22(a)(6).
The regulations also provide that after
Consultation with the Tribal governing
body or bodies on those reservations
included within the PRCDA, the
Secretary may, from time to time,
redesignate areas within the United
States for inclusion in or exclusion from
a PRCDA. 42 CFR 136.22(b). The
regulations require that certain criteria
must be considered before any
redesignation is made. The criteria are
as follows:
(1) The number of Indians residing in
the area proposed to be so included or
excluded;
(2) Whether the Tribal governing body
has determined that Indians residing in
the area near the reservation are socially
and economically affiliated with the
Tribe;
(3) The geographic proximity to the
reservation of the area whose inclusion
or exclusion is being considered; and
(4) The level of funding which would
be available for the provision of PRC.
Additionally, the regulations require
that any redesignation of a PRCDA be
VerDate Sep<11>2014
19:28 Nov 21, 2024
Jkt 265001
made in accordance with the procedures
of the Administrative Procedure Act
(5 U.S.C. 553). 42 CFR 136.22(c). In
compliance with this requirement, the
IHS published a notice of proposed
redesignation and requested public
comments on May 17, 2024 (89 FR
43415). The IHS did not receive any
comments in response to the notice of
proposed redesignation.
In support of this expansion, the IHS
makes the following findings:
1. By expanding the PRCDA to
include Kalamazoo, Kent, and Ottawa
Counties in the State of Michigan, the
Pokagon Band’s PRC-eligible population
will increase by an estimated 537 Tribal
citizens.
2. The Tribal citizens and certain
other PRC-eligible individuals within
the expanded PRCDA are socially and
economically affiliated with the
Pokagon Band based on a Tribal
resolution in which the Pokagon Band
Tribal Council identified its intent to
expand the PRCDA to include
Kalamazoo, Kent, and Ottawa Counties
in Michigan, and stated that the Tribal
citizens and certain other individuals
residing in such areas are socially and
economically affiliated with the
Pokagon Band.
3. The expanded PRCDA counties
form a contiguous area with the existing
PRCDA, and Pokagon Band citizens
reside in each of the expansion
counties. For these reasons, the IHS has
determined that the expansion counties
are geographically proximate, meaning
‘‘on or near’’, to the Pokagon Band’s
reservation.
4. The Pokagon Band has indicated
that its PRC program can continue
providing the same level of care to the
expanded PRC-eligible population. No
additional financial resources will be
allocated by the IHS to the Pokagon
Band to provide services to the Pokagon
Band’s PRC-eligible population as a
result of this PRCDA expansion.
An updated listing of the PRCDAs for
all federally-recognized Tribes may be
accessed via a link on the IHS PRCDA
Expansion website (https://
www.ihs.gov/prc/prcda-expansion).
Public Comments: The IHS did not
receive any comments in response to the
notice of proposed expansion.
Roselyn Tso,
Director, Indian Health Service.
[FR Doc. 2024–27457 Filed 11–21–24; 8:45 am]
BILLING CODE 4166–14–P
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92695
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
Center for Scientific Review; Notice of
Closed Meeting
Pursuant to section 1009 of the
Federal Advisory Committee Act, as
amended, notice is hereby given of the
following meeting.
The meeting will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), title 5 U.S.C.,
as amended. The grant applications and
the discussions could disclose
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the grant
applications, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
Name of Committee: Center for Scientific
Review Special Emphasis Panel;
Fellowships: Oncology.
Date: December 17, 2024.
Time: 10:00 a.m. to 8:00 p.m.
Agenda: To review and evaluate grant
applications.
Address: National Institutes of Health,
Rockledge II, 6701 Rockledge Drive,
Bethesda, MD 20892.
Meeting Format: Virtual Meeting.
Contact Person: Nywana Sizemore, Ph.D.,
Scientific Review Officer, Center for
Scientific Review, National Institutes of
Health, 6701 Rockledge Drive, Room 6189,
MSC 7804, Bethesda, MD 20892, 301–408–
9916, sizemoren@csr.nih.gov.
(Catalogue of Federal Domestic Assistance
Program Nos. 93.306, Comparative Medicine;
93.333, Clinical Research, 93.306, 93.333,
93.337, 93.393–93.396, 93.837–93.844,
93.846–93.878, 93.892, 93.893, National
Institutes of Health, HHS)
Dated: November 18, 2024.
Lauren A. Fleck,
Program Analyst, Office of Federal Advisory
Committee Policy.
[FR Doc. 2024–27364 Filed 11–21–24; 8:45 am]
BILLING CODE 4140–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
National Institute of Allergy and
Infectious Diseases; Notice of Closed
Meeting
Pursuant to section 1009 of the
Federal Advisory Committee Act, as
amended, notice is hereby given of the
following meeting.
The meeting will be closed to the
public in accordance with the
E:\FR\FM\22NON1.SGM
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]]>Agencies
[Federal Register Volume 89, Number 226 (Friday, November 22, 2024)]
[Notices]
[Pages 92694-92695]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-27457]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Notice of Purchased/Referred Care Delivery Area Redesignation for
the Pokagon Band of Potawatomi Indians of Michigan and Indiana
AGENCY: Indian Health Service, Department of Health and Human Services.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: Notice is hereby given that the Indian Health Service (IHS)
has decided to expand the geographic boundaries of the Purchased/
Referred Care Delivery Area (PRCDA) for the Pokagon Band of Potawatomi
Indians of Michigan and Indiana (``Pokagon Band'') to include the
counties of Kalamazoo, Kent, and Ottawa in the State of Michigan. The
final PRCDA for the Pokagon Band now includes the Michigan counties of
Allegan, Berrien, Cass, Kalamazoo, Kent, Ottawa, and Van Buren, and the
Indiana counties of Elkhart, Kosciusko, La Porte, Marshall, St. Joseph,
and Starke. The sole purpose of this expansion is to authorize
additional Pokagon Band members and beneficiaries to receive Purchased/
Referred Care (PRC) services.
DATES: This expansion is effective as of the date of publication of
this notice.
ADDRESSES: This notice can be found at https://www.federalregister.gov.
Written requests for information should be delivered to: CAPT John
Rael, Director,
[[Page 92695]]
Office of Resource Access and Partnerships, Indian Health Service, 5600
Fishers Lane, Mail Stop 10E85C, Rockville, MD 20857.
FOR FURTHER INFORMATION CONTACT: CAPT John Rael, Director, Office of
Resource Access and Partnerships by email at [email protected], or by
phone at (301) 443-0969 (this is not a toll-free number).
SUPPLEMENTARY INFORMATION: The IHS provides services under regulations
in effect as of September 15, 1987, and republished at 42 CFR part 136,
subparts A-C. Subpart C defines a Contract Health Service Delivery Area
(CHSDA), now referred to as a PRCDA, as the geographic area within
which PRC will be made available by the IHS to members of an identified
Indian community who reside in the PRCDA. Residence within a PRCDA by a
person who is within the scope of the Indian health program, as set
forth in 42 CFR 136.12, creates no legal entitlement to PRC but only
potential eligibility for services. Services needed, but not available
at an IHS/Tribal facility, are provided under the PRC program depending
on the availability of funds, the relative medical priority of the
services to be provided, and the actual availability and accessibility
of alternate resources in accordance with the regulations.
The regulations at 42 CFR part 136, subpart C provide that, unless
otherwise designated, a PRCDA shall consist of a county which includes
all or part of a reservation and any county or counties which have a
common boundary with the reservation. 42 CFR 136.22(a)(6). The
regulations also provide that after Consultation with the Tribal
governing body or bodies on those reservations included within the
PRCDA, the Secretary may, from time to time, redesignate areas within
the United States for inclusion in or exclusion from a PRCDA. 42 CFR
136.22(b). The regulations require that certain criteria must be
considered before any redesignation is made. The criteria are as
follows:
(1) The number of Indians residing in the area proposed to be so
included or excluded;
(2) Whether the Tribal governing body has determined that Indians
residing in the area near the reservation are socially and economically
affiliated with the Tribe;
(3) The geographic proximity to the reservation of the area whose
inclusion or exclusion is being considered; and
(4) The level of funding which would be available for the provision
of PRC.
Additionally, the regulations require that any redesignation of a
PRCDA be made in accordance with the procedures of the Administrative
Procedure Act (5 U.S.C. 553). 42 CFR 136.22(c). In compliance with this
requirement, the IHS published a notice of proposed redesignation and
requested public comments on May 17, 2024 (89 FR 43415). The IHS did
not receive any comments in response to the notice of proposed
redesignation.
In support of this expansion, the IHS makes the following findings:
1. By expanding the PRCDA to include Kalamazoo, Kent, and Ottawa
Counties in the State of Michigan, the Pokagon Band's PRC-eligible
population will increase by an estimated 537 Tribal citizens.
2. The Tribal citizens and certain other PRC-eligible individuals
within the expanded PRCDA are socially and economically affiliated with
the Pokagon Band based on a Tribal resolution in which the Pokagon Band
Tribal Council identified its intent to expand the PRCDA to include
Kalamazoo, Kent, and Ottawa Counties in Michigan, and stated that the
Tribal citizens and certain other individuals residing in such areas
are socially and economically affiliated with the Pokagon Band.
3. The expanded PRCDA counties form a contiguous area with the
existing PRCDA, and Pokagon Band citizens reside in each of the
expansion counties. For these reasons, the IHS has determined that the
expansion counties are geographically proximate, meaning ``on or
near'', to the Pokagon Band's reservation.
4. The Pokagon Band has indicated that its PRC program can continue
providing the same level of care to the expanded PRC-eligible
population. No additional financial resources will be allocated by the
IHS to the Pokagon Band to provide services to the Pokagon Band's PRC-
eligible population as a result of this PRCDA expansion.
An updated listing of the PRCDAs for all federally-recognized
Tribes may be accessed via a link on the IHS PRCDA Expansion website
(https://www.ihs.gov/prc/prcda-expansion).
Public Comments: The IHS did not receive any comments in response
to the notice of proposed expansion.
Roselyn Tso,
Director, Indian Health Service.
[FR Doc. 2024-27457 Filed 11-21-24; 8:45 am]
BILLING CODE 4166-14-P
